Key result
The Personal Health Navigation system improved VO2Max indicators by 7% on average compared to a 5.5% increase in the control group over 4 weeks.
Why the study?
Despite modern sensing technologies providing individuals with abundant health data, how to use these data to make optimal decisions to keep health states optimal remains an open question.
Does a Personal Health Navigation system improve cardio-respiratory fitness and cardiovascular health state in users?
Does a Personal Health Navigation system improve cardio-respiratory fitness and cardiovascular health state in users?
Absolute Event Rate: 7% vs 5.5%
A novel Personal Health Navigation framework utilizing multi-modal wearable sensor data and cybernetic control provides personalized daily exercise guidance to improve cardiovascular fitness.
Hypothesis-generating for wearable-guided fitness navigation; larger trials needed before clinical adoption.
It is well understood that an individual's health trajectory is influenced by choices made in each moment, such as from lifestyle or medical decisions. With the advent of modern sensing technologies, individuals have more data and information about themselves than any other time in history. How can we use this data to make the best decisions to keep the health state optimal? We propose a generalized Personal Health Navigation (PHN) framework. PHN takes individuals towards their personal health goals through a system which perpetually digests data streams, estimates current health status, computes the best route through intermediate states utilizing personal models, and guides the best inputs that carry a user towards their goal. In addition to describing the general framework, we test the PHN system in two experiments within the field of cardiology. First, we prospectively test a knowledge-infused cardiovascular PHN system with a pilot clinical trial of 41 users. Second, we build a data-driven personalized model on cardiovascular exercise response variability on a smartwatch data-set of 33,269 real-world users. We conclude with critical challenges in health computing for PHN systems that require deep future investigation.
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Nag et al. (2021) studied Cardiovascular health and cardio-respiratory fitness (n=41). Personal Health Navigation (PHN) system vs. Standard smartwatch tracking without daily guidance was evaluated on Change in VO2Max estimated by step test and walking test. The Personal Health Navigation system improved VO2Max indicators by 7% on average compared to a 5.5% increase in the control group over 4 weeks.
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