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智能健康物联网系统对血脂异常人群治疗性生活方式改变的管理效果
引用本文:徐腾达,郭璐,苏绍荣,杜颖,汪颖,王海涛,王振捷. 智能健康物联网系统对血脂异常人群治疗性生活方式改变的管理效果[J]. 协和医学杂志, 2018, 9(1): 42-47. DOI: 10.3969/j.issn.1674-9081.2018.01.009
作者姓名:徐腾达  郭璐  苏绍荣  杜颖  汪颖  王海涛  王振捷
作者单位:1.中国医学科学院 北京协和医学院 北京协和医院健康医学部, 北京 100730
基金项目:中华医学基金09-982
摘    要:   目的   本研究旨在探索应用智能健康物联网系统对血脂异常人群进行治疗性生活方式改变(therapeutic lifestyle changes, TLC)管理的可行性和有效性。   方法   将52例血脂异常者作为干预对象, 利用智能健康物联网系统(可穿戴设备、居家监测、智能APP)进行TLC健康管理, 干预期为3个月, 观察干预对象行为习惯(饮食、运动)与生理指标的变化。   结果   干预后, 干预对象的行为习惯观察变量总获益率为5.5%~49.9%, 生理指标观察变量总获益率为-6.9%~63.6%;干预对象的体质量指数、腰围、腰臀比、血压、血清总胆固醇、甘油三酯、空腹血糖均较干预前显著下降(P均 < 0.05)。   结论   利用智能健康物联网系统对血脂异常人群进行TLC管理有效、可行。

关 键 词:治疗性生活方式改变   血脂异常   行为习惯   健康管理   智能健康物联网系统
收稿时间:2017-07-07

Management Effects of Smart Health Internet of Things System on the Therapeutic Lifestyle Changes in Patients with Dyslipidemia
Affiliation:1.Department of Health Management, Peking Union Medical College Hospital, Chinese Academy Medical Sciences & Peking Union Medical College, Beijing 100730, China2.Department of Hospital Management, Chinese Academy Medical Sciences & Peking Union Medical College, Beijing 100730, China
Abstract:   Objective   This study aimed to explore the feasibility and effectiveness of Smart Health Internet of Things System in managing therapeutic lifestyle changes(TLC)for the treatment of dyslipidemia.   Methods   Fifty-two patients with dyslipidemia were recruited in a three-month TLC program. Smart Health Internet of Things System (a wearable home-monitoring smart APP) was adopted to interfere the management of lifestyle. Parameters that were observed and investigated included behavioral habits (diet, exercise) and physical examination.   Results   With the intervention of Smart Health Internet of Things System, the parameters of the subjects' behavioral habits achieved total beneficial rates ranging from 5.5% to 49.9%, and the parameters of physiological examination achieved total beneficial rates ranging from -6.9% to 63.6%. The body mass index, waistline, hipline, waist-to-hip ratio, blood pressure, triglyceride, total cholesterol, and fasting plasma glucose all showed significant decreases after the TLC program(all P < 0.05).   Conclusions   Smart Health Internet of Things System has fairlygood feasibility and effectiveness on managing the TLC of dyslipidemic patients.
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