Technologies for well-being: a grand challenge in connected health DOI Creative Commons

Toshiyo Tamura

Frontiers in Digital Health, Journal Year: 2024, Volume and Issue: 6

Published: Oct. 30, 2024

In recent years, we have faced various social challenges, such as climate change, declining birth rates, aging populations, and population decline. As COVID-19 cause major changes in the way work live, "well-being" is attracting attention a criterion for "how to change".Although no single definition of well-being has been established, WHO defines "Health not absence disease or infirmity, but rather state physical, mental, well-being. Well-being includes quality life ability individuals societies contribute world with sense meaning purpose [1].We are conducting research development aimed at realizing Information Society where all "people" can enjoy both physical mental/spiritual health which digital real worlds will continue merge. Improving through connected means using technology improve management promote overall wellness. Connected remote monitoring, telemedicine, personal data, chronic management, behavioral support, etc.By integrating these strategies into daily life, benefit from more proactive, personalized, efficient healthcare, ultimately enhancing their well-being.In this challenge, present our efforts different perspectives, including people society, spiritual health.A basic element It important be healthy maintain good mental health, on basis, values (symbiosis, empathy, sustainability, happiness, prosperity) that enhance an individual's (QOL) spread. However, humanity currently experiencing pandemic new type coronavirus infection situation said one significantly reduced worldwide.Physical believed it serve basis cultivating one's life. The medical field undergoing paradigm shift symptomatic therapy, seeks cure after illness, care preventing illness first place (preventive medicine).An perspective behavior EU looking effective change many years. particular, technologies facilitated by wearable Internet Things devices domain engineering computer science. A particular focus placed case study examines application techniques vital signs monitoring wearables, underscoring relevance urgency further critical intersection human [2]. findings shed light promising role wearables IoT devices, hereinafter referred promoting positive improving individuals, highlight need continued area realize full potential societal benefit. support applications offer therapy exercises [3,4], mood tracking [5][6][7], stress [8,9]. Virtual groups counseling services also play role. Iin addition, systems aggregate analyze providing insights tailored specific needs. This personalized approach effectiveness treatments lifestyle changes. Many tools set goals track progress, help stay motivated make These researches emphasize key advantages provide feedback, facilitate self-monitoring, incorporate gamification element. features process enjoyable, individuals' goals, bring up community accountability.Gamification elderly shown promise influencing intentions use technologybased solutions [10]. Sestino and, D'Angelo found gamification-based therapeutics positively affected elderly's intention use, effect increased magnitude participants' socialization-seeking tendency increased, revealing importance socializationoriented stimulating responses technological tools.In working "bio-digital twin technology," enables collection wide variety large amount bio-data everyday modeling physiological functions, simulating future predictions capture characteristics each individual.Sensor-based twins assist sensors automatically performing tasks smart environment [11]. Adibi et al. investigated integration environments sensor technologies, capabilities, location-based services, focusing impact healthcare outcomes. By analyzing applications, they sensor-based were delivery patient well-being.As mentioned earlier, treatment prevention medicine). advanced bio-information processing based mapping lead avoiding unknown risks advance, naturally inducing behaviors, supporting independent living own way. For example, healthbased EHRs machine learning automate real-time patient-centered records securely authorized participants. Predictive needed private public predict early diagnosis. Data collected, algorithms determine condition trigger criticality (abnormality) status Such system aims prediction institutional homes participants On other hand, during reforms promotion working, there reports caused than workplace. There concern activity relaxed lifestyles may onset worsening lifestyle-related diseases. Maintaining often requires "persistence" "effort" discipline establish regular habits. accumulating biosensing data activities habits (diet, exercise sleep), elements well-being, time axis, method acquired reveal biorhythmic individuals. Combining knowledge psychology economics, mechanism regulate rhythms body mind presenting indexing evidence spontaneous effortless developing feedback methods.The clock generates circadian rhythm regulated input external information region brain (the suprachiasmatic nucleus). Recent studies understanding eating right foods healthier diet. words, incorporating diet takes account body's internal should easy develop lifestyle. Chrononutrition mainly tested nocturnal animals mice. Evidence relationship between [13,14].Social isolation become issue due transformation communities result older people, especially those who socially isolated, needs improved.How used address wellbeing, interventions its explored.Engaging adults level technology-based practices increase self-efficacy mobility, infrastructure, [15,16].Connected improves interactions, foster connections. video calls online consultations accessible, mobility issues live areas [12,17]. access reduce isolation.Healthcare platforms connect similar conditions concerns emotional practical advice. encourage belonging.Connected Health creates joins focused wellness members share experiences, tips encouragement.In individual behaviors deliver reminders engagement self-care. Also, plans part strategy.Mobile only families connected, resources health. cognitive, visual, auditory adults' selfefficacy. We recommend loneliness technology-agnostic multifaceted, range recognize competencies types interactions meet preferences.Future explore implications real-world scenarios, evaluating settings sports rehabilitation, monitoring.As continues evolve, understand long-term devices. Through novel well prevent interventions, strive individuals.From perspective, summarized growing healthcare. developments great opportunity proactively problems diagnose, treat, monitor patients out hospital. adoption technology-enabled increases enable flexible models, increasing number traditional augmented replaced implementation depend clear robust code practice privacy, confidentiality, cybersecurity related supply still gaps addressed itself, system, users technology. Specifically, how designed standardized protocols interoperability international cross-state systems. Further efficiency blockchain storage compared centralized, cloud-based context care. Finally, consumer clinician acceptance literacy experience determined. believe addressing go long toward enabling broader save dollars care.While actively discussed fields sociology, little design communication contactless device technology, emerged measure without burdening person being measured. future, necessary while challenges.

Language: Английский

Association between high triglyceride-glucose index and MACCE in hypertriglyceridemia patients undergoing percutaneous coronary intervention DOI Creative Commons
Yichuan Wang,

Yanfeng Lu,

Shanshan Gao

et al.

Frontiers in Endocrinology, Journal Year: 2025, Volume and Issue: 16

Published: April 14, 2025

Background With a focus on metabolism-related cardiovascular diseases, the triglyceride-glucose (TyG) index has been used as surrogate marker of insulin resistance in prognosis coronary heart disease. However, prognostic role TyG patients with elevated triglycerides, still requires further research. This study aimed to investigate association between and Major Adverse Cardiac Cerebrovascular Events (MACCE) hypertriglyceridemia undergoing drug-eluting stent percutaneous intervention (DES-PCI). Methods Out 2250 patients, 813 who underwent DES-PCI were retrospectively analyzed. MACCE was regarded primary endpoint. Kaplan–Meier (KM) curves evaluate different endpoints. Restricted cubic spline (RCS) analysis examine relation MACCE. Subgroup conducted interaction subgroup indicators. Results Cox regression identified an independent predictor (hazard ratio [HR] 1.53, 95% confidence interval [CI] 1.15–2.04, P = 0.004). Receiver operating characteristic (ROC) determined 9.19 cutoff value index. The curve indicated that > had higher risks (HR 2.23, CI 1.35–3.67, 0.002), MACE 2.38, 1.39–4.09, unplanned repeat revascularization 2.05, 1.02–4.09, 0.043) all-cause death 3.31, 95%CI 1.15–9.47, 0.026) than those low RCS revealed linear risk (P for nonlinearity 0.879, overall trend 0.044). Conclusions demonstrated high is associated increased MACCE, suggesting may serve valuable DES-PCI.

Language: Английский

Citations

0

The effect of chronotype characteristics on cardiovascular health behaviors in school-age children: A cross-sectional study DOI
Gamzegül Altay, Mehtap Metin Karaaslan

Chronobiology International, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 9

Published: April 21, 2025

This study aimed to investigate the effect of chronotype characteristics on cardiovascular health behaviors in school-age children. descriptive, correlational, and cross-sectional involved 424 children aged 10-12. Participants completed Morningness-Eveningness Scale for Children (MESC) Cardiovascular Health Behavior (CHBSC). The results were analyzed using descriptive statistics multivariate regression analysis, adhering ethical principles throughout study. mean MESC CHBSC scores 28.37 ± 5.20 57.04 11.34, respectively. 53.8% exhibited moderate behaviors, while 79% had a chronotype. A negative correlation was observed between (r = -0.39, p < 0.01), with explaining 16% variance behaviors. influenced its subscales nutrition, exercise, sedentary lifestyle, self-love, stress subscales. Most display intermediate an evening demonstrated lower levels Chronotype most impact lifestyle aspect Furthermore, plays significant role key factors influencing

Language: Английский

Citations

0

Global burden of Type 2 Diabetes Mellitus attributable to dietary risks in elderly adults: insights from the Global Burden of Disease study 2021 DOI Creative Commons
Yiting Tang, Yupeng Chen, Yang Zhou

et al.

Frontiers in Nutrition, Journal Year: 2025, Volume and Issue: 12

Published: April 24, 2025

Background Type 2 Diabetes Mellitus (T2DM) poses a significant global health challenge, particularly among elderly adults. Dietary risk factors, such as high consumption of processed meats and sugar-sweetened beverages low intake whole grains fruits, play critical role in the burden T2DM. This study aims to comprehensively quantify T2DM attributable dietary risks adults, identify factors driving disease burden, evaluate temporal, regional, demographic variations inform targeted public strategies interventions for reducing impact Methods utilized data from Global Burden Diseases, Injuries, Risk Factors Study (GBD) 2021 assess adults aged 65 years older across 204 countries territories. Metrics included age-standardized mortality rates (ASMR) disability-adjusted life-year (ASDR). analyzed grains, vegetables, fiber, well meat, red beverages. Joinpoint regression decomposition analyses were performed examine temporal trends drivers changes by region, SDI level, sex, age. Results In 2021, accounted 23.61% T2DM-related deaths 24.85% DALYs ASMR showed slight decline globally (AAPC: −0.08), while ASDR exhibited upward trend +0.7) 1990 2021. High regions demonstrated decreasing but persistent due prolonged survival with complications. Conversely, middle rapid increases ASDR, driven transitions limited healthcare resources. Males consistently bore higher than females, pronounced disparities regions. Aging population growth primary increasing globally. Conclusion underscores substantial highlights regional disparities. Targeted interventions, personalized nutritional strategies, improved access are essential mitigate this burden. Future research should explore emerging precision nutrition on prevention management.

Language: Английский

Citations

0

Time of Energy Intake: Association with Weight Status, Diet Quality, and Sociodemographic Characteristics in Brazil DOI Open Access
Paulo Rogério Melo Rodrigues, Luana Silva Monteiro, Thaís Meirelles de Vasconcelos

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(11), P. 1403 - 1403

Published: Oct. 24, 2024

This study aimed to estimate the association of time energy intake with weight status, diet quality, and sociodemographic characteristics in Brazil. cross-sectional used data from a nationally representative survey 44.744 individuals (≥10 years old). Food consumption was assessed by 24 h recall. The evening/morning ratio calculated, standardized, categorized tertiles. between status estimated using polynomial logistic regression models, differences across quality categories were considering non-overlapping 95% confidence intervals. Men, adolescents, adults, higher income level had greater evening intake. Those evening-to-morning 15% more likely be obese (OR = 1.15; CI 1.02 1.28), 21% less underweight 0.79; 0.64 0.98), reported total energy, protein, lipid intake, as well low-quality markers. Higher relative morning associated obesity, markers, characteristics. characterization can useful for tailoring targeting promotion actions controlling obesity epidemic.

Language: Английский

Citations

0

Technologies for well-being: a grand challenge in connected health DOI Creative Commons

Toshiyo Tamura

Frontiers in Digital Health, Journal Year: 2024, Volume and Issue: 6

Published: Oct. 30, 2024

In recent years, we have faced various social challenges, such as climate change, declining birth rates, aging populations, and population decline. As COVID-19 cause major changes in the way work live, "well-being" is attracting attention a criterion for "how to change".Although no single definition of well-being has been established, WHO defines "Health not absence disease or infirmity, but rather state physical, mental, well-being. Well-being includes quality life ability individuals societies contribute world with sense meaning purpose [1].We are conducting research development aimed at realizing Information Society where all "people" can enjoy both physical mental/spiritual health which digital real worlds will continue merge. Improving through connected means using technology improve management promote overall wellness. Connected remote monitoring, telemedicine, personal data, chronic management, behavioral support, etc.By integrating these strategies into daily life, benefit from more proactive, personalized, efficient healthcare, ultimately enhancing their well-being.In this challenge, present our efforts different perspectives, including people society, spiritual health.A basic element It important be healthy maintain good mental health, on basis, values (symbiosis, empathy, sustainability, happiness, prosperity) that enhance an individual's (QOL) spread. However, humanity currently experiencing pandemic new type coronavirus infection situation said one significantly reduced worldwide.Physical believed it serve basis cultivating one's life. The medical field undergoing paradigm shift symptomatic therapy, seeks cure after illness, care preventing illness first place (preventive medicine).An perspective behavior EU looking effective change many years. particular, technologies facilitated by wearable Internet Things devices domain engineering computer science. A particular focus placed case study examines application techniques vital signs monitoring wearables, underscoring relevance urgency further critical intersection human [2]. findings shed light promising role wearables IoT devices, hereinafter referred promoting positive improving individuals, highlight need continued area realize full potential societal benefit. support applications offer therapy exercises [3,4], mood tracking [5][6][7], stress [8,9]. Virtual groups counseling services also play role. Iin addition, systems aggregate analyze providing insights tailored specific needs. This personalized approach effectiveness treatments lifestyle changes. Many tools set goals track progress, help stay motivated make These researches emphasize key advantages provide feedback, facilitate self-monitoring, incorporate gamification element. features process enjoyable, individuals' goals, bring up community accountability.Gamification elderly shown promise influencing intentions use technologybased solutions [10]. Sestino and, D'Angelo found gamification-based therapeutics positively affected elderly's intention use, effect increased magnitude participants' socialization-seeking tendency increased, revealing importance socializationoriented stimulating responses technological tools.In working "bio-digital twin technology," enables collection wide variety large amount bio-data everyday modeling physiological functions, simulating future predictions capture characteristics each individual.Sensor-based twins assist sensors automatically performing tasks smart environment [11]. Adibi et al. investigated integration environments sensor technologies, capabilities, location-based services, focusing impact healthcare outcomes. By analyzing applications, they sensor-based were delivery patient well-being.As mentioned earlier, treatment prevention medicine). advanced bio-information processing based mapping lead avoiding unknown risks advance, naturally inducing behaviors, supporting independent living own way. For example, healthbased EHRs machine learning automate real-time patient-centered records securely authorized participants. Predictive needed private public predict early diagnosis. Data collected, algorithms determine condition trigger criticality (abnormality) status Such system aims prediction institutional homes participants On other hand, during reforms promotion working, there reports caused than workplace. There concern activity relaxed lifestyles may onset worsening lifestyle-related diseases. Maintaining often requires "persistence" "effort" discipline establish regular habits. accumulating biosensing data activities habits (diet, exercise sleep), elements well-being, time axis, method acquired reveal biorhythmic individuals. Combining knowledge psychology economics, mechanism regulate rhythms body mind presenting indexing evidence spontaneous effortless developing feedback methods.The clock generates circadian rhythm regulated input external information region brain (the suprachiasmatic nucleus). Recent studies understanding eating right foods healthier diet. words, incorporating diet takes account body's internal should easy develop lifestyle. Chrononutrition mainly tested nocturnal animals mice. Evidence relationship between [13,14].Social isolation become issue due transformation communities result older people, especially those who socially isolated, needs improved.How used address wellbeing, interventions its explored.Engaging adults level technology-based practices increase self-efficacy mobility, infrastructure, [15,16].Connected improves interactions, foster connections. video calls online consultations accessible, mobility issues live areas [12,17]. access reduce isolation.Healthcare platforms connect similar conditions concerns emotional practical advice. encourage belonging.Connected Health creates joins focused wellness members share experiences, tips encouragement.In individual behaviors deliver reminders engagement self-care. Also, plans part strategy.Mobile only families connected, resources health. cognitive, visual, auditory adults' selfefficacy. We recommend loneliness technology-agnostic multifaceted, range recognize competencies types interactions meet preferences.Future explore implications real-world scenarios, evaluating settings sports rehabilitation, monitoring.As continues evolve, understand long-term devices. Through novel well prevent interventions, strive individuals.From perspective, summarized growing healthcare. developments great opportunity proactively problems diagnose, treat, monitor patients out hospital. adoption technology-enabled increases enable flexible models, increasing number traditional augmented replaced implementation depend clear robust code practice privacy, confidentiality, cybersecurity related supply still gaps addressed itself, system, users technology. Specifically, how designed standardized protocols interoperability international cross-state systems. Further efficiency blockchain storage compared centralized, cloud-based context care. Finally, consumer clinician acceptance literacy experience determined. believe addressing go long toward enabling broader save dollars care.While actively discussed fields sociology, little design communication contactless device technology, emerged measure without burdening person being measured. future, necessary while challenges.

Language: Английский

Citations

0