Effect of a Workplace-Based Multicomponent Intervention on Hypertension Control: A Randomized Clinical Trial
Zengwu Wang1, Xin Wang1, Yang Shen2
1Division of Prevention and Community Health, National Center for Cardiovascular Disease, The State Key Laboratory of Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China.
JAMA Cardiology
|March 5, 2020
Summary
A workplace intervention significantly improved blood pressure (BP) control in Chinese workers. This program led to better hypertension management and healthier lifestyle choices, showing promise for wider implementation.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Occupational Health
Background:
- High blood pressure (hypertension) management remains a challenge, particularly in the working population.
- Few studies have focused on hypertension control strategies within the Chinese workforce.
Purpose of the Study:
- To evaluate the effectiveness of a workplace-based, multicomponent intervention for improving blood pressure control among Chinese employees.
- To assess the intervention's impact on blood pressure levels and lifestyle factors.
Main Methods:
- A cluster randomized clinical trial involving 60 workplaces in China.
- Intervention group received a 2-year program including a wellness initiative and a hypertension management protocol.
- Control group received usual care.
Main Results:
- The intervention group showed a significantly higher blood pressure control rate (66.2%) compared to the control group (44.0%) after 24 months.
- The intervention led to a significant reduction in both systolic (-5.8 mm Hg) and diastolic (-3.6 mm Hg) blood pressure.
- Positive changes were observed in lifestyle factors, including reduced alcohol consumption, perceived stress, and salt intake.
Conclusions:
- A workplace-based, multicomponent intervention is effective in improving hypertension control and promoting healthier lifestyles among Chinese workers.
- The findings support the consideration of this intervention for large-scale implementation in occupational health programs.
- This strategy offers a viable approach to managing high blood pressure in workplace settings globally.
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