Factors of adherence to lifestyle modification in older patients with cardiovascular comorbidity

Abstract Lifestyle modification is one of the leading strategies for successful therapy. Older patients are characterized by comorbidity and gerontological syndromes that result in low adherence to lifestyle modifications. The aim this study was investigate factors older with cardiovascular comorbidity. Materials methods 344 disease (171 females, mean age 69,5±7,6 years) were examined. Arterial hypertension had 330 (95,9%) patients, coronary heart - 298 (86,6%), chronic failure 240 (69,8%), diabetes mellitus – 100 (29%). defined according ESC Guidelines diagnosis treatment arterial hypertension, 2018. An integral indicator a healthy assessed, including smoking status, physical activity, consumption fruits vegetables, salt restriction. level education, income, personal profile (MMPI scale), cognitive status (MMSE scale) estimated. Results 145 (42.2%) high satisfactory modification. Women more often compared men: 85 (49.7%) 60 (34.6%), resp., χ2=7.96; p=0.005. presence associated (OR 2.39; 95% CI 1.29–4.42; p=0.005). recommendations higher MMSE score (26.9±2.7 24.7±3.7 scores, p=0.01) lower personality indices on depression scale (MMPI) (52.2±9.8 60.6±11.1 T-scores, adherence. There no differences from marital (p>0.05). When constructing classification trees an independent factor modification, absence female sex (sensitivity 84.8%; specificity 37.5% (AUC = 0.64); p=0.001 model; χ2=20.2, p=0.0002). Conclusions More than half Diabetes most significant predictor degree Funding Acknowledgement Type funding sources: None.