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Are there any differences in education levels and changes of cardiovascular risk factors among urban and rural population: Isfahan Healthy Heart Program.

J Educ Health Promot · 2015 · PMC4392543 · PMID 25883994

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a decreasing trendno p-value reported
This research also indicated that based on implementing and monitoring IHHP program, CVD risk factors had a decreasing trend with the study follow-up time.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.