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利用数字孪生优化代谢健康。

Optimizing metabolic health with digital twins.

作者信息

Su Chengxun, Wang Peter, Foo Nigel, Ho Dean

机构信息

The Institute for Digital Medicine (WisDM), National University of Singapore, Singapore, Singapore.

The N.1 Institute for Health (N.1), National University of Singapore, Singapore, Singapore.

出版信息

NPJ Aging. 2025 Mar 24;11(1):20. doi: 10.1038/s41514-025-00211-6.

DOI:10.1038/s41514-025-00211-6
PMID:40128254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11933362/
Abstract

A hallmark of subclinical metabolic decline is impaired metabolic flexibility, which refers to the ability to switch fuel utilization between glucose and fat according to energy demand and substrate availability. Herein, we propose optimizing metabolic health with digital twins that model an individual's metabolic flexibility profile to gamify the process of health optimization and predict long-term health outcomes. We explore key characteristics of this approach from technological and socioeconomical perspectives, with the objective of reducing the burden from metabolic disorders through driving behavior change and early detection of metabolic decline.

摘要

亚临床代谢衰退的一个标志是代谢灵活性受损,代谢灵活性是指根据能量需求和底物可用性在葡萄糖和脂肪之间切换燃料利用的能力。在此,我们建议使用数字孪生优化代谢健康,数字孪生可模拟个体的代谢灵活性概况,以使健康优化过程游戏化并预测长期健康结果。我们从技术和社会经济角度探索这种方法的关键特征,目的是通过推动行为改变和早期发现代谢衰退来减轻代谢紊乱带来的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/da85bfa38a12/41514_2025_211_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/5870643cd06c/41514_2025_211_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/0e78b7d224c9/41514_2025_211_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/a5b1082614f4/41514_2025_211_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/da85bfa38a12/41514_2025_211_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/5870643cd06c/41514_2025_211_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/0e78b7d224c9/41514_2025_211_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/a5b1082614f4/41514_2025_211_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5440/11933362/da85bfa38a12/41514_2025_211_Fig4_HTML.jpg

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Optimizing metabolic health with digital twins.利用数字孪生优化代谢健康。
NPJ Aging. 2025 Mar 24;11(1):20. doi: 10.1038/s41514-025-00211-6.
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本文引用的文献

1
Behavioral Economics to Enhance Food Is Medicine Programs.运用行为经济学提升“食物即药物”项目
JAMA Health Forum. 2024 Jul 5;5(7):e241586. doi: 10.1001/jamahealthforum.2024.1586.
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N-of-1 health optimization: Digital monitoring of biomarker dynamics to gamify adherence to metabolic switching.单病例健康优化:对生物标志物动态进行数字监测,以使代谢转换的依从性游戏化。
PNAS Nexus. 2024 May 30;3(6):pgae214. doi: 10.1093/pnasnexus/pgae214. eCollection 2024 Jun.
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Stretchable ionic-electronic bilayer hydrogel electronics enable in situ detection of solid-state epidermal biomarkers.
可拉伸的离子-电子双层水凝胶电子学实现了固态表皮生物标志物的原位检测。
Nat Mater. 2024 Aug;23(8):1115-1122. doi: 10.1038/s41563-024-01918-9. Epub 2024 Jun 12.
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A digital twin model incorporating generalized metabolic fluxes to identify and predict chronic kidney disease in type 2 diabetes mellitus.一种纳入广义代谢通量的数字孪生模型,用于识别和预测2型糖尿病中的慢性肾脏病。
NPJ Digit Med. 2024 May 24;7(1):140. doi: 10.1038/s41746-024-01108-6.
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Digital twins and artificial intelligence in metabolic disease research.数字孪生和人工智能在代谢性疾病研究中的应用。
Trends Endocrinol Metab. 2024 Jun;35(6):549-557. doi: 10.1016/j.tem.2024.04.019. Epub 2024 May 13.
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Personalized Diabetes Management with Digital Twins: A Patient-Centric Knowledge Graph Approach.基于数字孪生的个性化糖尿病管理:一种以患者为中心的知识图谱方法。
J Pers Med. 2024 Mar 28;14(4):359. doi: 10.3390/jpm14040359.
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Generative AI in Medical Practice: In-Depth Exploration of Privacy and Security Challenges.生成式人工智能在医疗实践中的应用:隐私与安全挑战的深入探讨。
J Med Internet Res. 2024 Mar 8;26:e53008. doi: 10.2196/53008.
8
Development of Machine Learning Models for the Identification of Elevated Ketone Bodies During Hyperglycemia in Patients with Type 1 Diabetes.机器学习模型在 1 型糖尿病患者高血糖期间识别升高的酮体中的开发。
Diabetes Technol Ther. 2024 Jun;26(6):403-410. doi: 10.1089/dia.2023.0531. Epub 2024 Mar 8.
9
A framework towards digital twins for type 2 diabetes.2型糖尿病数字孪生体的框架
Front Digit Health. 2024 Jan 26;6:1336050. doi: 10.3389/fdgth.2024.1336050. eCollection 2024.
10
Continuous Ketone Monitoring via Wearable Microneedle Patch Platform.通过可穿戴微针贴片平台进行连续酮体监测。
ACS Sens. 2024 Feb 23;9(2):1004-1013. doi: 10.1021/acssensors.3c02677. Epub 2024 Feb 1.