Adherence
High-risk patients on blood pressure, lipid, or glucose-lowering medications in primary care settings frequently fail to achieve guideline-recommended lifestyle and medical risk factor targets, indicating a significant gap between evidence-based guidelines and clinical practice.
If you are at high risk for heart disease, taking medication is not enough. You must also address lifestyle factors like smoking, weight, and physical activity. The study shows that most people on medication still fail to reach health targets. Focus on quitting smoking, maintaining a healthy weight, and staying active alongside your medical treatment.
The results of A- 3- P survey show that large proportions of people at high CVD risk have poor control of lifestiles and medical risk factors.
Why this rating
Large cross-sectional survey (n=557) across multiple regions, though observational and not an RCT.
Source
Challenge of cardiovascular prevention in primary care: achievement of lifestyle, blood pressure, lipids and diabetes targets for primary prevention in England – results from ASPIRE-3-PREVENT cross-sectional survey
Kornelia Kotseva et al. · Open Heart · 2024
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