健康托管对机关代谢综合征高危人群行为与相关指标的影响

Effect of health custody on healthy behaviors and related indicators of government staff at high-risk of metabolic syndrome

目的探讨对机关代谢综合征高危人群实施健康托管的效果。方法对148名符合代谢综合征高危人群诊断标准的机关干部实施一对一健康托管,并提供网络平台实现自我管理,1年后对健康行为及体质量、腰围、血压等指标进行评价。结果健康托管后机关代谢综合征高危人群的运动行为明显加强,收缩压、三酰甘油、总胆固醇、高密度脂蛋白、低密度脂蛋白、空腹血糖及血尿酸显著改善,差异有统计学意义(均P<0.01)。结论对机关代谢综合征高危人群实施健康托管,在疾病早期进行综合干预,可使高危人群形成良好的健康行为,降低代谢综合征风险。

Objective To explore the effect of health custody on government staff at high-risk of metabolic syndrome. Methods A total of 148 government cadres at high-risk of metabolic syndrome were enrolled in this study. Designated nurses and doctors monitored their health status and provided targeted instructions and interventions, and a network platform was constructed for them to culti- vate self-management phenomenon. After 1-year intervention, such parameters as health behaviors, body weight, waist circumfe- rence, blood pressure, etc were measured. Results After the intervention, they performed exercises more regularly and frequently; systolic blood pressure, triglycerides, total cholesterol, high-density lipoprotein, low-density lipoprotein, fasting blood glucose, and blood uric acid were significantly improved （P^0.01 for all）. Conclusion Implementing health custody to government staff at high-risk of metabolic syndrome and intervening at the beginning of diseases, can help them foster healthy behaviors and reduce risk of metabolic syndrome.