scholarly journals The Effect of Mobile and Wearable Device Intervention on Increased Physical Activity to Prevent Metabolic Syndrome: Observational Study (Preprint)

10.2196/34059 ◽  
2021 ◽  
Author(s):  
Hee Jin Kim ◽  
Kang Hyun Lee ◽  
Jung Hun Lee
2020 ◽  
Author(s):  
Ben Kim ◽  
Miranda Hunt ◽  
John Muscedere ◽  
David M Maslove ◽  
Joon Lee

BACKGROUND Critical illness has been suggested as a sentinel event for frailty development for at-risk older adults. Frail critical illness survivors suffer increased adverse health outcomes but monitoring the recovery post-Intensive Care Unit (ICU) is challenging. Clinicians and funders of healthcare system envision an increased role of wearable devices in monitoring clinically relevant measures as the sensor technology is advancing rapidly. Use of wearable devices also generated great interest among older patients and they are the fastest growing group of consumer-grade wearable device users. Recent research studies indicate that consumer-grade wearable devices offer a possibility of measuring frailty. OBJECTIVE To examine the data collected from wearable devices for the progression of frailty among the critical illness survivors. METHODS An observational study was conducted with 12 critical illness survivors from Kingston General Hospital in Canada. Frailty was measured by Clinical Frailty Scale (CFS) at ICU admission (AD), hospital discharge (DC), and 4-week follow-up (FU). Wearable device was worn between DC and FU. The wearable device collected data on steps, physical activity, sleep and heart rate (HR). Patient assessments were reviewed including the severity of illness, cognition level, delirium, activities of daily living, and comorbidity. RESULTS The CFS increased significantly following critical illness compared pre-ICU frailty level (P=.02, d=-0.53). Frail survivors over the 4-week follow-up period had significantly lower daily step counts than non-frail survivors (P=.02, d=1.81). There was no difference in sleep and HR measures. Daily step count was strongly correlated with the CFS at FU (r=-0.72, P=.04). Average HR was strongly correlated with the CFS at DC (r=-0.72, P=.046). HR standard deviation was strongly correlated (r=0.78, P<0.05) with the CFS change from AD to FU. No assocation was found between the CFS and sleep measures. The pattern of increasing step count over the FU period was correlated with the worsening of frailty (r=.62, P=.03). CONCLUSIONS This study demonstrated association between frailty and data generated from a consumer-grade wearable device. Daily step count and HR showed strong association with the frailty progression of the critical illness survivors over time. Understanding this assocation could unlock a new avenue for clinicians to monitor and identify a vulnerable subset of the population that might benefit from an early intervention. CLINICALTRIAL


10.2196/13381 ◽  
2019 ◽  
Vol 7 (6) ◽  
pp. e13381 ◽  
Author(s):  
Up Huh ◽  
Young Jin Tak ◽  
Seunghwan Song ◽  
Sung Woon Chung ◽  
Sang Min Sung ◽  
...  

2017 ◽  
Vol 7 (1) ◽  
pp. 35-40
Author(s):  
Noemí Serra-Paya ◽  
Assumpta Ensenyat ◽  
Erica Hernandez ◽  
Ivan Castro-Viñuales ◽  
Jose María Mur

Although the metabolic syndrome (MS) has usually been associated to adult health diseases, nowadays it also observed in overweight-obese (OW/OB) children. The aim of this study was to determine the incidence of metabolic syndrome in OW/OB children in Lleida. The study is an observational study, where 46 OW/OB children between 10-12 years old have participated. Anthropometric and MS related parameters in children population were measured in accordance with the IDFcriteria. Free movement was assessed by accelerometry. Participants that presented at least two risk factors for metabolic syndrome showed lower overall physical activity (effect size (ES): -1.0) and spent more time in sedentary behavior (ES:0.9) and less time in MVPA (ES:-1.1) than participants with only one. Having in mind this situation, we think it is essential to carry out urgent actions to prevent and treat overweight and obese children as well as to avoid suffering from MS at an early age. Keywords: metabolic syndrome; overweight-obese; children; accelerometry; physical activity 


2019 ◽  
Author(s):  
Up Huh ◽  
Young Jin Tak ◽  
Seunghwan Song ◽  
Sung Woon Chung ◽  
Sang Min Sung ◽  
...  

BACKGROUND Little is known of the effect of wearable devices on metabolic impairments in clinical settings. We hypothesized that a wearable device that can monitor and provide feedback on physical activity may help resolve metabolic syndrome. OBJECTIVE This study aimed to examine the objective effects of the use of these devices on metabolic syndrome resolution. METHODS Patients diagnosed with metabolic syndrome were recruited. Participants were prescribed regular walking using a wearable device (Coffee WALKIE +Dv.3, GC Healthcare CI, Korea) on their wrist for 12 weeks. Participants received self-feedback on the amount of their exercise through an app on their mobile phone. The information on physical activities of the participants was uploaded automatically to a website. Thus, a trained nurse could provide individuals with feedback regarding the physical activity via telephone consultation on alternate weeks. Blood pressure (BP), body composition, fasting plasma glucose, and lipid profiles were recorded. The primary outcome was metabolic syndrome resolution. The secondary outcome was an improvement in the components of metabolic impairment. RESULTS Of the 53 participants recruited, 20 participants with a median age of 46 (range 36-50) years completed the trial. There was no significant difference in the amount of calorie expenditure at weeks 4, 8, and 12. After 12 weeks, metabolic syndrome was resolved in 9 of 20 participants (45%), and the mean number of metabolic impairment components per person decreased from 3.4 to 2.9. Particularly, the mean systolic and diastolic BP decreased from mean 136.6 (SD 18.5) mm Hg to mean 127.4 (SD 19.5) mm Hg and from mean 84.0 (SD 8.1) mm Hg to mean 77.4 (SD 14.4) mm Hg (both P=.02), respectively. CONCLUSIONS This study found that a 12-week intervention via feedback, based on a wearable physical activity monitor, helped metabolic syndrome patients to be more engaged in regular walking and it improved impaired metabolic components, especially in BP. However, some practical challenges regarding patients’ adherence and sustained engagement were observed.


2017 ◽  
Author(s):  
Afruz Mammadova ◽  
Selen Yilmaz İşikhan ◽  
Aylin Acikgoz ◽  
Okan Bulent Yildiz

Author(s):  
Olga A. Dyakovich

A review of 47 studies evaluating the occurrence of metabolic syndrome among employees of different professional groups around the world was made. The influence of various factors of the professional environment (physical activity in the workplace, exposure to occupational stress, exposure to harmful toxicants) on the frequency of the syndrome and its components, considering gender, age and work experience. Analysis of the literature has shown that the characteristics of work activity affect the formation of the syndrome along with well - known risk factors-lifestyle, gender and age. Thus, in most cases, the frequency of metabolic syndrome in people who have mostly "sedentary" work is much higher than in other professional groups. It is proved that the risk of the syndrome is increased when exposed to certain chemicals that are in the air of the work area, even in small concentrations, as well as under unfavorable conditions of activity - shift work, night duty, professional stress. To improve the quality of life of employees and reduce economic and social costs, it is necessary to develop programs for the prevention and rehabilitation of people with this pathology, taking into account specific working conditions, while making adjustments for gender, age, social factors (smoking status, alcohol consumption, eating behavior, physical activity during and outside of work).


2020 ◽  

Background and objective: Managing the decrease in physical function in the elderly is a major task in aging societies globally. Here, we aimed to compare the physical function and metabolic syndrome (MetS) risk factors according to levels of physical activity (PA). Material and methods: We measured PA in 77 elderly Korean men (74.21 ± 6.26 years old) with an accelerometer and recorded body composition, physical function, and MetS-related risk factors. Participants were divided into three groups based on daily moderate-vigorous physical activity (MVPA): low (under 60 min), middle (60-120 min), and high (over 120 min). The groups were compared using a one-way analysis of variance and the Scheffe post hoc test. Odds ratios (OR) were calculated by logistic regression analysis. Results: Significant differences were found between the groups for sedentary behavior time (P < 0.001), light PA (P < 0.05), moderate PA (P < 0.001), vigorous PA (P < 0.05), and total energy expenditure (P < 0.001). The high PA group showed a significantly lower percentage of body fat and fat mass and higher muscle mass than did the low and middle PA groups (P < 0.05). The 6-min walk test was significantly better in the high PA group than in the low and middle PA groups (P < 0.05). Grip strength and the Berg balance scale were also significantly better in the high PA group (P < 0.05). Bone mineral density (BMD) and high-density lipoprotein cholesterol (HDL-C) were significantly higher in the high PA group than in the low PA group (P < 0.05). Systolic blood pressure (SBP) was significantly higher in the middle PA group than in the low PA group (P < 0.05). Participants with more than three MetS criteria showed an OR of 0.09 (95% confidence interval 0.01-0.82) in the high PA group as compared with the low PA group (P < 0.05). Conclusions: Moderate-vigorous physical activity of more than 120 min daily showed better physical function and lower OR of MetS than did lower MVPA levels in elderly Korean men.


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