穿戴设备测量身体活动,用于预测心力衰竭老年患者住院相关残疾
Yosuke Yoshida1,2, Satoshi Okayama1,3, Daisuke Fujihara1
1Department of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Circulation reports
|January 16, 2026
概括
老年心力衰竭 (HF) 患者的住院相关残疾 (HAD) 可以通过可穿戴设备数据预测. 较低的光强度体力活动 (LPA) 水平表明患有HAD的风险更高.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 住院相关残疾 (HAD) 对老年心力衰竭 (HF) 患者的出院后结果产生负面影响.
- 确定HAD的预测因素对于改善患者护理和康复至关重要.
- 可穿戴技术为监测这一群体体体育活动提供了一种新的方法.
研究的目的:
- 确定通过可穿戴设备测量的身体活动是否可以预测心力衰竭 (HF) 的老年人住院相关残疾 (HAD).
主要方法:
- 对104名接受心脏康复治疗的老年心脏病患者进行了回顾性分析.
- 使用可穿戴设备,对身体活动进行了3天的监测,分为静坐行为,光强度身体活动 (LPA) 和中度至强度身体活动 (MVPA).
- 使用接收器操作特征 (ROC) 曲线分析来确定LPA的预测截止点.
主要成果:
- 在29.8%的研究参与者中,HAD存在.
- 与没有HAD患者相比,HAD患者的LPA持续时间明显较短 (45.7分钟/天对121.2分钟/天).
- 一天68分钟的LPA值显示在预测HAD (AUC=0.888) 中具有很高的灵敏度 (87.1%) 和特异性 (80.8%).
结论:
- 穿戴设备测量身体活动,特别是LPA,在老年HF患者中显示为HAD的预测工具.
- 这种非侵入性方法可以帮助早期风险分层和干预计划.
- 进一步的研究可以验证这些发现,并将可穿戴数据纳入HF管理的临床实践.
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