Cardiovascular prevention using WhatsApp, project "Family Health: Connected and Healthy"

Authors

  • Cristiano Jose Mendes Pinto University Center of Paulínia, São Paulo, Brazil.
  • Fanuel Pedro de Puiz City Hall of Sumaré, São Paulo, Brazil.
  • Silvia Maria Ribeiro Oyama University Center of Paulínia, São Paulo, Brazil.
  • Alberto Afonso Junior Institute of Astronomy, Geophysics and Atmospheric Sciences of the University of São Paulo, Brazil.
  • Bruno Caramelli Interdisciplinary Medicine in Cardiology Unit, Cardiology Department, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil.

DOI:

https://doi.org/10.30574/gscarr.2021.9.2.0246

Keywords:

Cardiovascular Diseases, Health Education; Social Media, Social Network, Prevention and Control.

Abstract

Objective: to analyze whether an educational program for cardiovascular prevention using WhatsApp can contribute to reducing Framingham risk score (FRS) among adults.

Method: this is an intervention study, developed during one year (October/2019 to October/2020) in three public schools in São Paulo, among fathers, mothers, and family members of children enrolled in elementary school. Parents were invited to participate in the study by means of a note sent in the school agenda, and after signing the consent form, the participants received a weekly message from the researchers by WhatsApp, with guidelines to avoid sedentarism and maintain healthy lifestyle habits. Clinical and laboratory data were collected at the beginning and end of the study.

Results: the study subjects were 70 adults, age 43.2 (±12 years), 47 females and 23 males. At the beginning of the study there were 09 (12.9%) parents with intermediate or high FRS, and at the end of the study there were 08 (11.4%) parents with intermediate or high FRS (p=0.79). A reduction in diastolic blood pressure was observed, mean from 80.3 mmHg to 77.7 mmHg (p=0.03; ±9.44), other three risk factors showed worsening in the outcome at the end of the study: HDL-cholesterol reduced mean from 55.9 mg/dL to 48.7 mg/dL (p=0.01), blood glucose increased from 91.4 mg/dL to 94.4 mg/dL (p=0.01) and body mass index was from 28.6 to 29.2 (p=0.01).

Conclusion: The cardiovascular prevention education program using WhatsApp did not promote a reduction in FRS, and diastolic blood pressure was the only risk factor that responded to the intervention.

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References

Précoma DB, de Oliveira GMM, Simão AF, Dutra OP, Coelho OR, Izar MC de O, et al. Updated cardiovascular prevention guideline of the Brazilian society of cardiology – 2019. Brazilian Archives of Cardiology. 2019; 113(4): 787–891.

Nascimento BR, Brant LCC, de Oliveira GMM, Malachias MVB, Reis GMA, Teixeira RA, et al. Cardiovascular disease epidemiology in Portuguese-speaking countries: Data from the global burden of disease, 1990 to 2016. Brazilian Archives of Cardiology. 2018; 110(6): 500–11.

Puska P. From Framingham to North Karelia: From Descriptive Epidemiology to Public Health Action. Progress in Cardiovascular Diseases. 2010; 53(1): 15–20.

Bensenor IM, Carvalho Goulart A, Souza Santos I de, Andrade Lotufo P. Prevalence of cardiovascular risk factors in the world and in Brazil. Journal of the Society of Cardiology of the State of São Paulo. 2019 Mar 1; 29(1): 18–24.

Nobre MRC. Cardiovascular Prevention Levels. Journal of the Society of Cardiology of the State of São Paulo. 2019; 29(1): 14–7.

Gusmão LL, Ribeiro AL, Souza-Silva MVR, Gomes PR, Beleigoli AM, Cardoso CS, et al. Implementation of a text message intervention to promote behavioural change and weight loss among overweight and obese Brazilian primary care patients. Journal of Telemedicine and Telecare. 2019; 25(8): 476–83.

Hovadick AC de A, Reis IA, Torres HC. Short Message Service (SMS) and self-care promotion in type 2 DM: an integrative review. Paulista Nursing Act. 2019; 32: 210–9.

Alghafri TS, Alharthi SM, Al-Farsi Y, Alrawahi AH, Bannerman E, Craigie AM, et al. ‘MOVEdiabetes’: a cluster randomized controlled trial to increase physical activity in adults with type 2 diabetes in primary health in Oman. BMJ Open Diabetes Research & Care. 2018 Oct 31; 6(1): e000605.

Ervilha R, Andrade B, Gomide H, Machado N, Formagini T, Ronzani T. Use of cell phone messages for smoking cessation: a systematic review. Psychology in Study. 2017; 22: 199.

Palmer MJ, Barnard S, Perel P, Free C. Mobile phone-based interventions for improving adherence to medication prescribed for the primary prevention of cardiovascular disease in adults. Cochrane Database of Systematic Reviews. 2018 Jun 22.

Ricci-Cabello I, Bobrow K, Islam SMS, Chow CK, Maddison R, Whittaker R, et al. Examining Development Processes for Text Messaging Interventions to Prevent Cardiovascular Disease: Systematic Literature Review. JMIR Mhealth Uhealth. 2019; 7(3): e12191.

D’Agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General Cardiovascular Risk Profile for Use in Primary Care. Circulation. 12 Feb 2008; 117(6): 743–53.

Brazil. Ministry of Health. Clinical prevention of cardiovascular, cerebrovascular and renal diseases [Prevenção clínica de doenças cardiovasculares, cerebrovasculares e renais – Port]. Brasilia: Ministry of Health. 2006.

Brazil. Brazilian Institute of Geography and Statistics [Instituto Brasileiro de Geografia e Estatística / IBGE – Port.]. Cities and States [Internet]. [cited 2020 Jun 26].

Brazilian Society of Diabetes. Guidelines of the Brazilian Society of Diabetes 2017-2018. São Paulo: Clannad. 2017.

Malachias MVB, et al. 7a Brazilian Guidelines on Arterial Hypertension. Arq Bras Cardiol. 2016; 107(3 Suppl 3).

Grundy SM, Cleeman JI, Bairey Merz CN, Brewer HB, Clark LT, Hunninghake DB, et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation. 2004; 110(2): 227–39.

Soares M, Miranda P. Hypertension: factors related to the adherence of patients with hypertension to drug treatment. Public Health. 2008; 5(25): 212–6.

Nwankwo T, Yoon SS, Burt V, Gu Q. Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS data brief. 2013; (133): 1–8.

Chor D, Ribeiro ALP, Sá Carvalho M, Duncan BB, Andrade Lotufo P, Araújo Nobre A, et al. Prevalence, Awareness, Treatment and Influence of Socioeconomic Variables on Control of High Blood Pressure: Results of the ELSA-Brazil Study. Moore S, editor. Plos One. 2015; 10(6): e0127382.

Brazil. Ministry of Health. Vigitel Brasil 2019: surveillance of risk and protective factors for chronic diseases by telephone survey. Brasilia: Ministry of Health. 2020.

Malta DC, Andrade SC, Claro RM, Bernal RTI, Monteiro CA, Malta DC, et al. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Brazilian Journal of Epidemiology. 2014; 17(suppl 1): 267–76.

Faludi A, Izar M, Saraiva J, Chacra A, Bianco H, Afiune Neto A, et al. Update of the Brazilian guideline on dyslipidemias and prevention of atherosclerosis - 2017. Brazilian Archives of Cardiology [Internet]. 2017; 109(1): 1–76.

Fornari LS, Giuliano I, Azevedo F, Pastana A, Vieira C, Caramelli B. Children First Study: how an educational program in cardiovascular prevention at school can improve parents’ cardiovascular risk. European Journal of Preventive Cardiology [Internet]. 2013; 20(2): 301–9.

Pinto CJM, Fornari LS, Oyama SMR, Rodrigues MMD, Davanço T, Caramelli B. Children First Study II: an educational programme on cardiovascular prevention in public schools can reduce parents’ cardiovascular risk. Journal of The Brazilian Medical Association [Internet]. 30 Sep 2020; 66(9): 1217–24.

Shariful Islam SM, Farmer AJ, Bobrow K, Maddison R, Whittaker R, Pfaeffli Dale LA, et al. Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): systematic review and individual patient data meta-analysis. Open Heart. 9 Oct 2019; 6(2).

Tang YH, Chong MC, Chua YP, Chui PL, Tang LY, Rahmat N. The effect of mobile messaging apps on cardiac patient knowledge of coronary artery disease risk factors and adherence to a healthy lifestyle. Journal of Clinical Nursing. Dec 2018; 27(23–24).

Alghafri TS, Alharthi SM, Al-Farsi YM, Craigie AM, Mcleod M, Anderson AS. Study protocol for “MOVEdiabetes”: a trial to promote physical activity for adults with type 2 diabetes in primary health care in Oman. BMC Public Health [Internet]. 6 Dec 2017; 17(1): 28.

Brazil. Institute for Applied Economic Research [Instituto de Pesquisa Econômica Aplicada / IPEA – Port.). Internet in Brazil reproduces real world inequalities [Internet]. [cited 2021 Jun 3].

Brazil Communication Company (EBC). More than a third of Brazilian households do not have internet access. Brazil Agency [Internet]. [cited 2021 Jun 3].

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Published

2021-11-30

How to Cite

Pinto, C. J. M. ., Puiz, F. P. de ., Oyama, S. M. R. ., Junior, A. A. ., & Caramelli, B. . (2021). Cardiovascular prevention using WhatsApp, project "Family Health: Connected and Healthy". GSC Advanced Research and Reviews, 9(2), 154–163. https://doi.org/10.30574/gscarr.2021.9.2.0246

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Original Article