EFFECT OF THE STEPTM AND HOME-MONITORING TECHNOLOGY IN RURAL PRIMARY CARE ON BLOOD PRESSURE AND FITNESS IN METABOLIC SYNDROME

Abstract

Adults with metabolic syndrome (MetS) are at a high risk for developing type II diabetes and cardiovascular disease. As well, rural populations have lower access to lifestyle modifications (recreational centres) to manage this condition. Adults with MetS were recruited from rural southwestern Ontario. At each visit, resting blood pressure (BP) was measured, a predictive fitness (V02inax) test was offered and exercise was prescribed using the Step Test Exercise Prescription (STEPTM). Home-monitoring technology included a BlackberryTM, BP monitor and a pedometer. Clinical systolic BP (SBP) and diastolic BP (DBP) decreased from baseline to 3 months (VI) and continued to decrease into 6 months (V2). At-home SBP decreased at VI and was maintained at V2. At-home DBP followed the same pattern as clinical. A lifestyle intervention in primary care using STEP with home-monitoring technology decreased BP and increased fitness and quality of life in adults from rural communities with MetS