한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제16권3호
  • /
  • Pages.1972-1980
  • /
  • 2015
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

스마트케어 비만관리에서 자가 측정 빈도 수준의 효과

The effect of the self-measurement frequency levels on SmartCare obesity management

  • 투고 : 2015.02.06
  • 심사 : 2015.03.12
  • 발행 : 2015.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

이 연구의 목적은 한국에서 2011년 3월 9일 부터 2013년 4월 3일 사이에 수행된 스마트케어 비만 관리 시범사업의 효과를 분석하는 것이었다. 연구에 등록된 212명 참여자 중에서 6개월 동안의 스마트케어 서비스 기간이 종료되는 시점까지 자가 체중 측정을 모두 완료한 147명을 최종 분석 대상자로 하였다. 평가를 위한 자가 측정 그룹은 6개월 기간의 월 평균자가 측정 빈도를 균등하게 나누어 3그룹(Low, Middle, High)으로 분류를 하였으며 평가 대상 지표는 스마트케어 시스템으로 전송된 체중과 BMI(Body Mass Index)로 하였다. 체중과 BMI의 월별 평균은 High 그룹이 Middle 과 Low 그룹보다 더 많이 감소하였으며(M5: High>Middle>Low) 통계적으로도 유의하게 차이가 있는 것으로 나타났다 (p< 0.05). 결론적으로, 체중과 BMI의 개선 효과 분석은 자가 측정 빈도 수준이 높을 때 더 개선 효과가 있는 것으로 나타났다.

This study's purpose was to analyze the effect of the SmartCare obesity management pilot project, which was conducted between 09 March 2011 and 03 April 2013 in Korea (South). Of 212 subjects who were enrolled in the study, the final analysis was conducted with 147 subjects who completed their weight self-measurements and SmartCare services until the end of a 6-month service period. The self-measurement group for evaluation was classified into 3 groups (Low, Middle, and High) by evenly dividing the monthly average frequency of measurement for 6 months and the evaluation indices were weight, and BMI (Body Mass Index) transmitted from the SmartCare System. The monthly average weight and BMI were decreased more in the High Group than the Middle Group and Low Group (M5: High>Middle>Low), and they are showing statistically significant differences between groups (p< 0.05). In conclusion, analysis of the weight and BMI improvement effect showed a greater improvement effect when the self-measurement frequency level was higher.

키워드

참고문헌

  1. Wang YC, McPherson K, Marsh T, et al. "Health and economic burden of the projected obesity trends in the USA and the UK", Lancet, Vol. 378, No. 9793, pp. 815-825, August, 2011. DOI http://dx.doi.org/10.1016/S0140-6736(11)60814-3
  2. Jolly K, Lewis A, Beach J, et al. "Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: Lighten Up randomized controlled trial", BMJ, Vol. 343, pp. 1035, 2011. DOI http://dx.doi.org/10.1136/bmj.d6500
  3. Ogden CL, Yanovski SZ, Carroll MD, et al. "The epidemiology of obesity", Gastroenterology, Vol. 132, No. 6, pp. 2087-102, May, 2007. DOI http://dx.doi.org/10.1053/j.gastro.2007.03.052
  4. Stein CJ, Colditz GA, "The epidemic of obesity", J Clin Endocrinol Metab, Vol. 89, No. 6, pp. 2522-5, Jun, 2004. DOI http://dx.doi.org/10.1210/jc.2004-0288
  5. World Health Organization; International Obesity Task Force. The Asian-Pacific Perspective: Redefining Obesity and Its Treatment. Geneva: WHO Western Pacific Region, 2000.
  6. Korean Endocrine Society; Korean Society for the Study of Obesity. Management of obesity, 2010 recommendation. Endocrinol Metab, Vol. 25, pp. 301-304, 2010. DOI http://dx.doi.org/10.3803/EnM.2010.25.4.301
  7. S. W. Oh, S. A. Shin, et al. "Cut-off point of BMI and obesity-related comorbidities and mortality in middle-aged Koreans", Obes Res, Vol. 12, No. 12, pp. 2031-40, Dec, 2004. DOI http://dx.doi.org/10.1038/oby.2004.254
  8. Haslam DW, James WP, "Obesity", Lancet, Vol. 366, No. 9492, pp. 1197-1209, Oct, 2005. DOI http://dx.doi.org/10.1016/S0140-6736(05)67483-1
  9. Kastarinen MJ, Nissinen AM, Vartiainen EA, et al., "Blood pressure levels and obesity trends in hypertensive and normotensive Finnish population from 1982 to 1997", Journal of Hypertension, Vol. 18, pp. 255-262, Mar, 2000. DOI http://dx.doi.org/10.1097/00004872-200018030-00003
  10. Stevens J, Couper D, et al. "Sensitivity and specificity of anthropometrics for the prediction of diabetes in a biracial cohort", Obes Res, Vol. 9, No. 11, pp. 696-705, Nov, 2001. DOI http://dx.doi.org/10.1038/oby.2001.94
  11. Vainio H, Bianchini F, Weight control and physical activity. IARC Handbook of Cancer Prevention, Vol. 6, 2002.
  12. Young T, Palta M, Dempsey J, et al. "The occurrence of sleep-disordered breathing among middle-aged adults", N Engl J Med, Vol. 328, No. 17, pp. 1230-1235, Apr, 1993. DOI http://dx.doi.org/10.1056/NEJM199304293281704
  13. Partinen M, Jamieson A, Guilleminault C., "Long-term outcome for obstructive sleep apnea syndrome patients: mortality", Chest, Vol. 94, No. 6, pp. 1200-1204, Dec, 1988. DOI http://dx.doi.org/10.1378/chest.94.6.1200
  14. Lakka TA, Laaksonen DE, "Physical activity in prevention and treatment of the metabolic syndrome", Appl Physiol Nutr Metab, Vol. 32, No. 1, pp. 76-88, 2007. DOI http://dx.doi.org/10.1139/h06-113
  15. Kumanyika SK, Obarzanek E, Stettler N, et al. "Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (formerly the expert panel on population and prevention science)", Circulation, Vol. 118, No. 4, pp. 428-64, 2008. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.108.189702
  16. Stone NJ, Saxon D, "Approach to treatment of the patient with metabolic syndrome: lifestyle therapy" Tzhe American journal of cardiology, Vol. 96, No. 4a, pp. 15e-21e, 2005. DOI http://dx.doi.org/10.1016/j.amjcard.2005.05.010
  17. Luley C1, Blaik A, Gotz A, et al. "Weight Loss by Telemonitoring of Nutrition and Physical Activity in Patients with Metabolic Syndrome for 1 year", J Am Coll Nutr, Vol. 33, No. 5, pp. 363-74, 2014. DOI http://dx.doi.org/10.1080/07315724.2013.875437
  18. Rena R, Deborah F, et al. "A Self-Regulation Program for Maintenance of Weight Loss", N Engl J Med, Vol. 355, No. 15, pp. 1563-71, Oct, 2006. DOI http://dx.doi.org/10.1056/NEJMoa061883
  19. Klasnja P, Pratt W, "Healthcare in the pocket: mapping the space of mobile-phone health interventions", J Biomed Inform, Vol. 45, No. 1, pp. 184-98, 2012. DOI http://dx.doi.org/10.1016/j.jbi.2011.08.017
  20. Consolvo S, Klasnja P, McDonald DW, et al. "Flowers or a robot army: Encouraging awareness & activity with personal, mobile displays", In: Proc UbiComp 2008, ACM, pp. 54-63, 2008.
  21. Mohan P, Marin D, Sultan S, Deen A, "MediNet: personalizing the self-care process for patients with diabetes and cardiovascular disease using mobile telephony", In: Conf proc IEEE eng med biol soc, pp. 755-758, 2008. DOI http://dx.doi.org/10.1109/IEMBS.2008.4649262
  22. JIA, Huanguang, et al. "Long-term effect of home telehealth services on preventable hospitalization use", J Rehabil Res Dev, Vol. 46, No. 5, pp. 557-566, 2009. DOI http://dx.doi.org/10.1682/JRRD.2008.09.0133
  23. Rimmer JH, Wang E, Pellegrini CA, et al. "Telehealth weight management intervention for adults with physical disabilities: a randomized controlled trial", Am J Phys Med Rehabil, Vol. 92, No. 12, pp. 1084-94, Dec, 2013. DOI http://dx.doi.org/10.1097/PHM.0b013e31829e780e
  24. Baker RC, Kirschenbaum DS, "Self-monitoring may be necessary for successful weight control", Behav Ther, Vol. 24, No. 3, pp. 377-394, 1993. DOI http://dx.doi.org/10.1016/S0005-7894(05)80212-6
  25. Shay LE, Seibert D, Watts D, et al. "Adherence and weight loss outcomes associated with food-exercise diary preference in a military weight management program", Eat Behav, Vol. 10, No. 4, pp. 220-227, Dec, 2009. DOI http://dx.doi.org/10.1016/j.eatbeh.2009.07.004
  26. Jeffrey J. VanWormer, Jennifer A. Linde, et al. "Self-weighing Frequency is Associated with Weight Gain Prevention over Two Years among Working Adults", Int J Behav Med, Vol. 19, No. 3, pp. 351-358, Sep, 2012. DOI http://dx.doi.org/10.1007/s12529-011-9178-1
  27. Farkhod Alisherov1, et al. "Ubiquitous Healthcare System Management Based on Agent Platform with Application of PLD", International Journal of Bio-Science and Bio-Technology, Vol. 4, No. 4, pp. 49-54, Dec, 2012.
  28. Y. S. Chung, M. K. Moon, C. H. Lee, "The effect of Smart Care ubiquitous health service on hypertension management", Korea Academia-Industrial cooperation Society, Vol 14, No. 3, pp. 1213-1220, 2013. DOI http://dx.doi.org/10.5762/KAIS.2013.14.3.1213
  29. J. A. Kim, I. S. Cho, C. H. Lee, et al. "Knowledge Modeling Guideline for Reentrant Features in SAGE", International Conference on Information Technology and Computer Science (ITCS 2012). Porto, pp. 76-81, 2012.