Table 2. Association of Assignment to the Health Guidance Intervention With Health Outcomes Using Fuzzy Regression Discontinuity Designa.
| Outcome | ||||||||
|---|---|---|---|---|---|---|---|---|
| Main | Long term | |||||||
| 1 y after screening (2015) (n = 39 161) | P value | 2 y after screening (2016) (n = 34 293) | P value | 3 y after screening (2017) (n = 31 400) | P value | 4 y after screening (2018) (n = 28 975) | P value | |
| Change in weight | ||||||||
| Body weight, kg | −0.29 (−0.50 to −0.08) | .005 | −0.33 (−0.61 to −0.05) | .02 | −0.28 (−0.58 to 0.08) | .13 | −0.06 (−0.38 to 0.37) | .96 |
| BMIb | −0.10 (−0.17 to −0.03) | .008 | −0.10 (−0.20 to −0.01) | .03 | −0.10 (−0.20 to 0.02) | .12 | −0.01 (−0.12 to 0.14) | .86 |
| Waist circumference, cm | −0.34 (−0.59 to −0.04) | .02 | −0.33 (−0.64 to 0.04) | .09 | −0.44 (−0.84 to −0.06) | .03 | −0.35 (−0.78 to 0.09) | .12 |
| Change in cardiovascular risk factors | ||||||||
| Systolic blood pressure, mm Hg | 0.28 (−0.53 to 1.47) | .36 | 0.26 (−0.97 to 1.66) | .61 | −0.36 (−1.83 to 0.90) | .51 | −1.16 (−2.76 to 0.17) | .08 |
| Diastolic blood pressure, mm Hg | −0.54 (−1.33 to 0.04) | .07 | −0.004 (−0.90 to 0.92) | .98 | −0.18 (−1.14 to 0.73) | .67 | −0.87 (−2.00 to 0.06) | .06 |
| Hemoglobin A1c, % | −0.01 (−0.04 to 0.03) | .74 | 0.01 (−0.02 to 0.06) | .30 | 0 (−0.04 to 0.04) | .92 | 0.02 (−0.02 to 0.07) | .21 |
| LDL cholesterol, mg/dL | 0.42 (−1.38 to 2.33) | .62 | −0.83 (−3.02 to 1.18) | .39 | −0.56 (−3.04 to 1.60) | .54 | 0.07 (−2.25 to 2.77) | .84 |
Abbreviations: BMI, body mass index; LDL, low-density lipoprotein.
We used the bandwidth of regression discontinuity design of 6 cm from the threshold of waist circumference. Analyses were adjusted for age, lifestyle variables (current smoking, alcohol use, exercise habits), systolic blood pressure, diastolic blood pressure, hemoglobin A1c level, LDL cholesterol level, and drug use (antihypertensive drugs, antidiabetic drugs, antihyperlipidemic drugs).
Calculated as weight in kilograms divided by height in meters squared.
SI conversion factors: To convert LDL cholesterol to mmol/L, multiply by 0.0259. To convert percentage of total hemoglobin to proportion of total hemoglobin, multiply by 0.01.