Liu Min, Ni Wenqing, Xu Jian, Xu Jianwei, Ji Ning, Bai Yamin
National Center for Chronic and Non-Communicable Disease Control and Prevention, Beijing 100050, China.
Shenzhen Center for Chronic Disease Control Shenzhen 518020, China.
Wei Sheng Yan Jiu. 2019 Mar;48(2):208-213.
To evaluate the effect of lifestyle intervention program among pre-hypertensive adults in Futian District, Shenzhen City.
A total of 12 communities were selected randomly from Futian District, Shenzhen City between October and November of 2013. A total of 1183 pre-hypertension population was screened and divided into intervention group(834) and control group(349) according to community sources. Comprehensive intervention including reducing sodium intake, weight control and exercise, quitting smoking and limiting alcohol consumption were implemented in intervention group. The form of intervention was a combination of group activities and individual follow-up, and at least one kind of activity and follow-up was carried out every quarter. The control group did not actively provide any intervention except routine work. The evaluation survey was taken both in intervention group and control group in 2015.
In the intervention group, the proportion of oil control measures was increased from 36. 6% to 55. 7%(χ2=44. 71, P<0. 01), the proportion of salt reduction measures was increased from 44. 8% to 61. 1%(χ2=32. 72, P<0. 01), the regular exercise rate was increased from 24. 1% to 37. 1%(χ2=24. 23, P<0. 01), adequate intake of fruits and vegetables rate rose from 44. 6% to 53. 5%(χ2=9. 61, P<0. 01) after intervention. There was no statistical difference in these indicators in the control group before and after intervention(P>0. 05). After intervention, the blood pressure of 329(54. 2%) persons in the intervention group returned to healthy state, 244(40. 2%) persons remained in the pre-hypertensive state and 34(5. 6%) persons were converted to hypertensive patients. In the control group, the blood pressure of 55(16. 4%) persons returned to health, 236(70. 0%) persons maintain prehypertension, and 46(13. 6%) persons became hypertensive patients. Compared with the two groups, the difference was statistically significant(χ~2=130. 93, P<0. 01). The result showed that the systolic blood pressure of the pre-hypertensive group decreased by 7. 605 mmHg and the diastolic blood pressure decreased by 3. 727 mmHg.
After 2 years of follow-up and intervention, the lifestyle of the pre-hypertension population in the intervention group has been improved. The comprehensive intervention has achieved good result.
评估深圳市福田区高血压前期成年人生活方式干预项目的效果。
2013年10月至11月，从深圳市福田区随机选取12个社区。共筛查出1183例高血压前期人群，并根据社区来源分为干预组（834例）和对照组（349例）。干预组实施包括减少钠摄入、控制体重和运动、戒烟限酒在内的综合干预。干预形式为集体活动与个体随访相结合，每季度至少开展一次活动和随访。对照组除常规工作外未积极提供任何干预。2015年对干预组和对照组进行评估调查。
干预组中，控油措施比例从36.6%增至55.7%（χ² = 44.71，P < 0.01），减盐措施比例从44.8%增至61.1%（χ² = 32.72，P < 0.01），经常锻炼率从24.1%增至37.1%（χ² = 24.23，P < 0.01），干预后水果和蔬菜摄入充足率从44.6%升至53.5%（χ² = 9.61，P < 0.01）。对照组干预前后这些指标无统计学差异（P > 0.05）。干预后，干预组329人（54.2%）血压恢复正常，244人（40.2%）仍处于高血压前期状态，34人（5.6%）转为高血压患者。对照组中，55人（16.4%）血压恢复正常，236人（70.0%）维持高血压前期状态，46人（13.6%）成为高血压患者。两组比较，差异有统计学意义（χ² = 130.93，P < 0.01）。结果显示，高血压前期组收缩压下降7.605 mmHg，舒张压下降3.727 mmHg。
经过2年的随访和干预，干预组高血压前期人群的生活方式得到改善。综合干预取得了良好效果。
