Reis Flávio, Sá-Moura Bebiana, Guardado Diana, Couceiro Patrícia, Catarino Luis, Mota-Pinto Anabela, Veríssimo Manuel T, Teixeira Ana Maria, Ferreira Pedro L, Lima Margarida P, Palavra Filipe, Rama Luis, Santos Lelita, van der Heijden Roel A, Gonçalves Carlos E, Cunha António, Malva João O
Faculty of Medicine, Institute of Pharmacology & Experimental Therapeutics, University of Coimbra, Coimbra, Portugal.
Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.
Front Med (Lausanne). 2019 Jun 27;6:134. doi: 10.3389/fmed.2019.00134. eCollection 2019.
The prevalence of age-related non-communicable chronic diseases has increased worldwide, being the leading causes of morbidity and death in many world regions, including in Europe. Innovative models and strategies focused on preventive care, including early identification of risk factors underlying disease onset and progression, and proper modification of lifestyle habits and behaviors, might contribute to promote quality of life, healthy living and active aging. Healthy Lifestyle Innovative Quarters for Cities and Citizens (HeaLIQs4cities) is an EIT Health-funded project aiming to engage, empower and educate citizens toward healthy lifestyles. One of the major objectives of this project was to develop a toolkit for a rapid and informal assessment of healthy lifestyles, to be used at different levels of care pathways, including in informal public environments. In this paper, we describe the methodology underlying the development of the toolkit, which resulted from the collaboration of an interdisciplinary focus group of academic experts, from medicine, sport sciences, psychology, health economics, and innovative technologies applied to health. The following eight components were included in the toolkit: (1) anthropometric assessment and cardiometabolic parameters; (2) physical activity and exercise; (3) well-being, social cohesion, and functional independence; (4) nutrition; (5) mental health; (6) smoking, drinking, and use of illicit substances; (7) sleep habits and quality; and (8) health and disease. A traffic light rating system indicating the risk score was used (low: green; moderate: yellow; and relevant: orange) for each of the 8 components, together with recommendations for the toolkit users. After completing the reduced version of the toolkit, individuals showing moderate or relevant risk in one or more of the 8 dimensions, were invited to participate in a more detailed assessment (toolkit long version), based on deeper and scientifically validated tools. The toolkit was incorporated in eVida, a web-based platform that focuses on delivering services to personalized health and well-being. The validation of the current toolkit has been applied in wide-ranging public events in three different European Regions. Large scale deployment of the toolkit is expected to profit from the Reference Site Collaborative Network of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA).
与年龄相关的非传染性慢性病在全球范围内的患病率有所上升，是包括欧洲在内的许多世界地区发病和死亡的主要原因。注重预防保健的创新模式和策略，包括早期识别疾病发生和发展的潜在风险因素，以及适当改变生活方式和行为习惯，可能有助于提高生活质量、促进健康生活和积极老龄化。城市与公民健康生活方式创新区（HeaLIQs4cities）是一个由欧洲创新与技术研究院健康部门资助的项目，旨在促使公民参与、赋能并教育他们养成健康的生活方式。该项目的主要目标之一是开发一套用于快速和非正式评估健康生活方式的工具包，可在不同级别的护理途径中使用，包括在非正式的公共环境中。在本文中，我们描述了该工具包开发所依据的方法，这是由医学、运动科学、心理学、健康经济学以及应用于健康领域的创新技术等多学科专家组成的焦点小组合作的成果。该工具包包含以下八个组成部分：（1）人体测量评估和心脏代谢参数；（2）身体活动与锻炼；（3）幸福感、社会凝聚力和功能独立性；（4）营养；（5）心理健康；（6）吸烟、饮酒和非法药物使用；（7）睡眠习惯和质量；（8）健康与疾病。针对这8个组成部分，使用了一个交通信号灯评级系统来表明风险评分（低：绿色；中等：黄色；相关：橙色），同时还为工具包使用者提供了建议。在完成工具包的简化版本后，在8个维度中的一个或多个维度显示出中等或相关风险的个人，会被邀请基于更深入且经过科学验证的工具参与更详细的评估（工具包完整版）。该工具包被整合到了eVida中，这是一个专注于提供个性化健康和幸福服务的网络平台。当前工具包的验证已在欧洲三个不同地区的广泛公共活动中应用。预计该工具包的大规模部署将受益于欧洲积极和健康老龄化创新伙伴关系的参考站点协作网络（EIP on AHA）。
