Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Sep 25, 2022
Open Peer Review Period: Sep 23, 2022 - Nov 18, 2022
Date Accepted: Feb 24, 2023
(closed for review but you can still tweet)
Influence of Internet-based health management on clinical parameters control in hypertension patients: A four-year longitudinal study
ABSTRACT
Background:
In recent years, more and more studies abroad have shown that Internet based health management can help hypertension patients control their blood pressure. However, there is a lack of similar research on Internet based health management and blood pressure control in China.
Objective:
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.
Conclusions:
Internet-based health management has a significant effect on blood pressure control in patients with hypertension, and its control effect is long-term.
Citation
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