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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2010, Vol. 4 Issue (1) : 67-70     DOI: 10.1007/s11684-010-0023-8
Research articles |
Effectiveness of lifestyle intervention for hypertension in Shanghai communities: Results from the Shanghai Hypertension Detail Management Program
Xin-Jian LI MD,Min-Na CHENG MPH,Yu-Heng WANG MD,Sun MIAO MPH,Zong-Qi ZHANG PhD,Yi-Sheng CHEN MD,Wei LU PhD,
Department of Cardiovascular Disease Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China;
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Abstract  A community-based multi-center randomized controlled trial was conducted to evaluate the effectiveness of blood pressure control for hypertension patients in communities in urban Shanghai by integrated intervention. At present, patients (n=1395) from four communities have completed follow-up for one year, including the intervention group (n=921) and usual care group (n=474). The intervention programs included disease management by a care manager. Blood pressure of each patient was measured regularly. Compared with the control group, the net change of mean systolic blood pressure (SBP) was −6.75 (95% CI: −7.79 to −5.71, P<0.001) mmHg, mean diastolic blood pressure (DBP) was −4.29 (95% CI: −5.08 to −3.49, P<0.001) mmHg, and mean pulse pressure (PP) was −2.46 (95% CI: −3.50 to −1.43, P<0.001) mmHg in the intervention group. The net change extent was larger in patients with regular pharmacological treatment than in those with irregular pharmacological treatment or non-pharmacological treatment. The measures of integrated intervention for hypertension patients in communities can lower significantly not only SBP and DBP, but also PP. It is suggested that measures of integrated intervention can decrease the risk of cardiovascular diseases in hypertension patients.
Keywords hypertension      community      pharmacological adherence      control of blood pressure      
Issue Date: 05 March 2010
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-010-0023-8     OR     http://academic.hep.com.cn/fmd/EN/Y2010/V4/I1/67
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