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Community-Based Lifestyle Intervention for Reducing Blood Pressure and Glucose among Middle-Aged and Older Adults in China: A Pilot Study

Author

Listed:
  • Aihua Lin

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou 510080, China
    These authors contributed equally to this work.)

  • Guanrong Zhang

    (Health Management Center, Guangdong General Hospital, Guangdong Academy of Medical Sciences, No. 123 Huifu Xi Road, Guangzhou 510180, China
    These authors contributed equally to this work.)

  • Zhiting Liu

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou 510080, China)

  • Jing Gu

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou 510080, China)

  • Weiqing Chen

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou 510080, China)

  • Futian Luo

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou 510080, China)

Abstract

Although evidence suggests that lifestyle interventions can reduce blood pressure (BP) and glucose levels, there is little information about the feasibility of such interventions when implemented in community settings. This study evaluated the effectiveness of a community-based lifestyle intervention on BP and glucose in the middle-aged and older Chinese population. By using a cluster randomisation approach, 474 participants from two communities were assigned to the intervention group which received intensive health education and behavioural intervention, or the control group which received conventional education. Linear mixed models were used to compare between-group differences on change in BP and fasting glucose after 6, 12 and 24 months. At the 12-month follow-up, the intervention group experienced significantly reductions in systolic BP (−4.9 vs. 2.4 mmHg; mean difference [MD] −7.3 mmHg; p < 0.001), diastolic BP (−1.9 vs. 1.9 mmHg; MD −3.8 mmHg; p < 0.001) and fasting glucose (−0.59 vs. 0.08 mmol/L; MD −0.67 mmol/L; p < 0.001). These differences were sustained at the 24-month follow-up. With only two communities, it was not possible to adjust for potential clustering by site. This approach of lifestyle interventions conducted through primary care services may be a potential solution for combating hypertension and diabetes in a resource-limited country context in China.

Suggested Citation

  • Aihua Lin & Guanrong Zhang & Zhiting Liu & Jing Gu & Weiqing Chen & Futian Luo, 2014. "Community-Based Lifestyle Intervention for Reducing Blood Pressure and Glucose among Middle-Aged and Older Adults in China: A Pilot Study," IJERPH, MDPI, vol. 11(11), pages 1-19, November.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:11645-11663:d:42245
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    Cited by:

    1. Mei-Lan Chen & Jie Hu & Thomas P. McCoy & Susan Letvak & Luba Ivanov, 2020. "Associations of Lifestyle Intervention Effect with Blood Pressure and Physical Activity among Community-Dwelling Older Americans with Hypertension in Southern California," IJERPH, MDPI, vol. 17(16), pages 1-9, August.
    2. Xiaowen Li & Tong Li & Jianying Chen & Yuanling Xie & Xia An & Yunhong Lv & Aihua Lin, 2019. "A WeChat-Based Self-Management Intervention for Community Middle-Aged and Elderly Adults with Hypertension in Guangzhou, China: A Cluster-Randomized Controlled Trial," IJERPH, MDPI, vol. 16(21), pages 1-12, October.
    3. Jiangen Song & Xiaojuan Zha & Haibo Li & Rui Guo & Yu Zhu & Yufeng Wen, 2016. "Analysis of Blood Glucose Distribution Characteristics and Its Risk Factors among a Health Examination Population in Wuhu (China)," IJERPH, MDPI, vol. 13(4), pages 1-9, March.

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