Influence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: a longitudinal, comparative analysis in routine primary care settings

Hu, X.-J., Wu, H.-F., Li, Y.-T., Wang, Y., Cheng, H., Wang, J.-J., Mohammed, B. H., Tan, I. and Wang, H. H.X. (2020) Influence of health education on clinical parameters in type 2 diabetic subjects with and without hypertension: a longitudinal, comparative analysis in routine primary care settings. Diabetes Research and Clinical Practice, 170, 108539. (doi: 10.1016/j.diabres.2020.108539) (PMID:33161048)

Abstract

Aim: To assess the influence of health education for type 2 diabetic patients with and without coexisting hypertension in routine primary care where intensive educational consultations were absent. Methods: A longitudinal cohort was constructed from 342 diabetic subjects who previously had regular exposure to face-to-face health education delivered quarterly during 2016–2017 under the national basic public health (BPH) service provision in an urbanised township in China. Clinical parameters were retrieved electronically from computerised BPH data platform at prior check-ups (2016–2017) and at the most recent check-up (2019). Results: The satisfactory clinical improvements upon health education were not sustained during subsequent observational years among study subjects. A significant increase in total cholesterol (0.28 mmol/L for between-group net changes, 95% confidence interval [CI] = 0.01–0.55 mmol/L, p = 0.039) were observed in diabetic subjects with coexisting hypertension. Older patients (adjusted odds ratio [aOR] = 0.87, 95%CI = 0.83–0.91, p less than 0.001), males (aOR = 0.50, 95%CI = 0.26–0.98, p = 0.043), and subjects with lower education level (aOR = 0.34, 95%CI = 0.17–0.67, p = 0.002) were less likely to maintain improvement of biomedical parameters. Conclusion: The influence of face-to-face health education may not be prolonged in routine primary care where intensive provisions of educational consultations were less common. Diabetic patients with coexisting hypertension tend to have more difficulties in maintaining optimal lipid profiles.

• Item Type: Articles
• Additional Information: Funding support: National Natural Science Foundation of China (grants 71673309, 71904212, and 72061137002); Science and Technology Development Fund of Guangdong Province (grant 2016A020216006); Special Support Program of Guangdong Province (grant 2017TQ04R749); Basic and Applied Basic Research Foundation of Guangdong Province (grant 2019A1515011381); Higher Education Reform Project of Guangdong Province (grant 20191206–20); and Science and Technology Innovation Project of Foshan (grant 2016AB000342), PR China.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Wang, Professor Haoxiang
• Authors: Hu, X.-J., Wu, H.-F., Li, Y.-T., Wang, Y., Cheng, H., Wang, J.-J., Mohammed, B. H., Tan, I., and Wang, H. H.X.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
• Journal Name: Diabetes Research and Clinical Practice
• Publisher: Elsevier
• ISSN: 0168-8227
• ISSN (Online): 1872-8227
• Published Online: 05 November 2020
• Copyright Holders: Copyright © 2020 The Authors
• First Published: First published in Diabetes Research and Clinical Practice 170: 108539
• Publisher Policy: Reproduced under a Creative Commons License