Alòs Francesc, Romaguera Montserrat, Cos Claramunt Francesc Xavier, Orfila Francesc, Aldon Mínguez David, Puig-Ribera Anna
Centre d'Atenció Primària Passeig de Sant Joan, Gerència Territorial de Barcelona Muntanya-Dreta, Institut Català de la Salut, Barcelona, España; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, España; Grup d'Exercisi físic i salut de la Societat Catalana de Medicina Familiar i Comunitària (CAMFIC), Barcelona, España.
Grup d'Exercisi físic i salut de la Societat Catalana de Medicina Familiar i Comunitària (CAMFIC), Barcelona, España; Grupo de Actividad Física y Salud de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC), Barcelona, España; Centre d'Atenció Primaria Sort, Institut Català de la Salut, Región Sanitaria Alt Pirineu i Aran (Lleida), Sort, Lleida, España.
Aten Primaria. 2025 Jun 9;57(12):103301. doi: 10.1016/j.aprim.2025.103301.
Primary Care is undergoing a profound transformation driven by demographic, social, and technological changes. In this context, the integration of physical activity into clinical practice and the development of digital health strategies emerge as key approaches to addressing physical inactivity and sedentary behavior, particularly in situations of chronic conditions, aging, and frailty. This article analyzes how technologies such as mobile applications, wearable devices, and digital platforms can enable more personalized physical activity prescription, remote monitoring, and community connection. It reviews the opportunities offered by these tools, based on the WHO's 5A brief intervention model, as well as barriers such as the digital divide and care overload. The article emphasizes the need to align digital health initiatives with ethical principles, community engagement, and person-centered care, strengthening rather than replacing the human connection.
初级保健正在经历由人口结构、社会和技术变革驱动的深刻转型。在这种背景下，将体育活动纳入临床实践以及制定数字健康战略成为应对身体活动不足和久坐行为的关键方法，尤其是在慢性病、老龄化和虚弱的情况下。本文分析了移动应用程序、可穿戴设备和数字平台等技术如何实现更个性化的体育活动处方、远程监测和社区联系。它基于世界卫生组织的5A简短干预模型，审视了这些工具带来的机遇以及数字鸿沟和护理负担过重等障碍。文章强调数字健康倡议需要与道德原则、社区参与和以患者为中心的护理保持一致，加强而不是取代人际联系。
