title: [Lifestyle modification programs protecting cardiovascular health in Germany and Sweden. A qualitative interview study].
abstract: A large amount of evidence, including neurohumoral, inflammatory, and metabolic physiological adaptations, emphasize the importance of the individual lifestyle as a public health concern. The related burden of chronic diseases in the European Union, which could be minimized by appropriate lifestyles, requires consistent transfer of evidence-based prevention guidelines. Due to the epidemiologic importance of cardiovascular diseases and innovative health-promoting strategies in Sweden, a comparative analysis between German and Swedish practices preventing cardiovascular events in high-risk populations is presented in this paper. This qualitative analysis demonstrates that lifestyle-related risk and protective factors based on smoking, physical activity, nutrition, and psychosocial determinants are of growing importance in cardiac death prevention. Especially in Sweden, behavioral prevention is joined by condition prevention. In Germany, intersectoral rehabilitation concepts improve patient adherence to behavioral recommendations but interdisciplinary communication between different health experts needs to be improved. The health-promoting hospital composes a health professional's interface, which is based on the understanding that behavioral risk factors are not only highly interrelated, but also require sophisticated healthcare delivery to optimize health management effectiveness.
authors.affiliation: Klinik für Kardiologie, Pneumologie und Angiologie, Heinrich-Heine-Universität Düsseldorf, Medizinische Fakultät, Moorenstrasse 5, Düsseldorf, Germany. Christian.Meyer@med.uni-duesseldorf.de
authors.forename: C
authors.initials: C
authors.lastname: Meyer
authors.forename: E
authors.initials: E
authors.lastname: Göpel
authors.forename: J
authors.initials: J
authors.lastname: Siegrist
authors.forename: C
authors.initials: C
authors.lastname: Heiss
authors.forename: M
authors.initials: M
authors.lastname: Kelm
authors.forename: T
authors.initials: T
authors.lastname: Rassaf
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control*; D003625:Data Collection; D005858:Germany / Q000453:epidemiology; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D013548:Sweden / Q000453:epidemiology