Outcomes of a field trial to improve children's dietary patterns and physical activity: the Child and Adolescent Trial for Cardiovascular Health (CATCH)

Article Abstract:

Cardiovascular health interventions based on food service and physical education improvements at elementary schools in addition to family participation appears to decrease the fat intake and increase the vigorous physical activity of children. The Child and Adolescent Trial for Cardiovascular Health (CATCH) was implemented at 56 schools in diverse communities in California, Louisiana, Minnesota and Texas. An additional 40 non-intervention schools were used as controls. A total of 5106 students were followed from third through fifth grade. With intervention, the percentage of energy in school lunches derived from fat decreased and the intensity of physical exercise increased significantly compared to non-intervention. Students' reported fat intake decreased and their reported vigorous physical activity increased significantly with intervention. Serum cholesterol, blood pressure and body size were not found to change significantly with intervention.

Research, Cardiovascular diseases, Prevention, Children, Food and nutrition, Physical fitness, Study and teaching, Health promotion, Low-fat diet, Low fat diet, Physical fitness for children, School lunches, School food services

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Recent trends in acute coronary heart disease: mortality, morbidity, medical care, and risk factors

Article Abstract:

Mortality rates from coronary heart disease may be declining because of a lower incidence of the disease and better medical treatment. Researchers used data from the Minnesota Heart Survey to analyze the trends in mortality from CHD in the residents of the Twin Cities area. Mortality rates from CHD dropped approximately 25% overall between 1985 and 1990. In men, in-hospital mortality rates fell 41% during that time period. Hospitalization rates for heart attack dropped 5% to 10% during that time and population profiles indicate that blood pressure, cholesterol concentration and the prevalence of smoking also dropped. Between 1985 and 1990, the median hospital stay for heart attack decreased from 8.5 days in men to 6.2 days and from 8.9 days in women to 6.9 days. The use of thrombolytic drugs, aspirin and angioplasty to treat CHD increased dramatically during this time period.

Patient outcomes, Mortality, Coronary heart disease, Heart attack

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Effect of a Community Intervention on Patient Delay and Emergency Medical Service Use in Acute Coronary Heart Disease: The Rapid Early Action for Coronary Treatment (REACT) Trial

Article Abstract:

A mass media campaign to increase public awareness of the symptoms of heart attack may not reduce the time it takes for heart attack patients to reach the hospital. This was the conclusion of a study of 10 cities that implemented this type of mass media campaign and 10 cities that did not. Although the campaign increased public awareness, the time to reach a hospital once symptoms began was similar in both groups. However, the campaign increased the use of emergency medical services.

Care and treatment, Evaluation, Advertising campaigns, Mass media, Cardiac patients, Health education, Mass media in health education

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