Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years

Little is known about the (co-)occurrence of smoking, alcohol at-risk drinking, physical inactivity and overweight, and the motivation to change these behavioral health risk factors (HRFs) in older general hospital patients with cardiovascular disease. Between October and December 2016, all consecut...

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Main Authors: Ulrike Siewert-Markus, Sabina Ulbricht, Beate Gaertner, Birgit-Christiane Zyriax, Marcus Dörr, Stefanie Tobschall, Sophie Baumann, Ulrich John, Jennis Freyer-Adam
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/9/1963
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author Ulrike Siewert-Markus
Sabina Ulbricht
Beate Gaertner
Birgit-Christiane Zyriax
Marcus Dörr
Stefanie Tobschall
Sophie Baumann
Ulrich John
Jennis Freyer-Adam
author_facet Ulrike Siewert-Markus
Sabina Ulbricht
Beate Gaertner
Birgit-Christiane Zyriax
Marcus Dörr
Stefanie Tobschall
Sophie Baumann
Ulrich John
Jennis Freyer-Adam
author_sort Ulrike Siewert-Markus
collection DOAJ
description Little is known about the (co-)occurrence of smoking, alcohol at-risk drinking, physical inactivity and overweight, and the motivation to change these behavioral health risk factors (HRFs) in older general hospital patients with cardiovascular disease. Between October and December 2016, all consecutively admitted patients aged 50 to 79 years were proactively recruited on 3 cardiology wards and asked to participate in a survey on HRFs and behavior change motivation. Of the eligible patients, 80.4% participated in the survey (<i>n</i> = 328). The mean age was 66.5 years (standard deviation 9.0), and 65.5% were male. At least 1 HRF was present in 91.8% (<i>n</i> = 280), at least 2 HRFs in 54.4% (<i>n</i> = 166), and 3 or 4 HRFs in 12.1% (<i>n</i> = 37) of participants. The proportion of older adults who contemplated or were changing or planning to change their behavior to meet health behavior recommendations ranged between 66.0% (smoking) and 93.2% (alcohol consumption). The results indicate a notable co-occurrence of behavioral HRFs in older patients with cardiovascular disease. The majority of older adults were at least considering changing the respective behavior. To prevent and treat diseases efficiently, hospitalization may be a suitable moment for systematic multiple HRF screening and intervention.
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spelling doaj.art-f354f50a0f014b9f946da44893937d022023-11-23T09:00:59ZengMDPI AGNutrients2072-66432022-05-01149196310.3390/nu14091963Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 YearsUlrike Siewert-Markus0Sabina Ulbricht1Beate Gaertner2Birgit-Christiane Zyriax3Marcus Dörr4Stefanie Tobschall5Sophie Baumann6Ulrich John7Jennis Freyer-Adam8Institute for Medical Psychology, University Medicine Greifswald, 17475 Greifswald, GermanyGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald, 17475 Greifswald, GermanyRobert-Koch-Institute, 13353 Berlin, GermanyPreventive Medicine and Nutrition, Institute for Health Service Research in Dermatology and Nursing (IVDP), University Hospital Hamburg-Eppendorf, 20246 Hamburg, GermanyGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald, 17475 Greifswald, GermanyInstitute for Medical Psychology, University Medicine Greifswald, 17475 Greifswald, GermanyGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald, 17475 Greifswald, GermanyGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald, 17475 Greifswald, GermanyInstitute for Medical Psychology, University Medicine Greifswald, 17475 Greifswald, GermanyLittle is known about the (co-)occurrence of smoking, alcohol at-risk drinking, physical inactivity and overweight, and the motivation to change these behavioral health risk factors (HRFs) in older general hospital patients with cardiovascular disease. Between October and December 2016, all consecutively admitted patients aged 50 to 79 years were proactively recruited on 3 cardiology wards and asked to participate in a survey on HRFs and behavior change motivation. Of the eligible patients, 80.4% participated in the survey (<i>n</i> = 328). The mean age was 66.5 years (standard deviation 9.0), and 65.5% were male. At least 1 HRF was present in 91.8% (<i>n</i> = 280), at least 2 HRFs in 54.4% (<i>n</i> = 166), and 3 or 4 HRFs in 12.1% (<i>n</i> = 37) of participants. The proportion of older adults who contemplated or were changing or planning to change their behavior to meet health behavior recommendations ranged between 66.0% (smoking) and 93.2% (alcohol consumption). The results indicate a notable co-occurrence of behavioral HRFs in older patients with cardiovascular disease. The majority of older adults were at least considering changing the respective behavior. To prevent and treat diseases efficiently, hospitalization may be a suitable moment for systematic multiple HRF screening and intervention.https://www.mdpi.com/2072-6643/14/9/1963older adultsdietary behaviorlifestylehealth behaviorcardiovascular diseaseprevention
spellingShingle Ulrike Siewert-Markus
Sabina Ulbricht
Beate Gaertner
Birgit-Christiane Zyriax
Marcus Dörr
Stefanie Tobschall
Sophie Baumann
Ulrich John
Jennis Freyer-Adam
Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
Nutrients
older adults
dietary behavior
lifestyle
health behavior
cardiovascular disease
prevention
title Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
title_full Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
title_fullStr Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
title_full_unstemmed Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
title_short Behavioral Health Risk Factors and Motivation to Change among Cardiovascular General Hospital Patients Aged 50 to 79 Years
title_sort behavioral health risk factors and motivation to change among cardiovascular general hospital patients aged 50 to 79 years
topic older adults
dietary behavior
lifestyle
health behavior
cardiovascular disease
prevention
url https://www.mdpi.com/2072-6643/14/9/1963
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