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Centralized health management based on hot spring resort improves physical examination indicators and sleep quality in people at high risk of chronic diseases: a randomized controlled trial

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Abstract

We study the effects of centralized health management based on hot spring resorts on the physical examination index and sleep quality of people at high risk of chronic diseases. We recruited 114 volunteers at high risk of chronic diseases. We then divided them into 57 in the intervention group and 57 in the control group. The intervention group collectively received 4 weeks (28 days) of comprehensive health management interventions at Tong**g Hotspring Resort, including regular schedules, balanced diet, appropriate exercise, targeted health education, etc. The main outcomes are physical examination indicators (height, weight, waist circumference, blood pressure, lipids, and glucose) and sleep quality. Both groups underwent a questionnaire and physical examination at baseline, 2 weeks and 4 weeks. Intragroup comparisons grouped by exposure criteria showed decreases in BMI, waist circumference, triglycerides, total cholesterol, and blood glucose in the intervention group at both 2 and 4 weeks (all P < 0.05); however, in the control group, only triglycerides decreased at 4 weeks (P < 0.05). Intergroup comparisons showed BMI and waist circumference were significantly lower in the intervention group than in the control group at 4 weeks (all P < 0.05). Intragroup comparisons of insomnia severity index (ISI) scores showed a significant decrease in the intervention group at both 2 and 4 weeks (all P < 0.001) with no significant change in the control group (P > 0.05). Intergroup comparisons showed that the insomnia severity index (ISI) scores were significantly higher in the intervention group than in the control group at baseline (P = 0.006) but became significantly lower than the control group at 2 and 4 weeks (all P < 0.001). Thus, this pattern significantly improved BMI, waist circumference, triglycerides, and sleep in the intervention group.

Trial registration number

Chinese Clinical Trials Registry: ChiCTR2100053201, registered 14 Nov 2021. (Retroactive Registration)

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The data involved in this study are not publicly available due to privacy but are available from the authors on reasonable request.

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Acknowledgments

This study was supported and funded by grants from Asia-Pacific Institute For Hydrotherapy and Climatotherapy Tourism. We thank the Chongqing Municipal Commission of Culture and Tourism Development (full name: Chongqing Cultural and Tourism Development Committee) and Chongqing Tong**g Hot Spring for their strong support, and all volunteers who participated in the project.

Funding

This study received financial support from the Asia-Pacific Institute For Hydrotherapy and Climatotherapy Tourism.

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Authors and Affiliations

  1. School of Public Health, Chongqing Medical University, Chongqing, China

    Yu Chen, Fan Luo, Lingli Han, Qing Zeng, Ying Huang, Qiuling Shi, Qirui Wang, Ting Wang & Jishan Jiang

  2. Experimental Teaching Management Center, Chongqing Medical University, Chongqing, China

    Qizhong Qin

  3. Institute for Infectious Disease Control and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou, China

    **angjun Zhou

  4. School of Public Health, University of California, Berkeley, CA, USA

    Qiuyidi Gao

  5. Department of Internal Medicine, Nan’an District People’s Hospital of Chongqing, Chongqing, China

    Wen Wang

  6. Medical Department, Second Affiliated Hospital of Army Medical University, Chongqing, China

    Zhaoxia Yu

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  1. Yu Chen
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  2. Fan Luo
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Corresponding author

Correspondence to Yu Chen.

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The authors declare no competing interests.

Ethical approval

The study protocol was approved by the Medical Ethics Committee of Chongqing Medical University (batch number: 2021079), and all participants signed a standard informed consent form.

Additional information

Fan Luo and Lingli Han are joint first authors.

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Chen, Y., Luo, F., Han, L. et al. Centralized health management based on hot spring resort improves physical examination indicators and sleep quality in people at high risk of chronic diseases: a randomized controlled trial. Int J Biometeorol 67, 2011–2024 (2023). https://doi.org/10.1007/s00484-023-02558-5

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