title: One-year cardiovascular risk and quality of life changes in participants of a health trainer service.
abstract: OBJECTIVE
  To explore 12-month changes in cardiovascular disease (CVD) risk and health-related quality of life (HRQoL) in participants of a health trainer (HT) programme.
  
  
  METHODS
  Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified 'high risk' (≥20% CVD risk) at baseline.
  
  
  RESULTS
  At baseline, 33.6% of participants were classified as 'high CVD risk' and 95.7% were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50%). In 'high-risk' participants significant reductions were evident for overall CVD risk (-2.34±8.13%) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change.
  
  
  CONCLUSIONS
  Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (.20%) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.
authors: Centre for Sport, Health and Exercise Research, Staffordshire University, Stoke-on-Trent, UK.
authors: Christopher J
authors: CJ
authors: Gidlow
authors: Thomas
authors: T
authors: Cochrane
authors: Rachel
authors: R
authors: Davey
authors: Marion
authors: M
authors: Beloe
authors: Ruth
authors: R
authors: Chambers
authors: Jagdish
authors: J
authors: Kumar
authors: Yvonne
authors: Y
authors: Mawby
authors: Zafar
authors: Z
authors: Iqbal
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D016208:Databases, Factual; D004739:England; D005260:Female; D020446:Fitness Centers / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires
keywords: health behaviour; health trainers; prevention; primary care