Health management apparatus, health management system, health management method and computer program product

• US 20060200011A1
• Filed: 02/02/2006
• Published: 09/07/2006
• Est. Priority Date: 02/03/2005
• Status: Abandoned Application

• Current Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Original Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Inventors: Moriya, Akihisa, Suzuki, Takuji, Ouchi, Kazushige, Kameyama, Kenichi
• Application Number:
  US11/345,292
• Publication Number:
  US 20060200011A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4035 Evaluating the autonomic nervous system
• CPC Class Codes: A61B 5/4809 Sleep detection, i.e. determining whether a subject is asleep or not
• CPC Class Codes: A61B 5/4812 Detecting sleep stages or cycles
• CPC Class Codes: A61B 5/4818 Sleep apnoea

Abstract

A health management apparatus includes a first pulse wave measuring unit that measures a first pulse wave of a subject during sleep; and a second pulse wave measuring unit that measures a second pulse wave of the subject during sleep. The second pulse wave is different from the first pulse wave in propagation time from the heart of the subject. The apparatus also includes a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the first and second pulse waves; a pulse interval calculating unit that calculates a pulse interval based on at least one of the first and second pulse waves; an autonomic nerve index calculating unit that calculates an autonomic nerve index based on the pulse transmission time and the pulse interval; and a health determining unit that determines the condition of health of the subject based on the autonomic nerve index.

Claims

1. A health management apparatus comprising:

a first pulse wave measuring unit that measures a first pulse wave of a subject during sleep;

a second pulse wave measuring unit that measures a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the first pulse wave and the second pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index.

2. The health management apparatus according to claim 1, further comprising a health output unit that outputs the condition of health.

3. The health management apparatus according to claim 1, wherein the health determining unit determines a sleep state based on the autonomic nerve index.

4. The health management apparatus according to claim 3, wherein the health determining unit determines whether the sleep is REM sleep or non-REM sleep based on the autonomic nerve index.

5. The health management apparatus according to claim 1, wherein the autonomic nerve index calculating unit calculates the autonomic nerve index in a low-frequency region based on the pulse transmission time.

6. The health management apparatus according to claim 1, further comprising a pressure sensor that detects pressure from the body weight of the subject,

wherein the first pulse wave measuring unit measures the first pulse wave based on the pressure detected by the pressure sensor.

7. A health management apparatus comprising:

a first pulse wave measuring unit that measures a first pulse wave of a subject during sleep;

a second pulse wave measuring unit that measures a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the first pulse wave and the second pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval;

a blood pressure value calculating unit that calculates a blood pressure value based on the pulse transmission time; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index and the blood pressure value.

8. The health management apparatus according to claim 7, further comprising:

a blood pressure variability pattern storing unit that stores a blood pressure variability pattern indicating a time variation in blood pressure during sleep; and

a pattern comparing unit that compares the time variation in blood pressure during sleep with the blood pressure variability pattern,

wherein the health determining unit determines the condition of health of the subject based on the comparison result.

9. The health management apparatus according to claim 8, further comprising a sleep determining unit that determines whether the sleep is REM sleep or non-REM sleep based on the autonomic nerve index,

wherein the pattern comparing unit compares the time variation in blood pressure during sleep with the blood pressure variability pattern, the blood pressure during sleep being obtained when the sleep determining unit detects REM sleep.

10. The health management apparatus according to claim 7, further comprising a basal blood pressure determining unit that determines a basal blood pressure to be a minimum value in the time variation of the blood pressure value,

wherein the health determining unit determines the condition of health based on the basal blood pressure.

11. The health management apparatus according to claim 7, further comprising:

a sleep determining unit that determines whether the sleep is REM sleep or non-REM sleep based on the autonomic nerve index; and

a basal blood pressure determining unit that determines a basal blood pressure to be a minimum value of the blood pressure obtained when the sleep determining unit detects REM sleep,

wherein the health determining unit determines the condition of health based on the basal blood pressure.

12. The health management apparatus according to claim 10, further comprising:

a wake-up determining unit that determines whether the subject has woken up based on the autonomic nerve index; and

a wake-up time blood pressure increase rate calculating unit that calculates a blood pressure increase rate from the basal blood pressure to the blood pressure value obtained when the subject is determined to has waken up,

wherein the health determining unit determines the condition of health of the subject based on the blood pressure increase rate.

13. The health management apparatus according to claim 11, further comprising:

a wake-up determining unit that determines whether the subject has woken up based on the autonomic nerve index; and

a wake-up time blood pressure increase rate calculating unit that calculates a blood pressure increase rate from the basal blood pressure to the blood pressure value obtained when the subject is determined to has waken up,

wherein the health determining unit determines the condition of health of the subject based on the blood pressure increase rate.

14. The health management apparatus according to claim 10, further comprising:

a sleep determining unit that determines whether the sleep is REM sleep or non-REM sleep based on the autonomic nerve index; and

an early-morning blood pressure increase rate calculating unit that calculates a blood pressure increase rate from the basal blood pressure to the blood pressure value obtained when the last non-REM sleep during the sleep is detected,

wherein the health determining unit determines the condition of health of the subject based on the blood pressure increase rate.

15. The health management apparatus according to claim 7, further comprising a pulse transmission time variation measuring unit that measures a variation in a predetermined period of time within the pulse transmission time,

wherein the health determining unit determines the condition of health of the subject based on a result of the measurement by the pulse transmission time variation measuring unit.

16. The health management apparatus according to claim 7, further comprising a pressure sensor that detects pressure from the body weight of the subject,

wherein the first pulse wave measuring unit measures the first pulse wave based on the pressure detected by the pressure sensor.

17. A health management apparatus comprising:

an electrocardiogram activity measuring unit that measures the degree of an electrocardiogram activity of a subject during sleep;

a first pulse wave measuring unit that measures a first pulse wave of the subject during sleep;

a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the electrocardiogram activity and the first pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the degree of the electrocardiogram activity and the first pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index.

18. A health management apparatus comprising:

an electrocardiogram activity measuring unit that measures the degree of an electrocardiogram activity of a subject during sleep;

a first pulse wave measuring unit that measures a first pulse wave of the subject during sleep;

a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the electrocardiogram activity and the first pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the degree of the electrocardiogram activity and the first pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval;

a blood pressure value calculating unit that calculates a blood pressure value based on the pulse transmission time; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index and the blood pressure value.

19. A health management system comprising a health management main apparatus and a health management sub apparatus that manage the condition of health of a subject,

the health management sub apparatus comprising:

a first pulse wave measuring unit that measures a first pulse wave of the subject during sleep; and

a transmission unit that transmits the first pulse wave to the health management main apparatus,

the health management main apparatus comprising;

a reception unit that receives the first pulse wave from the health management sub apparatus;

a second pulse wave measuring unit that measures a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

a pulse transmission time calculating unit that calculates a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the first pulse wave and the second pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index.

20. A health management system comprising a health management main apparatus and a health management sub apparatus that manage the condition of health of a subject,

the health management sub apparatus comprising:

a first pulse wave measuring unit that measures a first pulse wave of the subject during sleep; and

a transmission unit that transmits the first pulse wave to the health management main apparatus,

the health management main apparatus comprising;

a reception unit that receives the first pulse wave from the health management sub apparatus;

a second pulse wave measuring unit that measures a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

a pulse transmission time calculating unit that calculates a pulse transmission time that is the time difference between the first pulse wave and the second pulse wave;

a pulse interval calculating unit that calculates a pulse interval based on at least one of the first pulse wave and the second pulse wave;

an autonomic nerve index calculating unit that calculates an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval;

a blood pressure value calculating unit that calculates a blood pressure value, based on the pulse transmission time; and

a health determining unit that determines the condition of health of the subject based on the autonomic nerve index and the blood pressure value.

21. A health management method comprising:

measuring a first pulse wave of a subject during sleep;

measuring a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

calculating a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

calculating a pulse interval, based on at least one of the first pulse wave and the second pulse wave;

calculating an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval; and

determining the condition of health of the subject, based on the autonomic nerve index.

22. A health management method comprising:

measuring a first pulse wave of a subject during sleep;

measuring a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

calculating a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

calculating a pulse interval based on at least one of the first pulse wave and the second pulse wave;

calculating an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval;

calculating a blood pressure value, based on the pulse transmission time; and

determining the condition of health of the subject, based on the autonomic nerve index and the blood pressure value.

23. A computer program product having a computer readable medium including programmed instructions for managing health, wherein the instructions, when executed by a computer, cause the computer to perform:

measuring a first pulse wave of a subject during sleep;

measuring a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

calculating a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

calculating a pulse interval, based on at least one of the first pulse wave and the second pulse wave;

calculating an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval; and

determining the condition of health of the subject, based on the autonomic nerve index.

24. A computer program product having a computer readable medium including programmed instructions for managing health, wherein the instructions, when executed by a computer, cause the computer to perform:

measuring a first pulse wave of a subject during sleep;

measuring a second pulse wave of the subject during sleep, the second pulse wave being different from the first pulse wave in propagation time from the heart of the subject;

calculating a pulse transmission time indicating a time difference between the first pulse wave and the second pulse wave;

calculating a pulse interval based on at least one of the first pulse wave and the second pulse wave;

calculating an autonomic nerve index indicating an autonomic nerve activity of the subject based on the pulse transmission time and the pulse interval;

calculating a blood pressure value, based on the pulse transmission time; and

determining the condition of health of the subject, based on the autonomic nerve index and the blood pressure value.