Wearable Technology and Physical Activity in Chronic Disease: Opportunities and Challenges.

Wearable Technology and Physical Activity in Chronic Disease: Opportunities and Challenges.
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DOI:
10.1016/j.amepre.2017.08.015
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发表时间:
2018-01
影响因子:
5.5
通讯作者:
Lynch BM
Lynch BM
中科院分区:
医学2区
文献类型:
--
作者:
Phillips SM;Cadmus-Bertram L;Rosenberg D;Buman MP;Lynch BM

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增加身体活动(PA)与许多非传染性慢性病(如心脏病、糖尿病和癌症)的预防和延迟发作以及健康益处(如降低慢性病患者的疾病进展、继发性慢性病和死亡率的风险)相关。1 PA还与减少认知功能障碍和功能限制以及增强心理健康和生活质量相关。2因此,确定增加高危人群(如至少有一个主要风险因素的人群和慢性病患者)活动的策略仍然是优先事项。有大量的技术设备可以收集和分析PA数据,并支持高危人群和慢性病患者的健康。穿戴在人身上、以消费者为目标、连续穿戴以量化24小时运动的设备为推进慢性病研究和临床实践提供了许多有希望的机会。这些“可穿戴设备”包括健身手环、智能手表和珠宝,它们记录用户的活动指标(即步数、能量消耗)以及一系列其他生理和行为因素,并可与平板电脑/智能手机应用程序或网站一起使用,为用户提供收集数据的摘要。可穿戴设备被设计和销售为激励用户增加PA以改善健康的工具,允许他们轻松地自我监测行为,这是成功改变行为的关键因素。3
Increased physical activity (PA) is associated with the prevention and delayed onset of many noncommunicable chronic conditions, such as heart disease, diabetes, and cancer, and health benefits, for example reduced risk of disease progression, secondary chronic conditions, and mortality, for individuals with chronic conditions. 1 PA is also associated with reduced cognitive dysfunction and functional limitations and enhanced mental health and quality of life. 2 Thus, identifying strategies to increase activity in high-risk individuals, as in those with at least one major risk factor, and those with chronic conditions remains a priority.An abundance of technological devices exist to collect and analyze PA data and support the health of high-risk individuals and those with chronic conditions. Devices that are worn on the person, consumer-targeted, and worn continuously to quantify motion during the 24-hour day offer many promising opportunities to advance chronic disease research and clinical practice. These “wearables” include fitness bands, smart watches, and jewelry that log users’ activity metrics (ie, step counts, energy expenditure) plus a range of other physiological and behavioral factors and can be used with a tablet/smartphone app or website that provides users with a summary of collected data. Wearables are designed and marketed as tools to motivate users to increase PA to improve health by allowing them to easily self-monitor behavior, a key element to successful behavior change. 3
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