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Rim-to-Rim Wearables at the Canyon for Health (R2R WATCH): Correlation of Clinical Markers of Stress with Physiological COTS Data

  • Lucie Jelinkova
  • Emily Pearce
  • Christopher Bossart
  • Risa Garcia
  • Jon FemlingEmail author
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10284)

Abstract

Commercial off-the-shelf (COTS) wearable devices can provide easily deployable physiologic measurement systems that generate large amounts of crucial health status data. This data, although similar to physiologic data recorded and used routinely in the health care environment, lacks validation in the non-clinical environment. To address this gap in knowledge and to translate clinical expertise to the field we examined healthy volunteers attempting a strenuous task of crossing the Grand Canyon from rim to rim (R2R) in a single day. Subjects completed a pre-crossing questionnaire with baseline biometric measurements and blood collection for analysis of a comprehensive metabolic panel. Enrolled subjects were then asked to wear COTS wearable fitness devices as they attempted the crossing. Subjects were asked to provide a post-crossing questionnaire, repeat biometric measurements and blood collections. We obtained 52 complete sets of pre- and post-hike blood samples. We identified multiple significant changes in metabolic measurements consistent with expected stresses endured. In addition to the subjective fatigue expectedly reported by subjects, subjects had signs of significant muscle breakdown, yet no subject required immediate medical attention upon completing the task. We linked these clinical markers of stress to the physiologic output from COTS wearable devices and are now able to translate the output measures of these devices to meaningful clinical outcomes. In addition, we have begun to establish new expected ranges for physiologic data during extreme stress that does not require immediate medical attention. This data is crucial to defining usage parameters for wearable devices in deployed field settings.

Keywords

Health promotion Medical information system and its application Quality of life and lifestyle Real life environments 

References

  1. 1.
    Grand Canyon National Park Branch of Emergency Services: 2016 Annual Report, Grand Canyon (2017)Google Scholar
  2. 2.
    Li, X., Dunn, J., Salins, D., Zhou, G., Zhou, W., Schüssler-Fiorenza Rose, S.M., Perelman, D., Colbert, E., Runge, R., Rego, S., Sonecha, R., Datta, S., McLaughlin, T., Snyder, M.P.: Digital health: tracking physiomes and activity using wearable biosensors reveals useful health-related information. PLoS Biol. 15(1), e2001402 (2017). doi: 10.1371/journal.pbio.2001402 CrossRefGoogle Scholar
  3. 3.
    de Bruin, E.D., Hartmann, A., Uebelhart, D., Murer, K., Zijlstra, W.: Wearable systems for monitoring mobility-related activities in older people: a systematic review. Clin. Rehabil. 22(10–11), 878–895 (2008). doi: 10.1177/0269215508090675 CrossRefGoogle Scholar
  4. 4.
    Gordon, R., Bloxham, S.: Influence of the Fitbit Charge HR on physical activity, aerobic fitness and disability in non-specific back pain participants. J. Sports Med. Phys. Fit., 8 February 2017. doi: 10.23736/S0022-4707.17.06688-9
  5. 5.
    O’Reilly, M., Whelan, D., Ward, T., Delahunt, E., Caulfield, B.: Technology in S&C: tracking lower limb exercises with wearable sensors. J. Strength Cond. Res., 15 February 2017. doi: 10.1519/JSC.0000000000001852
  6. 6.
    Burton, D.A., Stokes, K., Hall, G.M.: Physiological effects of exercise. Contin. Educ. Anaesth. Crit. Care Pain. 4(6), 185–188 (2004). doi: 10.1093/bjaceaccp/mkh050 CrossRefGoogle Scholar
  7. 7.
    Banfi, G., Colombini, A., Lombardi, G., Lubkowska, A.: Metabolic markers in sports medicine. Adv. Clin. Chem. 56, 1–54 (2012). doi: 10.1016/b978-0-12-394317-0.00015-7 CrossRefGoogle Scholar
  8. 8.
    Banfi, G., Del Fabbro, M., Lippi, G.: Serum creatinine concentration and creatinine-based estimation of glomerular filtration rate in athletes. Sports Med. 39(4), 331–337 (2009). doi: 10.2165/00007256-200939040-00005 CrossRefGoogle Scholar
  9. 9.
    Warren, J.D., Blumbergs, P.C., Thompson, P.D.: Rhabdomyolysis: a review. Muscle Nerve 25(3), 332–347 (2002)CrossRefGoogle Scholar
  10. 10.
    Clarkson, P.M., Hubal, M.J.: Exercise-induced muscle damage in humans. Am. J. Phys. Med. Rehabil. 81(Suppl. 11), S52–S69 (2002)CrossRefGoogle Scholar
  11. 11.
    National Health and Nutritional Survey. http://cdc.gov/nchs/nhanes/

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Lucie Jelinkova
    • 1
  • Emily Pearce
    • 1
  • Christopher Bossart
    • 1
  • Risa Garcia
    • 1
  • Jon Femling
    • 1
    Email author
  1. 1.Department of Emergency MedicineThe University of New Mexico Health Sciences CenterAlbuquerqueUSA

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