GetAMoveOn:transforming health through enabling mobility

运动得越多，我们就越聪明；当我们变得更强壮时，慢性疼痛就会减少。更多的运动，尤其是在社交环境中，可以促进协作。当我们移动时，我们不仅减少了压力，我们还提高了处理压力情况的能力，并为创造性的新解决方案看到了更多的选择。运动可以增强力量和耐力，改善骨矿物质密度和平衡，减少跌倒和相关髋部损伤的发生率（老年人死亡的原因）。运动补充了其他功能，从帮助睡眠，从而帮助记忆和认知，到帮助饮食和相关激素-改善胰岛素敏感性和平衡皮质醇。最近有研究表明运动对痴呆症有好处。然而，缺乏身体活动是全球第四大死因；久坐不动被称为“新吸烟”。与此同时，久坐症和相关疾病对英国GDP造成的损失也在增加——从因工作而失去的病假，到失去行动能力、不得不搬进养老院的老年人。我们把自己设计成久坐主义：上下班时坐着，工作时坐在办公桌前，在家时坐在沙发上。我们迫切需要让自己回归到仅仅通过多运动而积累的健康的自然效果中。我们需要能够帮助建立证据和经验的解决方案，证明运动可以改善和造福人们的生活。新技术正在改变我们实时获取个人生活方式数据的能力。计步器和wifi秤等消费技术只是冰山一角——世界各地的研究项目都在提议从摄像机、电表到可穿戴设备等各种设备捕捉生活方式数据。与此同时，无处不在的网络连接使数据得以传输，通过强大的机器学习工具进行处理，并在一瞬间提供给人们。虽然我们了解潜在的技术，但我们还不知道如何有效地利用这些技术来支持变革性卫生。目前的电子健康方法通常只能覆盖一小部分已经对健身、个人数据采集或两者都感兴趣的人群。此外，正如最近的两篇医学评论所显示的那样，它们的吸收效果令人怀疑。为了对全国的健康和福祉产生影响，减少长期健康状况造成的严重负担，并将医疗保健从诊所转移到社区，我们需要覆盖所有人，无论其能力和愿望如何。我们需要将技术的潜力与人的潜力联系起来，实现健康、聪明的人口带来的好处。实现这一潜力需要研究新的技术解决方案，并得到体育和健康科学理论的支持，这些理论将适当的运动策略与特定的表现愿望相结合，并与行为和认知科学理论相结合，以使人们参与到有效和有意义的进步中来。我们需要了解哪些措施是适当的，不仅要评估进展，而且要指导进展并适应进展。为了在这些方面产生有意义的影响，我们需要结合一系列的专业知识，包括传感器网络、数据分析、交互式可视化、人机交互、在线公民参与、行为改变、体育、锻炼。在这个网络中，我们把运动作为健康的中心：这是我们的试验案例，因为它推动了许多其他有价值的好处：经济、社会和文化。当前的呼吁是建立我们提议的网络的理想机会，以发展一个跨学科的英国社区，通过提供经过测试的技术，通过提供及时的、个性化的反馈，鼓励适当的活动，促进健康，从而解决EPSRC改变社区健康和护理的重大挑战。

When we move more, we become smarter; as we become stronger, chronic pain decreases. Greater movement, especially in social contexts, improves collaboration. As we move, not only do we reduce stress: we improve our capacity to handle stressful situations and to see more options for creative new solutions. Movement enhances both strength and stamina, improves bone mineral density and balance, reducing incidence of falling and associated hip injuries (causes of death in the elderly). Movement complements other functions, from assisting with sleep and therefore memory and cognition, to helping with diet and associated hormones - improving insulin sensitivity and balancing cortisol. There are recent studies showing benefits of movement related to dementia. And yet, physical inactivity is the fourth leading cause of death worldwide; sedentarism has been called the "new smoking". Meanwhile costs to UK GDP from sedentarism and associated disease are increasing - from sick days lost to work, to elders losing mobility and having to move into care homes.We have designed ourselves into our sedentarism: sitting during our commute, at desks while we work, and at home on the sofa. There is a critical need to design ourselves back into the natural effects of health accrued simply by moving more. We need solutions that will help build both the evidence and the experience that movement can enhance and benefit people's lives. New technologies are transforming our ability to capture lifestyle data on individuals in real time. Consumer technologies such as step counters and wifi scales are the tip of an iceberg - research programmes worldwide are proposing lifestyle data capture from devices ranging from video cameras to electricity meters to wearables. Meanwhile pervasive connectivity allows that data to be transmitted, processed through powerful machine learning tools and provided back to people in a heartbeat. While we understand the potential technologies, we do not yet know how to leverage the technology effectively to support transformative health.Current approaches in ehealth generally only reach a small part of the population that is already interested in fitness, personal data capture, or both. Their uptake is, furthermore, of dubious effect as two recent medical reviews have shown. To have a national impact on health and wellbeing, to reduce the crippling burden of long term health conditions and to move healthcare from the clinic to the community, we need to reach everyone, across a range of abilities and aspirations. We need to connect the potential of the technology with the potential of people and realise the benefits of a healthy, brilliant, population. Realising this potential requires research on novel technical solutions, supported by theories from sports and health sciences on blending appropriate movement strategies for particular performance aspirations to behavioural and cognitive sciences on ways to engage people to make effective and meaningful progress. We need to understand what measures are appropriate not just to evaluate progress, but to guide it and adapt to it. To have meaningful impact across these dimensions we need to combine a range of expertise including sensor networks, data analytics, interactive visualisation, human computer interacton, online citizen engagement, behaviour change, sports, exercise. In this network we focus on movement as a locus for health: it is our test case as it drives so many other benefits that are of value: economically, socially and culturally. The current call is the ideal opportunity to establish our proposed network to develop an interdisciplinary UK community that will address the EPSRC Grand Challenge of transforming community health and care through the delivery of tested technologies that promote wellbeing by providing timely, individualised feedback that encourages appropriate activities.