基于智能手机步数数据的癌症诊断和治疗的身体活动变化与日本索赔数据库相关:回顾性队列研究
Yoshihide Inayama1,2, Ken Yamaguchi1, Kayoko Mizuno2,3
1Department of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Kyoto, Japan.
JMIR cancer
|December 27, 2024
概括
癌症诊断和治疗显著减少身体活动 (PA),甚至在诊断之前就开始下降. 客观步数数据显示,治疗后的PA持续减少,为癌症患者未来的运动建议提供了信息.
科学领域:
- 在瘤学瘤学.
- 运动科学 运动科学
- 数字健康数字健康
背景情况:
- 身体活动 (PA) 对癌症患者至关重要,但在诊断和治疗期间对其变化的客观数据有限.
- 了解PA波动是制定有效的支持性护理策略的关键.
研究的目的:
- 客观地评估癌症诊断和治疗对患者日常身体活动水平的影响.
- 将癌症患者的PA变化与被诊断为糖尿病患者进行比较.
主要方法:
- 使用日本索赔数据库与智能手机步数计步数数据相关联的回顾性队列研究.
- 分析包括新诊断患有癌症和糖尿病的患者,数据涵盖诊断前6个月至诊断后12个月的时间.
- 用立方线的综合添加混合模型来分析步数的变化.
主要成果:
- 癌症患者的步数显著减少,从诊断开始 (9.6%),恶化3个月 (12.4%),持续到12个月 (7.1%).
- 相比之下,糖尿病患者在诊断后保持相对稳定的步数.
- 手术干预影响了PA,非内镜下隔膜手术导致12个月后步数减少18.0%,而腹腔镜手术显示没有显著变化.
结论:
- 癌症的诊断和治疗导致实质性的,客观的减少体力活动,可能在诊断之前开始.
- 生命日志数据为PA变化提供了关键的见解,为癌症幸存者提供了个性化的运动建议.
- 这些发现强调了需要进行干预措施,以减轻癌症患者的PA下降.
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