Key result
A lifestyle intervention after open heart surgery significantly improved quitting smoking in men (RR 0.36; 95% CI 0.16-0.80; P=.01), but showed no significant benefit in women.
Why the study?
Does a lifestyle intervention improve smoking cessation, return to work, and lifestyle habits in patients after open heart surgery, and does this differ by gender?
RCT (n=500)
Open-label
Randomly allocated
Does a lifestyle intervention improve smoking cessation, return to work, and lifestyle habits in patients after open heart surgery, and does this differ by gender?
A postoperative lifestyle intervention improved smoking cessation and return to work in men but not women, highlighting the need for gender-specific rehabilitation strategies.
Supports gender-specific rehabilitation after open heart surgery; extends RCT evidence on sex differences in smoking cessation efficacy.
UNLABELLED: The aim of this study was to evaluate the gender-oriented differences in the outcomes of a lifestyle intervention trial (diet, smoking cessation, and exercise) among patients who had open heart surgery. A randomized, nonblind intervention study was performed on 500 patients who had open heart surgery. Immediately after hospital discharge, 250 patients were randomly allocated lifestyle intervention by receiving oral and written information in the form of a booklet with specific educational information for postoperative rehabilitation. The remaining 250 patients received the regular oral instructions. The applied lifestyle intervention proved to be beneficial only in men as far as quitting smoking (relative risk [RR]: 0.36, confidence interval [CI]: 0.16-0.80; P = .01) and returning to work (RR: 0.35, CI: 0.13-0.92; P = .03) are concerned. For both genders, no significant associations between dietary and physical activity recommendations were observed. CONCLUSION: Lifestyle nursing intervention immediately after open heart surgery had a beneficial effect on men 1 year after the surgery but not on women. Thus, there is a need for gender-specific studies among women.
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Καδδά et al. (2015) conducted an RCT in Open heart surgery (n=500). Lifestyle intervention (diet, smoking cessation, and exercise) vs. Regular oral instructions was evaluated on Quitting smoking in men (RR 0.36, 95% CI 0.16-0.80, p=.01). A lifestyle intervention after open heart surgery significantly improved quitting smoking in men (RR 0.36; 95% CI 0.16-0.80; P=.01), but showed no significant benefit in women.
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