Influence of internet health management on lifestyles and health indicators of residents with high risk of non-communicable chronic diseases
Objective To evaluate the influencing of internet health management on lifestyles and health indicators of residents with high risk of no communicable chronic diseases in Chongqing,and provide the suggestion for improving the internet health management.Methods From November to December 2021,2 243 community residents meeting the criteria for high risk population of non-communicable chronic diseases in 4 districts of Chongqing were screened as the subjects.The subjects were randomly divided into intervention group and control group in clusters with community health service centers as the units.The intervention group was intervened through an information platform for one year,while the control group only received daily community health management.The investigation was performed with the same questionnaire,blood pressure measurement and laboratory test before and after the intervention.The x2 test was used to analyze the data,the difference-in-difference method fitted to the logistic regression model was used to analyze the intervention net effect.The used software was SPSS 25.0.Results A total of 2 035 people participated in the whole intervention and the surveys before and after the intervention,including the intervention group(1 135 cases)and the control group(900 cases).The results of the difference-in-differences analysis showed that after the intervention,the proportions of insufficient vegetable and fruit intake(OR=1.60,95%CI:1.23-2.09),excessive red meat intake(OR=1.57,95%CI:1.11-2.23),active salt reduction(OR=2.18,95%CI:1.69-2.83),normal blood pressure(OR=2.68,95%CI:2.02-3.56),normal blood glucose(OR=3.56,95%CI:2.33-5.43),and normal blood lipids(OR=1.79,95%CI:1.32-2.41)increased,while the proportions of the subjects with sufficient physical activity(OR=0.41,95%CI:0.32-0.54),static behavior during leisure time>2 hours per day(OR=0.43,95%CI:0.32-0.56),and central obesity(OR=0.65,95%CI:0.50-0.86)decreased(P<0.05 or P<0.01).Conclusion The internet health management for population with high risk of non-communicable diseases can improve health indicators.However,this intervention effect for lifestyle should be implemented consistently.
Non-communicable chronic diseasesHigh risk populationInternet health managementEffect assessmentHealthy indicator