JP6945828B2 - Health management system, health management method and health management program - Google Patents

Description

The present invention relates to a health management system, a health management method, and a health management program, and in particular, various biological information grasping devices that are non-medical devices such as information on human behavior and health information such as height and weight measured by the health device. The present invention relates to a health management system, a health management method, and a health management program that enable a user to confirm information associating the biometric information grasped by the medical device with the biomedical information measured by a medical device.

Health information such as body weight, blood pressure, calories burned, and body fat is measured daily using health devices such as weight scales, sphygmomanometers, and activity meters. In addition, it measures, grasps, and collects information on human behavior, such as a pedometer, a behavior tracing app that displays daily movements on a map, and a singing count system installed in karaoke equipment. It is also common to grasp one's own behavior information by using a device.

One of the reasons why users of biometric information grasping devices, such as health devices and behavioral information grasping devices, measure and grasp such weight and behavior on a daily basis is dyslipidemia. Expecting prevention, improvement, and prevention of deterioration of lifestyle-related diseases such as diabetes and hypertension, check whether the value is within the standard value or whether the value is improving toward the standard value, and your own living behavior. This is to use it as an index or to compare it with daily activities.

On the other hand, if the user of the above-mentioned biometric information grasping device suffers from or suspects a lifestyle-related disease such as hypertension, dyslipidemia, or diabetes, a medical facility will provide a professional medical examination or a doctor. May be diagnosed on a regular basis. At the time of such a diagnosis, tests such as a hypertension test, a blood test and an arteriosclerosis test are performed using a medical device.

Conventionally, biometric information such as daily health information and behavioral information measured using the above biometric information grasping device and biomedical information measured by the medical device in a specialized health examination at a medical facility are managed individually. ing. That is, most of the biometric information such as weight and behavior measured by using a biometric information grasping device such as a health device is only recorded on a PC or paper by the user of the biometric information grasping device, and the biometric information is grasped. Although the device may be referred to by oral application at the time of diagnosis, basically the biometric information grasping device is not used in medical facilities. Some biometric information grasping devices send (upload) the measured biometric information to a server connected to the network via the Internet, but the biometric information recorded daily on a personal digital assistant or PC can be viewed. I can only do it.

On the other hand, biomedical information such as an arteriosclerosis test measured by a medical device at the time of a medical examination may be accumulated in a server in a medical facility through an electronic medical record or an in-hospital LAN. A examinee who has undergone the above-mentioned medical device examination may receive an oral explanation from a doctor about the measurement result or receive a measurement report, but the biometric information obtained by the biometric information grasping device that he / she measures daily. Is not directly associated with.

Patent Document 1 below discloses a system in which health information measured by a health device is transmitted to a medical facility via a network to obtain advice based on the health information, but it is merely reference information for diagnosis and advice. I just decided to provide the health information from the oral application via the network.

In this way, conventionally, the biometric information measured by the biometric information grasping device and the biomedical information measured by the medical device are related to each other, and each contributes to the prevention and diagnosis of a disease. These are not systematically associated and managed. For this reason, users of biometric information grasping devices compare lifestyle-related diseases and lifestyles based on their own judgment by comparing the biometric information measured by themselves on a daily basis with explanations and reports from doctors regarding the measurement results of medical devices. I could only predict the relationship, and I could not easily confirm how much the reform of my lifestyle was linked to the actual prevention of diseases.

JP-A-2002-259570

Therefore, the main subject of the present invention is biomedical information such as health information and behavioral information that is routinely measured by a biomedical information grasping device that is a non-medical device, and biomedical information measured by a medical device at a medical institution or the like. It makes it possible to easily check the associated health management information, and to confirm behavioral changes that contribute to the prevention, improvement, and deterioration prevention of lifestyle-related diseases of biomedical information grasping device users, and to be more efficient and advanced. It is to be able to provide medical care.

The first means for solving the problem of the present invention is
Biomedical information measured by a medical device that is located in a medical facility or a place where a health examination is performed outside the home and needs to be used by a medical worker or in the presence of the medical worker, and is not different from the medical device. A server that accumulates and manages biometric information that is grasped by the biometric information grasping device, which is a medical device, and measured by the user of the biometric information grasping device.
A communication network that sends biomedical information to a server,
A means of transmitting biomedical information to a server via a communication network,
A communication network that sends biometric information to a server,
A means different from the means for transmitting the biomedical information to the server via the communication network for transmitting the biomedical information to the server via the communication network.
A generation means for generating health management information in which these information are associated with each other based on the biomedical information and the biometric information stored in the server.
A display device that displays health management information and
It is equipped with a communication network that transmits biomedical information and biometric information, or health management information to a display device.
The biomedical information, Ri least one Der arterial stiffness index (AVI) and atherogenic index (API),
The health care information includes reference values generated based on a large number of biomedical information including others other than the user.
It is a health management system characterized by this.

The second means is
Biomedical information measured by a healthcare professional or by a medical device that needs to be used in the presence of a healthcare professional and transmitted by means of transmission at a medical facility or location outside the home for health examinations.
It was grasped by a biomedical information grasping device which is a non-medical device different from the medical device, and measured by a user of the biometric information grasping device transmitted by a transmitting means different from the means for transmitting the biomedical information to the server. Biomedical information,
The steps that the server stores and manages,
A step in which a computer generates health care information associated with biomedical information and biometric information stored and managed in a server, and
The display device includes a step of displaying the health management information.
The biomedical information, Ri least one Der arterial stiffness index (AVI) and atherogenic index (API),
The health care information includes reference values generated based on a large number of biomedical information including others other than the user.
It is a health management method characterized by this.

The third means is
Stored and managed on the server
Arteriosclerosis Index (AVI) measured by a healthcare professional or by a medical device that needs to be used in the presence of a healthcare professional and transmitted by means of transmission at a medical facility or location outside the home. And at least one of the arteriosclerosis index (API), biomedical information and
It was grasped by a biomedical information grasping device which is a non-medical device different from the medical device, and measured by a user of the biometric information grasping device transmitted by a transmitting means different from the means for transmitting the biomedical information to the server. Biomedical information,
A function to generate health care information, including reference values that are associated and generated based on a large number of biomedical information including others other than the user.
And the function to send the generated health management information to the display device,
It is a health management program characterized by realizing the above on a computer.

According to the present invention, the biometric information that is routinely grasped by the biometric information grasping device that is a non-medical device is associated with the biometric information measured by the medical device at a medical institution or the like and can be confirmed by the display device. Behavioral changes that contribute to the prevention, improvement, and prevention of worsening of lifestyle-related diseases of health device users can be confirmed, and more efficient and advanced medical care can be performed.

Schematic of the system according to the first embodiment of the present invention Schematic of another example of the system according to the first embodiment of the present invention. It is a figure which shows an example of health management information. It is a figure for demonstrating the arteriosclerosis index API. It is a figure for demonstrating the arteriosclerosis index AVI.

Embodiments of the present invention will be described in detail with reference to the drawings.

(Health management system)
The health management system according to the present invention will be described as a first embodiment. FIG. 1 is an outline of the health management system according to the present embodiment. The health management system according to the present invention includes a server 30 that accumulates and manages biometric information 1 grasped by the biometric information grasping device 10 which is a non-medical device and biomedical information 2 measured by the medical device 20, and a living body. A health network 4 that transmits medical information 2 to a server, a communication network 5 that transmits biometric information 1 to a server 30, and health that associates these information based on biometric information 1 and biomedical information 2 stored in the server. It has a generation means and 40 for generating management information 3, a display device 50 for displaying health management information 3, and a communication network 6 for transmitting biometric information 1 and biomedical information 2 or health management information 3 to the display device. doing.

The medical device 20 is used for "diagnosis, treatment or prevention of human or animal diseases" specified in Article 2, Paragraph 4 of the "Act on Securing Quality, Effectiveness and Safety of Pharmaceuticals, Medical Devices, etc." Machinery and equipment (excluding products such as regenerative medicine) whose purpose is to affect the structure and function of humans or animals, which are specified by government ordinance, and are manufactured and sold with permission. Is. In particular, among medical devices, it is a device that measures matters related to the human body, which has been pointed out to be related to diseases and illnesses, especially lifestyle-related diseases, and is used as an index value. For example, an arteriosclerosis measuring device 21 and a blood glucose level measuring device can be mentioned. Further, the medical device 20 is preferably, but is not limited to, one that needs to be used by a medical worker such as a doctor or in the presence of the medical worker.

Biomedical information 2 is measured by the medical device 20, and is related to diseases / diseases such as diabetes, hypertension, dyslipidemia, metabolic syndrome, hypercholesterolemia, stroke, cancer, and heart disease, especially lifestyle habits. It is a measured value of the human body that is said to be related to the disease / disease. Specific examples include index values related to lipid metabolism such as total cholesterol level (T-chol), HDL cholesterol level (HDL-chol), LDL cholesterol level (LDL-chol), and neutral fat level (TG), and cardio-ankle vascular index. (CAVI), pulse wave propagation rate (PWV), ankle joint upper arm blood pressure ratio (ABI), arteriosclerosis index (AVI): Arteriosclerosis index, arteriosclerosis index (API): Arteriosclerosis index value , Fasting blood glucose level, etc. At least the above-mentioned index value related to lipid metabolism, the index value related to arteriosclerosis, and the fasting blood glucose level measured by a medical device are biomedical information 2 according to the present invention.

The biological information grasping device 10 is a device that is not a medical device 20, that is, a non-medical device, and is a device that a user can use on a daily basis. Examples of the biological information grasping device 10 include health devices such as a weight scale 11, an activity meter 12, a body fat scale 12, and a pulse meter that measure so-called health-related health information. At least, the weight scale 11, the activity meter 12, the body fat scale 12, and the pulse meter are health devices. Of course, it may be possible to acquire a plurality of health information, such as one in which a weight scale and a body fat scale can be integrated to measure body weight and body fat at the same time. Further, the biological information grasping device 10 is not limited to a health device for measuring body weight, body fat, etc., and may be a device for grasping human behavior. As a device for grasping a person's behavior in this way, for example, a behavior tracing terminal that measures the daily movement distance of oneself or displays the movement on a map, and a mobile terminal in which an application that provides such a function is introduced. , Pedometer, singing count system, karaoke equipment having a function of measuring calories burned by singing, and the like.

The biological information 1 is grasped by measuring with the biological information grasping device 10, and specific examples thereof include the body weight measured by the health device, the number of steps per unit time, the body fat percentage, and the per unit time. Examples include pulse, calories burned per unit time, and the like. In addition, the daily travel distance and travel route, which are recorded by the above-mentioned pedometer, behavior trace terminal, and mobile terminal having a behavior trace function, as well as the number of singing and consumption by singing measured by a karaoke device or the like. Examples include calories. At least the weight measured by a health device, the number of steps per unit time, the body fat percentage, the pulse per unit time, the calories burned per unit time, and the daily distance traveled, the number of singing and the calories burned per unit time are the books. Biological information according to the invention. It should be noted that what is desirable as biometric information 1 is the body weight measured by a health device, the number of steps per unit time, the body fat percentage, the pulse per unit time, and the pulse per unit time, which are often pointed out to be related to lifestyle-related diseases. It is the calories burned. Here, to explain the distance traveled and the number of singing songs, walking exercise and karaoke singing may be performed as one of the exercises for the prevention and improvement of lifestyle-related diseases. In other words, confirmation of distance and load by walking exercise, breathing method and calorie consumption different from resting by karaoke singing are one of the information that users want to understand the relationship with prevention and improvement of lifestyle-related diseases. Therefore, these are also biometric information 1.

The server 30 is connected to the communication network 4 to which the biomedical information 2 is transmitted and the communication network 5 to which the biometric information 1 is transmitted, and the biomedical information 2 and the living body transmitted via the communication networks 4 and 5. Information 1 is accumulated and this information is managed by creating a database. In the illustrated example, the server 30 is connected to the Internet as the communication networks 4 and 5, and the biomedical information 2 and the biometric information 1 are transmitted via the Internet. The installation location of the server 30 may be inside the medical facility or outside the medical facility, and is not particularly limited in the present invention. Further, the communication network 4 for transmitting the biomedical information 2 and the communication network 5 for transmitting the biomedical information 1 are not necessarily limited to the Internet, and are not limited to the same communication network. For example, when the server is placed in a medical facility such as a hospital, as shown in FIG. 2, the biomedical information 2 measured by the medical device 20 in the medical facility is not directly connected to the Internet in the hospital. It is configured to be transmitted by a communication network 5 such as a LAN or an in-hospital intranet, while the biometric information 1 measured by the biometric information grasping device 10 is transmitted from the user's home or the like of the biometric information grasping device 10 to the Internet as a communication network 5. It may be configured to be transmitted to the above-mentioned server 30 in the hospital via. A suitable communication network is selected depending on the installation position of the server 30. Further, the storage function for accumulating biometric information 1 and biomedical information 2 on the server 30 and the database program for managing each information as a database are not limited to the present invention.

As a means for transmitting the biometric information 1 measured by the biometric information grasping device 10 to the server 30 via the communication network 5, if the biometric information grasping device itself has a connecting means to the communication network, the connection function thereof. Can be sent by. For example, if the biometric information grasping device itself has an access function to the Internet such as a dial-up function and an IP connection function, the biometric information can be sent to the server 30 via the Internet by the access function of the biometric information grasping device 10. 1 can be sent (uploaded) automatically or manually. In addition, the biometric information grasping device 10 is a smartphone having an Internet access function such as a dial-up function and an IP connection function by a wireless connection function such as Bluetooth (registered trademark) and Wi-FI communication, and a wired connection function such as a USB connection. If it has a connection function with a mobile terminal such as a personal computer or a personal computer, it connects to a smartphone or the like using these connection functions, accesses the Internet via the smartphone or the like, and transmits biometric information 1 to the server 30. It can be (uploaded). Of course, the measured values and the like grasped by the biometric information grasping device 10 are visually confirmed, the biometric information 1 is input to a smartphone or a personal computer, and the input information is transmitted to the server by the access function to the Internet of the smartphone or the personal computer. You can also (upload) it. The means for transmitting the biometric information 1 measured by the biometric information grasping device 10 to the server 30 via the communication network 5 is a known technique. It is desirable that the biological information 1 can be transmitted to the server 30 in real time when the biological information 1 is measured by the biological information grasping device 10. The biological information grasping device 10 preferable in the present invention has a function of transmitting the biological information 1 because the biological information 1 can be easily transmitted to the server 30.

The means for transmitting the biomedical information 2 measured by the medical device 20 to the server 30 via the communication network 4 can be the same as that for the biomedical information 1. If the medical device 20 itself has a connection function to the communication network 4, transmission can be performed by the connection function. For example, if the medical device 20 itself has an access function to the Internet such as a dial-up function and an IP connection function, the access function of the medical device 20 causes the biomedical information 2 to be sent to the server 30 via the Internet. It can be sent (uploaded). In addition, the medical device 20 has a wireless connection function such as Bluetooth (registered trademark) and Wi-FI communication, and a wired connection function such as a USB connection, so that the medical device 20 has an Internet access function such as a dial-up function and an IP connection function. If it has a connection function, it is possible to connect to a device or the like using these connection functions, access the Internet via the device or the like, and transmit (upload) the biomedical information 2 to the server. can. When the medical device 20 and the server 30 are network-connected to the in-hospital LAN or the in-hospital intranet, the biomedical information 2 measured by the medical device 20 is transmitted (uploaded) to the server 30 via the in-hospital LAN or the in-hospital intranet. be able to. The biomedical information 2 which is a measured value measured by the medical device 20 is visually confirmed, the biomedical information 2 is input to a personal computer connected to the Internet, a hospital LAN or an intranet, and the input information is input to the Internet, the hospital LAN or an intranet. It may be transmitted (uploaded) to the server 30 via the above. The means for transmitting the biomedical information 2 measured by the medical device 20 to the server 30 via the communication network 4 is a known technique.

The display device 50 for displaying the health management information 3 may be a smartphone 51, a touch pad, a mobile terminal such as a mobile phone, a desktop PC 51, a notebook PC, or the like, and may have a display device capable of displaying the information. If the biometric information grasping device 10 for grasping the biological information 1 and the medical device 20 for measuring the biomedical information 2 are provided with a display capable of displaying the information, the biometric information grasping device 10 and the medical device 20 can be provided. The display device 50 may be used. Further, it is preferable that the display device 50 has a printing function, an information file forming function, an output function of the file, and the like. The preferred display device 50 is a portable terminal having excellent portability. It becomes easy to confirm the health management information 3 regardless of the location.

The health management information 3 is information in which the biometric information 1 and the biomedical information 2 are associated with each other. For example, the biometric information 1 and the biomedical information 2 are associated with each other in a time-series and systematic manner. A list of measured values related to biometric information 1 and biomedical information 2 arranged on the same time axis so that they can be compared and confirmed, and further graphed to make biometric information more intuitive. A graph diagram that enables comparison and confirmation of time-series and systematic changes between 1 and biomedical information 2, a list of average measured values of biometric information 1 and biomedical information 2, and graphs of them. It is a graph diagram showing the upward tendency, the downward tendency, and the like of the measured values related to the biometric information 1 and the biomedical information 2. Further, it may be an original index based on the biomedical information 1 and the biomedical information 2. Further, it may be a predicted value of at least one of the future biomedical information 1 and the biomedical information based on the accumulated biometric information 1 and the biomedical medical information.

As an example, the health management information 3 shown in FIG. 3 can be mentioned. The health management information 3 shown in FIG. 3 is the health information of the biological information 1 measured daily by the weight scale 11, the activity meter 12, and the body fat scale 13, which are the health devices among the biological information grasping devices 10. A certain weight, body fat, daily calorie consumption and arteriosclerosis index (API), which is biomedical information measured by a medical device, are graphed on the same time axis, and each measured value rises and falls in one. The comparison can be confirmed on the graph. Further, in FIG. 3, the above-mentioned body weight, body fat, activity amount (daily calorie consumption), arteriosclerosis index (API), and arteriosclerosis degree, which is a lifestyle-related disease risk calculated from these measured values, are graphed. It is expressed on the same axis as the arteriosclerosis index (the arteriosclerosis index is a fictitious index for explaining the present invention). From the health management information 3 shown in FIG. 3, for example, before and after when the amount of activity, which is the biological information 1, becomes a starting point (at the start of exercise in the figure), that is, continuous exercise and the like. Before and after the start, it is possible to confirm how the arteriosclerosis index (API), which is biomedical information, changes with other biometric information 1 such as body weight and body fat. The health management information 3 is not limited to the example of FIG. 3, and may be any information as long as the biometric information 1 and the biomedical information 2 are associated with each other. For example, a reference value generated based on a large number of data of biomedical information 2 including not only the person but also others may be used. In this case, the reference value may be corrected by accumulating a large number of data. This will increase the accuracy of the reference. Moreover, this standard may be made according to the measurer. You will be able to make reasonable lifestyle improvements according to the lifestyle of the measurer. Further, the health management information 3 is not limited to one, and may be, for example, a set of information including a list and a graph. Further, the health management information 3 shown in FIG. 3 may be one in which one biomedical information 1 and one biomedical information 2 are associated with each other, or one biomedical information 1 and a plurality of biomedical information 2 may be associated with each other. May be associated with. Further, although the plurality of biometric information 1 and one biomedical information 2 are associated with each other, the plurality of biometric information 1 and the plurality of biomedical information 2 may be associated with each other.

The generation means 40 that generates the health management information 3 in which these information are associated with each other based on the biomedical information 2 and the biometric information 1 stored in the server 30, that is, the biomedical information 2 and the biometric information 1 stored in the server 30. The place or device 40 in which the program for generating the health management information 3 based on the above exists may be in the server 30 or in the display device 50. The example shown in FIG. 1 is an example in which the server 30 has a calculation function 40 as a means for executing a program. In this example, the health management information 3 is generated by the server 30 based on the biomedical information 1 and the biomedical information 2. Will be done. If the display device 50 has an arithmetic function for executing a program, the display device 50 can generate the health management information 3 based on the biometric information 1 and the biomedical information 2 transmitted from the server 30. The server 30 and the display device 50 may cooperate to generate the health management information 3. Further, as in the example shown in FIG. 2, another arithmetic unit 40 located between the server 30 and the display device 50 may be used. When the health management information 3 is generated on the server side, the generated health management information 3 is transmitted from the server 30 to the display device 50 via the communication network 6. When the health management information 3 is generated on the display device 50 side, the biometric information 1 and the biomedical information 2 are transmitted via the communication network 6. Further, when the health management information 3 is generated in another arithmetic unit 40 between the server 30 and the display device 50, the health management information 3 is transmitted from the arithmetic unit 40 to the display device 50 in the communication network 6. Is solved and sent. For the transmission of information from the server 30 to the arithmetic unit 40, the above-mentioned communication networks such as the Internet, in-hospital LAN, and in-hospital intranet are used.

Examples of the communication network 6 for transmitting the biomedical information 2 and the biometric information 1 or the health management information 3 to the display device 50 include an intranet, an in-hospital LAN, and the Internet. Preferably, as shown in the examples shown in FIGS. 1 and 2, the Internet is such that the biomedical information 2 and the biometric information 1 or the health management information 3 can be easily transmitted to the display device 50 regardless of the location of the display device 50. When the display device 50 can generate the health management information 3, for example, when it is a terminal capable of executing a program which is a means for generating the health management information 3, the biomedical information 2 and the biometric information 1 are transmitted to the display device 50. (Download). Further, when the server 30 or the arithmetic unit 40 executes a program that is a means for generating the health management information 3, the health management information 3 may be transmitted (downloaded) to the display device 50. Whether to transmit the biomedical information 12 and the biometric information 1 or the health management information 3 to the display device 50 is selected depending on the location of the generation means of the health management information 3.

It is desirable that the trigger for transmitting (uploading) the biometric information 1 and the biomedical information 2 to the server 30 can be selected by the biometric information grasping device 10 or the medical device 20, and the biometric information 1 and the biomedical information 2 and the health management. It is desirable that the trigger for transmitting (uploading) the information 3 to the display device 50 can be selected in the display device 50. These triggers can be made by sending and receiving information requesting upload and download via a communication network.

Here, as a combination of the biomedical information 2 and the biometric information 1 in the health management system of the present embodiment, it is desirable to include the biomedical information 2 as an index related to arteriosclerosis, and further, the biomedical information 1 includes body weight, body fat, and the like. It is desirable to use at least one of the amount of activity and calories burned. It has been pointed out that arteriosclerosis is the cause of various diseases and illnesses called lifestyle-related diseases, and the above-mentioned weight, which is easy to measure, has a high frequency of measurement, and has a large number of measurers in biological information 1. , Body fat, activity, and calories burned. Therefore, as a combination of biomedical information 2 and biometric information 1, assuming that biomedical information 2 is an index related to arteriosclerosis and biometric information 1 is at least one of body weight, body fat, activity amount, and calories burned, the biometric information grasping device 10 It will be easy and highly reliable to confirm the prevention, improvement and prevention of deterioration of lifestyle-related diseases of users. Further, as the biomedical information 2 in the health management system of the present embodiment, the arteriosclerosis index (API) and the arteriosclerosis index (AVI) are particularly suitable among the indexes related to arteriosclerosis.

The principle of arteriosclerosis index (API) and arteriosclerosis index (AVI) is an oscillometric method that captures pulse waves generated in the blood vessel wall as pressure signals in the air bag (inside the cuff) and detects minute changes in amplitude. It is characterized by the fact that it can be measured with one cuff, the measurement position is the upper arm, the sitting position can be measured, the measurement time is about several minutes, and the measuring device is small. Also, these can be measured at the same time. As described above, the arteriosclerosis index (AVI) and the arteriosclerosis index (API) are indexes related to arteriosclerosis related to lifestyle-related diseases and are biomedical information 2 measured by a medical device, but the measurer has an upper arm. There is an advantage that the measurement can be completed in a few minutes by exposing and attaching one cuff, and it can be obtained extremely easily.

In particular, in preventive medicine accompanied by behavioral change, which is important in lifestyle-related diseases, it is preferable that the number of measurements of the measured value, which is an index of the behavioral change, is large. In other words, frequent measurements can make a significant contribution to preventive medicine. The arteriosclerosis index (AVI) and arteriosclerosis index (API) can be measured with one cuff as described above, the measurement position is the upper arm, the sitting position can be measured, the measurement time is about several minutes, and the measuring device is small. Since these are advantageous in frequent measurement, they are also suitable as biomedical information 2 according to the present invention from such a viewpoint.

Here, the arteriosclerosis index (API) is obtained by extracting a curve representing the relationship between the cuff pressure and the brachial artery volume using a pulse wave propagating in the cuff. As shown in FIG. 4, the vascular volume of the brachial artery changes depending on the interrelationship between the brachial artery blood pressure and the cuff pressure. That is, when the cuff pressure is high, the artery is compressed and the brachial artery volume decreases, and the brachial artery volume increases as the cuff is decompressed. The softer the blood vessel, the higher the rate of change in arterial volume as the cuff is decompressed. The arteriosclerosis index (API) is defined as API = 1 / B by obtaining the relationship between cuff pressure and arterial volume from the pressure data of cuff pressure and approximating it with the inverse trigonometric function (A * arctan (B * X + C) + D). Will be done. Therefore, a high value of this arteriosclerosis index (API) suggests that the brachial artery is stiff.

The arteriosclerosis index (AVI) is a characteristic of pulse waves at high cuff pressure above systolic blood pressure, based on the finding that the stiffness and properties of the central artery are strongly reflected in the pulse wave at high cuff pressure above systolic blood pressure. Is an index. That is, the pulse wave at a cuff pressure higher than the systolic blood pressure changes with aging and arterial wall sclerosis. More specifically, the waveform shown in FIG. 5A is a cuff pressure pulse wave, and the waveform shown in FIG. 5B is a differential waveform (differential pulse wave) thereof. Further, in FIG. 5, (i) is a measurement of a soft blood vessel, and (ii) is a measurement of a hard blood vessel. As for the pulse wave, the late systolic waveform (P2) increases due to the increase in the reflected wave due to aging, arterial wall sclerosis, and increase in peripheral resistance, and the subsequent fall becomes a steep curve. Since the ejection period (P1) is not affected by the reflected wave, as a result, the differential pulse wave amplitude increases only in Vr, and the value of the pulse wave waveform characteristic (Vr / Vf) depends on the magnitude of the reflected wave. It will change. Therefore, the ratio (Vr / Vf) of the rate change Vf in the brachial artery diastole (cardiac systole) to the rate change Vr in the brachial artery diastole (cardiac diastole) is due to aging, arterial wall sclerosis, and an increase in peripheral resistance. The value increases. AVI is a value obtained by multiplying this ratio (Vr / Vf) by 20 times the coefficient for integerization. AVI = (Vr / Vf) * 20.

The above-mentioned arteriosclerosis index (API) and arteriosclerosis index (AVI) are, for example, medical electronic blood pressure monitor AVE-1500 PASSA (Shisei Datum Co., Ltd.) and blood pressure monitor NAS-1000 (Nihon Kohden Co., Ltd.). It can be easily measured by the company).

Further, in the health management system according to the present invention, it is desirable to correct the reference value based on the accumulated data of the biomedical information 2.

In the health management system according to the present invention, the measurement location of the biological information grasping device 10, that is, the location of the biological information grasping device 10, and the measurement location of the medical device 20, that is, the location of the medical device 20 are the same. It is not limited whether it is a place or not. It is important that the biomedical information 2 and the biometric information 1 are stored in the server via the communication network, and the health management information is transmitted to the display device 50 via the communication network. However, if the measurement location of the biological information grasping device 10 is not the same location, such as the location of the measurer and the measurement location of the medical device is a location for performing a health examination outside the hospital or home, a communication network is particularly used. The advantages are noticeable.

As described above, according to the health management system according to the present invention, biometric information 1 such as weight, steps, body fat, pulse, and activity (calories burned), which are routinely measured by the biometric information grasping device 10, and the arteriosclerosis index. (AVI): Arterial Velocity plus Index, Arteriosclerosis Index (API): Arterial Pressure volume Index, etc., which is associated with biomedical information 2 measured by the medical device 20 at a medical institution or the like and is healthy. Since it can be confirmed by the display device 50 as the management information 3, it is possible to confirm the behavioral changes that contribute to the prevention, improvement and deterioration prevention of the lifestyle disease of the user of the biological information grasping device 10, and further, it is more efficient and advanced by specialists such as doctors. You will be able to perform various medical treatments.

(Health management method)
Next, the health management method according to the present invention will be described as a second embodiment. The health management method according to the present invention includes a step of measuring biomedical information by a medical device, a step of measuring biometric information by a biometric information grasping device, and a step of accumulating and managing biomedical information and biometric information in a server. A step of generating health management information in which the biomedical information and the biometric information are associated with each other based on the biomedical information and the biometric information stored in the server, and a step of displaying the health management information on the display device are included. The medical device, biomedical information, biometric information grasping device, biometric information, and server in the second embodiment are the same as those described in the first embodiment.

Either the step of measuring the biomedical information by the medical device or the step of measuring the biometric information by the biomedical information grasping device may be performed first.

The step of accumulating and managing the biomedical information and the biometric information in the server is performed by transmitting the biomedical information and the biomedical information to the server via the communication network as described in the first embodiment above. desirable. Without using a communication network, for example, biomedical information and biometric information are recorded on recording media such as USB, CD-ROM, DVD-ROM, and paper, and sent to the server administrator by mail or the like. It is also achieved even if the server administrator or the like who received the information inputs the information to the server.

The step of generating the health care information associated with the biomedical information and the biometric information stored in the server is, for example, generating the health care information based on the biomedical information and the biometric information stored in the server. It is done by a program that is a generation means. This program executes a list of biomedical information and biometric information arranged in chronological order, and further graphs the biomedical information and biometric information measured in chronological order. Things and so on. The program itself is not limited to the present invention, and known techniques such as existing graphing software and database software can be used.

The step of displaying the health management information on the display device is performed by the display function of the display device. The specific display method is not limited. Here, it is desirable that the health management information is delivered to the display device by a communication network as in the health management system according to the first embodiment. Further, in this method, the health management information generated based on the biomedical information and the biometric information by the program executed by the server, the computing device, etc. is transferred to a recording medium such as USB, CD-ROM, DVD-ROM, or paper. The information may be recorded and sent to the user of the display device by mail or the like so that information can be input to the display device from this medium.

The health management method according to the second embodiment can be easily performed by the health management system according to the present invention shown as the first embodiment, and has the same effect, but the present method. Can also be used to transfer each piece of information without using a communication network.

In the health management method according to the second embodiment, for the same reason as the health management system of the first embodiment, the combination of the biomedical information and the biometric information includes an index related to arteriosclerosis, body weight, and body. It is desirable to use at least one of fat and calories burned. In particular, as biomedical information, the arteriosclerosis index (API) and the arteriosclerosis index (AVI) are particularly suitable among the indexes related to arteriosclerosis.

As described above, the health management method according to the present invention has the same weight, steps, body fat, pulse, and activity (calories burned) as the health management system of the first embodiment, which is measured daily by the biometric information grasping device. ) And biometric information measured by medical equipment at medical institutions such as arteriosclerosis index (AVI): Arterial Velocity pulse Index and arteriosclerosis index (API): Arterial Pressure volume Index. It can be confirmed by the display device as well as being associated, and behavioral changes that contribute to the prevention, improvement and deterioration prevention of lifestyle diseases of the user of the biometric information grasping device can be confirmed, and more efficient and advanced medical treatment can be performed by specialists such as doctors. You will be able to do it.

(Health management program)
A health management program according to the present invention will be described as a third embodiment. The health management program according to the present invention realizes that the health management information in which the biomedical information measured by the medical device and the bioinformation measured by the bioinformation grasping device are associated with each other is generated and displayed on the display device. It is characterized by. The medical device, biomedical information, biometric information grasping device, biometric information, health management information, and display device in the third embodiment are the same as those described in the first embodiment.

This program is executed on a server including an arithmetic unit, an arithmetic unit connected to the server, or a display device, and generates health management information from biomedical information and biometric information stored and managed in the server. Known technologies such as existing graphing software and database software can be used as the basis of this generation program.

More specifically, when this program is executed on a display device, it requests the server to transfer the stored and managed biomedical information and biometric information via the communication network, and each of them. Information is downloaded from the server, health management information is generated from the downloaded biomedical information and biometric information, and the information is displayed on the display.

In addition, when this program is executed by a server or computing device, it generates health management information from medical information and biometric information that is stored and managed, and responds to a request from the display device in a communication network. The health care information is transmitted to the display device via.

In the health management program according to the present invention, the generation of health management information in which the biomedical information measured by the medical device and the biometric information measured by the bioinformation grasping device are associated with each other and the display of the health management information on the display device are executed. It should be done.

1 ... Health information, 2 ... Biomedical information, 10 ... Health equipment, 11 ... Weight scale, 12 ... Activity meter, 13 ... Body fat scale, 20 ... Medical equipment, 21 ... Arteriosclerosis measuring device, 30 ... Server, 40 ... Health management information generation means, 3 ... Health management information, 4, 5, 6 ... Communication network, 50 ... Display device, 51 ... Smartphone, 52 ... Desktop PC.

Claims (3)

Biomedical information measured by a medical device that is located in a medical facility or a place where a health examination is performed outside the home and needs to be used by a medical worker or in the presence of the medical worker, and is not different from the medical device. A server that accumulates and manages biometric information that is grasped by the biometric information grasping device, which is a medical device, and measured by the user of the biometric information grasping device.
A communication network that sends biomedical information to a server,
A means of transmitting biomedical information to a server via a communication network,
A communication network that sends biometric information to a server,
A means different from the means for transmitting the biomedical information to the server via the communication network for transmitting the biomedical information to the server via the communication network.
A generation means for generating health management information in which these information are associated with each other based on the biomedical information and the biometric information stored in the server.
A display device that displays health management information and
It is equipped with a communication network that transmits biomedical information and biometric information, or health management information to a display device.
The biomedical information, Ri least one Der arterial stiffness index (AVI) and atherogenic index (API),
The health care information includes reference values generated based on a large number of biomedical information including others other than the user.
A health management system characterized by that. Biomedical information measured by a healthcare professional or by a medical device that needs to be used in the presence of a healthcare professional and transmitted by means of transmission at a medical facility or location outside the home for health examinations.
It was grasped by a biomedical information grasping device which is a non-medical device different from the medical device, and measured by a user of the biometric information grasping device transmitted by a transmitting means different from the means for transmitting the biomedical information to the server. Biomedical information,
The steps that the server stores and manages,
A step in which a computer generates health care information associated with biomedical information and biometric information stored and managed in a server, and
The display device includes a step of displaying the health management information.
The biomedical information, Ri least one Der arterial stiffness index (AVI) and atherogenic index (API),
The health care information includes reference values generated based on a large number of biomedical information including others other than the user.
A health management method characterized by that. Stored and managed on the server
Arteriosclerosis Index (AVI) measured by a healthcare professional or by a medical device that needs to be used in the presence of a healthcare professional and transmitted by means of transmission at a medical facility or location for out-of-home health examinations. And at least one of the arteriosclerosis index (API), biomedical information and
It was grasped by a biomedical information grasping device which is a non-medical device different from the medical device, and measured by a user of the biometric information grasping device transmitted by a transmitting means different from the means for transmitting the biomedical information to the server. Biomedical information,
A function to generate health care information, including reference values that are associated and generated based on a large number of biomedical information including others other than the user.
And the function to send the generated health management information to the display device,
A health management program characterized by the realization of a computer.

Images