Leopold Jane A, Davis Roger B, Antman Elliott M
Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Department of Medicine, Beth Israel Deaconess Hospital, Harvard Medical School, 300 Brookline Avenue, Boston, MA 02215, USA.
J Pers Med. 2021 Mar 10;11(3):189. doi: 10.3390/jpm11030189.
Ideal cardiovascular health is associated with a decrease in adverse cardiovascular events. The My Research Legacy study examined ideal cardiovascular health using the Life's Simple 7 survey and data from digital health devices. We hypothesized that digital devices provide a more objective view of overall cardiovascular health status than self-reported measures. Therefore, we analyzed weight and activity data recorded by digital devices to recalculate the Life's Simple 7 Health Score. All study participants ( = 1561) answered the survey, while a subgroup ( = 390) provided data from digital devices. Individuals with digital devices had a lower body mass index (BMI) and higher weekly minutes of vigorous exercise than participants without digital devices ( < 0.01). Baseline Health Scores were higher in individuals with digital devices compared to those without (7.0 ± 1.6 vs. 6.6 ± 1.6, < 0.01). Data from digital devices reveal both increases and decreases in measured vs. self-reported BMI ( < 0.04) and weekly minutes of moderate and vigorous exercise activity ( < 0.01). Using these data, a significant difference was found between the recalculated and the self-reported Life's Simple 7 Health Score ( < 0.05). These findings suggest that incorporation of digital health devices should be considered as part of a precision medicinal approach to assessing ideal cardiovascular health.
理想的心血管健康与不良心血管事件的减少相关。“我的研究遗产”研究使用“生命简单7项”调查和数字健康设备的数据来检查理想的心血管健康状况。我们假设，与自我报告的测量方法相比，数字设备能提供更客观的总体心血管健康状况视图。因此，我们分析了数字设备记录的体重和活动数据，以重新计算“生命简单7项”健康评分。所有研究参与者（n = 1561）都回答了该调查，而一个亚组（n = 390）提供了来自数字设备的数据。拥有数字设备的个体比没有数字设备的参与者体重指数（BMI）更低，每周剧烈运动的分钟数更多（P < 0.01）。与没有数字设备的个体相比，拥有数字设备的个体的基线健康评分更高（7.0 ± 1.6 vs. 6.6 ± 1.6，P < 0.01）。数字设备的数据显示，测量的BMI与自我报告的BMI相比有增有减（P < 0.04），每周中度和剧烈运动活动的分钟数也有增有减（P < 0.01）。利用这些数据，重新计算的和自我报告的“生命简单7项”健康评分之间存在显著差异（P < 0.05）。这些发现表明，应考虑将数字健康设备纳入评估理想心血管健康的精准医疗方法的一部分。
