To explore the effect of the health management service in patients with metabolic syndrome (MS) by family doctors.

A total of 417 patients with MS were screened during a health examination and divided into the intervention and control groups (206 and 211 cases, respectively), using a random digital table. Based on routine health follow-up, the intervention group received increased health management intervention by the family doctor, while the control group was only had followed-up with routine health check-ups. After 1 year, the changes in body mass index (BMI), blood pressure, triglyceride (TG) levels, fasting blood glucose (FBG) levels, and high-density lipoprotein cholesterol (HDL-C) in the two groups of patients were observed. The effect of intervention was analyzed using the paired design t-test and chi-square test.

In the intervention group, the BMI (25.04±2.92) kg/m², systolic blood pressure (121.5±15.6) mmHg (1 mmHg=0.133 kPa), TG levels (2.02±1.24) mmol/L, and FBGlevels(5.92±1.75) mmol/L after the intervention, were lower than those before the intervention (25.66±2.64) kg/m², (128.4±16.5) mmHg, (2.43±1.06) mmol/L, (6.34±1.62) mmol/L; respectively, and these differenceswerestatistically significant (t=2.437, 3.598, 3.536, 2.983, respectively; P<0.05). HDL-C levels after the intervention (1.32±0.26) mmol/L were higher than thosebefore the intervention (1.26±0.32) mmol/L, and the difference was statistically significant (t=-2.218, P<0.05). In the intervention group, blood pressure, BMI, FBGlevels, and HDL-C levels after the intervention were higher than the normal reference values.The proportion of patients with normal reference valuesafter the intervention were 62.6%, 75.2%, 14.6%, and 52.9%, respectively, which were lower than those before the intervention(92.7%, 85.4% 23.3%, and 63.6%, respectively); thesedifferenceswerestatistically significant (χ²=53.795, 6.777, 5.124, and 4.832, respectively;P<0.05). After 1 year, the control group had lower BMI (24.52±2.69) kg/m² than that before the intervention (25.79±2.85) kg/m²; thisdifference was statistically significant (t=2.421, P<0.05).There were no significant differences in the systolic and diastolic blood pressure, TG levels, HDL-C levels, and FBG levels.

Health management byfamily doctors can effectively reduce weight, blood pressure, blood lipids, and blood sugar by interfering with the lifestyle of patients with MS.

Metabolic syndrome X; Family; Health management