The Imperial Centre for Cardiovascular Disease Prevention (PI Prof Kausik Ray) was awarded a million pound grant to study the patterns of care around cholesterol control among those with established vascular diseases or at very high risk of vascular disease. The study will be coordinated through the Imperial Clinical Trials Unit across 18 European countries involving 6000 participants. This study will compare the patterns of care across Europe, between primary and secondary care, rural and urban settings. The impact of drug cost, guideline knowledge and clinical setting on achievement of cholesterol targets and the predicted risk of cardiovascular disease will be assessed. The findings are expected in 2018.
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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