Why the study?
An active lifestyle is a cornerstone of cardiovascular disease primary prevention, but clinical practice guidelines and their physical activity recommendations had not been systematically reviewed.
What recommendations are made in clinical practice guidelines to guide the design and implementation of physical activity interventions for the primary prevention of cardiovascular disease?
Systematic Review (n=27)
What recommendations are made in clinical practice guidelines to guide the design and implementation of physical activity interventions for the primary prevention of cardiovascular disease?
Current clinical practice guidelines consistently recommend regular, moderate-intensity aerobic physical activity for the primary prevention of cardiovascular disease, though strategies for behavior change vary.
Supports routine multicomponent physical activity counseling in primary care; reinforces consensus across current guidelines.
BACKGROUND: Cardiovascular diseases are the world's leading cause of morbidity and mortality. An active lifestyle is one of the cornerstones in the primary prevention of cardiovascular disease. An initial step in guiding primary prevention programs is to refer to clinical guidelines. We aimed to systematically review clinical practice guidelines on primary prevention of cardiovascular disease and their recommendations regarding physical activity. METHODS: We systematically searched Trip Medical Database, PubMed and Guidelines International Network from January 2012 up to December 2020 using the following search strings: 'cardiovascular disease', 'prevention', combined with specific cardiovascular disease risk factors. The identified records were screened for relevance and content. We methodologically assessed the selected guidelines using the AGREE II tool. Recommendations were summarized using a consensus-developed extraction form. RESULTS: After screening, 27 clinical practice guidelines were included, all of which were developed in Western countries and showed consistent rigor of development. Guidelines were consistent about the benefit of regular, moderate-intensity, aerobic physical activity. However, recommendations on strategies to achieve and sustain behavior change varied. Multicomponent interventions, comprising education, counseling and self-management support, are recommended to be delivered by various providers in primary health care or community settings. Guidelines advise to embed patient-centered care and behavioral change techniques in prevention programs. CONCLUSIONS: Current clinical practice guidelines recommend similar PA lifestyle advice and propose various delivery models to be considered in the design of such interventions. Guidelines identify a gap in evidence on the implementation of these recommendations into practice.
No takes yet. Share an insight, caveat, or question.
Aerts et al. (2021) conducted a systematic review in Cardiovascular disease (primary prevention) (n=27). Physical activity recommendations was evaluated on Guideline recommendations on physical activity for CVD primary prevention. Current clinical practice guidelines consistently recommend at least 150 minutes of moderate-intensity aerobic physical activity weekly, delivered via multicomponent interventions using behavioral change techniques, for the primary prevention of cardiovascular disease.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: