Saran Tomasz, Pedrycz Agnieszka, Mucha Dawid, Mucha Dariusz
Department of General and Neurorehabilitation, the Witold Chodźko Institute of Rural Health, Lublin, Poland.
Department of Histology and Embryology, Medical University of Lublin, Poland.
Adv Clin Exp Med. 2018 Aug;27(8):1037-1044. doi: 10.17219/acem/69131.
Active monitoring of the level of daily physical activity seems to be a useful element for secondary prevention in public health. Low physical activity increases the incidence of cardiovascular diseases, obesity, diabetes, musculoskeletal diseases, and causes loss of the previously achieved effects of rehabilitation.
The purpose of this study was to assess the level of physical activity in different age groups of adults with the use of the telemedical system based on a mobile application.
The research covered data collected remotely from 927 individuals of both genders, aged 20-80 years (group I: 20-40 years, group II: 41-60 years, group III: 61-80 years). A monitoring system (Activity Measurement Tool) developed in the Department of General Rehabilitation at the Witold Chodźko Institute of Rural Health (Lublin, Poland) was used to measure home physical activity in the examined group. The system uses a dedicated mobile application, cellular data transmission and web data-showing software. Home physical activity was assessed using the International Physical Activity Questionnaire - Short Form (IPAQ-SF) and simultaneous processing of data from a smartphone accelerometer.
The mean level of physical activity in the group of active application users (≥2 days, n = 494), expressed as Metabolic Equivalent of Task (MET)-min/week (IPAQ-SF), was as follows: group I (female participants (F): 5,767.9, n = 73; male participants (M): 4,888.4 n = 251), group II (F: 3,468.7, n = 24; M: 4,053.5, n = 119) and in group III (M: 5,769.3, n = 27; no female participants were involved). In 72.3% of users, the registered physical activity was smaller in relation to IPAQ-assessed/7 days physical activity (sign test: n = 494; percentage of negative differences: 72.3%; Z = 9.9; p = 0.00).
The research findings indicate a high level of self-reported physical activity among the users in all age and gender groups, although it is not reflected in the level of registered activity. Although the level of daily physical activity was evaluated, it was mainly among young and middle-aged men who gladly and regularly made use of the measurement possibilities offered by mobile technology.
积极监测日常身体活动水平似乎是公共卫生二级预防的一个有用要素。身体活动不足会增加心血管疾病、肥胖症、糖尿病、肌肉骨骼疾病的发病率，并导致先前康复效果的丧失。
本研究的目的是使用基于移动应用程序的远程医疗系统评估不同年龄组成年人的身体活动水平。
研究涵盖了从927名年龄在20 - 80岁的男女个体（第一组：20 - 40岁，第二组：41 - 60岁，第三组：61 - 80岁）远程收集的数据。使用位于波兰卢布林的维托尔德·乔德茨科农村卫生研究所综合康复科开发的监测系统（活动测量工具）来测量被检查组的家庭身体活动。该系统使用专用移动应用程序、蜂窝数据传输和网络数据显示软件。使用国际身体活动问卷简表（IPAQ - SF）并同时处理来自智能手机加速度计的数据来评估家庭身体活动。
活跃应用程序用户组（≥2天，n = 494）的身体活动平均水平，以代谢当量任务（MET）-分钟/周（IPAQ - SF）表示如下：第一组（女性参与者（F）：5767.9，n = 73；男性参与者（M）：4888.4，n = 251），第二组（F：3468.7，n = 24；M：4053.5，n = 119），第三组（M：5769.3，n = 27；无女性参与者）。在72.3%的用户中，记录的身体活动相对于IPAQ评估的/7天身体活动较少（符号检验：n = 494；负差异百分比：72.3%；Z = 9.9；p = 0.00）。
研究结果表明，所有年龄和性别组的用户自我报告的身体活动水平较高，尽管这并未反映在记录的活动水平上。尽管评估了日常身体活动水平，但主要是年轻和中年男性乐意且定期利用移动技术提供的测量可能性。
