Health tele-Coaching by automated HRV (heart rate variability) Transmission, nutritional and activity feedback Description of implemented mobile Health service and report on work in progress for long term evaluation Gerhard Lingg1,2,4, Wilhelm Mosgöller3,4, Ralf Arne Wittling5, P.C. Endler4 1IMI
Health AG, 2 IQCURE, 3Medical University of Vienna, 4The Interuniversity College for Health and Development 5 Center
for Cognitive Neuroscience, University of Trier
Discussion PROJECT- OBJECTIVES & AIMS We plan a clinical study to achieve the following goals: - test the IMI-Health Care System (HCS) with HRV-Diagnosis (heart rate variability) under “field conditions” to integrate the European customer perspective. - Find the relationship between HRV parameters and nutritional state. - Describe benefits of IMI-HCS for healthy and diseased clients, define group specific details. Mobile health (mHealth) is a promising strategy in the field of public health. Mobile devices transmit diagnostic parameters from the patient to a medical centre, in return the participant receives individualized health relevant information. Mobile applications (e.g. phones) collect health data, deliver them to professionals (practitioners, researchers, etc.). The system allows for real-time monitoring of vital signs from a remote patient, in return individualized health related information is provided. mHealth empowers larger population segments (including developing countries) to participate in quality healthcare. By the end of 2011 millions of patients worldwide used a home monitoring service with integrated connectivity to a central service. The demand is still rapidly growing. Because nutrition and activity have a major impact on health and fitness IMI has developed a nutrition and fitness monitoring system that - based on scientific evidence, - and by implementing modern information technologies can coach individuals on a day to day basis. The IMI health coaching system uses a modified mobile phone to document the Heart Rate Variability (HRV) of healthy persons and patients, transmits the recordings to a central server, which analyses the actual metabolic / catabolic profile, and in return provides individualized dietary coaching and tips for physical activity for this day, aiming to improve physical fitness, obesity, diabetes, etc. .
HRV AND METABOLISM
Many so called civilisation deceases are associated with catabolic metabolic lapses. Essentially the lack of physical activity, unphysiologic (chronic) stress, high carbohydrate intake, etc. are catabolic events, associated with impairment of the heart-circulation-system, and degenerative deceases. Stress increases the susceptibility of infections. It is to explain, where the deficit concerning the blockades of the basic system is situated and where conditions of energy lack can be found, which disturb the metabolic regulation. Only therapeutic balance of the deficit creates an optimal solid metabolic condition in an undisturbed information transfer in the basic system of the organism. Accessible by HRV Metabolic correlation results derived food recommendation. Thus it is detectable, that regulation deceases in typical form can be recovered in nearly all occasions of chronification. The IMI mobile health system provide a concise program for the participants On a day to day basis the will: measure fitness and provide immediate feedback to participating persons, including activity coaching. measure metabolic (anabolic or catabolic) body condition and provide immediately corresponding nutritional advice. On the short-term this will empower participating persons to: • feel self responsible for their health and fitness. • to get to know a healthier life style, and • train lifestyle and nutritional habits at their own individual pace. • benefit from the increase of fitness and health. The IMI health coach system is easily integrated into the participants daily routine. The participants are required to: • accept to receive and operate a business mobile phone which is adapted to measure and analyse the heart rate variability as diagnostic tool to determine fitness and metabolic status. • transmit the diagnostic parameters to a server which records the individuals health benefit, and in return receive nutrition and activity related advice. • if desired, obtain additional activity and nutritional coaching from the server user area. After successful short term studies, we plan to recruit and observe about 200 participants for one year to observe how the system is accepted under “everyday life” condition: • the individuals health and fitness benefit from participation • the potential of the health coaching system for the public health • indicators of participants compliance to the system • indications where the system should be modified in order to increase acceptability, efficacy, and compliance. The expected societal long term perspectives are • educational effects, raise people’s awareness for the importance of nutrition to their health and fitness. • improvement of the average health status in the society • reduce expenses for chronic (nutrition and non-activity related) diseases
POSSIBLE RESULTS • Confirm the relationsship between HRV measurements and nutritional status. • Based on the feedback from study participants: improve the IMI-HRV diagnostic and HCS. • Obtain statistically comprehensible description of benefits from the IMI HRV diagnostic and coaching system in healthy population. • Details about the feasibility to use HRV diagnostics for monitoring the success of health coaching. • Describe compliance under controlled conditions as bases for further strategic planning on the further development of the HRV diagnostic and coaching system.
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DDr. Gerhard Lingg PhD, http://www.imi-health.com, http://www.iqcure.at/ college @ inter-uni.net Wilhelm Mosgöller, A.o. Univ. Prof. Dr.,
[email protected], college @ inter-uni.net Ralf Arne Wittling, Dipl.-Ing. Dr.,
[email protected] Peter Christian Endler, Prof. DDr., college @ inter-uni.net
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