Effects of Comprehensive Lifestyle Intervention on Cardiovascular Health Behaviors and Factors in Male Workers in Kailuan Community
Feng Wang Dayi Hu
Chongqing Medical University
Objectives: To observe the status of ideal cardiovascular behaviors and factors in male workers in Kailuan community. To investigate the effects of health education and comprehensive lifestyle intervention on cardiovascular health behaviors and factors in male workers.
Methods: Randomly selecte Tang Shan Kuang and Fan Ge Zhuang to participate in this study. To complete the first questionnaire survey (including birth date, marital status, telephone number, cultural level, monthly economic income, personal health information, history of hypertension, history of diabetes) and anthropometric measurements (including height, weight, blood pressure) and biochemical indicators collection (including fasting blood glucose, total cholesterol, triglycerides, high density lipoprotein, low density lipoprotein) from July 2013 to August 2013. Health education and multiple lifestyle interventions were conducted in the intervention community for 2 years from September 2013. To analyze the changes of cardiovascular health behaviors (smoking status, body mass index, physical exercise and healthy diet) and factors (total cholesterol, blood pressure and fasting blood glucose) in community male workers after intervention.
Results: In 2013, 1738 male workers participated in the survey and 1677 cases were included in the statistical analysis at the end of 2015.
(1) After intervention, the dietary habits, physical exercise, blood pressure and total cholesterol were improved, and the difference was statistically significant (P <0.01). There was no significant difference in smoking, body mass index and fasting blood glucose.
(2) The systolic blood pressure decreased from (140.75 ± 18.20) mmHg to (128.98 ± 15.27) mmHg and diastolic blood pressure decreased from (87.96±10.64) mmHg to (83.58±9.18)mmHg. The total cholesterol was decreased from (5.41 ± 2.72) mmol / L to (4.74 ± 1.06) mmol / L and the high-density lipoprotein cholesterol increased from (1.37 ± 0.35) mmol / L to (1.54 ± 0.41) mmol/L and low-density lipoprotein decreased from (3.29 ± 0.81) mmol / L to (2.38 ± 0.88) mmol / L. The difference was all statistically significant (P <0.01).
(3) The total number of ideal cardiovascular health behaviors and factors were increased from (2.58±1.11) to (3.01±1.09) in the male population after comprehensive intervention, and there was significant difference between the two groups (P <0.01);
(4) The average cardiovascular health score increased from (7.15±2.11) to (8.16±2.00) after the intervention, and there were significant differences between before and after the intervention (P <0.01).
Conclusions: The prevalence of ideal cardiovascular behaviors and factors of male workers in Kailuan community was low. Comprehensive lifestyle intervention could improve the cardiovascular health behaviors and factors.