TY -的盟Fontecha耶稣盟——Hervas雷蒙AU -布拉沃,穆盟-纳瓦罗,外交部哈维尔PY - 2013 DA - 2013/09/04 TI -移动和无处不在的方法支持弱点评估老年人乔- J地中海互联网Res SP e197六世- 15 - 9千瓦脆弱KW -移动计算KW -相似性KW -老年人AB -背景:脆弱是衰老和健康状况相关的依赖。减少或延缓衰弱状态可提高老年人的生活质量。然而，提供脆弱性评估可能很困难，因为必须考虑许多因素。通常，这些因素的测量是以非集中的方式进行的。此外，定量分析方法的缺乏使得诊断不可能像它应该的那样完整或客观。目的:开发一个集中的移动系统，利用移动电话功能，准确客观地进行老年人虚弱评估。方法:虚弱的诊断包括两个基本方面:分析步态活动作为功能障碍的主要预测因素，以及从患者记录中研究一组虚弱的危险因素。因此，我们的系统有几个阶段，包括使用支持加速度计的移动设备收集步态信息，收集脆弱因素值，通过与之前数据的相似性比较进行分析，并以形式化的方式在移动设备上显示脆弱结果。结果:我们开发了一种通用机制，以移动设备为支持工具，评估一组老年人的虚弱状态。在与老年病专家的合作下，研究人员对20名老年患者(10男10女)进行了两项研究，这些患者以前是从养老院挑选出来的。 Frailty risk factors for each patient were collected at three different times over the period of a year. In the first study, data from the group of patients were used to determine the frailty state of a new incoming patient. The results were valuable for determining the degree of frailty of a specific patient in relation to other patients in an elderly population. The most representative similarity degrees were between 73.4% and 71.6% considering 61 frailty factors from 64 patient instances. Additionally, from the provided results, a physician could group the elders by their degree of similarity influencing their care and treatment. In the second study, the same mobile tool was used to analyze the frailty syndrome from a nutritional viewpoint on 10 patients of the initial group during 1 year. Data were acquired at three different times, corresponding to three assessments: initial, spontaneous, and after protein supplementation. The subsequent analysis revealed a general deterioration of the subset of elders from the initial assessment to the spontaneous assessment and also an improvement of biochemical and anthropometric parameters in men and women from the spontaneous assessment to the assessment after the administration of a protein supplement. Conclusions: The problem of creating a general frailty index is still unsolved. However, in recent years, there has been an increase in the amount of research on this subject. Our studies took advantage of mobile device features (accelerometer sensors, wireless communication capabilities, and processing capacities among others) to develop a new method that achieves an objective assessment of frailty based on similarity results for an elderly population, providing an essential support for physicians. SN - 14388871 UR - //www.mybigtv.com/2013/9/e197/ UR - https://doi.org/10.2196/jmir.2529 UR - http://www.ncbi.nlm.nih.gov/pubmed/24004497 DO - 10.2196/jmir.2529 ID - info:doi/10.2196/jmir.2529 ER -