Ahuja Neera, Ozdalga Errol, Aaronson Alistair
Stanford University School of Medicine, Palo Alto, California (NA, EO, AA).
Am J Lifestyle Med. 2016 Jul 8;11(1):77-79. doi: 10.1177/1559827615583643. eCollection 2017 Jan-Feb.
Mobile fitness trackers are increasingly used by patients as a means to become more involved in their own self-care; however, these devices measure disparate outcomes that may have equivocal relevance to true health status. It is vital for physicians to interpret both the quality and accuracy of the information that these trackers provide, and it is important to delineate which role, if any, these devices may serve in promoting quality patient care in the future. Potential benefits of mobile fitness trackers include the ability to motivate patients toward a healthier lifestyle, to develop a community of like-minded individuals seeking to improve their health, as well as to create an environment of sustainability and accountability for long-term promotion of health maintenance. However, limitations include the fact that mobile fitness trackers are not regulated by the Food and Drug Administration, that the employed metrics are not necessarily the best surrogates for true health status, and that the accuracy of measured endpoints has not yet been proven. As mobile fitness trackers both continue to rise in popularity and become increasingly sophisticated, physicians must be equipped to interpret and use this technology to better serve patients within an ever-changing, more technology-reliant health care system.
移动健身追踪器越来越多地被患者用作更积极参与自身自我护理的一种方式;然而,这些设备测量的结果各不相同,可能与真正的健康状况相关性模糊。对医生来说,解读这些追踪器提供信息的质量和准确性至关重要,而且明确这些设备在未来促进优质患者护理方面可能发挥的作用(如果有的话)也很重要。移动健身追踪器的潜在好处包括能够激励患者采用更健康的生活方式、建立一个寻求改善健康的志同道合者社区,以及营造一个可持续和有责任感的环境以长期促进健康维护。然而,其局限性包括移动健身追踪器不受美国食品药品监督管理局监管、所采用的指标不一定是真正健康状况的最佳替代指标,以及所测量终点的准确性尚未得到证实。随着移动健身追踪器的普及程度不断提高且日益复杂,医生必须具备解读和使用这项技术的能力,以便在不断变化、更加依赖技术的医疗保健系统中更好地为患者服务。