This disclosure relates to an electronic device, an estimation system, an estimation method and an estimation program that estimate the health condition of a subject from measured biological information.
In the related art, measurement of blood component and measurement of blood fluidity have been made as a means of estimating the health condition of a subject (user). These measurements are made by using the blood collected from the subject. Further, an electronic device that measures the biological information from a measured part such as a wrist of the subject is known. For example, the Patent Literature 1 (PTL 1) discloses an electronic device that measures the pulse of the subject when worn on a wrist of the subject.
One aspect of an electronic device includes a sensor unit and a controller. The sensor unit acquires a pulse wave of a subject. The controller estimates, using an estimation formula created based on a preprandial blood glucose level and a postprandial pulse wave and blood glucose level, an amount of change in the blood glucose level of the subject due to meal based on a postprandial pulse wave of the subject acquired by the sensor unit, and estimates a postprandial blood glucose level of the subject based on the estimated amount of change and the preprandial blood glucose level of the subject.
Another aspect of the electronic device includes a sensor unit and a controller. The sensor unit acquires a pulse wave of a subject. The controller estimates, using an estimation formula created based on a preprandial lipid level and a postprandial pulse wave and lipid level, an amount of change in the lipid level of the subject due to meal based on a postprandial pulse wave of the subject acquired by the sensor unit, and estimates a postprandial lipid level of the subject based on the estimated amount of change and the preprandial lipid level of the subject.
One aspect of an estimation system is an estimation system including an electronic device and an information processor communicatively connected to each other. The electronic device includes a sensor unit configured to acquire a pulse wave of a subject. The information processor includes a controller configured to estimate, using an estimation formula created based on a preprandial blood glucose level and a postprandial pulse wave and blood glucose level, an amount of change in the blood glucose level of the subject due to meal based on a postprandial pulse wave of the subject acquired by the sensor unit, and estimate a postprandial blood glucose level of the subject based on the estimated amount of change and the preprandial blood glucose level of the subject.
Another aspect of the estimation system is an estimation system including an electronic device and an information processor communicatively connected to each other. The electronic device includes a sensor unit configured to acquire a pulse wave of the subject. The information processor includes a controller configured to estimate, using an estimation formula created based on a preprandial lipid level and a postprandial pulse wave and lipid level, an amount of change in the lipid level of the subject due to meal based on a postprandial pulse wave of the subject acquired by the sensor unit, and estimate a postprandial lipid level of the subject based on the estimated amount of change and the preprandial lipid level of the subject.
One aspect of an estimation method is an estimation method executed by an electronic device. The estimation method includes the steps of: acquiring a pulse wave of a subject; estimating, using an estimation formula created based on a preprandial blood glucose level and a postprandial pulse wave and blood glucose level, an amount of change in the blood glucose level of the subject due to meal based on a postprandial pulse wave of the subject acquired; and estimating a postprandial blood glucose level of the subject based on the estimated amount of change and the preprandial blood glucose level of the subject.
Another aspect of the estimation method is an estimation method executed by an electronic device. The estimation method includes the steps of: acquiring a pulse wave of a subject; estimating, using an estimation formula created based on a preprandial lipid level and a postprandial pulse wave and lipid level, an amount of change in the lipid level of the subject due to meal based on a postprandial pulse wave of the subject acquired; and estimating a postprandial lipid level of the subject based on the estimated amount of change and the preprandial lipid level of the subject.
One aspect of an estimation program causes an electronic device to execute the steps of: acquiring a pulse wave of a subject; estimating, using an estimation formula created based on a preprandial blood glucose level and a postprandial pulse wave and blood glucose level, an amount of change in the blood glucose level of the subject due to meal based on a postprandial pulse wave of the subject acquired; and estimating a postprandial blood glucose level of the subject based on the estimated amount of change and the preprandial blood glucose level of the subject.
Another aspect of the estimation program causes an electronic device to execute the steps of: acquiring a pulse wave of a subject; estimating, using an estimation formula created based on a preprandial lipid level and a postprandial pulse wave and lipid level, an amount of change in the lipid level of the subject due to meal based on a postprandial pulse wave of the subject acquired; and estimating a postprandial lipid level of the subject based on the estimated amount of change and the preprandial lipid level of the subject.
One aspect of an electronic device includes a sensor unit configured to acquire a pulse wave of a subject and a controller configured to estimate, using an estimation formula created based on a preprandial blood glucose level and a postprandial pulse wave and blood glucose level of the subject, a postprandial blood glucose level of the subject based on the postprandial pulse wave of the subject acquired by the sensor unit and the preprandial blood glucose level of the subject.
Another aspect of the electronic device includes a sensor unit configured to acquire a pulse wave of a subject and a controller configured to estimate, using an estimation formula created based on a fasting blood glucose level and a postprandial pulse wave and blood glucose level of the subject, postprandial blood glucose level of the subject based on the postprandial pulse wave of the subject acquired by the sensor unit and the fasting blood glucose level of the subject.
Still another aspect of the electronic device includes a sensor unit configured to acquire a pulse wave of a subject and a controller configured to estimate, using an estimation formula created based on a preprandial lipid level and a postprandial pulse wave and lipid level of the subject, a postprandial lipid level of the subject based on the postprandial pulse wave of the subject acquired by the sensor unit and the preprandial lipid level of the subject.
Further still another aspect of the electronic device includes a sensor unit configured to acquire a pulse wave of a subject and a controller configured to estimate, using an estimation formula created based on a fasting lipid level and a postprandial pulse wave and lipid level of the subject, a postprandial lipid level of the subject based on the postprandial pulse wave of the subject acquired by the sensor unit and the fasting lipid level of the subject.
In the accompanying drawings:
The method of blood sampling is painful and therefore difficult to be used on a daily basis to estimate the health condition of the subject. Further, in the method of wearing an electronic device configured to measure the biological information on a wrist, an object to be measured is conventionally limited to the pulse, and it is impossible to estimate the health condition of the subject except for the pulse. It is preferable that the health condition of the subject can be easily estimated.
Embodiments will be described in detail below with reference to the drawings.
The electronic device 100 measures the biological information of the subject while the subject wears the electronic device 100. The biological information measured by the electronic device 100 includes a pulse wave of the subject. In an embodiment, the electronic device 100 of Example 1 may acquire a pulse wave while being worn on a wrist of the subject.
In an embodiment, the attaching portion 110 is a straight and elongated band. Pulse wave measurement is performed, for example, in a state in which the subject wraps the attaching portion 110 of the electronic device 100 around his/her wrist. More specifically, the subject wraps the attaching portion 110 around his/her wrist so that the back surface 120a of the measurement unit 120 is in contact with the measured part and then measures the pulse wave. The electronic device 100 measures the pulse wave of blood flowing through the ulnar artery or the radial artery of the subject.
The measurement unit 120 has the back surface 120a that comes in contact with the wrist of the subject when worn and a surface 120b on an opposite side from the back surface 120a. The measurement unit 120 has an opening 111 in the back surface 120a side. The sensor unit 130 has a first end that comes in contact with the wrist of the subject and a second end that comes in contact with the measurement unit 120 when the electronic device 100 of Example 1 is worn. In a state in which an elastic body 140 is not compressed, the first end of the sensor unit 130 protrudes from the opening 111 to the back surface 120a side. The first end of the sensor unit 130 has a pulse pad 132. The first end of the sensor unit 130 is displaceable in a direction nearly substantially perpendicular to the plane of the back surface 120a. The second end of the sensor unit 130 is in contact with the measurement unit 120 through a shaft 133.
The first end of the sensor unit 130 is in contact with the measurement unit 120 through the elastic body 140. The first end of the sensor unit 130 is displaceable relative to the measurement unit 120. The elastic body 140 includes, for example, a spring. The elastic body 140 is not limited to a spring, and may be any other elastic body such as a resin or a sponge.
It is to be noted that a controller, a memory, a communication interface, a power source, a notification interface and a circuit that operates them, a cable for connection may be disposed at the measurement unit 120.
The sensor unit 130 includes an angular velocity sensor 131 configured to detect the displacement of the sensor unit 130. The angular velocity sensor 131 detects the angular displacement of the sensor unit 130. Each sensor provided in the sensor unit 130 is not limited to the angular velocity sensor 131 and may, for example, be an acceleration sensor, an angle sensor, or some other types of motion sensor, or a plurality of these sensors.
The electronic device 100 of Example 1 includes an input interface 141 on the front surface 120b side of the measurement unit 120. The input interface 141 receives operation input by the subject, and includes, for example, operation buttons (operation keys). The input interface 141 may be configured, for example, as a touch screen.
In
Referring again to
In this embodiment, the base portion 211 is formed in a substantially rectangular flat plate shape. In this specification, as illustrated in
The electronic device 100 of Example 2 measures the biological information of the subject in a state where the subject wears the electronic device 100 of Example 2 using the attaching portion 210. The biological information measured by the electronic device 100 of Example 2 is the pulse wave of the subject that can be measured by the measurement unit 220. Explanation will be given below assuming that the electronic device 100 of Example 2 is worn on the wrist of the subject to acquire the pulse wave, as an example.
The measurement unit 220 includes a body portion 221, an exterior portion 222 and a sensor unit 130. The sensor unit 130 is attached to the body portion 221. The measurement unit 220 is attached to the base portion 211 through a coupling portion 223.
The coupling portion 223 may be attached to the base portion 211 in a rotatable manner along the surface of the base portion 211. That is, in the example illustrated in
The exterior portion 222 is coupled to the coupling portion 223 on the shaft S1 passing through the coupling portion 223. The shaft S1 is a shaft extending in the x-axis direction. Thus the exterior portion 222 is coupled to the coupling portion 223, and the exterior portion 222 is displaceable relative to the coupling portion 223 along a plane that intersects the xy plane on which the base portion 211 extends. That is, the exterior portion 222 can be inclined by a predetermined angle about the shaft S1 on the xy plane on which the base portion 211 extends. For example, the exterior portion 222 can be displaced in a state where it rides on a surface such as the yz plane that is inclined at a predetermined angle relative to the xy plane. In this embodiment, the exterior portion 222 can be coupled to the coupling portion 223 rotatably about the shaft S1 on the yz plane orthogonal to the xy plane, as indicated by the arrow B in
The exterior portion 222 has a contact surface 222a that comes in contact with the wrist of the subject when the electronic device 100 of Example 2 is worn. The exterior portion 222 may have an opening 225 on the contact surface 222a side. The exterior portion 222 may be configured such that it covers the body portion 221.
The exterior portion 222 may include, in the inside space, a shaft 224 extending in the z-axis direction. The body portion 221 has a hole through which the shaft 224 passes, and the body portion 221 is attached to the space inside the exterior portion 222 with the shaft 224 passed through the hole. That is, as indicated by the arrow C in
The sensor unit 130 is attached to the body portion 221. Here, the sensor unit 130 will be described in detail below with reference to
The sensor unit 130 includes a first arm 134 and a second arm 135. The second arm 135 is fixed to the body portion 221. A lower one end 135a of the second arm 135 is connected to one end 134a of the first arm 134. The first arm 134 is connected to the second arm 135 in such a manner that the other end 134b side is rotatable about one end 134a on the yz plane, as indicated by the arrow E in
The other end 134b side of the first arm 134 is connected to the upper other end 135b side of the second arm 135 through the elastic body 140. In a state where the elastic body 140 is not compressed, the first arm 134 is supported by the second arm 135 with the other end 134b of the sensor unit 130 protruded from the opening 225 of the exterior portion 222 to the contact surface 222a side. The elastic body 140 is, for example, a spring. However, the elastic body 140 is not limited to a spring, and may be any other elastic body such as a resin or a sponge. Further, instead of the elastic body 140 or together with the elastic body 140, a biasing mechanism such as a torsion coil spring may be provided to a rotary shaft S2 of the first arm 134 so that the pulse pad 132 of the first arm 134 is brought into contact with the measured part, which is an object to be measured of the pulse wave of the blood of the subject.
The pulse pad 132 is coupled to the other end 134b of the first arm 134. When the electronic device 100 of Example 2 is worn, the pulse pad 132 is a portion that is brought into contact with a measured part, that is, an object to be measured of the pulse wave of the blood of the subject. In this embodiment, the pulse pad 132 is in contact with a position where the ulnar artery or the radial artery exists, for example. The pulse pad 132 may be made of a material that does not easily absorb changes in the body surface due to the pulse of the subject. The pulse pad 132 may be made of a material that does not easily cause the subject to feel pain when being in contact with the subject. For example, the pulse pad 132 may be formed of a cloth bag or the like in which beads are packed. The pulse pad 132 may be configured to be attachable to/detachable from the first arm 134, for example. For example, the subject may attach one pulse pad 132 of a plurality of pulse pads 132 having a variety of sizes and/or shapes to the first arm 134 according to the size and/or the shape of his/her wrist. In this manner, the subject can use the pulse pad 132 that fits the size and/or the shape of his/her wrist.
The sensor unit 130 includes an angular velocity sensor 131 configured to detect displacement of the first arm 134. It is sufficient for the angular velocity sensor 131 to detect the angular displacement of the first arm 134. The sensor unit 130 is not limited to the angular velocity sensor 131, and may be an acceleration sensor, an angular sensor and other motion sensors, for example.
As illustrated in
As illustrated in
The fixing portion 212 is fixed to the base portion 211. The fixing portion 212 may include a fixing mechanism that fixes the attaching portion 210. The attaching portion 210 may include therein various functions used by the electronic device 100 of Example 2 to measure the pulse wave. For example, the fixing portion 212 may include an input interface, a controller, a power source, a memory, a communication interface, a notification interface and a circuit that operates them, a cable for connection and the like.
The attaching portion 210 is a mechanism used by the subject to secure his/her wrist to the electronic device 100 of Example 2. In the example illustrated in
Next, movement of the movable portion of the electronic device 100 of Example 2 when the electronic device 100 of Example 2 is worn will be described.
When wearing the electronic device 100 of Example 2, the subject passes his/her wrist through the space formed by the attaching portion 210, the base portion 211 and the measurement unit 220 along the x-axis, as described above. At this time, since the measurement unit 220 is configured rotatably in the direction of the arrow A in
The subject passes his/her wrist through the space formed by the attaching portion 210, the base portion 211 and the measurement unit 220, and brings the pulse pad 132 into contact with the skin over the radial artery of his/her wrist. Here, since the body portion 221 is configured displaceably in the direction of the arrow D in
Here, when the pulse pad 132 is in contact with the skin over the radial artery in the direction orthogonal to the skin surface, the pulsation transmitted to the first arm 134 is increased. That is, when the displacement direction of the pulse pad 132 (the direction indicated by the arrow E in
After bringing the pulse pad 132 to be in contact with the skin over the radial artery of his/her wrist, as illustrated in
The rotation direction of the exterior portion 222 (the direction indicated by the arrow B) and the rotation direction of the first arm 134 (the direction indicated by the arrow E) may be substantially parallel to each other. The closer the rotation direction of the exterior portion 222 and the rotation direction of the first arm 134 are parallel, when the upper end side of the exterior portion 222 is displaced in the y-axis negative direction, the elastic force of the elastic body 140 is efficiently applied to the first arm 134. It is to be noted that the range where the rotation direction of the exterior portion 222 and the rotation direction of the first arm 134 are substantially parallel includes the range that the elastic force of the elastic body 140 is applied to the first arm 134 when the upper end side of the exterior portion 222 is displaced in the y-axis negative direction.
Here, the front side surface 222b of the exterior portion 222 illustrated in
Furthermore, as illustrated in
In this embodiment, as illustrated in
The subject wears the electronic device 100 of Example 2 on his/her wrist by pulling the other end 210b of the attaching portion 210 and in that state fixing the attaching portion 210 to the fixing mechanism of the fixing portion 212. In a state thus attached to the wrist, the first arm 134 is displaced in the direction indicated by the arrow E according to the change in the pulsation, thus the electronic device 100 of Example 2 can measure the pulse wave of the subject.
The above described electronic devices 100 according to Example 1 and Example 2 are merely examples of a configuration of the electronic device 100. Accordingly, the electronic device 100 is not limited to those described as Example 1 and Example 2. The electronic device 100 may only have a configuration capable of measuring the pulse wave of the subject.
The sensor unit 130 includes the angular velocity sensor 131 and acquires the pulse wave by detecting pulsation from the measured part.
The controller 143 is a processor configured to control and manage the whole electronic device 100 including each function block of the electronic device 100. The controller 143 is also a processor configured to estimate the blood glucose level of the subject from the acquired pulse wave. The controller 143 includes a processor such as a Central Processing Unit (CPU) that executes a program of defining control procedures and a program of estimating the blood glucose level of the subject. These programs are stored in a storage medium such as the memory 145, for example. The controller 143 also estimates the state relating to the glucose or lipid metabolism of the subject based on the index calculated from the pulse wave. The controller 143 may notify data to the notification interface 147.
The power source 144 includes, for example, a lithium-ion battery and a control circuit for charging and discharging the lithium-ion battery, and supplies power to the whole electronic device 100. The power source 144 is not limited to a secondary battery such as a lithium-ion battery or the like, and may be a primary battery such as a button battery or the like.
The memory 145 stores programs and data. The memory 145 may include a semiconductor storage medium and a non-transitory storage medium such as a magnetic storage medium. The memory 145 may include a plurality of types of storage media. The memory 145 may include a combination of a portable storage medium, such as a memory card, an optical disc, or a magneto-optical disc, and an apparatus for reading the storage medium. The memory 145 may include a storage device used as a temporal storage area, such as random access memory (RAM). The memory 145 stores a variety of information and programs for causing the electronic device 100 to operate, or the like, and also acts as a working memory. The memory 145 may, for example, store the measurement result of the pulse wave acquired by the sensor unit 130.
The communication interface 146 transmits and receives a variety of data through wired or wireless communication with an external apparatus. For example, the communication interface 146 communicates with an external apparatus that stores the biological information of the subject to manage the health condition. The communication interface 146 transmits the measurement result of the pulse wave measured by the electronic device 100 and the health condition estimated by the electronic device 100 to the external apparatus.
The notification interface 147 notifies information by sound, vibration, images, or the like. The notification interface 147 may include a speaker, a vibrator, and a display device. The display device may, for example, be a liquid crystal display (LCD), an organic electro-luminescence display (OELD), or an inorganic electro-luminescence display (IELD), and the like. In an embodiment, for example, the notification interface 147 provides notification of the state of the glucose metabolism or lipid metabolism of the subject.
The electronic device 100 according to an embodiment estimates a state of glucose metabolism. In an embodiment, the electronic device 100 estimates the blood glucose level as a state of glucose metabolism.
The electronic device 100 estimates the blood glucose level of the subject using an estimation formula created by regression analysis, for example. The electronic device 100 stores, in advance, estimation formulas for estimating the blood glucose level based on the pulse wave in the memory 145, for example. The electronic device 100 estimates the blood glucose level using these estimation formulas. In this embodiment, the electronic device 100 estimates the amount of change in the blood glucose level of the subject due to meal using an estimation formula created by regression analysis. The amount of change in the blood glucose level due to meal is, for example, an amount of change in the blood glucose level before and after meal. Then, the electronic device 100 estimates the postprandial blood glucose level of the subject based on the input preprandial blood glucose level of the subject and the estimated amount of change in the blood glucose level. For example, the electronic device 100 estimates the postprandial blood glucose level of the subject by taking the sum of the input preprandial blood glucose level of the subject and the estimated amount of change in the blood glucose level.
Here, the estimation theory relating to estimation of the blood glucose level based on the pulse wave is described. As a result of an increase in the blood glucose level after meal, the blood fluidity is reduced (viscosity is increased), blood vessels dilate, and the amount of circulating blood is increased. Vascular dynamics and hemodynamics are determined so as to balance these states. The reduction in blood fluidity is caused, for example, by an increase in the viscosity of blood plasma or a reduction in the deformability of red blood cells. Further, dilation of blood vessels is caused by secretion of insulin, secretion of digestive hormones, a rise in body temperature, and the like. When blood vessels dilate, pulse rate is increased to suppress a reduction in blood pressure. Further, the increase in the amount of circulating blood compensates for blood consumption for digestion and absorption. Changes in vascular dynamics and hemodynamics before and after meal due to these factors are also reflected in the pulse wave. In this manner, the blood pressure level and the pulse wave change before and after meals. Therefore, the electronic device 100 can estimate the blood pressure level based on the pulse wave.
Estimation formulas for estimating the amount of change in the blood glucose level due to meal based on the above described estimation theory can be created by performing regression analysis based on the sample data of the preprandial blood glucose level and the postprandial pulse wave and blood glucose level acquired from a plurality of subjects. At the time of estimation, the amount of change in the blood glucose level of the subject can be estimated by applying the created estimation formulas to the index based on the pulse wave of the subject. In creation of an estimation formula, in particular, the amount of change in the blood glucose level of the subject, which is an object to be tested, can be estimated by creating an estimation formula by performing regression analysis using sample data in which variation of the amount of change of the blood glucose level is close to the normal distribution. An estimation formula may be created by the Partial Least Squares (PLS) regression analysis, for example. In the PLS regression analysis, the regression coefficient matrix is calculated using the covariance between the objective variable (feature quantity to be estimated) and the explanatory variable (feature quantity to be used for estimation), and by performing multiple regression analysis by adding to the variables in order from the component with the highest correlation between the variables.
Herein, preprandial refers to before the subject has a meal, that is, when the subject is fasting, for example. Herein postprandial refers to after the subject has a meal, that is, the time in the predetermined hours after a meal when the effect of the meal is reflected in the blood. As described in this embodiment, when the electronic device 100 estimates the blood glucose level, the postprandial refers to the time when the blood glucose level rises (for example, approximately one hour after the start of the meal).
The rising index S1 is derived based on the waveform indicated in the area D1 in
AI is an index represented as the ratio between the magnitude of the forward wave and the reflected wave of the pulse wave. A derivative method of AI will be described with reference to
Propagation of the pulse wave is a phenomenon in which pulsation due to blood pumped from the heart is transmitted through artery walls or blood. The pulsation due to blood pumped from the heart reaches the peripheries of limbs as a forward wave, a portion of which is reflected at locations such as where a blood vessel branches, or where the diameter of a blood vessel changes, and returns as a reflected wave. The AI is the result of dividing the magnitude of the reflected wave by the magnitude of the forward wave and is represented as AIn=(PRn−PSn)/(PFn−PSn). Here, the AIn is the AI for each pulse. The AI may, for example, be calculated by measuring the pulse wave for several seconds and calculating the average AIave of the AIn (n=an integer from 1 to n) for each pulse beat. The AI is derived from the waveform indicated in area D2 in
The pulse rate PR is derived based on the period TPR of the pulse wave illustrated in
The electronic device 100 can estimate the blood glucose level by an estimation formula created based on the age, the rising index S1, the AI and the pulse rate PR.
The electronic device 100 estimates the blood glucose level of the subject using an estimation formula and based on the above described rising index S1, AI, pulse rate PR, Fourier coefficients and the like.
Here, a method of creating an estimation formula used in the case where the electronic device 100 estimates the amount of change in the blood glucose level of the subject will be described. The estimation formula may not be created by the electronic device 100, and may be created in advance using another computer or the like. Herein the device that creates an estimation formula is referred to as an estimation formula creation apparatus. The created estimation formula is, for example, stored in the memory 145 in advance, before the subject estimates the blood glucose level using the electronic device 100.
In creation of an estimation formula, first, the information on the preprandial blood glucose level of the subject measured by a blood glucose meter is input into the estimation formula creation apparatus (step S101).
Further, the information on the postprandial blood glucose level of the subject measured by a blood glucose meter and the information on the postprandial pulse wave of the subject measured by a pulse wave meter are input to the estimation formula creation apparatus (step S102). The blood glucose levels input in steps S101 and S102 are measured by a blood glucose meter by collecting a blood sample. In step S101 or S102, the age of the subject of each sample data may also be input.
The estimation formula creation apparatus determines whether the number of samples in the sample data input in steps S101 and S102 is equal to or greater than the number of samples, N, that is sufficient for performing the regression analysis (step S103). The number of samples, N, may be determined as appropriate, and may be 100, for example. When determining that the number of samples is smaller than N (in the case of “No”), the estimation formula creation apparatus repeats steps S101 and S102 until the number of samples becomes equal to or greater than N. On the other hand, when determining that the number of samples is greater than or equal to N (in the case of “Yes”), the estimation formula creation apparatus proceeds the step to S104 and calculates the estimation formula.
During calculation of the estimation formula, the estimation formula creation apparatus analyzes the input postprandial pulse wave (step S104). In this embodiment, the estimation formula creation apparatus analyzes the postprandial pulse wave rising index S1, AI and pulse rate PR. The estimation formula creation apparatus may perform FFT analysis as an analysis of the pulse wave.
Then the estimation formula creation apparatus performs regression analysis (step S105). The objective variable in the regression analysis is the amount of change in the blood glucose level due to meal. The amount of change in the blood glucose level, which is an objective variable, is a difference between the postprandial blood glucose level and the preprandial blood glucose level. Further, the explanatory variables in the regression analysis are, for example, the age input in step S101 or S102, and the postprandial pulse wave rising index S1, the AI, and the pulse rate PR analyzed in step S104. It is to be noted that, when the estimation formula creation apparatus performs FFT analysis in step S104, the explanatory variable may be Fourier coefficients calculated as a result of FFT analysis, for example.
The estimation formula creation apparatus creates an estimation formula for estimating the amount of change in the blood glucose level due to meal based on the result of the regression analysis (step S106).
It is to be noted that an estimation formula does not necessarily have to be created by the PLS regression analysis. An estimation formula may be created by using other techniques. For example, an estimation formula may be created by the neural network regression analysis.
Next, an example of an estimation flow of the blood glucose level of the subject using an estimation formula will be described.
First, the electronic device 100 inputs an age of the subject based on the operation of the input interface 141 by the subject (step S201).
The electronic device 100 inputs the preprandial blood glucose level of the subject based on the operation of the input interface 141 by the subject (step S202). Here, the preprandial blood glucose level of the subject to be input may be a value measured by using a blood glucose meter, for example. The subject does not need to measure the preprandial blood glucose level each time the electronic device 100 performs estimation processing of the blood glucose level. The subject may input a preprandial blood glucose level measured in the past, for example. The electronic device 100 may store the blood glucose level input by the subject and execute the flow by using the stored blood glucose level. In this case, when the subject inputs a new blood glucose level, the electronic device 100 may update the stored blood glucose level with the input new blood glucose level.
The electronic device 100 measures the postprandial pulse wave of the subject based on the operation by the subject (step S203).
The electronic device 100 analyzes the measured pulse wave (step S204). Specifically, the electronic device 100 analyzes the rising index S1, the AI and the pulse rate PR of the measured pulse wave.
The electronic device 100 applies the age of the subject whose input is accepted in step S201, and the rising index S1, the AI and the pulse rate PR analyzed in step S204 to an estimation formula and estimates the amount of change in the blood glucose level of the subject due to meal (step S205).
The electronic device 100 estimates the postprandial blood glucose level of the subject based on the preprandial blood glucose level of the subject whose input is accepted in step S202 and the amount of change in the blood glucose level estimated in step S205 (step S206). For example, the electronic device 100 can calculate the estimation value of the postprandial blood glucose level of the subject by adding the amount of change in the blood glucose level estimated in step S205 to the preprandial blood glucose level of the subject whose input is accepted in step S202. The estimated postprandial blood glucose level is notified from the notification interface 147 of the electronic device 100 to the subject, for example.
As illustrated in
As described above, according to the electronic device 100 of this embodiment, the postprandial blood glucose level of the subject can be estimated based on the amount of change in the blood glucose level and the preprandial blood glucose level of the subject. Thus, according to the electronic device 100, the postprandial blood glucose level can be estimated non-invasively in a short time. In this manner, according to the electronic device 100, the health condition of the subject can be easily estimated.
Further, the electronic device 100 uses the preprandial blood glucose level of the subject for estimating the postprandial blood glucose level. Thus, in the electronic device 100, the blood glucose level specific to each subject is reflected in the preprandial blood glucose level of the subject. Thus, according to the electronic device 100, the postprandial blood glucose level according to each subject can be more accurately estimated.
It is to be noted that the electronic device 100 may estimate not only the postprandial blood glucose level but also estimate the blood glucose level of the subject at any timing. The electronic device 100 can also estimate the blood glucose level at any timing non-invasively in a short time.
The estimation method of the postprandial blood glucose level by the electronic device 100 is not limited to the above described method. For example, when estimating the postprandial blood glucose level of the subject, the electronic device 100 may select one estimation formula from a plurality of estimation formulas, and estimate the amount of change in the blood glucose level of the subject using the selected estimation formula. In this case, estimation formulas are created in advance.
For example, estimation formulas may be created according to the content of the meal. The content of the meal may include, for example, the amount and the quality of the meal. The amount of the meal may include, for example, the weight of the meal. The quality of the meal may include, for example, the menu, the material (food) and the cooking method and the like.
The content of the meal may be classified into some categories. For example, the content of the meal may be classified into categories such as noodles, set meal, bowl and the like. The number of estimation formulas may be the same as that of the classified categories of the content of the meal, for example. That is, when the content of the meal is classified into three categories, for example, an estimation formula may be created corresponding to each category. In this case, the number of estimation formulas created is three. The electronic device 100 estimates the amount of change in the blood glucose level using an estimation formula, out of a plurality of estimation formulas, corresponding to the content of the meal of the subject.
Here, an example of an estimation flow of the blood glucose level of the subject using an estimation formula when a plurality of estimation formulas are created will be described.
The electronic device 100 inputs the age of the subject based on the operation of the input interface 141 by the subject (step S301).
The electronic device 100 inputs the preprandial blood glucose level of the subject based on the operation of the input interface 141 by the subject (step S302).
The electronic device 100 inputs the content of the meal based on the operation of the input interface 141 by the subject (step S303). The electronic device 100 can accept the input of the content of the meal from the subject in a variety of manners. For example, when the electronic device 100 has a display device, the display device displays the content of the meal (e.g. category) that can be selected by the subject. Thus the electronic device 100 allows the subject to select a meal, among the meals displayed, that is closest to the meal the subject is going to eat or ate, and thus may accept an input. For example, the electronic device 100 may accept an input by allowing the subject to describe a content of the meal using the input interface 141. For example, when the electronic device 100 has an imaging unit such as a camera and the like, it may accept an input by allowing the subject to photograph the meal that he/she is going to eat by using the imaging unit. In this case, the electronic device 100 may estimate the content of the meal by analyzing an accepted image, for example.
The electronic device 100 measures the postprandial pulse wave of the subject based on the operation by the subject (step S304).
The electronic device 100 analyzes the measured pulse wave (step S305). Specifically, the electronic device 100 also analyzes the rising index S1, the AI and the pulse rate PR relating to the measured pulse wave, for example.
The electronic device 100 selects one estimation formula from a plurality of estimation formulas based on the content of the meal accepted in step S303 (step S306). The electronic device 100 selects an estimation formula corresponding to a category that is closest to the content of the meal input, for example.
The electronic device 100 applies the age of the subject whose input is accepted in step S301 and the rising index S1, the AI and the pulse rate PR analyzed in step S305 to the selected estimation formula to estimate the amount of change in the blood glucose level due to meal (step S307).
The electronic device 100 estimates the postprandial blood glucose level of the subject based on the preprandial blood glucose level of the subject whose input is accepted in step S302 and the amount of change in the blood glucose level estimated in step S307 (step S206). The estimated postprandial blood glucose level is notified from the notification interface 147 of the electronic device 100, for example, to the subject.
The amount of change in the blood glucose level due to meal may vary depending on the content of the meal. However, as described above, since the electronic device 100 estimates the amount of change in the blood glucose level by selecting an estimation formula that corresponds to the content of the meal, from a plurality of estimation formulas, the amount of change in the blood glucose level can be estimated more accurately according to the content of the meal. Thus, the estimation accuracy of the postprandial blood glucose level calculated by using the amount of change in the blood glucose level can be also improved.
In the first embodiment, the case where the electronic device 100 estimates the postprandial blood glucose level of the subject has been described. In the second embodiment, an example of the case where the electronic device 100 estimates the postprandial lipid level of the subject will be described. Here, the lipid level includes neutral fat, total cholesterol, HDL cholesterol, LDL cholesterol and the like. In the description of this embodiment, the same points as those described in the first embodiment will be omitted as appropriate.
The electronic device 100 previously stores estimation formulas for estimating the lipid level based on the pulse wave in the memory 145, for example. The electronic device 100 estimates the lipid level using these estimation formulas. In this embodiment, the electronic device 100 estimates the amount of change in the lipid level of the subject due to meal using an estimation formula created by regression analysis, for example. The amount of change in the lipid level due to meal is the amount of change in the lipid level before and after the meal, for example. Then the electronic device 100 estimates the postprandial lipid level of the subject based on the input preprandial lipid level of the subject and the estimated amount of change in the lipid level. For example, the electronic device 100 estimates the postprandial lipid level of the subject by taking the sum of the input preprandial lipid level of the subject and the estimated amount of change in the lipid level.
The estimation theory relating to the estimation of the lipid level based on the pulse wave is the same as that of the blood glucose level described in the first embodiment. That is, the change in the lipid level in the blood is reflected also in the waveform of the pulse wave. Thus, the electronic device 100 can acquire the pulse wave and estimate the lipid level based on the acquired pulse wave.
In creation of an estimation formula, first, the information on the preprandial lipid level of the subject measured by the lipid measuring apparatus is input to the estimation formula creation apparatus (step S401).
Further, the information on the postprandial lipid level of the subject measured by the lipid measuring apparatus and the information on the postprandial pulse wave of the subject measured by the pulse wave meter are input to the estimation formula creation apparatus (step S402). The age of the subject of each sample data may be input in steps S401 and S402.
The estimation formula creation apparatus determines whether the number of samples in the sample data input in steps S401 and S402 is equal to or greater than the number of samples, N, that is sufficient for performing the regression analysis (step S403). The number of samples, N, can be determined as appropriate, and may be 100, for example. When the estimation formula creation apparatus determines that the number of samples is less than N (in the case of “No”), it repeats steps S401 and S402 until the number of samples becomes equal to or greater than N. Conversely, when the estimation formula creation apparatus determines that the number of samples is greater than or equal to N (in the case of “Yes”), it proceeds the step to step S404 and calculates the estimation formula.
In calculation of the estimation formula, the estimation formula creation apparatus analyzes the input preprandial pulse wave (step S404). In this embodiment, the estimation formula creation apparatus analyzes the rising index S1, the AI and the pulse rate PR of the preprandial pulse wave. It is to be noted that the estimation formula creation apparatus may perform FFT analysis as a pulse wave analysis.
Then, the estimation formula creation apparatus performs the regression analysis (step S405). An objective variable in the regression analysis is an amount of change in the lipid level due to meal. The amount of change in the lipid level, which is an objective variable, is a difference between the postprandial lipid level and the preprandial lipid level. Further, the explanatory variables in the regression analysis are, for example, the age input in step S401 or S402, the rising index S1, the AI and the pulse rate PR of the postprandial pulse wave analyzed in step S404. It is to be noted that, when the estimation formula creation apparatus performs FFT analysis in step S404, the explanatory variable may be Fourier coefficients calculated as a result of FFT analysis, for example.
The estimation formula creation apparatus creates an estimation formula for estimating the amount of change in the lipid level due to meal based on the result of the regression analysis (step S406).
Next, a flow for estimating the lipid level of the subject using an estimation formula will be described.
First, the electronic device 100 inputs an age of the subject based on the operation of the input interface 141 by the subject (step S501).
The electronic device 100 inputs the preprandial lipid level of the subject based on the operation of the input interface 141 by the subject (step S502). Here, the preprandial lipid level of the subject to be input may be a value measured by using a lipid measurement apparatus, for example. It is not necessary for the subject to measure the preprandial lipid level each time the electronic device 100 performs the estimation processing of the lipid level. The subject may input the preprandial lipid level measured in the past, for example. The electronic device 100 may store the lipid level input by the subject, and may execute this flow using the stored lipid level. In this case, when the subject inputs a new lipid level, for example, the electronic device 100 may update the stored lipid level with the input new lipid level.
The electronic device 100 measures the postprandial pulse wave of the subject based on the operation by the subject (step S503).
The electronic device 100 analyzes the measured pulse wave (step S504). Specifically, the electronic device 100 analyzes the rising index S1 the AI and the pulse rate PR relating to the measured pulse wave, for example.
The electronic device 100 applies the age of the subject whose input is accepted in step S501 and the rising index S1, the AI and the pulse rate PR analyzed in the step S504 to the estimation formula to estimate the amount of change in the lipid level of the subject due to meal (step S505).
The electronic device 100 estimates the postprandial lipid level of the subject based on the preprandial lipid level of the subject whose input is accepted in step S502 and the amount of change in the lipid level estimated in step S505 (step S506). For example, the electronic device 100 can calculate the postprandial lipid estimation value of the subject by adding the amount of change in the lipid level estimated in step S505 to the preprandial lipid level of the subject whose input is accepted in step S202. The estimated postprandial lipid level is notified from the notification interface 147 of the electronic device 100 to the subject, for example.
As described above, according to the electronic device 100 of this embodiment, the postprandial lipid level of the subject can be estimated based on the estimated amount of change in the lipid level and the preprandial lipid level of the subject. Thus, according to the electronic device 100, the postprandial lipid level can be estimated non-invasively in a short time. Further, the electronic device 100 uses the preprandial lipid level of the subject for estimating the postprandial lipid level. Thus, in the electronic device 100, the state of the lipid level specific to each subject is reflected in the preprandial lipid level of the subject. Thus, according to the electronic device 100, the postprandial lipid level corresponding to each subject can be estimated more accurately.
Also in the case where the lipid level is estimated, as in the example of the case where the blood glucose level is estimated, one estimation formula is selected from a plurality of estimation formulas, and the lipid level may be estimated using the selected estimation formula.
In the above described embodiment, an example of the case where estimations of the blood glucose level and the lipid level are performed by the electronic device 100 has been described. However, estimations of the blood glucose level and the lipid level may not necessarily be performed by the electronic device 100. An example of the case where estimations of the blood glucose level and the lipid level are performed by an apparatus other than the electronic device 100 will be described.
In the system according to this embodiment, the electronic device 100 and the mobile terminal 150 are connected over the communication network through the information processor 151. However, the system according to this disclosure is not limited to the above described configuration. The electronic device 100 and the mobile terminal 150 may be connected directly over the communication network without use of the information processor 151.
In order to completely and clearly disclose this disclosure, characteristic examples have been described. However, the appended claims are not limited to the above embodiments and are to be constructed as embodying all of the possible modifications and alternate configurations that a person of ordinary skill in the art could have created within the scope of the fundamental features indicated in this specification.
For example, in the above described embodiments, the case where the sensor unit 130 is provided with the angular velocity sensor 131 has been described. However, the electronic device 100 according to this disclosure is not limited thereto. The sensor unit 130 may be provided with an optical pulse wave sensor constituted by a light emitting portion and a light receiving portion or may be provided with a pressure sensor. Further, the electronic device 100 is not limited to be worn on the wrist. It suffices for the sensor unit 130 to be placed on an artery, such as on the neck, ankle, thigh, ear, or the like.
Further, for example, in the above described embodiments, although the explanatory variables of the regression analysis have been described as being the age, the rising index S1, the AI and the pulse rate PR, the explanatory variables may not include all of these four or may include variables other than these four. For example, the explanatory variables may include a gender or an index determined based on a velocity pulse wave derived by differentiating a gender or a pulse wave once. For example, the explanatory variables may include an index determined based on the pulse. The index determined based on the pulse may include, for example, the ejection time (ET) or the time DWt from the ventricular ejection to the dicrotic wave (DW) illustrated as an example in
In the above described embodiments, it has been described that an estimation formula is created by using the postprandial pulse wave of the subject and the preprandial and postprandial blood glucose level or lipid level of the subject. Here, the subject may be a subject that causes the electronic device 100 to estimate the blood glucose level or the lipid level. That is, in this case, the estimation formula is created by using the postprandial pulse wave of the subject and the preprandial and postprandial blood glucose level or lipid level of the subject.
Number | Date | Country | Kind |
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2018-030115 | Feb 2018 | JP | national |
This application is a Continuation of U.S. patent application Ser. No. 16/968,773 filed Aug. 10, 2020, which is the U.S. National Stage of International Application No. PCT/JP2019/003866 filed Feb. 4, 2019, which claims priority to and benefit of Japanese Patent Application No. 2018-030115 filed on Feb. 22, 2018, the entire contents of which are incorporated herein by reference.
Number | Date | Country | |
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Parent | 16968773 | Aug 2020 | US |
Child | 18808500 | US |