Healthy Ageing Through Internet Counselling in the Elderly

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 1450

Inclusion Criteria

- Age * 65 years
- Available informant
- * two cardiovascular risk factors and/or manifest cardiovascular disease defined as:
cardiovascular risk factors;
* hypertension, defined by either:
o diagnosis by specialist or a general practicioner
o currently on anti-hypertensive drugs
o if < 80 years: ><=140/90; if ><= 80 years: Systolic BP ><= 160
* dyslipidemia, defined by either:
o diagnosis of dyslipedemia by specialist or GP
o use of lipid-lowering drug (this will include persons who have no dyslipeima, but use it after a previous cardiovascular disease; this is acceptable, since these people automatically fulfil inclusion criteria as well)
o baseline cholesterol or TC/HDL ratio or LDL above or below cut-offs according to European guidelines
* overweight, defined by either:
o BMI >30
o Waist circumference men >102 cm, women >88 cm
* active smoking (self-reported, any tobacco use)
* lack of physical exercise (self-reported) defined as below the WHO norm of 5 times a week 30 minutes (or a total of 150 minutes per week) of intermediate exercise.
OR
* History of cardiovascular disease: stroke/TIA, myocardial infarction, angina pectoris, peripheral arterial disease and/or diabetes mellitus (DM)

Exclusion Criteria

- Previously diagnosed dementia as diagnosed by a GP or specialist
- Mini Mental State Examination score <24
- Any condition expected to limit 18-months compliance and follow-up
- Computer illiteracy, defined as unable to send an email
- Severe visual impairment interfering with operating a computer
- Participating in another randomised controlled trial

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary endpoint of the study is a weighted composite score based on<br /><br>z-scores of the difference between baseline and 18 months follow-up values of<br /><br>systolic blood pressure, cholesterol and BMI. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Main secondary endpoints are z-scores of the individual risk factors, 10-year<br /><br>risk of cardiovascular disease (Framingham risk score), number of risk factors<br /><br>on target, incident cardiovascular disease, CAIDE dementia risk-score,<br /><br>disability, depression, cognitive decline and mortality.</p><br>