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Anales del Sistema Sanitario de Navarra

versión impresa ISSN 1137-6627

Resumen

MARTIN-RUIZ, E.; OLRY-DE-LABRY-LIMA, A.  y  EPSTEIN, D.. Primary prevention of cardiovascular disease: an umbrella review of non-pharmacological interventions. Anales Sis San Navarra [online]. 2018, vol.41, n.3, pp.355-369.  Epub 22-Mayo-2019. ISSN 1137-6627.  http://dx.doi.org/10.23938/assn.0316.

Background

The aim of this study is to determine the effectiveness of non-pharmacological interventions for prevention of cardiovascular disease (CVD) events and mortality in healthy adults or those at high risk of CVD.

Methods

An umbrella review about primary prevention of non-pharmacological interventions was undertaken in key databases as PubMed Health, Effective Health Care Program AHRQ, McMaster University and the Cochrane Plus until July 2017. The primary outcomes were the relative risk of fatal and non-fatal CVD events, and mortality. Secondary outcomes were adverse events.

Results

Twenty-four reviews were included of which thirteen reported outcomes of interest. Four of these found a pooled statistically significant risk reduction: dietary supplements of vitamin D, increased consumption of omega 3 fatty acids, Qigong, and counselling or education to modify more than one cardiovascular risk factor. Seven studies reported adverse events but minor or insignificant with respect to the control group.

Conclusions

Four non-pharmacological interventions have been shown to provide a statistically significant reduction in risk of CVD events or overall mortality, with minor adverse events if any. Further research should aim for higher methodological quality and longer follow-up of interventions to establish if these interventions, alone or in combination, translate into definite long-term health benefits.

Palabras clave : Cardiovascular; Non-prescription intervention; Umbrella review; Systematic reviews and meta-analyses.

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