The content of the invention
For above-mentioned weak point of the prior art, intervened the invention provides one kind based on motion, diet intervention and
The chronic diseases management system of psychological intervention, including:Portable equipment, intelligent Service Platform and mobile terminal;Wherein,
The portable equipment, for gathering the movable information and Nutrition and Metabolism information of human body and by the information transfer collected
To the intelligent Service Platform;
The intelligent Service Platform, the information for being collected according to the portable equipment formulate Personalized motion prescription,
Diet prescription and psychological intervention prescription;
The mobile terminal, for inquiring about various information and prescription, and by questionnaire to the anxiety of user, depression, fear,
Manic, pessimistic and happy degree is estimated.
The chronic diseases management system based on motion intervention, diet intervention and psychological intervention of the present invention is provided for client to move
Intervene, the closed loop health management service that diet intervention and psychological intervention are core, to patient health status, psychologic status,
Diet and life style are carried out on the basis of overall merit, issue personalized prescription, patient can perform for from height
The scheme of body customization, medical worker can be supervised simultaneously, and patient also can real time inspection.
Further, the portable equipment includes movable information monitoring unit and Nutrition and Metabolism information monitoring unit;It is described
Movable information monitoring unit includes motion information acquisition module, movable information memory module and movable information wireless communication module,
Transmitted for gathering human body wrist heart rate and three-dimensional acceleration in real time, and by the human body wrist heart rate and three-dimensional acceleration that collect
To the intelligent Service Platform;Wherein,
The motion information acquisition module includes heart rate sensor and acceleration transducer, for gathering human body wrist in real time
Heart rate and three-dimensional acceleration;
The movable information memory module, for receiving heart rate and three-dimensional acceleration from the motion information acquisition module
Degree;
The movable information wireless communication module, puts down for heart rate and three-dimensional acceleration to be transmitted to the intelligent Service
Platform;
The Nutrition and Metabolism information monitoring unit includes Nutrition and Metabolism information acquisition module, Nutrition and Metabolism information storage module
With Nutrition and Metabolism information wireless communication module, human body oxygen uptake VO is gathered for real-time2With carbon dioxide output VCO2, and will
The oxygen uptake VO collected2With carbon dioxide output VCO2Transmit to the intelligent Service Platform;Wherein,
The Nutrition and Metabolism information acquisition module includes carbon dioxide sensor, oxygen sensor, flow sensor and auxiliary
The humiture atmospheric pressure sensor helped, for gathering human body oxygen uptake VO in real time2With carbon dioxide output VCO2;
The Nutrition and Metabolism information storage module, for receiving the oxygen uptake from the Nutrition and Metabolism information acquisition module
VO2With carbon dioxide output VCO2;
The Nutrition and Metabolism information wireless communication module is used for oxygen uptake VO2With carbon dioxide output VCO2Transmit to
The intelligent Service Platform.
Further, the intelligent Service Platform includes cloud service center, user's electronic record and expert knowledge library;
The cloud service center, for receiving human body wrist heart rate, three-dimensional acceleration that the portable equipment collects, taking the photograph
Oxygen amount VO2With carbon dioxide output VCO2, the real time kinematics information and daily energy expenditure letter of user is obtained after analyzing and processing
Breath, and store into user's electronic record, wherein, the real time kinematics information includes motion state, sports energy consumption and fortune
Dynamic prescription implementation status, wherein,
The exercise prescription implementation status is estimated by heart rate and three-dimensional acceleration value, sports energy consumption and motion state
It is estimated using three-dimensional acceleration value;In addition,
The cloud service center, is additionally operable to receive the anxiety of the mobile terminal, depression, fear, manic, pessimistic and happiness
The psychographic information of user is obtained after degree value, analyzing and processing, and is stored into user's electronic record, wherein, the psychology
Information includes psychological condition and psychological intervention prescription implementation status;
The cloud service center, is additionally operable to carry out user follow-up for medical personnel, and the storage of follow-up content is arrived into user
In electronic record.
Further, user's electronic record, for storing user basic information, healthy sign information, cardiopulmonary exercise
Resistance to force information, questionnaire information, management objectives, Intervention periodicity, psychographic information, energy expenditure information, exercise prescription, diet prescription,
Psychological intervention prescription, field feedback, real-time heart rate value, real time kinematics information, real-time oxygen uptake VO2, real-time carbon dioxide
Discharge rate VCO2, diet information and psychographic information;Wherein,
Three major nutrient content, user's dietary intake and the diet prescription that the diet information is included in meals are performed
Situation, wherein,
The diet prescription implementation status passes through oxygen uptake VO2, carbon dioxide output VCO2It is estimated, in meals
Three major nutrient content is inquired about by the diet nutrient content table module, and the dietary intake on the day of user passes through
The energy expenditure of the previous day is determined.
Further, the expert knowledge library includes management objectives generation module, diet nutrient content table module, motion
Prescription generation module, nutrition prescription generation module and psychological intervention prescription generation module;
The management objectives generation module, for according to user basic information, healthy sign information and questionnaire information, it is determined that
The management objectives and Intervention periodicity of user;
The diet nutrient content table module, for assessing the letter of the three major nutrient content in the daily meals of user
Breath;
The exercise prescription generation module, for user basic information, the health stored according to user's electronic record
The resistance to force information of sign information, cardiopulmonary exercise and questionnaire information formulate the exercise prescription of user;
The nutrition prescription generation module, for the real-time oxygen uptake VO stored according to user's electronic record2, in real time
Carbon dioxide output VCO2With the three major nutrient content in diet information and the diet nutrient content table module
Information formulates the diet prescription of user;
The psychological intervention prescription generation module, the psychographic information for being stored according to user's electronic record, which is formulated, to be used
The psychological intervention prescription at family.
Further, the mobile terminal include psychological condition questionnaire unit, query unit, management objectives typing unit and
Social shares unit;
The psychological condition questionnaire unit includes Trait anxiety questionnaire module, Index of Well-being gauge module and anxiety-depression
Self-assessment Scale module;
The psychological condition questionnaire unit, anxiety, depression, fear, manic, pessimistic and happy journey for assessing user
Degree, and the incoming cloud service center;
The query unit, at for user's searching and managing target, exercise prescription, the real time kinematics information, diet
Side, the diet information, psychological intervention prescription and the psychographic information;
The management objectives typing unit, for for user's typing management objectives numerical value, daily kinesthesia by, daily diet
Impression and daily psychological intervention impression, and upload to the cloud service center;
The social shares unit, for by three big nutrition in sports energy consumption and the exercise prescription implementation status, diet
The intake of material and the diet prescription implementation status and the psychological condition and the psychological intervention prescription implementation status
Share social platform, wherein, the psychological intervention prescription implementation status and the psychological condition are asked by the A trait
Volume module, the anxiety-depression Self-assessment Scale module and the Index of Well-being gauge module are estimated.
Further, the exercise prescription includes exercise intensity, motion frequency, run duration and the type of sports of user;
The diet prescription includes breakfast, lunch and dinner ratio, meals species and the meal size of user;
The psychological intervention prescription includes the method for recognizing factor, Psychological support, health education and the Behavioral training of user.
Further, the user basic information include name, No. ID, sex, native place, the date of birth;
The healthy sign information include body fat rate, waist-to-hipratio, body mass index, fasting blood-glucose, glycosylated hemoglobin, in
Heart arterial systolic blood pressure, brachial arterial pressure, triglycerides, T-CHOL, HDL-C, low-density lipoprotein courage are consolidated
Alcohol, the ratio of Forced expiratory volume in one second and forced vital capacity, Forced expiratory volume in one second and predicted value ratio, bone strength
Index, T values, subendocardiac muscle vigor rate and ST sections of levels;
The cardiopulmonary exercise endurance information includes maximum heart rate and maximum met value;
The questionnaire information includes psychological condition under exercise habit questionnaire, eating habit questionnaire, regular situation
Questionnaire, cardiovascular danger evaluation questionnaire and human body common chronic disease or uncomfortable diseases questionnaire.
Further, the management objectives be obesity, diabetes, hypertension, dyslipidemia, chronic obstructive pulmonary disease, osteoporosis and/
Or coronary heart disease;
When the management objectives is obesities, corresponding management objectives numerical value is body fat rate, waist-to-hipratio and body mass index;
When the management objectives are diabetes, corresponding management objectives numerical value is fasting blood-glucose and glycosylated hemoglobin;
When the management objectives are hypertension, arterial systolic blood pressure and arteria brachialis blood centered on corresponding management objectives numerical value
Pressure;
When the management objectives are dyslipidemia, corresponding management objectives numerical value is triglycerides, T-CHOL, highly dense
Spend lipoprotein cholesterol and LDL-C;
When the management objectives are chronic obstructive pulmonary disease, corresponding management objectives numerical value is Forced expiratory volume in one second with exerting oneself
Ratio, Forced expiratory volume in one second and the predicted value ratio of lung capacity;
When the management objectives are osteoporosis, corresponding management objectives numerical value is bone strength index and T values;
When the management objectives are coronary heart disease, corresponding management objectives numerical value is subendocardiac muscle vigor rate and ST sections
Level.
Further, the field feedback includes follow-up content and user is recorded by management objectives in mobile terminal
Enter the daily kinesthesia of unit typing by, daily diet impression and daily psychological intervention to be experienced.
Using above-mentioned technical proposal, including following advantageous effects:
1) chronic diseases management system of the present invention based on motion intervention, diet intervention and psychological intervention, is to patient health
Situation, psychologic status, diet and life style are carried out on the basis of overall merit, issue Personalized motion prescription, diet
Prescription and psychological intervention prescription;By quantifying to key elements such as exercise intensity, time, frequencies, patient can perform for from height
The motion scheme of body customization;Pass through the key element amount such as the content of three major nutrient, the intake of meals, ratio of breakfast, lunch and dinner in meals
Change, allow patient to perform personalized diet program;Assessed by the related scale of psychological condition, allow patient to perform personality mentality intervention
Scheme;Medical worker can be supervised by intelligent Service Platform, carry out related work;Patient also can be real by mobile terminal
When check movable information, diet information and psychological condition information, be prevented effectively from the excessive or too small situation of amount of exercise and occur, it is ensured that
The smooth execution of exercise prescription;Be prevented effectively from intake dietary energy it is too high or too low the occurrence of, it is ensured that diet prescription it is suitable
Profit is performed;The occurrence of being prevented effectively from excessively excited mood or anxiety, it is ensured that the smooth execution of psychological intervention prescription.
2) present invention utilizes portable set and Internet technology, builds closed loop chronic diseases management service technology system, beats
Logical " detecting-determine intervention stratege-execution intervention stratege-intervention Effects Evaluation " this message sense, realizes and institute's outer tube is diagnosed in institute
The new-type service mode of reason, improves medical worker's working effect and the management effect to patient.
Embodiment
In the following description, for purposes of illustration, in order to provide the comprehensive understanding to one or more embodiments, explain
Many details are stated.It may be evident, however, that these embodiments can also be realized in the case of these no details.
The present invention is described in further detail below by specific embodiment and with reference to accompanying drawing.
As shown in figure 1, the invention provides a kind of chronic diseases management based on motion intervention, diet intervention and psychological intervention
System, including portable equipment 1, intelligent Service Platform 2 and mobile terminal 3;Wherein, portable equipment 1, the motion for gathering human body
Information and Nutrition and Metabolism information and by the information transfer collected to the intelligent Service Platform;Intelligent Service Platform 2, for root
The information collected according to the portable equipment formulates Personalized motion prescription, diet prescription and psychological intervention prescription;Mobile terminal
3, for inquiring about various information and prescription, and by questionnaire to the anxiety of user, depression, fear, manic, pessimistic and happy degree
It is estimated.
Wherein, exercise prescription refers to physiatrician or remedial gymnast, to being engaged in physical training person or patient, according to the strong of user
Sports is levied, cardiopulmonary exercise endurance and questionnaire information, and type of exercise, exercise intensity, run duration and fortune are provided with the form of prescription
Dynamic frequency, proposes the points for attention in motion, exercise prescription is to instruct one kind that people are purposeful, planned and scientifically take exercise
Method.Diet prescription is the oxygen uptake VO2 and carbon dioxide output VCO2 according to user, is provided with the form of prescription per daily
Eat number of times, often meal intake energy and three major nutrient ratio of often eating, diet prescription is to instruct that people are planned, regular diet
A kind of method.Psychological intervention prescription is according to the anxiety of user, depression, fear, manic, pessimistic and happy degree, with prescription
Form formulate rational recognizing factor, Psychological support, health education and Behavioral training scheme, psychological intervention prescription is to improve to use
The method of family psychological condition.
The chronic diseases management system based on motion intervention, diet intervention and psychological intervention of the present invention is provided for client to move
Intervene, the closed loop health management service that diet intervention and psychological intervention are core, to patient health status, psychologic status,
Diet and life style are carried out on the basis of overall merit, issue personalized prescription, patient can perform for from height
The scheme of body customization, medical worker can be supervised simultaneously, and patient also can real time inspection.
In the embodiment shown in Fig. 2 of the present invention, the chronic diseases management system based on motion intervention, diet intervention and psychological intervention
System includes portable equipment 1, intelligent Service Platform 2 and mobile terminal 3.
As shown in Fig. 2 portable equipment 1 includes movable information monitoring unit 10 and Nutrition and Metabolism information monitoring unit 11.
Wherein, movable information monitoring unit 10 includes movable information information acquisition module 100, movable information memory module
101 and movable information wireless communication module 102.Wherein, motion information acquisition module 100 gathers human body wrist by heart rate sensor
Portion's heart rate, human body wrist three-dimensional acceleration value is gathered by acceleration transducer;Movable information memory module 101, which is used to store, to be come
The heart rate value and three-dimensional acceleration value of autokinesis information acquisition module 100;Movable information wireless communication module 102 passes through SIM card
Or above-mentioned heart rate value and three-dimensional acceleration value are uploaded to intelligent Service Platform 2 by WIFI.
Wherein, Nutrition and Metabolism information monitoring unit 11 is deposited including Nutrition and Metabolism information acquisition module 110, Nutrition and Metabolism information
Store up module 111 and Nutrition and Metabolism information wireless communication module 112.Wherein Nutrition and Metabolism information acquisition module 110 passes through titanium dioxide
Carbon sensor collection carbon dioxide output VCO2, oxygen uptake VO is gathered by oxygen sensor2;Nutrition and Metabolism information stores mould
Block 111 is used to store the carbon dioxide output VCO from Nutrition and Metabolism information acquisition module2With oxygen uptake VO2;Nutrition and Metabolism
Information wireless communication module 112 is by SIM card or WIFI by above-mentioned oxygen uptake VO2With carbon dioxide output VCO2It is uploaded to intelligence
Can service platform 2.
In the embodiment shown in Figure 2, intelligent Service Platform 2 include cloud service center 20, user's electronic record 21 and specially
Family's knowledge base 22.
Wherein, cloud service center 20 receives the heart rate from portable equipment 1, three-dimensional acceleration value, oxygen uptake VO2And dioxy
Change carbon discharge rate VCO2, motion state and sports energy consumption are obtained by analyzing three-dimensional acceleration magnitude, by analyzing heart rate value and three
Tie up acceleration magnitude and obtain exercise prescription implementation status;By analyzing oxygen uptake VO2With carbon dioxide output VCO2Obtain user one
It energy expenditure and diet prescription implementation status;And perform real-time heart rate value, motion state, sports energy consumption, exercise prescription
The movable informations such as situation, diet information and psychographic information are transmitted to user's electronic record 21.In addition, medical personnel are by cloud service
Center 20 periodically carries out follow-up to the user that is managed, and by follow-up content uploading to user's electronic record 21.
Wherein, user's electronic record 21 receives and stores the management objectives generation module in expert knowledge library 22 respectively
Exercise prescription, the nutrition prescription that the management objectives and Intervention periodicity, exercise prescription generation module 222 of 220 generations are generated generate mould
The psychological intervention prescription that the diet prescription and psychological intervention prescription generation module 224 that block 223 is generated are generated, receives and stores and
From the real time kinematics information (motion state, sports energy consumption, exercise prescription implementation status) of cloud service center 20, real-time heart rate value,
Carbon dioxide output VCO2, oxygen uptake VO2, anxiety, depression, happy degree and follow-up content, manage in mobile terminal 3
Management objectives numerical value, user movement impression, diet impression and the psychological intervention impression of target typing unit 32, and store user's base
This information, healthy sign information, cardiopulmonary exercise ability information and questionnaire information.
User basic information include name, No. ID, sex, native place, the date of birth;Healthy sign information include body fat rate,
It is waist-to-hipratio, body mass index, fasting blood-glucose, glycosylated hemoglobin, central aortic systolic pressure, brachial arterial pressure, triglycerides, total
Cholesterol, HDL-C, LDL-C, Forced expiratory volume in one second and forced vital capacity
Ratio, Forced expiratory volume in one second and predicted value ratio, bone strength index, T values, subendocardiac muscle vigor rate and ST sections of water
It is flat;Cardiopulmonary exercise ability information includes maximum heart rate and maximum met value;Questionnaire information includes exercise habit questionnaire, diet
Be accustomed to questionnaire, under regular situation psychological investigation questionnaire, cardiovascular danger evaluation questionnaire and human body common chronic disease or
Uncomfortable diseases questionnaire.
Wherein, expert knowledge library 22 includes management objectives generation module 220, diet nutrient content table module 221, motion
Prescription generation module 222, nutrition prescription generation module 223 and psychological intervention prescription generation module 224.
Management objectives generation module 220 in expert knowledge library 22 is by receiving user's base from user's electronic record 21
This information, current health sign information and questionnaire information determine that (Intervention periodicity is to start to intervene for user management target, Intervention periodicity
And the time interval between terminating to intervene);Exercise prescription generation module 222 in expert knowledge library 22 comes from user by receiving
The cardiopulmonary exercise ability information and questionnaire information of electronic record 21 formulate active user's exercise prescription, and (exercise prescription is according to management mesh
Mark defines exercise intensity, motion frequency, run duration and the type of sports of user);Nutrition prescription in expert knowledge library 22
Generation module 223 is by receiving the real-time oxygen uptake VO stored from user's electronic record 212With carbon dioxide output VCO2With
And diet prescription (the drink that meals three major nutrient content information formulates user is taken in diet nutrient content table module 221
Food prescription according to the energy expenditure of management objectives and user's the previous day provide user breakfast, lunch and dinner meals ratio and meals it is reasonable
Collocation);What the psychological intervention prescription generation module 224 in expert knowledge library 22 was stored by receiving from user's electronic record 21
The psychological intervention prescription of real-time psychographic information formulation user (control by the cognition that psychological intervention prescription defines user according to management objectives
Treatment, Psychological support, the method for health education and Behavioral training).Management objectives be obesity, diabetes, hypertension, dyslipidemia,
Chronic obstructive pulmonary disease, osteoporosis and/or coronary heart disease;When management objectives is obesities, corresponding management objectives numerical value is body fat rate, waist stern
Than and body mass index;When management objectives are diabetes, corresponding management objectives numerical value is fasting blood-glucose and HbAle egg
In vain;When management objectives are hypertension, arterial systolic blood pressure and brachial arterial pressure centered on corresponding management objectives numerical value;Work as management
When target is dyslipidemia, corresponding management objectives numerical value is triglycerides, T-CHOL, HDL-C, low
Density lipoprotein-cholesterol;When management objectives are chronic obstructive pulmonary disease, corresponding management objectives numerical value is Forced expiratory volume in one second
With the ratio of forced vital capacity, Forced expiratory volume in one second and predicted value ratio;When management objectives are osteoporosis, accordingly
Management objectives numerical value be bone strength index and T values;When management objectives are coronary heart disease, corresponding management objectives numerical value is intracardiac
Myocardial viability rate and ST sections of levels under film.
Mobile terminal 3 is mobile phone, notebook or tablet personal computer;Mobile terminal 3 includes psychological condition questionnaire unit 30, inquiry
Unit 31, management objectives typing unit 32 and social shares unit 33.
Psychological condition questionnaire unit 30 includes Trait anxiety questionnaire module 300, Index of Well-being gauge module 301 and anxiety
SDS module 302;Psychological condition questionnaire unit 30 is used for anxiety, depression, fear, the manic, pessimism for assessing user
With happy degree, and incoming cloud service center 20;Query unit 31 is used for for user's searching and managing target, exercise prescription, in real time
Movable information, diet prescription, diet information, psychological intervention prescription and psychographic information;Management objectives typing unit 32 be used for for
Family typing management objectives numerical value, daily kinesthesia are experienced by the impression of, daily diet and daily psychological intervention, and upload to cloud service
Center 20;User can be by social shares unit 33 by sports energy consumption and exercise prescription implementation status, diet three big battalion simultaneously
The intake for supporting material shares social platform with diet prescription implementation status and psychological condition with psychological intervention implementation status,
Increase software interest and user's compliance.When it is implemented, mobile terminal can be mobile phone, notebook or tablet personal computer.
As shown in figure 3, the specific method for assessing exercise prescription implementation status by heart rate and three-dimensional acceleration value is:
S301:Gather three-dimensional acceleration value and heart rate value;
S302:Three-dimensional acceleration variance sum V<Variance preset value th>;If so, into step S303, if it is not, entering step
Rapid S304;
S303:Quiescent condition;
S304:Effective exercise heart rate minimum≤heart rate≤effective exercise heart rate peak;If so, into step S306,
If it is not, into step S305;
S305:The lost motion time;
S306:The effective exercise time;
S307:Assess exercise prescription implementation status.
Specifically, human body wrist three-dimensional acceleration value and heart rate value are gathered first.User is judged by three-dimensional acceleration value
In quiescent condition or motion state, circular is:Three-dimensional acceleration signal is in X after each filtering in calculating 1min
The variance sum V of component in axle, Y-axis and Z-direction;Then the variance sum V and variance preset value th ratios obtained will be calculated
Compared with:If V<Th, judges that user is currently at quiescent condition;If V >=th, judge that user is currently at motion state;
When user is kept in motion, judge whether the real-time heart rate of user now is in effective exercise heart rate range:
When effective exercise heart rate range minimum≤heart rate≤effective exercise heart rate range peak in real time, represent that user is currently just locating
In under suitable exercise intensity, expert knowledge library receives above-mentioned heart rate value, and count in effective exercise heart rate range when
Between be the effective exercise time, performed by the ratio assessment user movement prescription of effective exercise time and planned movement time
Into situation:When ratio is less than 1, illustrate that user does not complete same day exercise prescription;Conversely, explanation user is completed at daily motion
Side;When real-time heart rate is more than effective exercise heart rate maximum or less than effective exercise heart rate minimum value, represent that exercise intensity is excessive
Or it is too small, now user movement is lost motion.Wherein, effective exercise heart rate range is set by maximum heart rate and resting heart rate
Put:Specifically method to set up is:For the crowd that cardiopulmonary exercise endurance level is poor, effective exercise heart rate range is set to (maximum
Heart rate-resting heart rate) * (50%-70%)+resting heart rate.For general population, effective exercise heart rate range is set to (maximum
Heart rate-resting heart rate) * (60%-80%)+resting heart rate.For the higher crowd of cardiopulmonary exercise endurance level, the effective exercise heart
Rate scope is set to (maximum heart rate-resting heart rate) * (65%-86%)+resting heart rate.
Fig. 4 is the flow chart for calculating sports energy consumption.Circular is:S401:Calculate three-dimensional acceleration geometric mean;
S402:Calculate motion power consumption.
(1) in step S401, number of the three-dimensional acceleration that acquisition user produces in motion respectively first in the axles of XYZ tri-
According to, and calculate its geometric mean a.
WhereinFor the acceleration magnitude of X-axis,For the acceleration magnitude of Y-axis,For the acceleration magnitude of Z axis.
(2) in step S402, sports energy consumption E is calculated.
Wherein, U is parameter, and its computational methods is:The power consumption values of a period of time generation are moved as mark in treadmill using user
Standard, with reference to this section of time acceleration geometric mean a change, calculates U size.
Fig. 5 is that exercise prescription adjusts flow chart, as shown in figure 5, S501:Expert knowledge library generates exercise prescription;
S502:User's electronic record is arrived into exercise prescription storage;
S503:Doctor combines movable information, management objectives numerical value change and user feedback;
S504:Judge whether current kinetic intensity is excessiveIf so, into step S506, if it is not, into step S505;
S505:Increase the exercise intensity or run duration in exercise prescription, be then back to step S502;
S506:The exercise intensity or run duration in exercise prescription are reduced, step S502 is then back to.
Specifically, exercise prescription adjustment flow is:(1) expert knowledge library combination user basic information, healthy sign information,
The resistance to force information of cardiopulmonary exercise and the questionnaire information generation first exercise prescription of user, and user's electronics shelves are arrived into exercise prescription storage
Case.(2) user is by mobile terminal enquiry user's current kinetic prescription and performs.(3) user performs exercise prescription one week or two
Zhou Hou, management objectives numerical value and kinesthesia are uploaded by health monitoring equipment detection management target value, and by mobile terminal
By to user's electronic record, health administrator periodically carries out follow-up by cloud service center, by follow-up content uploading to user
Electronic record.(4) doctor combines movable information, management objectives numerical value change and user feedback (follow-up content and kinesthesia by) and commented
Whether suitable estimate current kinetic intensity:When exercise intensity is too small, exercise intensity or run duration in increase exercise prescription, when
When exercise intensity is excessive, the exercise intensity or run duration in exercise prescription are reduced.(5) to the motion in user's electronic record
Side is adjusted.
As shown in fig. 6, the energy assessment diet prescription implementation status provided by energy expenditure on the day of user and meals
Specific method is:S601:VO2, VCO2 are gathered, the energy expenditure on the day of user is calculated;
S602:Energy in same day diet>1.2* (energy expenditure on the day of user)If it is not, into step S603, if so,
Into step S604;
S603:Same day diet prescription is unqualified;
S604:Energy in same day diet>0.8* (energy expenditure on the day of user)If so, into step S606, if it is not,
Into step S605;
S605:Same day diet prescription is unqualified;
S606:Same day diet prescription is qualified.
Specifically, the oxygen uptake VO of user is gathered first2With carbon dioxide output VCO2.Pass through oxygen uptake VO2And dioxy
Change carbon discharge rate VCO2The energy expenditure on the day of user is calculated, circular is:Pass through carbon dioxide sensor, oxygen
Resting metabolic rate BMR and user on the day of the user that the humiture atmospheric pressure sensor of sensor, flow sensor and auxiliary is obtained
Exercise intensity weekly calculates the energy expenditure on the day of user, and computational methods are as follows:
Motionless (little exercise is not moved) the daily energy expenditure of user (calorie)=BMR × 1.2 of sitting
A small amount of motion (light weight motion in 1-3 days weekly) daily energy expenditure of user (calorie)=BMR × 1.375
Moderate work (moderate motion in 3-5 days weekly) daily energy expenditure of user (calorie)=BMR × 1.55
The high amount of exercise daily energy expenditure of (6-7 days high-intensity exercises weekly) user (calorie)=BMR × 1.725
The daily energy expenditure of super-strength moving user (calorie)=BMR × 1.9
The energy that same day diet can be provided is calculated according to the diet intervention prescription on the same day, circular is:Meals
In 1 gram of protein 4 calories of energy can be provided, 1 gram of fat can provide 9 calories of energy, and 1 gram of carbohydrate can
To provide 4 calories of energy;The content for the three major nutrient for obtaining including in meals according to diet nutrient content table, such as
M grams of protein, fatty n grams, k grams of carbohydrate are included on the day of user in diet prescription, then the energy that same day diet is provided
ForCalorie.
Energy expenditure on the day of the energy that same day diet is provided and user is compared, if the energy that same day diet is provided
0.8 times of amount less than the energy expenditure on the day of user, then the diet prescription on the day of explanation is unqualified;If same day diet is provided
Energy be more than user on the day of 1.2 times of energy expenditure, then the diet prescription on the same day is also unqualified;If same day diet is carried
The energy of confession be more than or equal to user on the day of 0.8 times of energy expenditure and less than or equal to 1.2 times of the energy expenditure on the day of user,
The diet prescription on so same day is qualified.
It is the example of two diet intervention prescriptions as follows:
Example 1:One female user, with diabetes, 45 years old, height 160cm, body weight 60kg, carry out weekly 4 days it is medium
The motion of intensity.
The female patient can be calculated according to women BMR formula It is recommended that the heat ratio of diabetic's breakfast, lunch and dinner is 1:2:2,
So women breakfast intake heat is 408.425 kilocalories, lunch intake energy is 816.85 kilocalories, dinner intake energy is
816.85 kilocalories, diabetic advises that the content of the three major nutrient of intake is respectively:Carbohydrate 55%, protein
15%th, fat 30%, so the user should obtain 1123.1 kilocalories of energy by taking in carbohydrate, due to every gram of carbon
Hydrate can provide 4 kilocalories of energy, then the user should take in 280.78 grams of carbohydrate daily, according to breakfast, lunch and dinner
Heat ratio understands that the carbohydrate of user's breakfast, lunch and dinner intake is respectively 56.16 grams, 112.31 grams and 112.31 grams;The user should
By 306.32 kilocalories of energy of protein acquisition, because every gram of protein can provide 4 kilocalories of energy, then the user is every
It should take in 76.58 grams of protein, understand that the protein that user's breakfast, lunch and dinner are taken in is respectively 15.32 according to breakfast, lunch and dinner heat ratio
Gram, 30.63 grams and 30.63 grams;The user should obtain 612.64 kilocalories of energy by fat, because every gram of fat can be provided
9 kilocalories of energy, then the user should take in 68.07 grams of fat daily, understands that user's breakfast, lunch and dinner are taken the photograph according to breakfast, lunch and dinner heat ratio
The fat entered is respectively 13.61 grams, 27.23 grams and 27.23 grams;Inquired about further according to diet nutrient content table three in different meals
Formulating diet prescription after the content of big nutriment is:
Breakfast:200 grams of milk, 100 grams of steamed bun, 25 grams of lean pork taken under the spinal column of a hog
Lunch:100 grams of rice, 100 grams of lean beef, 150 grams of green pepper scrambled eggs (100 grams of green pepper, 50 grams of egg), green pepper are fried
300 grams of Chinese cabbage (200 grams of Chinese cabbage, 100 grams of green pepper), 400 grams of garlic sprouts fried season vegetable (300 grams of rape, 100 grams of garlic sprouts)
Dinner:100 grams of rice, 67 grams of pork braised in brown sauce (50 grams of pork, 17 grams of sesame paste), steamed 50 grams of hairtail, fresh mushroom 200
Gram, 200 grams of balsam pear, 100 grams of apple, 50 grams of lichee
Full-time oily 15 grams for cooking.
Example 2:One male user, with hypertension, 53 years old, height 175cm, body weight 70kg carried out weekly 6 days high intensity
Motion.
The male user can be calculated according to male BMR formula It is recommended that the heat ratio of hyperpietic's breakfast, lunch and dinner is 3:4:
4, so user's breakfast intake heat is 796.74 kilocalories, lunch intake energy is 1062.32 kilocalories, dinner intake energy is
796.74 kilocalories, hyperpietic advises that the content of the three major nutrient of intake is respectively:Carbohydrate 60%, protein
15%th, fat 25%, so the user should obtain 1593.48 kilocalories of energy by taking in carbohydrate, due to every gram
Carbohydrate can provide 4 kilocalories of energy, then the user should take in 398.37 grams of carbohydrate daily, according to three
Heat ratio of eating understands that the carbohydrate of user's breakfast, lunch and dinner intake is respectively 119.51 grams, 159.35 grams and 119.51 grams;The use
Family should obtain 398.37 kilocalories of energy by protein, because every gram of protein can provide 4 kilocalories of energy, then the use
Family should take in 99.59 grams of protein daily, understand that the protein that user's breakfast, lunch and dinner are taken in is respectively according to breakfast, lunch and dinner heat ratio
29.88 grams, 39.84 grams and 29.88 grams;The user should obtain 663.95 kilocalories of energy by fat, because every gram of fat can
To provide 9 kilocalories of energy, then the user should take in 73.77 grams of fat daily, the user is understood according to breakfast, lunch and dinner heat ratio
The fat of breakfast, lunch and dinner intake is respectively 22.13 grams, 29.51 grams and 22.13 grams;Different meals are inquired about further according to diet nutrient content table
Formulating diet prescription in food after the content of three major nutrient is:
Breakfast:50 grams of rice congee, 65 grams of loin chop (50 grams of flour, 10 grams of maize flour, 5 grams of white granulated sugar), 100 grams of fermented bean curd,
30 grams of shelled peanut (frying), mix 300 grams of three-coloured amaranth
Lunch:150 grams of rice, 150 grams of celery fried shredded pork (100 grams of celery, 50 grams of thin pork), 250 grams of kelp-bean curd soup
(50 grams of sea-tangle, 200 grams of bean curd), 200 grams of apple
Dinner:50 grams of milled congee, 75 grams of steamed buns stuffed with sweetened bean paste (50 grams of flour, 20 grams of rde bean, 5 grams of white sugar), steamed 100 grams of hairtail,
Fry 300 grams of rape, 200 grams of pineapple
Full-time oily 15 grams for cooking.
Fig. 7 is that diet prescription adjusts flow chart, as shown in fig. 7, S701:At diet on the day of expert knowledge library generation user
Side;
S702:User's electronic record is arrived into diet prescription storage;
S703:Physician Global diet information, management objectives numerical value change and user feedback;
S704:Judge whether the energy that current diet is provided is very few
S705:The meal size cut down one's diet in prescription;It is then back to step S702;
S706:Increase the meal size in diet prescription, be then back to step S702.
Specifically, (1) expert knowledge library combination user basic information, healthy sign information, user's energy expenditure information and
Diet prescription on the day of questionnaire information generation user, and user's electronic record is arrived into diet prescription storage.(2) user is by moving
The diet prescription on the day of APP mobile terminal enquiry users and execution in dynamic terminal.(3) user performs lead to after diet prescription daily
Health monitoring equipment detection management target value is crossed, and is experienced by mobile terminal upload management objectives numerical value and diet to user
Electronic record, health administrator periodically carries out follow-up by cloud service center, by follow-up content uploading to user's electronic record.
(4) on the day of doctor combines diet information, management objectives numerical value change and user feedback (follow-up content and diet impression) assessment
Whether diet prescription is suitable:When the energy that same day diet is provided is very few, the meal size in increase diet prescription, same day diet is provided
Energy fluence it is excessive when, the meal size in the prescription that cuts down one's diet.(5) diet prescription in user's electronic record is adjusted.
As shown in figure 8, assessing psychological intervention prescription by psychological condition on the day of user and the previous day psychological condition performs feelings
The specific method of condition is:
S801:Psychological condition (anxiety-depression score, happy degree) on the day of measuring user by psychological condition questionnaire;
S802:Same day anxiety-depression score<Happy degree on the day of the previous day anxiety-depression score A nd>The previous day happiness journey
DegreeIf so, into step S803, if it is not, into step S804;
S803:Psychological intervention is effective;
S804:Psychological intervention is invalid.
Specifically, the psychological condition information on the day of obtaining user by the psychological condition questionnaire of mobile terminal first, passes through
Trait anxiety questionnaire, Index of Well-being scale and anxiety-depression Self-assessment Scale (SAS, SDS) measure the anxiety-depression score of user
With happy degree;Then the result and the result of the previous day measured according to the same day is compared, if the anxiety suppression on the day of user
Yu get Fen is lower than the previous day, happy degree is higher than the previous day, then the psychological intervention prescription on the day of explanation is qualified, if the same day
Anxiety-depression score is higher than the previous day or happy degree is lower than the previous day, then the psychological intervention prescription on the day of explanation is unqualified.
Fig. 9 is that psychological intervention prescription adjusts flow chart.As shown in figure 9, S901:The psychology of expert knowledge library generation user is done
Pre- prescription;
S902:User's electronic record is arrived into the storage of psychological intervention prescription;
S903:Physician Global psychological condition information, management objectives numerical value change and user feedback;
S904:Judge whether psychological intervention is too strongIf so, into step S906, if it is not, into step S905;
S905:Strengthen psychological intervention intensity, subsequently into step S902;
S906:Psychological intervention intensity is reduced, subsequently into step S902.
Specifically, psychological condition letter on the day of (1) expert knowledge library combination user basic information, healthy sign information, user
The psychological intervention prescription on the day of generating user with questionnaire information is ceased, and user's electronic record is arrived into psychological intervention prescription storage.
(2) user is by the psychological intervention prescription on the day of the query unit inquiry user in mobile terminal and performs.(3) user holds daily
By health monitoring equipment detection management target value after row psychological intervention prescription, and management objectives number is uploaded by mobile terminal
Value and psychological feelingses are to user's electronic record, and health administrator periodically carries out follow-up by cloud service center, by follow-up content
It is uploaded to user's electronic record.(4) doctor combine psychographic information, management objectives numerical value change and user feedback (follow-up content and
Psychological feelingses) assess on the day of psychological intervention prescription it is whether suitable:When same day psychological intervention is excessively weak, in increase psychological intervention prescription
Intervention content, when same day psychological intervention is too strong, reduce psychological intervention prescription in intervention content.(5) to user's electronic record
In psychological intervention prescription be adjusted.
Figure 10 is motion, diet, psychological intervention closed loop management flow chart.As shown in Figure 10, motion, diet, psychological intervention
The idiographic flow of closed loop management is:S1110:Collect user basic information, current health sign information, cardiopulmonary exercise endurance letter
Breath, diet information, psychological condition information and questionnaire information;
S1120:Determine user management target and intervention period;
S1130:Formulate exercise prescription, diet prescription and psychological intervention prescription;
S1140:Modulation movement prescription, diet prescription and psychological intervention prescription;
S1150:Collect user basic information, current health sign information, the resistance to force information of cardiopulmonary exercise, diet information, the heart
Status information and questionnaire information are managed, subsequently into step S1110.
Specifically, (1) user's electronic record collects user basic information, current health sign information, cardiopulmonary exercise endurance
Information, diet information, psychological condition information and questionnaire information.(2) the management objectives generation module in expert knowledge library is according to upper
State information and determine user management target and intervention period.(3) the exercise prescription generation module in expert knowledge library formulates personalized fortune
Dynamic prescription, nutrition prescription generation module formulates personalized diet prescription, and psychological intervention prescription generation module formulates personality mentality
Intervene prescription.(4) doctor combines movable information, diet information, psychological condition information, management objectives numerical value change and follow-up content
Dynamic adjustment exercise prescription, diet prescription and psychological intervention prescription.(5) user's current health sign information, cardiopulmonary exercise are updated
Resistance to force information, diet information, psychological condition information and questionnaire information to user's electronic record as determine next period management target,
Intervention period and exercise prescription, diet prescription, the foundation of psychological intervention prescription.
By above-mentioned embodiment can be seen that the present invention provides intervened based on motion, diet intervention and psychological intervention
Chronic diseases management system, provided for client to move the closed loop health control of intervention, diet intervention and psychological intervention as core
Service, on the basis of overall merit is carried out to patient health status, psychologic status, diet and life style, is issued individual
Property prescription, patient can perform for itself customized scheme, and medical worker can be supervised simultaneously, and patient also may be used
Real time inspection.
The preferred embodiments of the present invention are the foregoing is only, are not intended to limit the invention, for the skill of this area
For art personnel, the present invention can have various modifications and variations.Within the spirit and principles of the invention, that is made any repaiies
Change, equivalent substitution, improvement etc., should be included in the scope of the protection.