Feasibility for the enhancement of an online support system for persons with metabolic syndrome, aimed at applications for ischemic heart disease and heart failure

Previously, we developed of an online support system for persons with metabolic syndrome. In this study, we investigated the possibility of enhancing our system for applications in ischemic heart disease (IHD) and heart failure (HF). The main causes of IHD are obesity, hypertension, arteriosclerosis, hyperglycemia and other metabolic disorders. These conditions are related to lifestyle issues, such as diet and exercise. Dietary management becomes more difficult as the patient's condition worsens. We primarily focused on behavior changes. To raise the user's awareness of food intake, we improved a number of functions of the developed system: an entry of the user's lifestyle information, a calculation of the total calorie intake and a reference of food model pictures in 80 kcal standard quantities. IHD encompasses many of the causes of HF. Management tools appropriate for HF are few. We describe the main functions of our system and promote self-management as a requirement for IHD and HF. We expect that the framework of our system is applicable to the management of patients with chronic HF.

[1]  C S Berkey,et al.  Longitudinal study of skipping breakfast and weight change in adolescents , 2003, International Journal of Obesity.

[2]  Kazuo Nakazawa,et al.  An online support system for promotion of a behavior change for persons with metabolic syndrome , 2012, The 6th International Conference on Soft Computing and Intelligent Systems, and The 13th International Symposium on Advanced Intelligence Systems.

[3]  奥田 真一,et al.  Guidelines for treatment of chronic heart failure (JCS 2010) , 2011 .

[4]  K. Ohashi,et al.  Development of a hand-held personal digital assistant-based food diary with food photographs for Japanese subjects. , 2009, Journal of the American Dietetic Association.

[5]  Shoko Tani,et al.  Development of a Health Management Support System for Patients with Diabetes Mellitus at Home , 2010, Journal of Medical Systems.

[6]  C. Grilo,et al.  Eating patterns and breakfast consumption in obese patients with binge eating disorder. , 2006, Behaviour research and therapy.

[7]  L. Burke,et al.  Using a personal digital assistant for self-monitoring influences diet quality in comparison to a standard paper record among overweight/obese adults. , 2011, Journal of the American Dietetic Association.

[8]  Luigi Ferrucci,et al.  Impact of reduced meal frequency without caloric restriction on glucose regulation in healthy, normal-weight middle-aged men and women. , 2007, Metabolism: clinical and experimental.

[9]  Da‐hong Wang,et al.  Development of a new instrument for evaluating individuals' dietary intakes. , 2006, Journal of the American Dietetic Association.