Penn Medicine Nudge Unit, University of Pennsylvania; and the Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA; email:
University of Michigan Medical School, Ann Arbor, Michigan 48109, USA; email:
Annu Rev Med. 2021 Jan 27;72:459-471. doi: 10.1146/annurev-med-050919-031534. Epub 2020 Sep 4.
There is a growing interest in using wearable devices to improve cardiovascular risk factors and care. This review evaluates how wearable devices are used for cardiovascular disease monitoring and risk reduction. Wearables have been evaluated for detecting arrhythmias (e.g., atrial fibrillation) as well as monitoring physical activity, sleep, and blood pressure. Thus far, most interventions for risk reduction have focused on increasing physical activity. Interventions have been more successful if the use of wearable devices is combined with an engagement strategy such as incorporating principles from behavioral economics to integrate social or financial incentives. As the technology continues to evolve, wearable devices could be an important part of remote-monitoring interventions but are more likely to be effective at improving cardiovascular care if integrated into programs that use an effective behavior change strategy.
人们越来越感兴趣地使用可穿戴设备来改善心血管风险因素和护理。本综述评估了可穿戴设备如何用于监测心血管疾病和降低风险。可穿戴设备已被评估用于检测心律失常（例如，心房颤动）以及监测身体活动、睡眠和血压。到目前为止，大多数降低风险的干预措施都集中在增加身体活动上。如果将可穿戴设备的使用与参与策略相结合，例如将行为经济学的原则纳入其中以整合社会或财务激励措施，干预措施会更成功。随着技术的不断发展，可穿戴设备可能成为远程监测干预的重要组成部分，但如果将其整合到使用有效行为改变策略的计划中，更有可能有效地改善心血管护理。
