JMIR Publications

ABSTRACT

Objectives We designed this study to clarify the impact of long-term Internet health management on the clinical parameters control on hypertensive patients. It is also expected to identify the relevant factors affecting the control of clinical parameters in hypertensive patients more accurately, to make health management more targeted. Methods This study is a part of the longitudinal study of Internet-based health management in the five provinces of Northwest China. After collecting the physical examination data of some people in the five northwest provinces in 2013, we conducted online health management (including health management in diet, exercise, behavior and so on) and follow-up. Relevant physical examination and questionnaire survey were conducted every two years to understand the changes of health management on the subjects' health-related behaviors, analyze the changes of clinical indicators related to hypertension and the influencing factors related to blood pressure control in patients with hypertension. Results The results showed that after four years of health management, the smoking cessation rate of participants was increased significantly (P < 0.001), the amount of exercise increased significantly (P < 0.001), and other health-related behaviors improved in varying degrees. Diastolic blood pressure (DBP) was significantly decreased in patients with new-onset hypertension (P < 0.001). The correlation analysis of blood pressure control in patients with new-onset hypertension found that gender (female) and changing relevant factors according to health management opinions (BMI, Cereals and potatoes intake, Fish, livestock meat and eggs intake, fruit intake, Physical activity) were the protective factors of blood pressure control. Conclusion Internet-based health management has a significant effect on blood pressure control in patients with hypertension, and its control effect is long-term.