Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, 9711 LM Groningen, The Netherlands.
Ancora Health B.V., 9711 LM Groningen, The Netherlands.
Int J Environ Res Public Health. 2022 Mar 31;19(7):4171. doi: 10.3390/ijerph19074171.
Worldwide, it is estimated that at least one in four adults suffers from hypertension, and this number is expected to increase as populations grow and age. Blood pressure (BP) possesses substantial heritability, but is also heavily modulated by lifestyle factors. As such, digital, lifestyle-based interventions are a promising alternative to standard care for hypertension prevention and management. In this study, we assessed the prevalence of elevated and high BP in a Dutch general population cohort undergoing a health screening, and observed the effects of a subsequent self-initiated, digitally-enabled lifestyle program on BP regulation. Baseline data were available for 348 participants, of which 56 had partaken in a BP-focused lifestyle program and got remeasured 10 months after the intervention. Participants with elevated SBP and DBP at baseline showed a mean decrease of 7.2 mmHg and 5.4 mmHg, respectively. Additionally, 70% and 72.5% of participants showed an improvement in systolic and diastolic BP at remeasurement. These improvements in BP are superior to those seen in other recent studies. The long-term sustainability and the efficacy of this and similar digital lifestyle interventions will need to be established in additional, larger studies.
据估计，全世界至少有四分之一的成年人患有高血压，随着人口增长和老龄化，这一数字预计还会增加。血压（BP）具有很大的遗传性，但也受到生活方式因素的严重调节。因此，基于数字的生活方式干预是高血压预防和管理的标准护理的一种有前途的替代方法。在这项研究中，我们评估了在接受健康筛查的荷兰一般人群队列中升高和高血压的患病率，并观察了随后自行发起的、基于数字的生活方式计划对 BP 调节的影响。基线数据可用于 348 名参与者，其中 56 名参与者参加了以 BP 为重点的生活方式计划，并在干预 10 个月后重新测量。基线时 SBP 和 DBP 升高的参与者的平均降幅分别为 7.2mmHg 和 5.4mmHg。此外，70%和 72.5%的参与者在重新测量时收缩压和舒张压均有改善。这些 BP 的改善优于其他最近研究中的改善。在更大规模的研究中需要确定这种和类似的数字生活方式干预的长期可持续性和疗效。
