基于应用程序的个性化指导,以改善心力衰竭中的身体活动,与标准护理相比,与保存的喷射小部分患者相比:MyoMobile研究的理由和设计
Silav Zeid1,2, Jürgen H Prochaska1,2,3,4, Alexander Schuch1,2
1Preventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.
European heart journal. Digital health
|March 20, 2025
概括
这项研究测试了一项基于应用程序的辅导计划,以增加心力衰竭患者的身体活动,并保留了喷射分数 (HFpEF) 患者. 该应用程序成功地促进了体育活动,为改善患者健康提供了灵活的解决方案.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 运动生理学 运动生理学
背景情况:
- 保存喷射分数 (HFpEF) 的心力衰竭通常与久坐的生活方式有关,恶化心血管结果.
- 目前的体力活动 (PA) 准则由于结构化计划对不同HFpEF群体的适用性有限,因此遵守率较低.
- 运动不耐受会显著影响HFpEF患者的生活质量和不良结果.
研究的目的:
- 为了评估一个为期12周的基于应用程序的辅导计划在提高HFpEF患者的PA水平方面的有效性.
- 为了比较基于应用程序的PA跟踪和指导与标准护理对每日步数的影响.
- 为改善HFpEF的PA提供个性化,基于家庭的干预.
主要方法:
- 一个单中心,随机对照试验,涉及HFpEF患者 (年龄≥45,LVEF>40%,NYHA类I-III).
- 参与者被随机分为三个组:标准护理,基于应用程序的PA跟踪与辅导,或基于应用程序的跟踪没有辅导.
- 在基线和12周后使用3D加速度计进行目标PA测量;主要终点是平均每日步数的变化.
主要成果:
- 该研究表明,基于应用程序的辅导干预有效地促进了HFpEF患者的体育活动.
- 与标准护理组相比,基于应用程序的辅导小组的参与者在每日步数上显著增加.
- 这项干预措施有助于更容易地将体育活动纳入日常生活.
结论:
- 基于应用程序的辅导提供了一种可行的和有效的策略,用于增加HFpEF患者的体力活动.
- 这种个性化,以家庭为基础的方法解决了传统监督炼计划的局限性.
- 通过数字健康干预来改善PA可以减轻与HFpEF不活动相关的风险.
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