Enase: National Survey and Follow-Up on Cardiovascular Risk Factors: Pp.7.287

Introduction: Cardiovascular disease is still the first worldwide death cause and risk factors (RF) control is an important target. Aim: Evaluate the cardiovascular RF prevalence in a sample in Argentina and evaluate a teaching plan's efficiency based on a diet and excercise for 3 years. Materials and Methods: Multicenter 3 year-long-term trial (from March 2003 to December 2007) with 508 adult patients (44% female), 61.41± 3.87 years old. These patients were followed in 44 centers in 17 Argentine provinces. The investigators were initialy trained and then they trained the patients permanently throughout the whole trial and under the supervision of nutritionists and doctors specialised in fitness. All patients were recommended to follow hiposodic diet depending on their particular situation (hipocaloric and/or low carbohydrate diet.). Drug prescription was according to medical criteria. Statistics: T Test, Wilcoxon y Chi2. Results: Baseline population characteristics: hypertension (Hyp) prevalence: 78%, dyslipidemias: 60%, diabetes: 17.51%, High Waist Perimeter: men 40%. women 47%. Table 1: Between visit N°1 (first visit) and visit N°5 (last visit) it was shown that.Patients with Hyp, dyslipidemia or Metabolic Syndrome (MS) showed a better significative benefit with the non-pharmacological treatment. The drug treatment was not modified throughout the follow-up except statins that showed a progressive increase in the prescriptions due to the indications according international guidelines. Mild aerobic exercises, particularly walking, showed more benefits to sedentary patients. The recommended diet showed significant changes making all patients ‘quality of life better. Conclusions: The RF prevalence was high in this population. A training on doctors who trained patients in sustained health non-pharmacological interventions for 3 years was shown as an efficient RF control and synergic to the additional drug treatment.