Bijblijven

, Volume 29, Issue 5, pp 23–36 | Cite as

Leefstijladviezen

  • M.J.J. de Kleijn
Artikelen
  • 693 Downloads

Samenvatting

Veel risicofactoren voor hart- en vaatziekten zijn leefstijlgerelateerd: roken, overgewicht, onvoldoende bewegen en ongezonde voeding. In de praktijk blijkt dat leefstijl slechts in een deel van de consulten ter sprake wordt gebracht. De praktijkondersteuners besteden meer tijd en aandacht aan leefstijladviezen vergeleken met de huisartsen. Leefstijladviezen en leefstijlbegeleiding kunnen door middel van de effecten op gedrag, risicofactoren en op ziekte gezondheidswinst opleveren, al wisselt de mate van het effect afhankelijk van de inhoud van de interventie en de setting. Ook buiten de spreekkamer ligt er een uitdaging voor huisartsenteams om samen met andere partijen vorm te gaan geven aan cardiovasculaire preventie en gezondheid in de wijk.

Literatuur

  1. 1.
    Noordman J, Verhaak P, Dulmen S van. Discussing patient’s lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008. BMC Family Practice 2010;11:87.PubMedCrossRefGoogle Scholar
  2. 2.
    Dillen SEM van, Hiddink GGJ, Koelen MMA, Graaf CC de, Woerkum CCM van. Perceived relevance and information needs regarding food topics and preferred information sources among Dutch adults: results of a quantitative consumer study. Eur J Clin Nutr 2004;58:1306.PubMedCrossRefGoogle Scholar
  3. 3.
    Brunner EJ, Rees K, Ward K, Burke M, Thorogood M. Dietary advice for reducing cardiovascular risk. Cochrane Database Syst Rev 2007 Oct 17;4.Google Scholar
  4. 4.
    Boomsma L, Binsbergen J van. Is voedingsvoorlichting door de huisarts zinvol? Huisarts Wet 2001;13:620–3.Google Scholar
  5. 5.
    Thompson RL, Summerbell CD, Hooper L, Higgins JPT, Little P, Talbot D, Ebrahim S. Dietary advice by dietitians to lower blood cholesterol can be more effective than advice by doctors, but may not be more effective than self-help resources. Cochrane database. Published Online January 21, 2009.Google Scholar
  6. 6.
    Lammers M, Kok L. Kostenbatenanalyse diëtetiek. SEO economisch onderzoek. Geraadpleegd via www.nvdietist.nl/content.asp?kid=10405507&bid=10627550 in november 2012.
  7. 7.
    Grandes G, Sanchez A, Sanchez-Pinilla RO, Torcal J, Montoya I, Lizarraga K, et al. Effectiveness of physical activity advice and prescription by physicians in routine primary care. Arch Intern Med 2009;169:694–701.PubMedCrossRefGoogle Scholar
  8. 8.
    Berendsen BA, Hendriks MR, Verhagen EA, Schaper NC, Krempers SP. Effectiveness and cost-effectiveness of ’BeweegKuur’, a combined lifestyle intervention in the Netherlands: rationale, design and methods of a randomized controlled trial. BMC Public Health 2011 Oct 19;11:815.PubMedCrossRefGoogle Scholar
  9. 9.
    Hays JT, Dale LC, Hurt RD, Croghan IT. Trends in smoking-related diseases. Why smoking cessation is still the best medicine. Postgrad Med 1998;104;65-6, 71.Google Scholar
  10. 10.
    Dol R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ 2004;328:1519.CrossRefGoogle Scholar
  11. 11.
    Vos HMM, Schellevis FG, Berkmortel H van den, Heuvel LGAM van den, Bor HHJ, Lagro-Janssen ALM. Does prevention of risk behaviour in primary care require a gender-specific approach? A cross-sectional study. Family Practice 2013;30(2):179–84.PubMedCrossRefGoogle Scholar
  12. 12.
    Fiore MC. Treating tobacco use and dependence: an introduction to the US Public Health Service Clinical Practice Guideline. Respir Care 2000;45:1196–9.PubMedGoogle Scholar
  13. 13.
    Hall SM, Humfleet GL, Reus VI, Munoz RF, Cullen J. Extended nortriptyline and psychological treatment for cigarette smoking. Am J Psychiatry 2004;161:2100–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Stead LF, Perera R, Bullen C, Mant D, Hartmann-Boyce J, Cahill K, Lancaster T. Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev 2012 Nov 14;11:CD000146.Google Scholar
  15. 15.
    Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev 2013 May 31;5:CD000165.Google Scholar
  16. 16.
    Pieterse ME, Seydel ER, Vries H de, Mudde AN, Kok GJ. Effectiveness of a minimal contact smoking cessation program for Dutch general practitioners: a randomized controlled trial. Preventive Medicine 2001;32:182–90.PubMedCrossRefGoogle Scholar
  17. 17.
    Feenstra TL, Hamberg-van Reenen HH, Hoogenveen RT, Rutten-van Molken MF. Cost-effectiveness of face-to-face smoking cessation interventions: a dynamic modeling study. Value Health 2005;8:178–90.PubMedCrossRefGoogle Scholar
  18. 18.
    Civljak M, Sheikh A, Stead LF, Car J. Can internet based interventions help people to stop smoking? Cochrane Review. Published Online August 15, 2012.Google Scholar
  19. 19.
    Lai DTC, Cahill K, Qin Y, Tang JL. Motivational interviewing for smoking cessation. Cochrane Database Syst Rev 2010 Jan 20;(1):CD006936.Google Scholar
  20. 20.
    Hutter H, Moshammer H, Neuberger M. Smoking cessation at the workplace: 1 year success of short seminars. Int Arch Occup Environ Health 2006 Jan;79(1):42–8.PubMedCrossRefGoogle Scholar
  21. 21.
    White AR, Rampes H, Ernst E. Acupuncture for smoking cessation. Cochrane review Published Online 19 OCT 2005.Google Scholar
  22. 22.
    Voogdt-Pruis HR, Ree JW van, Gorgels AP, Beusmans GH. Adherence to a guideline on cardiovascular prevention: a comparison between general practitioners and practice nurses. Int J Nurs Stud 2011 Jul;48(7):798–807.PubMedCrossRefGoogle Scholar
  23. 23.
    Bekker-Grob EW de, Dulmen S van, Berg M van den, Verheij RA, Slobbe LCJ. Primary prevention of cardiovascular diseases: a cost study in family practices. BMC Family Practice 2011;12:69.PubMedCrossRefGoogle Scholar

Copyright information

© Bohn, Stafleu van Loghum 2013

Authors and Affiliations

  • M.J.J. de Kleijn
    • 1
  1. 1.Pink-FOXDe MeernThe Netherlands

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