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Lifestyle Intervention in Primary Health Care - the Björknäs Study

This study has been completed.
County Council of Norrbotten, Sweden
Information provided by:
Umeå University Identifier:
First received: June 14, 2007
Last updated: July 18, 2007
Last verified: July 2007
The purpose of this study is to determine whether a short group intervention programe aiming at lifestyle changes at a local health centre can improve risk factors for cardiovascular disease

Condition Intervention Phase
Hypertension Type 2 Diabetes Obesity Dyslipidemia Behavioral: Exercise and diet - based on DPS and DPP Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Randomized Trial of Lifestyle Intervention in Primary Health Care for the Modification of Cardiovascular Risk Factors - the Björknäs Study

Further study details as provided by Umeå University:

Primary Outcome Measures:
  • Changes in anthropometry (BMI, waist and hip cf) [ Time Frame: 3 years ]
  • Maximal oxygen uptake (VO2max) [ Time Frame: 3 years ]
  • Health-related quality of life (EQ 5D, SF-36) [ Time Frame: 3 years ]
  • Self-reported physical activity [ Time Frame: 3 years ]

Secondary Outcome Measures:
  • Blood pressure [ Time Frame: 3 years ]
  • Total cholesterol, HDL and triglycerides [ Time Frame: 3 years ]
  • Glucose tolerance (OGTT) [ Time Frame: 3 years ]

Enrollment: 151
Study Start Date: February 2003
Study Completion Date: March 2006
Detailed Description:

Successfully transferring the findings of expensive and tightly controlled lifestyle intervention programmes to the primary care setting is necessary if such knowledge is to be used for disease prevention at the population level. Therefore, our objective was to evaluate the efficacy of a lifestyle intervention programe in the primary health care setting, targeted at patients with moderate- to high-risk of cardiovascular disease according to cardiovascular risk factor levels, physical activity and quality of life ratings.

Randomised controlled trial with follow-up at 3, 12, 24 and 36 months, carried out in a primary health care centre in Northern Sweden. A total of 151 middle-aged men and women, with hypertension, dyslipidemia, type 2 diabetes or obesity were enrolled. The subjects were randomised to an intervention (n = 75) or control group (n = 76). 120 subjects completed the three-year follow-up. The intervention was based on the protocols used in the Finnish Diabetes Prevention study (DPS) and the U.S Diabetes Prevention Program


Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients from one single health care centre with a diagnosis of:

    • Typ 2 diabetes,
    • Hypertension,
    • Obesity or
    • Dyslipidemia

Exclusion Criteria:

  • Coronary heart
  • Disease,
  • Stroke,
  • TIA,
  • BP >180/105,
  • Dementia; or
  • Severe psychiatric disease
  Contacts and Locations
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Please refer to this study by its identifier: NCT00486941

Björknäs Health Centre
Boden, Sweden, SE-96164
Sponsors and Collaborators
Umeå University
County Council of Norrbotten, Sweden
Principal Investigator: Mats CE Eliasson, MD, PhD Umeå University, Umeå, Sweden
  More Information

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00486941     History of Changes
Other Study ID Numbers: EPN-Umea 02-512
Study First Received: June 14, 2007
Last Updated: July 18, 2007

Keywords provided by Umeå University:
Primary Prevention
Health Promotion
Risk Factors
Randomized Controlled Trial

Additional relevant MeSH terms:
Lipid Metabolism Disorders
Metabolic Diseases processed this record on August 23, 2017