Document Type : Original Article


1 Isfahan Cardiovascular Research Center

2 Heart Failure Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran


Background: Cardiovascular diseases (CVD) are the most common cause of mortality and
morbidity in women. Intervention programs aimed at improving the lifestyle can reduce the
incidence of these diseases and their factors. The purpose of this study was to evaluate
the difference of the interventions impact on CVD risk factors and the women’s physical
and biochemical indicators based on education levels. Materials and Methods: As part of
Isfahan Healthy Heart Program after identifying the status of women over the age of 18 and
over five years, a large educational or environmental intervention was performed in different
methodologies and in order to improve the lifestyle. Some organizations such as health care
centers and the Literacy Campaign Organization have cooperated for low educated women.
Demographic data and risk factors such as obesity, hypertension, diabetes and serum lipids
were investigated and compared during the first and last phase. Data were entered in SPSS‑15
software and were analyzed by using T‑test in two independent samples, Chi‑square test
and Fisher exact test. Results: Findings of this study showed that performing the five years
interventions could reduce physical and biochemical indexes such as nutrition, lipid profile,
waist circumference and waist‑to‑hip ratio in both groups (P < 0.005). In the pre‑intervention
phase, 6391 subjects and after the intervention 4786 women participated. After Interventions,
women with higher educational levels were showed significant decrease in Body Mass
Index (BMI) (P = 0.01) and dyslipidemia (P = 0.02). Conclusion: The present study showed
that the community-based interventions even in low‑literate women could cause effective
changes on improving lifestyle and CVD risk factors. Due to the greater impact of interventions
in literate women, effective interventions should be considered in the society to decrease the
prevalence of Non‑Communicable Diseases (NCDs).


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