Nav: Home

Population health program decreases heart disease risk factors across an entire community

March 14, 2016

Minneapolis, MN - March 14, 2016 - In 2009, Minneapolis Heart Institute Foundation (MHIF), along with Allina Health, New Ulm Medical Center (NUMC) and the community of New Ulm, Minnesota, began a 10-year population health research project to learn if heart attacks and heart disease risk factors within a community could be decreased through community efforts. Results for the first five years have been released, and the initial findings are positive.

Hearts Beat Back®: The Heart of New Ulm Project (HONU) focuses on reducing factors known for increasing heart attack risk, including high cholesterol, high blood pressure, uncontrolled glucose, obesity, tobacco use, physical inactivity, low fruit and vegetable intake, and medication underutilization/non-adherence. HONU deploys evidence-based initiatives through many venues in the community, including health care settings, worksites, restaurants, and community spaces and events including farmers markets and concession stands. HONU activities included programs for individuals to participate in as well as changing the environment to create healthier options. De-identified electronic health records data is used to monitor how community member's heart health is changing over the duration of the HONU Project.

The HONU research team includes researchers from Allina's Division of Applied Research, MHIF, the University of Minnesota and other partners.

The five-year study included data for approximately 6,000 people aged 40-79, the age group deemed at the highest risk of heart attacks. The New Ulm findings were compared to data from the National Health and Nutrition Examination (NHANES) national survey, using similar age and racial groups for comparison.

After five years, results indicate that HONU is having a positive impact. The percentage of people who had normal blood pressure increased from 79% to 86%, while the percentage of those with total cholesterol under 200 increased from 59% to 64%. Positive changes in fasting glucose and triglycerides were also found. During the same time period, the national survey found that these conditions either stayed the same or worsened across the country. Abbey Sidebottom, MPH, managing scientist at Allina Health and lead investigator, noted, "This study shows that the health of the population improved substantially during the first five years of HONU. These results were better than those seen at a national level, which provides some of the first evidence that the community-wide prevention efforts of HONU are responsible for improving the community's health." Mike Miedema, MD, MPH, MHIF researcher and cardiologist at Minneapolis Heart Institute® at Abbott Northwestern Hospital, focuses on cardiovascular disease prevention. Dr. Miedema notes, "Recent research has clearly demonstrated that a community's health is impacted by many factors beyond what happens when they see their primary care provider. The HONU project is trying to approach cardiovascular prevention by intervening in multiple different areas that impact cardiovascular health, and the initial results are quite promising."

This study's finding contributes needed research about best practices for community-wide prevention and provides scientific evidence that community-wide efforts, like HONU, can effectively lower heart disease risk factors at a population level. Small decreases at the community level can have a large effect on heart disease development, so MHIF, NUMC and Allina believe that these five-year results have the potential to continue to reduce heart attacks in the New Ulm community. "Our community has embraced this effort since the beginning. They now see this as 'their' project and are stepping up to drive even greater changes that increase physical activity and make healthy eating the easy choice for the community," said Toby Freier, president of New Ulm Medical.

The HONU project is currently beginning year eight and will continue for two more years. Thanks to an AcademyHealth grant awarded to MHIF in early 2016, the study's findings and methods will be shared with other communities and health care organizations around the U.S. that are also interested in pursuing population health programs. Hearts Beat Back: the Heart of New Ulm and the New Ulm Medical Center were recipients of a 2014 NOVA Award from the American Hospital Association, which recognizes organizations that use collaborative approaches toward improving community health. Rebecca Lindberg, MPH, RD, director of population health at MHIF, commented, "To see the collaboration and buy-in at all levels throughout New Ulm will ensure continued support for better health and project sustainability into the future. This is rewarding for all involved. The entire community of New Ulm will reap rewards from their efforts to actively transform the city within which they live."
-end-
About the Minneapolis Heart Institute Foundation®

The Minneapolis Heart Institute Foundation (MHIF) strives to create a world without heart and vascular disease. To achieve this bold vision, it is dedicated to improving the cardiovascular health of individuals and communities through innovative research and education.
  • Scientific Innovation and Research -- MHIF is a recognized research leader in the broadest range of cardiovascular medicine and population health initiatives. Each year MHIF leads more than 175 active research projects and publishes more than 120 peer-reviewed studies. Cardiologists, hospitals and communities around the world adopt MHIF protocols to save lives, improve care and create healthier living opportunities.

  • Education and Outreach -- MHIF provides more than 10,000 hours of education each year putting its research into practice to improve outcomes. And, MHIF leads cutting-edge, transformative population health research to connect, engage, inform and empower individuals and communities to improve their health.

The Minneapolis Heart Institute Foundation's work is funded by generous donors and sponsors and supports research initiatives of Minneapolis Heart Institute® at Abbott Northwestern Hospital.

Minneapolis Heart Institute® physicians provide care for patients at Abbott Northwestern Hospital in Minneapolis and at 38 community sites across Minnesota and western Wisconsin.

About Allina Health

Allina Health is dedicated to the prevention and treatment of illness and enhancing the greater health of individuals, families and communities throughout Minnesota and western Wisconsin. A not-for-profit health care system, Allina Health cares for patients from beginning to end-of-life through its 90+ clinics, 11 hospitals, 15 pharmacies, specialty care centers and specialty medical services that provide home care, senior transitions, hospice care, home oxygen and medical equipment, and emergency medical transportation services. Learn more at allinahealth.org.

Minneapolis Heart Institute Foundation

Related Heart Attacks Articles:

Heart attacks diagnosed quicker by new blood test
Scientists from King's College London have developed a new blood test that is more sensitive in detecting damaged heart muscle caused by a heart attack.
Noninvasive imaging helps predict heart attacks
Noninvasive CT angiography and stress tests can help predict which patients are likely to suffer a heart attack or other adverse cardiovascular event, according to a new study.
A rising tide of heart attacks followed Hurricane Katrina
New Orleans hospital admissions for heart attacks 10 years after Hurricane Katrina were significantly higher than they were before the storm.
Children should be screened to prevent early heart attacks
Inherited heart disease can be successfully detected within families by screening 1- to 2-year-old children at the time of their routine vaccinations, according to a clinical study led by researchers at Queen Mary University of London that involved over 10,000 children.
Nearly half of all heart attacks may be 'silent'
Nearly half of all heart attacks may be silent -- occurring without any symptoms.
'Mediterranean' diet linked to lower risk of heart attacks & strokes in heart patients
A 'Mediterranean' diet, high in fruit, vegetables, fish and unrefined foods, is linked to a lower risk of heart attack and stroke in people who already have heart disease, according to a study of over 15,000 people in 39 countries around the world published in the European Heart Journal.
Heart attacks could be reduced by rethinking the way we prescribe statins
Millions of people today take statins to help lower their cholesterol level.
Mutated gene safeguards against heart attacks
People with a specific gene mutation have a 50 percent lower risk of suffering a heart attack.
Physically active individuals cope better with heart attacks
People who exercise regularly tend to be less depressed after a heart attack.
American Heart Association makes first ever statement on female heart attacks
The American Heart Association has published an 87-page scientific statement, outlining the unique risks, symptoms and types of heart attacks women can experience.

Related Heart Attacks Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Bias And Perception
How does bias distort our thinking, our listening, our beliefs... and even our search results? How can we fight it? This hour, TED speakers explore ideas about the unconscious biases that shape us. Guests include writer and broadcaster Yassmin Abdel-Magied, climatologist J. Marshall Shepherd, journalist Andreas Ekström, and experimental psychologist Tony Salvador.
Now Playing: Science for the People

#514 Arctic Energy (Rebroadcast)
This week we're looking at how alternative energy works in the arctic. We speak to Louie Azzolini and Linda Todd from the Arctic Energy Alliance, a non-profit helping communities reduce their energy usage and transition to more affordable and sustainable forms of energy. And the lessons they're learning along the way can help those of us further south.