Nav: Home

Nearly 1 in 5 with highest cardiac risk don't think they need to improve health

May 03, 2017

DALLAS, May 3, 2017 -- Nearly one in five people who reported the greatest number of cardiac risk factors did not believe they needed to improve their health, according to new research in Journal of the American Heart Association, the Open Access Journal of the American Heart Association/American Stroke Association.

While most people in the study at the highest risk for a heart attack were more likely to agree on needed health improvements, more than half of those perceiving this need identified barriers to change, which were most commonly lack of self-discipline, work schedule and family responsibilities.

"Understanding what motivates changes in behavior is key to improving the health of individuals and communities," said F. Daniel Ramirez, M.D, lead study author and a research fellow at the University of Ottawa Heart Institute in Ottawa, Ontario, Canada. "Our study sheds light on how knowledge of personally modifiable risk factors for heart attack, such as quitting smoking and exercising, affects people's perception of the need to improve their health."

Researchers analyzed 45,443 responses from adults participating in the 2011-12 Canadian Community Health Survey. The survey gathered information about eight established risk factors for heart attack that people can change, including smoking, high blood pressure, diabetes, obesity, stress, excessive alcohol consumption, lack of physical activity and poor diet. Along with high cholesterol, which was not included in the survey, researchers noted these factors account for 90 percent of heart attack risk. The survey also asked participants if they thought "there is anything you should do to improve your physical health?"

Researchers found:
  • 73.6 percent reported there was something they should do to improve their health.
  • 90.7 percent of those identifying a specific change indicated they wanted to quit/reduce smoking, exercise more, lose weight or eat better.
  • 81.1 percent desiring a change said they intended to improve their health in the coming year.
  • 17.7 percent at greatest risk (5 or more risk factors) did not feel a need to improve their health.

Respondents who reported that they had high blood pressure or diabetes also weren't more likely to perceive the need to improve their health than those without those conditions. The survey did not include information about whether this group took medications to control these health problems, which may have affected their perceptions about the need to improve their health.

Still, "lifestyle modifications are very important for these conditions, particularly diabetes, even for those on medications," said Benjamin Hibbert, M.D., Ph.D. senior study author and an interventional cardiologist and assistant professor at the University of Ottawa Heart Institute.

The study also looked at factors that might bias results, including age, education, income and whether respondents had a regular healthcare provider. After adjusting for these factors, researchers found that older and white participants were more likely than younger and minority group members to express a desire to improve their health.

Hibbert said the study's take-home message is that recognizing the risk factors for heart attack is effective for motivating some, but not all people to improve their physical health. Effectively convincing people to adopt and sustain healthy lifestyle changes requires a better understanding of what makes them tick, he said.

Despite many similarities between Canada and the United States, researchers said they couldn't say whether differences in healthcare systems and culture would limit generalizing study findings to the United States.
Co-authors are Yue Chen, Ph.D.; Pietro Di Santo, M.D.; Trevor Simard, M.D.; and Pouya Motazedian, B.Sc. Author disclosures are on the manuscript. Statements and conclusions of study authors published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association's policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at

American Heart Association

Related Diabetes Articles:

The role of vitamin A in diabetes
There has been no known link between diabetes and vitamin A -- until now.
Can continuous glucose monitoring improve diabetes control in patients with type 1 diabetes who inject insulin
Two studies in the Jan. 24/31 issue of JAMA find that use of a sensor implanted under the skin that continuously monitors glucose levels resulted in improved levels in patients with type 1 diabetes who inject insulin multiple times a day, compared to conventional treatment.
Complications of type 2 diabetes affect quality of life, care can lead to diabetes burnout
T2D Lifestyle, a national survey by Health Union of more than 400 individuals experiencing type 2 diabetes (T2D), reveals that patients not only struggle with commonly understood complications, but also numerous lesser known ones that people do not associate with diabetes.
Type 2 diabetes and obesity -- what do we really know?
Social and economic factors have led to a dramatic rise in type 2 diabetes and obesity around the world.
A better way to predict diabetes
An international team of researchers has discovered a simple, accurate new way to predict which women with gestational diabetes will develop type 2 diabetes after delivery.
More Diabetes News and Diabetes Current Events

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

Teaching For Better Humans
More than test scores or good grades — what do kids need to prepare them for the future? This hour, guest host Manoush Zomorodi and TED speakers explore how to help children grow into better humans, in and out of the classroom. Guests include educators Olympia Della Flora and Liz Kleinrock, psychologist Thomas Curran, and writer Jacqueline Woodson.
Now Playing: Science for the People

#534 Bacteria are Coming for Your OJ
What makes breakfast, breakfast? Well, according to every movie and TV show we've ever seen, a big glass of orange juice is basically required. But our morning grapefruit might be in danger. Why? Citrus greening, a bacteria carried by a bug, has infected 90% of the citrus groves in Florida. It's coming for your OJ. We'll talk with University of Maryland plant virologist Anne Simon about ways to stop the citrus killer, and with science writer and journalist Maryn McKenna about why throwing antibiotics at the problem is probably not the solution. Related links: A Review of the Citrus Greening...