Liu Xiangxiang, Gu Yaohua, Zhang Yuting, Zhang Yanan, Tan Xiaodong
School of Health sciences, Wuhan University, Wuhan 430071, China.
School of Health sciences, Wuhan University, Wuhan 430071, China.
J Stroke Cerebrovasc Dis. 2019 Sep;28(9):2543-2554. doi: 10.1016/j.jstrokecerebrovasdis.2019.06.003. Epub 2019 Jul 9.
Today there exists few intervention researches on cerebro-vascular function in populations at high risk of stroke in China.
Patients more than 40 years old, with at least 1 of stroke risk factors were recruited from outpatient department in 3 hospitals. A quasi-experimental design was performed by assigning participants into 3 groups: comprehensive intervention group, health education group, and control group. Participants in the control group received no intervention but were informed of risk factors of stroke. For health education group, a health education class was performed. Except to the health education program, participants in the comprehensive intervention group received an additional health life and behavior guidance.
After the intervention, the Cerebro-Vascular Function Scores (CVFS) had significant differences among 3 groups (F = 5.252, P < 0.05). There was a significant increase in CVFS compared to the control group (P = 0.003, 95%CI: 1.552-8.493). Significantly changes in obesity were observed in comprehensive intervention group before and after the intervention (χ = 9.0747, P = 0.0026). The results of logistic regression showed that comprehensive intervention group had a significant decrease in prevalence of obesity (OR = 0.482, 95% CI: 0.242-0.961) compared to the control group.
Health education on stroke in a high-risk population combined with guidance on proper health life and behavior can be effective in preventing stroke.