Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, 46115 Valencia, Spain.
Department of Biomedical Sciences, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, 46115 Valencia, Spain.
Nutrients. 2022 May 27;14(11):2235. doi: 10.3390/nu14112235.
‘Living Better’, a self-administered web-based intervention, designed to facilitate lifestyle changes, has already shown positive short- and medium-term health benefits in patients with an obesity−hypertension phenotype. The objectives of this study were: (1) to examine the long-term (3-year) evolution of a group of hypertensive overweight or obese patients who had already followed the ‘Living Better’ program; (2) to analyze the effects of completing this program a second time (reintervention) during the COVID-19 pandemic. A quasi-experimental design was used. We recruited 29 individuals from the 105 who had participated in our first study. We assessed and compared their systolic and diastolic blood pressure (SBP and DBP), body mass index (BMI), eating behavior, and physical activity (PA) level (reported as METs-min/week), at Time 0 (first intervention follow-up), Time 1 (before the reintervention), and Time 2 (post-reintervention). Our results showed significant improvements between Time 1 and Time 2 in SBP (−4.7 (−8.7 to −0.7); p = 0.017), DBP (−3.5 (−6.2 to −0.8); p = 0.009), BMI (−0.7 (−1.0 to −0.4); p < 0.001), emotional eating (−2.8 (−5.1 to −0.5); p = 0.012), external eating (−1.1 (−2.1 to −0.1); p = 0.039), and PA (Time 1: 2308 ± 2266; Time 2: 3203 ± 3314; p = 0.030, Z = −2.17). Statistical analysis showed no significant differences in SPB, DBP, BMI, and eating behavior between Time 0 and Time 1 (p > 0.24). Implementation of the ‘Living Better’ program maintained positive long-term (3-year) health benefits in patients with an obesity−hypertension phenotype. Moreover, a reintervention with this program during the COVID-19 pandemic produced significant improvements in blood pressure, BMI, eating behavior, and PA.
“活得更好”是一种自我管理的网络干预措施，旨在促进生活方式的改变，已经在肥胖合并高血压表型的患者中显示出短期和中期的积极健康益处。本研究的目的是：(1) 研究一组已经接受过“活得更好”项目的超重或肥胖高血压患者的长期(3 年)演变；(2) 分析在 COVID-19 大流行期间再次完成该项目(再干预)的效果。采用准实验设计。我们从参加我们第一项研究的 105 名患者中招募了 29 名患者。我们评估并比较了他们的收缩压和舒张压(SBP 和 DBP)、体重指数(BMI)、饮食行为和体力活动(PA)水平(以 METs-min/周报告)，时间 0(第一次干预随访)、时间 1(再干预前)和时间 2(再干预后)。我们的结果显示，在 SBP(-4.7(-8.7 至-0.7)；p = 0.017)、DBP(-3.5(-6.2 至-0.8)；p = 0.009)、BMI(-0.7(-1.0 至-0.4)；p < 0.001)、情绪性进食(-2.8(-5.1 至-0.5)；p = 0.012)、外食(-1.1(-2.1 至-0.1)；p = 0.039)和 PA(时间 1：2308 ± 2266；时间 2：3203 ± 3314；p = 0.030，Z = -2.17)方面，时间 1 和时间 2 之间有显著改善。统计学分析显示，在 SBP、DBP、BMI 和饮食行为方面，时间 0 和时间 1 之间无显著差异(p > 0.24)。“活得更好”项目的实施在肥胖合并高血压表型患者中保持了长期(3 年)的健康益处。此外，在 COVID-19 大流行期间再次进行该项目干预，血压、BMI、饮食行为和 PA 均有显著改善。
