A mobile health education program significantly reduced median systolic blood pressure from 131 mmHg to 128 mmHg and diastolic blood pressure from 84 mmHg to 82 mmHg over two years.
Cohort (n=408)
Does a mobile health education program improve blood pressure and lipid profiles in adults with high normal blood pressure or hypertension?
A mobile health education program was associated with modest but statistically significant reductions in systolic and diastolic blood pressure over two years in young adults with high-normal blood pressure or hypertension.
Absolute Event Rate: 128% vs 131%
p-value: p=<0.001
Abstract Background Hypertension and dyslipidemia are major risk factors for cardiovascular disease, and effective management of these conditions is essential for reducing long-term morbidity. Mobile health (mHealth) education has emerged as a widely used strategy to enhance disease awareness and encourage lifestyle modification. This study evaluated the impact of an mHealth-based education on cardiovascular risk factors and disease awareness among individuals with hypertension. Methods This single-arm retrospective cohort study analyzed health screening data collected in 2022 (baseline), 2023 (Phase I), and 2024 (Phase II). Participants received a series of mobile-delivered educational materials focused on hypertension and dyslipidemia, emphasizing lifestyle modification, self-management, and improved understanding of chronic disease risks. Primary outcomes were changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP). Secondary outcomes included changes in triglycerides (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and fasting blood sugar (FBS). Annual prevalence rates of hypertension and dyslipidemia were also assessed. Results A total of 408 participants were included in the final analysis. SBP declined from 131 mmHg (IQR: 125–138) at baseline to 130 mmHg (IQR: 124–136) in 2023 and 128 mmHg (IQR: 120–136) in 2024 ( P < 0.001). DBP decreased from 84 mmHg (IQR: 81–89) to 84 mmHg (IQR: 80–89) in 2023 and 82 mmHg (IQR: 75–89) in 2024 ( P < 0.001). Hypertension prevalence decreased from 27% to 23.5% and 23%, though changes were not statistically significant. TG levels significantly decreased from 141 mg/dL (IQR: 96–206) to 138 mg/dL (IQR: 91–193) and 127 mg/dL (IQR: 92–185) ( P < 0.001). LDL showed a statistically significant but small reduction (127 → 128 → 126 mg/dL; P = 0.003), while HDL remained unchanged. FBS increased slightly but significantly across the study period (98 → 99 → 99 mg/dL; P = 0.01). Dyslipidemia prevalence declined modestly (45.1% → 43.6% → 43.4%) without statistical significance. Conclusion This study supports the feasibility of mobile health education as a low-cost strategy for improving blood pressure and lipid control. Strengthening education program content and enhancing participant engagement may further amplify its impact on population cardiovascular health.
Jang et al. (Fri,) conducted a cohort in High normal blood pressure or hypertension (n=408). Mobile health (mHealth) education program vs. Baseline (pre-education) was evaluated on Change in systolic blood pressure (SBP) (p=<0.001). A mobile health education program significantly reduced median systolic blood pressure from 131 mmHg to 128 mmHg and diastolic blood pressure from 84 mmHg to 82 mmHg over two years.