u-Health for Management of Chronic Diseases - Physical Activity and Therapeutic Exercise -

Eun Hi Choi; Jeong Yeol Seo

doi:10.5124/jkma.2009.52.12.1154

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Choi and Seo: u-Health for Management of Chronic Diseases - Physical Activity and Therapeutic Exercise -

Focused Issue of This Month

Telemedicine, e-Health & u-Health

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2009; 52(12): 1154-1163.

Published online: 31 December 2009

DOI: https://doi.org/10.5124/jkma.2009.52.12.1154

u-Health for Management of Chronic Diseases - Physical Activity and Therapeutic Exercise -

Eun Hi Choi, MD¹, Jeong Yeol Seo, MD²

¹Department of Rehabilitation Medicine, Hallym University College of Medicine, Korea. ceh@hallym.or.kr

²Department Emergency Medicine, Hallym University College of Medicine, Korea. siris@hallym.or.kr

Abstract

Recently, the aging society is facing with the rapid increase of chronic diseases. Despite the advanced medical technology, chronic diseases have not comprehensively managed yet. In the modern society, many people have to spend their extended life span suffering from chronic diseases and disabilities, and also a huge medical cost has emerged as a serious social problem. With IT improvement, u-health system has been developed to link home and medical service systems by arranging medical data, decision making and medical guidelines for various situations. It can promote the therapeutic compliance for the patients with chronic diseases. And also for the medical service providers, it can provide useful data to make an accurate medical decision. As we know, the chronic disease is caused by inactivity and the management of chronic disease requires the modification of inactive life style. U-health medical fitness system can not only prescribe proper activity to control the chronic disease but also it can monitor the patients' physical activity in everyday life. By the successful management of chronic diseases based on u-health system, we want to achieve the expansion of disease-free and disability-free life expectancy and a solution to reduce the burden of medical expenses in modern society eventually.

Keywords: Chronic disease, Physical activity, Life style, u-Health, u-Health medical fitness system

Figures and Tables

Figure 1

Diability-free life expectancy in OECD. (WHO. World Health Report, 2004)

Figure 2

Cardiovascular disease related risk factors.

Figure 3

The risk of dying prematurely declines as people become physically active

Figure 4

The developing flow of IT technology and aging society of Korea.

Figure 5

u-Health service model for asthma management.

Figure 6

u-Health medical fitness system.

Figure 7

Heart rate auto regulated aerobic exercise system.

Figure 8

Heart rate data with auto regulated system.

Figure 9

Heart rate data without auto regulated system.

Figure 10

Physical activity tracker system.

Table 1

Cause of death in Korea

CVD, cardiovascular disease; COPD, chronic obstructive pulmonary disease (2006,Korea National Statistical Office)

Table 2

Medical benefits by more than moderate physical activity

Table 3

Classification of total weekly amounts of aerobic physical activity into 4 categories

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