Abstract: Objective To investigate the effect of remote management mode on blood pressure and metabolic markers among individuals with high-normal blood pressure from government departments of Guangzhou, China. Methods Among the individuals who were found to have high-normal blood pressure from May 2016 to May 2017, 500 individuals aged 25-60 years, who met the inclusion criteria, were enrolled in this follow-up study and were randomly divided into intervention group (remote blood pressure management) and control group (conventional blood pressure management), and follow-up was performed at the time of enrollment and at 6 and 12 months of the study. Body height, body weight, waist/hip circumference, blood pressure, fasting blood glucose, and blood lipids were measured at follow-up, and the intervention group was given remote monitoring of blood pressure and lifestyle intervention. Results After 12 months of follow-up, there were significant differences between the two groups in body mass index, systolic pressure, diastolic pressure, fasting blood glucose, total cholesterol, triglyceride, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol (P<0.05). Compared with the control group, the intervention group had significantly better improvement in health behaviors and blood pressure control (P<0.05). Conclusion Remote management can increase self-management efficiency and has important clinical significance in reducing the prevalence rate of hypertension, controlling the risk factors for cardiovascular diseases, and preventing cardiovascular events.

Key words: High-normal blood pressure, Metabolic marker, Remote management