Mixed
A multidimensional primary prevention program targeting classic cardiovascular risk factors (blood pressure, lipids, obesity, physical inactivity) in 70-year-olds is associated with a significantly decreased risk of cardiovascular disease (CVD) events compared to matched controls.
For 70-year-olds, engaging in a comprehensive health check that includes blood pressure, cholesterol, and lifestyle assessment can significantly lower the risk of heart attack or stroke. The key is not just the check-up, but acting on the results: if risk factors are high, seeking medical treatment (like blood pressure or cholesterol medication) and making lifestyle changes based on professional feedback is effective. This approach works better in older adults with existing risk factors than in younger, healthier populations.
In this study, a primary prevention program was associated with a lower risk of CVD in community-dwelling 70-year-olds.
Why this rating
Observational cohort study with propensity-score matching; not a randomized controlled trial, though large sample size and rigorous matching mitigate some bias.
Source
A multiple risk factor program is associated with decreased risk of cardiovascular disease in 70-year-olds: A cohort study from Sweden
Anna Nordström et al. · PLoS Medicine · 2020
DOI 10.1371/journal.pmed.1003135
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