Effects of community health management on patients with metabolic syndrome

Objective To investigate the effects of community health management on patients with metabolic syndrome (MS). Methods The 180 MS patients from one community in Guangzhou were randomly assigned to the control group (routine medical treatment and consultation, n=90) or study group (health management intervention, n=90). At 18 months, body status, blood glucose, lipid profile, and insulin resistance index were compared. Results A total of 171 patients (88 in the study group, 83 in the control group) were analyzed.For the study group, the waist circumference[(88.78±7.17) cm], body mass index[(23.79±2.26) kg/m2], diastolic blood pressure[(81.47±7.54) mm Hg, 1 mm Hg=0.133 kPa], fasting blood glucose[(5.43±2.16) mmol/L], HOMA-IR (1.99±2.39), triglyceride[(2.05±1.28) mmol/L], total cholesterol[(5.41±0.90) mmol/L], and low-density lipoprotein cholesterol[(3.35±0.59) mmol/L]were significantly decreased compared with the control group[(91.17±7.19) cm, (24.98±2.50) kg/m2, (85.93±9.45) mm Hg, (5.97±2.46) mmol/L, 2.40±2.43, (2.36±1.42) mmol/L, (5.75±0.94) mmol/L, and (3.50±0.76) mmol/L, respectively](P<0.05); however, high-density lipoprotein cholesterol[(1.44±0.49) mmol/L vs.(1.32±0.36) mmol/L)]was significantly increased (P<0.05). The percent of the patients with MS and abnormal parameters in the study group was significantly decreased in comparison with the control group (P<0.05). Conclusions Health management may be effective in blood glucose and lipid control and insulin resistance improvement in MS patients. Key words: Community health services; Metabolic syndrome; Health management