| Summary: | 碩士 === 輔仁大學 === 公共衛生學系碩士班 === 98 === Objective: To evaluate the improvements of the health status of metabolic syndrome (MetS) in the high risk community-based individuals while they undergo a health education intervention concerning MetS prevention during 6 months.
Methods: A screening in 363 individuals aged ≧30 years were carried out at baseline. Of those, 248 individuals were in accordance with at least one MetS diagnosic compoment, and turn into the candidate in our study. Forty three subjects in health education intervention group and 48 ones in control group completed the studied course finally. The health education intervention course comprised a group education containing five core courses spent four hours within two weeks, and one to one telephone consultations inserting from baseline to 3 months and from 3 months to 6 months. For all participants at laseline, we measured the body composition (body weight, body mass index, waist circumference, systolic and diastolic blood pressures (SBP, DBP)) , biochemical indices (fasting plasma glucose, total cholesterol, triglyceride, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c) and hemoglobin A1c (HbA1c)) and questionnaires (demographic variables, disease histories, habits of dietary, exercise, drinking and smoking, and assessments of knowledge, attitude and self-efficacy). These information also was collected at 3 month and 6 month, separately.
Results: At baseline, age (p=0.013), SBP (p=0.002), fasting glucose (p=0.006), HbA1c (p=0.004) and high blood sugar component (p=0.034) were significantly higher in intervention group than control group. High blood pressure component was borderline-significant different (p=0.062). Body weight (p=0.034) and LDL-c (p=0.014) are significantly higher in control group. Finally, after adjusting for age, gender, intervention/control and time points, a significant interaction in intervention group than control group was showed in decreasing fasting glucose (-12.61mg/dL) at 3 months, as well as in decreasing SBP (-6.20mmHg) and DBP (-4.04mmHg) at 6 months separately. Additionally, similar finding was showed in knowledge score at 3 months. Similarly in views of MetS components, the significant improvement was demonstrated both high blood sugar component at 3 month and high blood pressure component at 6 month. In summary for these individuals, the proportion of selecting low fat/low salt food, or taking exercise increased significantly. However, smoking or drinking habit had no differences between 2 groups.
Conclusion: The health education intervention on the MetS prevention is able to improve the levels of glucose and SBP, and to enhance the knowledge in high risk individuals from community.
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