Liu M, Ni W Q, Xu J, Xu J W, Ji N, Bai Y M
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Apr 6;52(4):396-401. doi: 10.3760/cma.j.issn.0253-9624.2018.04.012.
To evaluate the effect of lifestyle intervention among high risk group of chronic diseases in Shenzhen Futian district. 12 out of 115 communities were randomly selected in Futian district of Shenzhen city from October to November, 2013, and 1 923 cases were screened by multiple ways as high risk groups of chronic diseases. High risk groups of chronic diseases were divided into intervention group (1 338 cases, from five residential communities and three villages within city) and control group (585 cases, from four residential communities). The intervention group received group based health education activities as well as lifestyle intervention. The intervention group was provided with health management which was mainly lifestyle intervention. No intervention was implemented in the control group. All participants were followed up over two years. 1 563 participants (1 002 in intervention group and 561 in control group) were followed up from October to November, 2015. The changes of lifestyle related outcome indicators were analyzed to examine the effect of intervention. In the intervention group, 21.8% (219 persons) in high risk groups of chronic diseases became healthy individuals and 15.2% (152 persons) became patients with chronic diseases. In the control group, 9.6% (54 persons) in high risk groups of chronic diseases became healthy individuals and 20.5% (115 persons) became patients with chronic diseases. The outcome of the intervention group was better than that of the control group and the difference was statistically significant (χ=-5.67, 0.001). The proportion of people who knew how to correctly use of oil control pot in the intervention group increased from 61.00% (61/100) to 80.00% (280/350). The proportion of people who took oil control measures in the intervention group increased from 36.43% (365/1 002) to 56.99%(571/1 002). The changes in the intervention group were statistically different (0.001), but there was no statistical difference in the control group over the years (0.05). The proportion of people who knew how to correctly use of the salt restriction spoon increased from 81.95% (109/133) to 97.99% (342/349). The proportion of people who took salt control measures increased from 45.61% (457/1 002) to 62.67% (628/1 002) in the intervention group. The changes in the intervention group were statistically different (0.001). There was no statistical difference in the control group over the years (0.05). The proportion of people who adopted healthy lifestyles has increased after 2 years intervention and the lifestyle intervention demonstrated good effect.
为评估深圳市福田区慢性病高危人群生活方式干预效果。2013年10月至11月，从深圳市福田区115个社区中随机抽取12个社区，通过多种方式筛查出1923例慢性病高危人群。将慢性病高危人群分为干预组（1338例，来自市内五个居民区和三个村庄）和对照组（585例，来自四个居民区）。干预组接受基于群体的健康教育活动以及生活方式干预。干预组接受以生活方式干预为主的健康管理。对照组未实施干预。对所有参与者进行了两年的随访。2015年10月至11月，对1563名参与者（干预组1002例，对照组561例）进行了随访。分析生活方式相关结局指标的变化以检验干预效果。在干预组中，慢性病高危人群中有21.8%（219人）转变为健康个体，15.2%（152人）转变为慢性病患者。在对照组中，慢性病高危人群中有9.6%（54人）转变为健康个体，20.5%（115人）转变为慢性病患者。干预组的结局优于对照组，差异具有统计学意义（χ=-5.67，P=0.001）。干预组中知道如何正确使用控油壶的人群比例从61.00%（61/100）增至80.00%（280/350）。干预组中采取控油措施的人群比例从36.43%（365/1002）增至56.99%（571/1002）。干预组的变化具有统计学差异（P=0.001），但对照组多年来无统计学差异（P>0.05）。知道如何正确使用限盐勺的人群比例从81.95%（109/133）增至97.99%（342/349）。干预组中采取控盐措施的人群比例从45.61%（457/1002）增至62.67%（628/1002）。干预组的变化具有统计学差异（P=0.001）。对照组多年来无统计学差异（P>0.05）。经过两年干预，采取健康生活方式的人群比例有所增加，生活方式干预显示出良好效果。
