WO1999055431A1 - Exercise machine attached to a computer - Google Patents

Exercise machine attached to a computer Download PDF

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Publication number
WO1999055431A1
WO1999055431A1 PCT/DE1999/001250 DE9901250W WO9955431A1 WO 1999055431 A1 WO1999055431 A1 WO 1999055431A1 DE 9901250 W DE9901250 W DE 9901250W WO 9955431 A1 WO9955431 A1 WO 9955431A1
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WO
WIPO (PCT)
Prior art keywords
computer
ergometer
obesity
patient
training
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PCT/DE1999/001250
Other languages
German (de)
French (fr)
Other versions
WO1999055431A8 (en
Inventor
Wolfgang Siegfried
Original Assignee
Wolfgang Siegfried
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Wolfgang Siegfried filed Critical Wolfgang Siegfried
Priority to EP99929038A priority Critical patent/EP1075318A1/en
Publication of WO1999055431A1 publication Critical patent/WO1999055431A1/en
Publication of WO1999055431A8 publication Critical patent/WO1999055431A8/en

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Classifications

    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0003—Analysing the course of a movement or motion sequences during an exercise or trainings sequence, e.g. swing for golf or tennis
    • A63B24/0006—Computerised comparison for qualitative assessment of motion sequences or the course of a movement
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062—Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0003—Analysing the course of a movement or motion sequences during an exercise or trainings sequence, e.g. swing for golf or tennis
    • A63B24/0006—Computerised comparison for qualitative assessment of motion sequences or the course of a movement
    • A63B2024/0009—Computerised real time comparison with previous movements or motion sequences of the user
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B24/00—Electric or electronic controls for exercising apparatus of preceding groups; Controlling or monitoring of exercises, sportive games, training or athletic performances
    • A63B24/0062—Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
    • A63B2024/0068—Comparison to target or threshold, previous performance or not real time comparison to other individuals
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2230/00—Measuring physiological parameters of the user
    • A63B2230/01—User's weight
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B2230/00—Measuring physiological parameters of the user
    • A63B2230/04—Measuring physiological parameters of the user heartbeat characteristics, e.g. ECG, blood pressure modulations

Definitions

  • Obesity or obesity is an increasing problem of the western industrial countries with more than 20% of those affected in the population of the USA and Germany and thus represents the most important and most common preliminary stage of the most expensive diseases of civilization.
  • the consequential costs of obesity in Germany are currently at 43 billion DM estimated annually.
  • Obesity is mainly caused by wrong eating habits, such as excessive junk food consumption, e.g. in the form of snacks or soft drinks, as well as a lack of exercise in adolescents caused by steadily increasing TV consumption and computer games.
  • a substantial percentage of the population (approx. 40-60%) has a genetically fixed tendency to obesity, which until now can only be combated through controlled energy intake and increased energy consumption through physical activity.
  • a training device which has a body robbery device, for example a home bike, an ergometer for determining the work done with the body robbery device and, for example, on the legs or in the saddle of the home bike has load cells, the values of which are a computer be fed to determine the current body weight of the exerciser.
  • the training data of the ergometer are also fed to the training computer on the bicycle handlebar.
  • the object of the invention is to increase the success of the obesity treatment and at the same time to improve the quality of life and the athletic resilience of those affected.
  • the device according to the invention has a body rubbing device, an ergometer for determining the work done with the body rubbing device, an electronic balance and a separate, commercially available PC, the ergometer and the balance being connected to the computer e.g. are connected via serial or parallel or IR interfaces or a game port. Furthermore, a program installed on the computer can be provided on CD-ROM, which has the properties of a computer game and a Tamagochi. The display of current performance and pulse rate as well as the training and weight balance can be done numerically and graphically on a screen and can also be printed out.
  • the ergometer can be any device for recording a job, in particular a bicycle ergometer or an actimeter (step counter).
  • the therapeutic measures for successful obesity treatment are taken.
  • the therapeutic measures relate in particular to the selection and composition of the food supply and the physical movement of the patient with the exercise device.
  • the nutritional behavior (energy giebilanz) is recorded with the scales of the device according to the invention, the physical movement with the ergometer, pedometer or other training equipment.
  • the display can be designed in such a way that it makes it easier for the patient to act clearly.
  • the display can provide a negative feedback through images, text and / or acoustically if the specified therapeutic measures are not followed, i.e. if the patient has consumed too much food or has used the exercise device too little.
  • the meaningful combination of the performance and pulse data from the ergometer as well as the current body weight (electronic scales) in an interface, which allows the obesity therapy device to be connected to the computer (gameport) instead of a joystick, is an important inhibitory threshold-lowering property of the invention, to pick up the obesity patient from a passive occupation where he is currently sitting (in front of the computer game) without having to do much technical work.
  • the relative health risk is also recalculated for each new body weight compared to previous data and is therefore manageable.
  • a bicycle ergometer with an eddy current brake is normally used, the braking effect of which can be changed under computer control, but also reports power and cadence back to the system.
  • the exerciser's pulse rate can be measured using electrodes in the handles.
  • a rowing machine or a treadmill ergometer with computer-controlled eddy current brake or a pedometer that is carried all day and also when jogging can be used.
  • the pulse rate can also be transmitted wirelessly to the computer through a chest belt with appropriate electrodes.
  • the power pulse is calculated as a measure of the state of training, as is the case with existing training devices, stored in the computer and shown graphically over time, taking into account the current performance.
  • An electronic scale is connected to the computer via the same (serial) connection.
  • the computer program is designed so that it carries out a plausibility check during the weighing process, i.e. For example, an atypical course of the weight increase during weighing is recorded and is therefore difficult to outsmart if the screen prompts you to enter the scales and descend and the cradle signal curve is known from previous measurements (signal analysis as with speech recognition).
  • the device according to the invention preferably has a bioimpedance measuring device which can be connected to the PC of the balance.
  • the bioimpedance measuring device can be connected to the patient with foot electrodes, which can be attached to the balance, or with skin adhesive electrodes. One electrode can be attached to the foot and the other to the opposite arm of the patient.
  • the ratio of fat mass, lean mass and water content, i.e. the respective composition of the body, is calculated with the bioimpedance measuring device. A decrease in the fat mass under constant lean mass and total body cell mass indicates a reasonable training of the patient with the exercise device.
  • the work performed with the exercise device is recorded by the computer for calculating the energy consumed and can be converted into a corresponding decrease in body weight, or correspondingly during the training of the energy given off as an increasing slice of bread or a growing piece of cake.
  • the energy content of various foods is "directly experienced" for the obese for the first time.
  • the patient's personal data such as date of birth or age, gender, height, weight, illnesses, hobbies, eating habits, favorite sport and other movement, television and computer habits, are entered into the computer.
  • the individual obesity behavior profile especially energy intake and consumption
  • the program will behave differently in the patient's success and failure (non-compliance).
  • the BMI body mass index
  • the BMI body mass index
  • a BMI of 19 to 25 is considered normal, while a BMI indicates over 30 obesity and over 35 severe obesity.
  • the normal BMI is age-dependent.
  • the degree of obesity can also be displayed using normal value tables.
  • the program also provides information and behavioral tips for the most common complications of obesity, not without recommending a doctor's visit at the required point.
  • the computer can calculate the risk for various individual obesity complications (such as heart attack, apoplexy, high blood pressure, sleep apnea syndrome, tumor diseases and diabetes mellitus) be performed. According to statistical data, there is a direct connection between this risk and the extent of obesity, e.g. the BMI.
  • various individual obesity complications such as heart attack, apoplexy, high blood pressure, sleep apnea syndrome, tumor diseases and diabetes mellitus
  • the computer can, for example, also warn of a cardiac risk from the start of the obesity treatment and, based on the performance data, also prompt a later visit to the doctor.
  • certain therapy or behavioral measures are displayed which are to be carried out or avoided. For example, there are overweight people who do a lot of sport but consume too many calories every day. In such a case, the therapeutic measures that are displayed with the device according to the invention are less in high energy consumption due to the use of the exercise device, but rather, for example, more in the advice on nutritional behavior.
  • the behavioral measures for successful obesity treatment can be indicated positively or negatively with the device according to the invention.
  • a virtual landscape can be imported through which you ride a bicycle.
  • training competitors here who are known by name and who also have an obesity problem, but deal with it differently. For example, you can see or call up what the competitors did and ate on that day compared to their own daily routine and put it into positive and negative terms. This will be done by programming typical, positive and negative patient histories from the daily experience of a doctor who is intensely concerned with obesity patients.

Abstract

The invention relates to a device for treating adiposity which comprises a body exercise device and a PC. An ergometer for determining the amount of work performed with the body exercise device, a scale, and a device for measuring the pulse rate are connected to said PC. Signals for determining the amount of work are transmitted from the ergometer to the PC. The exercise data is stored by the PC and can be compared during the entire exercise time period.

Description

VORRICHTUNG ZUR ADIPOSITAS-BEHANDLUNG MIT EINEM COMPUTER ANGESCHLOSSENES KORPERUBUNGSGERATDEVICE FOR ADIPOSITAS TREATMENT WITH A COMPUTER CONNECTED BODY LUBRICATION DEVICE
Adipositas oder Fettsucht ist ein zunehmendes Problem der westlichen Industrienationen mit mehr als 20% Betroffenen m der Bevölkerung der USA und von Deutschland und stellt somit das wichtigste und häufigste Vorstadium der teuersten Zivilisationskrankheiten dar. Die Folgekosten der Adipositas werden in Deutschland derzeit auf 43 Mrd. DM jahrlich geschätzt. Übergewicht wird vor allem durch falsche Ernahrungsgewohnhei- ten, wie übermäßigen Junkfood-Konsum, z.B. in Form von Snacks oder Softdrinks, sowie Bewegungsarmut bereits bei Jugendlichen durch standig steigenden TV-Konsum und Computerspiele verursacht. Weiterhin besteht bei einem erheblichen Prozentsatz der Bevölkerung (ca. 40-60%) eine genetisch fixierte Neigung zur Adipositas, die bis jetzt nur durch kontrollierte Energiezufuhr und vermehrten Energieverbrauch durch sportliche Betätigung bekämpft werden kann.Obesity or obesity is an increasing problem of the western industrial nations with more than 20% of those affected in the population of the USA and Germany and thus represents the most important and most common preliminary stage of the most expensive diseases of civilization. The consequential costs of obesity in Germany are currently at 43 billion DM estimated annually. Obesity is mainly caused by wrong eating habits, such as excessive junk food consumption, e.g. in the form of snacks or soft drinks, as well as a lack of exercise in adolescents caused by steadily increasing TV consumption and computer games. Furthermore, a substantial percentage of the population (approx. 40-60%) has a genetically fixed tendency to obesity, which until now can only be combated through controlled energy intake and increased energy consumption through physical activity.
Besonders hohe gesundheitliche Folgekosten sind bei adiposen Jugendlichen zu befurchten, da ca. 80% von ihnen auch als Erwachsene adipos bleiben und noch früher mit teilweise invalidisierenden Folgekrankheiten oder zumindest starker Einschränkung ihrer Lebenserwartung rechnen müssen. Andererseits besteht bei Jugendlichen noch die Möglichkeit, den Lebensstil umzustellen und wieder Freude an körperlicher Aktivität gemeinsam mit Gleichaltrigen zu finden, statt in dem Teufelskreis der Adipositas einen immer passiveren Lebensstil hinzunehmen.Particularly high health follow-up costs are to be feared among obese adolescents, since approx. 80% of them remain adipose as adults and have to reckon with partially invalidating secondary illnesses or at least a severe reduction in their life expectancy even earlier. On the other hand, there is still the possibility for adolescents to change their lifestyle and to find joy in physical activity again with their peers, instead of accepting an increasingly passive lifestyle in the vicious circle of obesity.
Aus DE 196 03 237 AI ist ein Trainingsgerat bekannt, das ein Korperubungsgerat, z.B. ein Heimfahrrad, ein Ergometer zur Bestimmung der mit dem Korperubungsgerat geleisteten Arbeit und beispielsweise an den Standbeinen oder im Sattel des Heimfahrrads Wagezellen aufweist, deren Werte einem Computer zugeführt werden, um das momentane Korpergewicht des Trainierenden zu bestimmen. Dem Trainingscomputer am Fahrradlenker werden zugleich die Trainingsdaten des Ergometers zugeführt.From DE 196 03 237 AI a training device is known which has a body robbery device, for example a home bike, an ergometer for determining the work done with the body robbery device and, for example, on the legs or in the saddle of the home bike has load cells, the values of which are a computer be fed to determine the current body weight of the exerciser. The training data of the ergometer are also fed to the training computer on the bicycle handlebar.
Aufgabe der Erfindung ist es, den Erfolg der Adipositas- Behandlung zu steigern und zugleich die Lebensqualität und die sportliche Belastbarkeit der Betroffenen zu verbessern.The object of the invention is to increase the success of the obesity treatment and at the same time to improve the quality of life and the athletic resilience of those affected.
Dies wird erfindungsgemaß mit der im Anspruch 1 angegebenen Vorrichtung erreicht. Vorteilhafte Ausgestaltungen der erfin- dungsgemaßen Vorrichtung sind in den Unteranspruchen angegeben .This is achieved according to the invention with the device specified in claim 1. Advantageous refinements of the device according to the invention are specified in the subclaims.
Die erfindungsgemaße Vorrichtung weist ein Korperubungsgerat, ein Ergometer zur Bestimmung der mit dem Korperubungsgerat geleisteten Arbeit, eine elektronische Waage und einen separaten, handelsüblichen PC auf, wobei das Ergometer und die Waage an den Computer z.B. über serielle oder parallele oder IR-Schnittstellen oder einen Gameport angeschlossen sind. Ferner kann ein auf dem Computer installiertes Programm auf CD-ROM vorgesehen sein, das Eigenschaften eines Computerspiels und eines Tamagochis hat. Die Anzeige bezuglich augenblicklicher Leistung und Pulsschlag sowie der Trainings- und Gewichtsbilanz kann numerisch und graphisch auf einem Bildschirm erfolgen und kann auch ausgedruckt werden. Das Ergometer kann irgendein Gerat zur Erfassung einer geleisteten Arbeit sein, insbesondere ein Fahrradergometer oder ein Actime- ter (Schrittzahler) .The device according to the invention has a body rubbing device, an ergometer for determining the work done with the body rubbing device, an electronic balance and a separate, commercially available PC, the ergometer and the balance being connected to the computer e.g. are connected via serial or parallel or IR interfaces or a game port. Furthermore, a program installed on the computer can be provided on CD-ROM, which has the properties of a computer game and a Tamagochi. The display of current performance and pulse rate as well as the training and weight balance can be done numerically and graphically on a screen and can also be printed out. The ergometer can be any device for recording a job, in particular a bicycle ergometer or an actimeter (step counter).
In Abhängigkeit der über den Trainingszeitraum mit dem PC erhaltenen, angezeigten Daten werden die Therapiemaßnahmen für eine erfolgreiche Adipositasbehandlung getroffen. Die Therapiemaßnahmen betreffen insbesondere die Auswahl und Zusammenstellung der Nahrungszufuhr und die körperliche Bewegung des Patienten mit dem Übungsgerät. Das Ernahrungsverhalten (Ener- giebilanz) wird mit der Waage der erfindungsgemäßen Vorrichtung, die körperliche Bewegung mit dem Ergometer, Schrittzähler oder anderen Trainingsgeräten erfaßt.Depending on the data displayed over the training period with the PC, the therapeutic measures for successful obesity treatment are taken. The therapeutic measures relate in particular to the selection and composition of the food supply and the physical movement of the patient with the exercise device. The nutritional behavior (energy giebilanz) is recorded with the scales of the device according to the invention, the physical movement with the ergometer, pedometer or other training equipment.
Die Anzeige kann derart gestaltet werden, dass sie dem Patienten einsichtiges Handeln erleichtert. So kann die Anzeige durch Bilder, Text und/oder akustisch ein negatives feed back geben, wenn die vorgegebenen Therapiemaßnahmen nicht eingehalten werden, d.h. wenn der Patient zuviel Nahrung aufgenommen oder das Übungsgerät zu wenig benutzt hat.The display can be designed in such a way that it makes it easier for the patient to act clearly. The display can provide a negative feedback through images, text and / or acoustically if the specified therapeutic measures are not followed, i.e. if the patient has consumed too much food or has used the exercise device too little.
Bei Einhaltung der therapeutischen Empfehlungen wird ein positives feed back gegeben in Form von Belobigung, Freizeittips oder einer besonderen Ernährungsempfehlung bzw. -belohnung.If the therapeutic recommendations are followed, a positive feedback is given in the form of commendation, leisure tips or a special nutritional recommendation or reward.
Es ist sinnvoll, eine Adipositastherapie dort anzubieten, wo sie bei den heutigen Jugendlichen meist mitentsteht oder begünstigt wird, nämlich vor dem Bildschirm in Form eines Geräte-gekoppelten Therapieprogrammes, welches möglichst individuell auf die besonderen Bedingungen und Neigungen des Adipö- sen eingeht. Hierbei kann der Adipöse ohne jegliche Zuschauer die empfohlenen Übungen unter Kontrolle und Bestätigung des Programmes durchführen und die Empfehlungen zur Umstellung des Lebensstils erproben.It makes sense to offer obesity therapy where it is usually created or favored by today's adolescents, namely in front of the screen in the form of a device-linked therapy program that responds as individually as possible to the special conditions and tendencies of the obese. The obese can do the recommended exercises without any spectators under the control and confirmation of the program and test the recommendations for changing their lifestyle.
Die Interaktion zwischen Mensch und Computer soll bewußt Ta- magochi-ähnliche Züge bekommen, indem durch Lob und Tadel, sowie auch Erklärungen zu typischen Problemen des übergewichtigen Menschen eine Art Vertrautheit zwischen Computer und Anwender entsteht, die jetzt wiederum therapeutisch genutzt werden kann. Eine schlechte Mitarbeit bewirkt jedoch auch - ähnlich wie beim Tamagochi - dass der Computer bei häufigem Übergehen der Empfehlungen abschaltet und nicht weiter ge- spielt werden kann (bzw. er nur noch „wortkarg oder beleidigt" mit dem Anwender kommuniziert) .The interaction between man and computer should consciously take on Tamagochi-like features, in that praise and criticism, as well as explanations of typical problems of overweight people, create a kind of familiarity between computer and user, which in turn can now be used therapeutically. However, poor cooperation - similar to the Tamagochi - also causes the computer to switch off if the recommendations are frequently ignored and to stop working. can be played (or he only communicates "taciturn or insulted" with the user).
Im Idealfall wird dies erheblich zur Compliance im Trainingsprogramm beitragen und die täglichen Übungseinheiten werden gerne in den normalen Tagesablauf übernommen, da man auch auf die immer wieder überraschenden Dialoge (evtl. über Internet aktualisiert) mit dem System nicht verzichten will und sich über positive Rückmeldung freut. Hierbei werden auch schon kleinere wöchentliche Gewichtsabnahmen honoriert, solange eine klare Tendenz besteht. Dies führt erwiesenermaßen eher zum Langzeiterfolg als kurzes, schnelles Abnehmen (Jojo-Effekt) .Ideally, this will make a significant contribution to compliance in the training program and the daily exercise units will be gladly incorporated into the normal daily routine, since you don't want to do without the ever surprising dialogues (possibly updated via the Internet) with the system and are happy about positive feedback . Smaller weekly weight loss is rewarded as long as there is a clear trend. This has been proven to lead to long-term success rather than short, quick weight loss (yo-yo effect).
Die sinnvolle Verknüpfung der Leistungs- und Pulsdaten aus dem Ergometer sowie des aktuellen Körpergewichts (elektronische Waage) in einem Interface, welches einen Anschluss des Adipositas-Therapiegerätes an den Computer (Gameport) anstelle eines Joysticks erlaubt, ist eine wichtige Hemmschwellen senkende Eigenschaft der Erfindung, um den Adipositas- Patienten dort aus einer passiven Beschäftigung abzuholen, wo er gerade (vor dem Computerspiel) sitzt, ohne großen technischen Aufwand treiben zu müssen. Das relative gesundheitliche Risiko wird bei jedem neuen Körpergewicht auch im Vergleich mit früheren Daten neu berechnet und wird somit überschaubar.The meaningful combination of the performance and pulse data from the ergometer as well as the current body weight (electronic scales) in an interface, which allows the obesity therapy device to be connected to the computer (gameport) instead of a joystick, is an important inhibitory threshold-lowering property of the invention, to pick up the obesity patient from a passive occupation where he is currently sitting (in front of the computer game) without having to do much technical work. The relative health risk is also recalculated for each new body weight compared to previous data and is therefore manageable.
Als Trainingsgerät der erfindungsgemäßen Vorrichtung wird im Normalfall ein Fahrradergometer mit Wirbelstrombremse eingesetzt, welches computergesteuert in seiner Bremswirkung veränderbar ist, aber auch Leistung und Tretfrequenz an das System zurückmeldet. Die Pulsfrequenz des Trainierenden kann über Elektroden in den Handgriffen gemessen werden. Ersatzweise kommt auch ein Zimmerrudergerät oder ein Laufbandergometer mit computergesteuerter Wirbelstrombremse oder ein Schrittzähler der ganztags und auch beim Jogging mitgeführt wird in Frage. Die Pulsfrequenz kann bei anderen Übungsgeräten auch drahtlos an den Computer durch einen Brustgürtel mit entsprechenden Elektroden übertragen werden. Durch die Pulsmessung wird unter Verrechnung mit der augenblicklich erbrachten Leistung der Leistungspuls als Maß des Trainingszustandes wie bei bereits existierenden Trainingsgeräten errechnet, im Computer abgespeichert und im Zeitverlauf graphisch dargestellt.As a training device of the device according to the invention, a bicycle ergometer with an eddy current brake is normally used, the braking effect of which can be changed under computer control, but also reports power and cadence back to the system. The exerciser's pulse rate can be measured using electrodes in the handles. Alternatively, a rowing machine or a treadmill ergometer with computer-controlled eddy current brake or a pedometer that is carried all day and also when jogging can be used. With other exercise devices, the pulse rate can also be transmitted wirelessly to the computer through a chest belt with appropriate electrodes. By measuring the pulse, the power pulse is calculated as a measure of the state of training, as is the case with existing training devices, stored in the computer and shown graphically over time, taking into account the current performance.
Eine elektronische Waage ist über den gleichen (seriellen) Anschluß mit dem Computer verbunden. Das Computerprogramm wird so ausgelegt, dass es eine Plausibilitätsprüfung beim Wiegevorgang durchführt, d.h. beispielsweise einen untypischen Verlauf des Gewichtsanstiegs beim Wiegen erfaßt und somit schwer zu überlisten ist, wenn im Bildschirm Aufforderungen für Betreten der Waage und heruntersteigen gegeben werden und der Wiege-Signalverlauf aus früheren Messungen bekannt ist (Signalanalyse wie bei Spracherkennung) .An electronic scale is connected to the computer via the same (serial) connection. The computer program is designed so that it carries out a plausibility check during the weighing process, i.e. For example, an atypical course of the weight increase during weighing is recorded and is therefore difficult to outsmart if the screen prompts you to enter the scales and descend and the cradle signal curve is known from previous measurements (signal analysis as with speech recognition).
Die erfindungsgemäße Vorrichtung weist vorzugsweise ein Bioimpedanzmessgerät auf, das an den PC der Waage angeschlossen werden kann. Das Bioimpedanzmessgerät kann mit Fußelektroden, die an der Waage angebracht sein können, oder mit Hautklebe-Elektroden an den Patienten angeschlossen sein. So kann eine Elektrode am Fuß und die andere am gegenüberliegenden Arm des Patienten befestigt werden. Mit dem Bioimpedanzmessgerät wird das Verhältnis von Fettmasse, Magermasse und Wassergehalt, also die jeweilige Zusammensetzung des Körpers errechnet. Eine Abnahme der Fettmasse unter gleichbleibender Magermasse und Gesamtkörperzellmasse zeigt ein vernünftiges Training des Patienten mit dem Übungsgerät an.The device according to the invention preferably has a bioimpedance measuring device which can be connected to the PC of the balance. The bioimpedance measuring device can be connected to the patient with foot electrodes, which can be attached to the balance, or with skin adhesive electrodes. One electrode can be attached to the foot and the other to the opposite arm of the patient. The ratio of fat mass, lean mass and water content, i.e. the respective composition of the body, is calculated with the bioimpedance measuring device. A decrease in the fat mass under constant lean mass and total body cell mass indicates a reasonable training of the patient with the exercise device.
Die mit dem Übungsgerät geleistete Arbeit wird von dem Computer zur Berechnung der verbrauchten Energie erfaßt und kann in entsprechende Abnahme des Körpergewichts umgerechnet werden, bzw. auch bildlich während des Trainings entsprechend der abgegebenen Energie als zunehmende Scheibe Brot oder wachsendes Tortenstück dargestellt werden. Hierbei wird der Energiegehalt verschiedener Nahrungsmittel erstmals für den Adipösen „direkt erfahrbar" .The work performed with the exercise device is recorded by the computer for calculating the energy consumed and can be converted into a corresponding decrease in body weight, or correspondingly during the training of the energy given off as an increasing slice of bread or a growing piece of cake. Here, the energy content of various foods is "directly experienced" for the obese for the first time.
In den Computer werden bei Beginn des Programms die persönlichen Daten des Patienten, wie Geburtsdatum bzw. Alter, Geschlecht, Größe, Gewicht, Erkrankungen, Hobbies, Ernährungsverhalten, Lieblingssport und sonstige Bewegungs-, Fernseh- und Computergewohnheiten eingegeben. Somit wird das individuelle Adipositas-Verhaltensprofil (v.a. Energieaufnahme und -Verbrauch) erkannt. Entsprechend wird sich das Programm auch unterschiedlich bei Erfolg und Mißerfolg (non compliance) des Patienten verhalten.At the beginning of the program, the patient's personal data, such as date of birth or age, gender, height, weight, illnesses, hobbies, eating habits, favorite sport and other movement, television and computer habits, are entered into the computer. Thus the individual obesity behavior profile (especially energy intake and consumption) is recognized. Accordingly, the program will behave differently in the patient's success and failure (non-compliance).
Aufgrund des mit der Waage gemessenen Gewichts und der angegebenen Größe des Patienten wird mit dem PC der BMI (Body- Mass-Index) berechnet, wobei sich der BMI als europäisch anerkanntes Maß der Adipositas aus dem Gewicht in Kilogramm dividiert durch das Quadrat der Größe des Patienten (Einheit: kg/m2) ergibt. Ein BMI von 19 bis 25 wird dabei als normal angesehen, während ein BMI über 30 Adipositas und über 35 schwere Adipositas anzeigt. Der normale BMI ist dabei altersabhängig.The BMI (body mass index) is calculated on the PC on the basis of the weight measured with the scales and the specified size of the patient Patient (unit: kg / m 2 ) results. A BMI of 19 to 25 is considered normal, while a BMI indicates over 30 obesity and over 35 severe obesity. The normal BMI is age-dependent.
Ferner kann der Grad der Adipositas anhand von Normalwert- Tabellen angezeigt werden. Zudem liefert das Programm Informationen und Verhaltenstips für die häufigsten Folgekrankheiten der Adipositas, nicht ohne an erforderlicher Stelle einen Arztbesuch zu empfehlen.The degree of obesity can also be displayed using normal value tables. The program also provides information and behavioral tips for the most common complications of obesity, not without recommending a doctor's visit at the required point.
Darüberhinaus kann von dem Computer eine Berechnung des Risikos für die verschiedenen individuellen Adipositas-Folge- krankheiten (wie Herzinfarkt, Apoplex, Bluthochdruck, Schlaf- Apnoe-Syndrom, Tumorerkrankungen und Diabetes mellitus) durchgeführt werden. Nach statistischen Daten besteht ein unmittelbarer Zusammenhang zwischen diesem Risiko und dem Ausmaß der Adipositas, z.B. dem BMI.In addition, the computer can calculate the risk for various individual obesity complications (such as heart attack, apoplexy, high blood pressure, sleep apnea syndrome, tumor diseases and diabetes mellitus) be performed. According to statistical data, there is a direct connection between this risk and the extent of obesity, e.g. the BMI.
Aufgrund der vorstehend angegebenen, in den Computer eingegebenen persönlichen Daten des Patienten kann der Computer von Beginn der Adipositas-Behandlung an beispielsweise auch vor einem kardialen Risiko warnen und entsprechend der Leistungsdaten auch später zu einem erneuten Arztbesuch auffordern. Mit der Anzeige der erfindungsgemäßen Vorrichtung werden bestimmte Therapie- bzw. Verhaltensmaßnahmen angezeigt, die durchzuführen bzw. zu vermeiden sind. Beispielsweise gibt es Übergewichtige, die relativ viel Sport betreiben, aber täglich zuviel Kalorien aufnehmen. In einem solchen Fall liegen die Therapiemaßnahmen, die mit der erfindungsgemäßen Vorrichtung angezeigt werden, weniger in einem hohen Energieverbrauch durch Benutzung des Übungsgerätes, sondern beispielsweise schwerpunktmäßig mehr in der Beratung zum Ernährungsverhalten.Based on the patient's personal data entered into the computer, the computer can, for example, also warn of a cardiac risk from the start of the obesity treatment and, based on the performance data, also prompt a later visit to the doctor. With the display of the device according to the invention, certain therapy or behavioral measures are displayed which are to be carried out or avoided. For example, there are overweight people who do a lot of sport but consume too many calories every day. In such a case, the therapeutic measures that are displayed with the device according to the invention are less in high energy consumption due to the use of the exercise device, but rather, for example, more in the advice on nutritional behavior.
Wie erwähnt, können mit der erfindungsgemäßen Vorrichtung die Verhaltensmaßnahmen für eine erfolgreiche Adipositas-Behandlung positiv oder negativ verstärkt angezeigt werden. Beispielsweise kann vergleichbar einem Computerspiel beim täglichen Belastungstest und Work Out mit dem Übungsgerät eine virtuelle Landschaft eingespielt werden, durch die man mit einem Fahrrad fährt. Hier gibt es auch Trainings-Konkurrenten, die namentlich bekannt sind und die ebenfalls ein Adipo- sitas-Problem haben, aber unterschiedlich damit umgehen. So kann man beispielsweise sehen oder abrufen, was die Konkurrenten im Vergleich zum eigenen Tagesablauf an diesem Tag gemacht haben und gegessen haben und sich daran positiv und negativ relativieren. Dies wird durch Einprogrammieren typischer, positiver und negativer Patientenverläufe aus der täglichen Erfahrung eines Arztes geschehen, der sich intensiv mit Adipositas-Patienten befaßt.As mentioned, the behavioral measures for successful obesity treatment can be indicated positively or negatively with the device according to the invention. For example, comparable to a computer game during the daily stress test and work out with the exercise device, a virtual landscape can be imported through which you ride a bicycle. There are also training competitors here who are known by name and who also have an obesity problem, but deal with it differently. For example, you can see or call up what the competitors did and ate on that day compared to their own daily routine and put it into positive and negative terms. This will be done by programming typical, positive and negative patient histories from the daily experience of a doctor who is intensely concerned with obesity patients.
In dem Computertherapieprogramm wird ein Kochbuch mit täglichen Ernährungsempfehlungen mit Tageskalorien sowie Kochanleitungen und Farbbildern abgelegt abrufbar sein. Zudem kann wahlweise über einen evtl. vorhandenen Internetzugang Rat bei fachkundigen Beratern bezüglich Ernährung und Training geholt werden oder mit anderen Patienten Erfahrungen ausgetauscht werden, um evtl. sogar Gruppeneffekte zu erzielen. In the computer therapy program, a cookbook with daily nutritional recommendations with daily calories as well as cooking instructions and color images will be available. In addition, advice can be obtained from specialist consultants regarding nutrition and training via a possibly available Internet access, or experiences can be exchanged with other patients in order to possibly even achieve group effects.

Claims

Patentansprüche claims
1. Vorrichtung zur Adipositas-Behandlung mit einem Körperübungsgerät und einem PC, an den ein Ergometer zur Bestimmung der mit dem Körperübungsgerät geleisteten Arbeit, eine Waage und ein Pulsfrequenz-Messgerät angeschlossen sind, wobei an den PC vom Ergometer Signale zur Leistungsbestimmung übertragen werden, wobei die Trainingsdaten vom PC gespeichert und über den gesamten Trainingszeitraum verglichen werden können.1. Device for obesity treatment with a physical exercise device and a PC, to which an ergometer for determining the work done with the physical exercise device, a scale and a pulse rate measuring device are connected, signals to the PC being transmitted from the ergometer to determine performance, whereby the training data can be saved from the PC and compared over the entire training period.
2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, dass mit dem PC der Body-Mass-Index ermittelt wird und gespeichert werden kann.2. Device according to claim 1, characterized in that the body mass index is determined with the PC and can be stored.
3. Vorrichtung nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass an den PC ein Bioimpedanzmessgerät angeschlossen ist, mit dem die Körperzusammensetzung des Patienten ermittelt wird, die vom PC gespeichert werden kann.3. Device according to claim 1 or 2, characterized in that a bioimpedance measuring device is connected to the PC, with which the body composition of the patient is determined, which can be stored by the PC.
4. Vorrichtung nach einem der vorstehenden Ansprüche, dadurch gekennzeichnet, dass der PC zur Erzielung von Gruppeneffekten über einen Internetzugang verfügt. 4. Device according to one of the preceding claims, characterized in that the PC has Internet access to achieve group effects.
PCT/DE1999/001250 1998-04-29 1999-04-28 Exercise machine attached to a computer WO1999055431A1 (en)

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