Effectiveness evaluation of "stratified progressive" comprehensive intervention on prevention and treatment of metabolic syndrome in community

Objective To evaluate the effectiveness of "stratified progressive" comprehensive intervention on prevention and treatment of metabolic syndrome (MS) in community people. Methods The health examination data of the enterprise retiree, who had health check from August to September 2012 in the Health Service Center of Street Community in Xihu District in Hangzhou and lived in the two communities of same street, were collected. The retirees were divided into observation group and control group by coin toss method. All people of two groups were divided into the general population, MS high risk population and MS patients. The people of observation group were taken "stratified progressive" comprehensive intervention, while the people of control group received routine health guidance. We evaluated 8 related indexes changes before and after the intervention, including systolic blood pressure (SBP) and diastolic blood pressure (DBP), body mass index (BMI), waist circumference, low density lipoprotein (LDL-C), triglycerides (TG), fasting plasma glucose (FPG), total cholesterol (TC). Results Before intervention, there were no statistical differences of 8 indexes in general population, MS high risk population and MS patients (P>0.05). After 2 years intervention, the 8 indexes of MS patients between two groups had significant differences(t=8.24, 6.37, 6.44, 3.84, 8.06, 10.89, 8.32, 7.99; P<0.05); the indexes differences of SBP, DBP, BMI, waist circumference, LDL-C, TG, FPG had statistical significance in MS high risk population of two groups (t=2.91, 5.47, 3.02, 3.77, 7.54, 6.46, 7.77; P<0.05); in general population of two groups, the indexes differences were statistical significant in SBP, DBP, LDL-C and TG (t=5.52, 4.58, 8.56, 5.95; P<0.05). Conclusions Lifestyle intervention is an effective method and a key method to prevent and treat MS, and "stratified progressive" can efficiently reduce the indexes of MS in community populations. Key words: Metabolic syndrome; Community nursing; Stratified progressive; Comprehensive intervention