Jang Minwoo, Park Jong-Hwan, Kim Gwon-Min, Song Seunghwan, Huh Up, Kim Du-Ri, Sung Minji, Tak Young Jin
Health Convergence Medicine Laboratory, Biomedical Research Institute, Pusan National University Hospital, Busan, 49241, South Korea.
Department of Medical Research Institute, Pusan National University, Busan, 46241, South Korea.
Diabetes Metab Syndr Obes. 2023 May 10;16:1357-1366. doi: 10.2147/DMSO.S406065. eCollection 2023.
Research on whether wearable device interventions can effectively prevent metabolic syndrome remains insufficient. This study aimed to evaluate the effect of feedback on clinical indicators in patients with metabolic syndrome on activities measured using wearable devices, such as smartphone apps.
Patients with metabolic syndrome were recruited and prescribed to live for 12 weeks using a wrist-wearable device (B.BAND, B Life Inc., Korea). A block randomization method was used to distribute participants between the intervention (n=35) and control groups (n=32). In the intervention group, an experienced study coordinator provided feedback on physical activity to individuals through telephonic counseling every other week.
The mean number of steps in the control group was 8892.86 (4473.53), and those in the intervention group was 10,129.31 (4224.11). After 12 weeks, metabolic syndrome was resolved. Notably, there were statistically significant differences in the metabolic composition among the participants who completed the intervention. The mean number of metabolic disorder components per person remained at 3 in the control group, and decreased from 4 to 3 in the intervention group. Additionally, waist circumference, systolic and diastolic blood pressure, and triglyceride levels were significantly reduced, while HDL-cholesterol levels were significantly increased in the intervention group.
Overall, 12 weeks of telephonic counseling intervention using wearable device-based physical activity confirmation improved the damaged metabolic components of patients with metabolic syndrome. Telephonic intervention can help increase physical activity and reduce waist circumference, which is a typical clinical indicator of metabolic syndrome.
关于可穿戴设备干预能否有效预防代谢综合征的研究仍不充分。本研究旨在评估对代谢综合征患者使用可穿戴设备（如智能手机应用程序）测量的活动中的临床指标的反馈效果。
招募代谢综合征患者，并规定使用腕部可穿戴设备（B.BAND，B Life公司，韩国）生活12周。采用整群随机化方法将参与者分配到干预组（n = 35）和对照组（n = 32）。在干预组中，经验丰富的研究协调员每隔一周通过电话咨询向个体提供有关身体活动的反馈。
对照组的平均步数为8892.86（4473.53），干预组为10129.31（4224.11）。12周后，代谢综合征得到缓解。值得注意的是，完成干预的参与者在代谢成分方面存在统计学上的显著差异。对照组中每人代谢紊乱成分的平均数保持在3，而干预组从4降至3。此外，干预组的腰围、收缩压和舒张压以及甘油三酯水平显著降低，而高密度脂蛋白胆固醇水平显著升高。
总体而言，使用基于可穿戴设备的身体活动确认进行12周的电话咨询干预改善了代谢综合征患者受损的代谢成分。电话干预有助于增加身体活动并减少腰围，腰围是代谢综合征的典型临床指标。
