Evaluation of the effect of health management in patients with metabolic syndrome by family doctors

Abstract

Objective To explore the effect of the health management service in patients with metabolic syndrome (MS) by family doctors. Methods A total of 417 patients with MS were screened during a health examination and divided into the intervention and control groups (206 and 211 cases, respectively), using a random digital table. Based on routine health follow-up, the intervention group received increased health management intervention by the family doctor, while the control group was only had followed-up with routine health check-ups. After 1 year, the changes in body mass index (BMI), blood pressure, triglyceride (TG) levels, fasting blood glucose (FBG) levels, and high-density lipoprotein cholesterol (HDL-C) in the two groups of patients were observed. The effect of intervention was analyzed using the paired design t-test and chi-square test. Results In the intervention group, the BMI (25.04±2.92) kg/m2, systolic blood pressure (121.5±15.6) mmHg (1 mmHg=0.133 kPa), TG levels (2.02±1.24) mmol/L, and FBGlevels(5.92±1.75) mmol/L after the intervention, were lower than those before the intervention (25.66±2.64) kg/m2, (128.4±16.5) mmHg, (2.43±1.06) mmol/L, (6.34±1.62) mmol/L; respectively, and these differenceswerestatistically significant (t=2.437, 3.598, 3.536, 2.983, respectively; P<0.05). HDL-C levels after the intervention (1.32±0.26) mmol/L were higher than thosebefore the intervention (1.26±0.32) mmol/L, and the difference was statistically significant (t=-2.218, P<0.05). In the intervention group, blood pressure, BMI, FBGlevels, and HDL-C levels after the intervention were higher than the normal reference values.The proportion of patients with normal reference valuesafter the intervention were 62.6%, 75.2%, 14.6%, and 52.9%, respectively, which were lower than those before the intervention(92.7%, 85.4% 23.3%, and 63.6%, respectively); thesedifferenceswerestatistically significant (χ2=53.795, 6.777, 5.124, and 4.832, respectively;P<0.05). After 1 year, the control group had lower BMI (24.52±2.69) kg/m2 than that before the intervention (25.79±2.85) kg/m2; thisdifference was statistically significant (t=2.421, P<0.05).There were no significant differences in the systolic and diastolic blood pressure, TG levels, HDL-C levels, and FBG levels. Conclusion Health management byfamily doctors can effectively reduce weight, blood pressure, blood lipids, and blood sugar by interfering with the lifestyle of patients with MS. Key words: Metabolic syndrome X; Family; Health management