{"id":2839,"date":"2025-03-06T18:46:05","date_gmt":"2025-03-06T09:46:05","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2839"},"modified":"2025-03-06T18:46:05","modified_gmt":"2025-03-06T09:46:05","slug":"%e7%9d%a1%e7%9c%a0%e3%81%ae%e5%81%a5%e5%ba%b7%e3%81%a8%e6%85%a2%e6%80%a7%e7%96%be%e6%82%a3","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2839","title":{"rendered":"\u7761\u7720\u306e\u5065\u5eb7\u3068\u6162\u6027\u75be\u60a3"},"content":{"rendered":"

\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n

-\u6587\u732e\u540d-
\nZheng NS, Annis J, Master H, Han L, Gleichauf K, Ching JH, Nasser M, Coleman P, Desine S, Ruderfer DM, Hernandez J, Schneider LD, Brittain EL. Sleep patterns and risk of chronic disease as measured by long-term monitoring with commercial wearable devices in the All of Us Research Program. Nat Med. 2024;30(9):2648. Epub 2024 Jul 19.<\/p>\n

-\u8981\u7d04-
\nIntroduction
\n\u7761\u7720\u306e\u5065\u5eb7\u306f\u3001\u5168\u6b7b\u4ea1\u7387\u3084\u3001\u7cbe\u795e\u75be\u60a3\u3084\u5fc3\u8840\u7ba1\u4ee3\u8b1d\u75be\u60a3\u306a\u3069\u306e\u6162\u6027\u75be\u60a3\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u307e\u3067\u306e\u591a\u304f\u306e\u7814\u7a76\u306f\u7761\u7720\u6642\u9593\u306b\u7126\u70b9\u3092\u5f53\u3066\u3066\u304a\u308a\u3001J\u5b57\u578b\u306e\u95a2\u9023\u304c\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u30011\u65e5\u306e\u5e73\u5747\u7761\u7720\u6642\u9593\u304c\u77ed\u3044\uff086\u6642\u9593\u4ee5\u4e0b\uff09\u307e\u305f\u306f\u9577\u3044\uff089\u6642\u9593\u4ee5\u4e0a\uff09\u4eba\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u5065\u5eb7\u72b6\u614b\u306e\u60aa\u5316\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3002
\n\u6162\u6027\u75be\u60a3\u3068\u5b9f\u969b\u306e\u7761\u7720\u30d1\u30bf\u30fc\u30f3\uff08\u7761\u7720\u306e\u898f\u5247\u6027\u3084\u6bb5\u968e\uff08N1\u3001N2\u3001N3\u3001\u6025\u901f\u773c\u7403\u904b\u52d5\uff08REM\uff09\u306a\u3069\uff09\u3068\u306e\u95a2\u9023\u6027\u306b\u3064\u3044\u3066\u306f\u3042\u307e\u308a\u308f\u304b\u3063\u3066\u3044\u306a\u3044\u3002\u7761\u7720\u3068\u6162\u6027\u75be\u60a3\u306b\u95a2\u3059\u308b\u307b\u3068\u3093\u3069\u306e\u75ab\u5b66\u7814\u7a76\u306f\u3001\u81ea\u5df1\u7533\u544a\u306e\u7761\u7720\u30c7\u30fc\u30bf\u306b\u4f9d\u5b58\u3057\u3066\u304d\u305f\u304c\u3001\u81ea\u5df1\u7533\u544a\u306e\u7761\u7720\u30c7\u30fc\u30bf\u3067\u306f\u7761\u7720\u6bb5\u968e\u3092\u6349\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u305a\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3092\u6b63\u78ba\u306b\u8868\u73fe\u3067\u304d\u306a\u3044\u3002Fitbit \u306a\u3069\u306e\u5e02\u8ca9\u306e\u30a6\u30a7\u30a2\u30e9\u30d6\u30eb\u30c7\u30d0\u30a4\u30b9\u306e\u6700\u8fd1\u306e\u958b\u767a\u306b\u3088\u308a\u3001\u4e00\u822c\u306e\u4eba\u3005\u306b\u304a\u3051\u308b\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3092\u30dd\u30ea\u30bd\u30e0\u30ce\u30b0\u30e9\u30e0\u3068\u6bd4\u8f03\u3057\u3066\u512a\u308c\u305f\u6027\u80fd\u3067\u5ba2\u89b3\u7684\u306b\u9577\u671f\u306b\u308f\u305f\u3063\u3066\u6e2c\u5b9a\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3002\u3053\u308c\u3089\u306e\u30c7\u30d0\u30a4\u30b9\u306e\u4eba\u6c17\u306e\u9ad8\u307e\u308a\u306b\u3088\u308a\u3001\u30a6\u30a7\u30a2\u30e9\u30d6\u30eb\u30c7\u30d0\u30a4\u30b9\u304b\u3089\u5f97\u3089\u308c\u308b\u6307\u6a19\u3068\u6162\u6027\u75be\u60a3\u3068\u306e\u95a2\u9023\u6027\u306b\u95a2\u3059\u308b\u5927\u898f\u6a21\u306a\u75ab\u5b66\u7814\u7a76\u304c\u53ef\u80fd\u306b\u306a\u3063\u305f\u3002
\n\u3053\u306e\u7814\u7a76\u3067\u306f\u3001All of Us\u7814\u7a76\u30d7\u30ed\u30b0\u30e9\u30e0\uff08AoU\u7814\u7a76\u30d7\u30ed\u30b0\u30e9\u30e0\uff1b\u7c73\u56fd\u56fd\u7acb\u885b\u751f\u7814\u7a76\u6240\u304c\u8cc7\u91d1\u63d0\u4f9b\u3057\u3066\u3044\u308b\u3001100\u4e07\u4eba\u4ee5\u4e0a\u306e\u591a\u69d8\u306a\u4eba\u3005\u304b\u3089\u5065\u5eb7\u30c7\u30fc\u30bf\u3092\u53ce\u96c6\u3059\u308b\u53d6\u308a\u7d44\u307f\uff09\u306e\u7e26\u65ad\u7684\u306a\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\u30c7\u30fc\u30bf\u3068\u6bce\u65e5\u306e\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3092\u6d3b\u7528\u3057\u3066\u3001\u6642\u9593\u306e\u7d4c\u904e\u306b\u4f34\u3046\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3068\u6162\u6027\u75be\u60a3\u306e\u767a\u75c7\u3068\u306e\u95a2\u9023\u6027\u3092\u8abf\u67fb\u3057\u305f\u3002<\/p>\n

Method
\n\u6211\u3005\u306f\u3001\u6d88\u8cbb\u8005\u306b\u8868\u793a\u3055\u308c\u308b Fitbit\u7531\u6765\u306e\u6bce\u65e5\u306e\u8981\u7d04\u30c7\u30fc\u30bf\u3092\u4f7f\u7528\u3057\u305f\u3002\u3053\u308c\u306b\u306f\u3001\u6bce\u65e5\u306e\u7761\u7720\u6642\u9593\u3001\u5b89\u7720\u3067\u304d\u306a\u3044\u7761\u7720\u6642\u9593 (Fitbit \u3067\u306f\u3001\u52d5\u3044\u3066\u3044\u308b\u304c\u899a\u9192\u3057\u3066\u3044\u306a\u3044\u7761\u7720\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u308b)\u3001Fitbit\u7531\u6765\u306e\u7761\u7720\u6bb5\u968e (\u6d45\u3044\u3001\u6df1\u3044\u3001REM) \u304c\u542b\u307e\u308c\u308b\u3002Fitbit\u306f\u3001\u5fc3\u62cd\u6570\u3068\u52d5\u304d\u306b\u57fa\u3065\u304f\u72ec\u81ea\u306e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u3092\u4f7f\u7528\u3057\u3066\u7761\u7720\u6bb5\u968e\u3092\u63a8\u5b9a\u3057\u30013 \u6642\u9593\u3092\u8d85\u3048\u308b\u7761\u7720\u671f\u9593\u306e\u7761\u7720\u6bb5\u968e\u306e\u307f\u3092\u63a8\u5b9a\u3059\u308b\u3002\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u306e\u691c\u8a3c\u7814\u7a76\u306b\u57fa\u3065\u304d\u3001Fitbit\u306f\u300c\u6d45\u3044\u300d\u7761\u7720\u3092N1+N2\u3001\u300c\u6df1\u3044\u300d\u7761\u7720\u3092N3\u3001\u300cREM\u300d\u3092\u6025\u901f\u773c\u7403\u904b\u52d5\u7761\u7720\u306b\u30de\u30c3\u30d4\u30f3\u30b0\u3057\u3066\u3044\u308b\u3002
\n\u767a\u898b\u5206\u6790\u3067\u306f\u3001\u5404\u53c2\u52a0\u8005\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u671f\u9593\u5168\u4f53\u306b\u308f\u305f\u3063\u3066\u6bce\u65e5\u306e\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3092\u5e73\u5747\u3057\u305f\u3002Fitbit\u304b\u3089\u53d6\u5f97\u3057\u305f\u7761\u7720\u6bb5\u968e\u30c7\u30fc\u30bf\u304c\u5229\u7528\u53ef\u80fd\u306a\u7761\u7720\u671f\u9593\u306e\u307f\u304c\u3001\u6bce\u65e5\u306e\u7761\u7720\u6bb5\u968e\u306e\u5e73\u5747\u3092\u63a8\u5b9a\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u305f\u3002Fitbit\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u671f\u9593\u306f\u3001\u53c2\u52a0\u8005\u304cFitbit\u30a2\u30ab\u30a6\u30f3\u30c8\u3092\u4f5c\u6210\u3057\u305f\u6642\u70b9\u3067\u958b\u59cb\u3055\u308c\u308b\u3002\u7761\u7720\u4e0d\u898f\u5247\u6027\u3092\u3001\u6bce\u65e5\u306e\u7761\u7720\u6642\u9593\u306e\u6a19\u6e96\u504f\u5dee\u3068\u3057\u3066\u5b9a\u7fa9\u3057\u305f\u3002\u5404\u7761\u7720\u6bb5\u968e\u306e\u6bce\u65e5\u306e\u5272\u5408 (\u7761\u7720\u6bb5\u968e\u306e\u6642\u9593\/\u7dcf\u7761\u7720\u6642\u9593)\u3092\u8a08\u7b97\u3057\u305f\u3002\u4e00\u822c\u7684\u306a\u7761\u7720\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u30d1\u30bf\u30fc\u30f3\u3092\u7279\u5fb4\u4ed8\u3051\u308b\u305f\u3081\u306b\u3001\u5348\u5f8c8\u6642\u304b\u3089\u5348\u524d2\u6642\u307e\u3067\u3068\u5b9a\u7fa9\u3055\u308c\u308b\u300c\u5f93\u6765\u306e\u300d\u6642\u9593\u5e2f\u306e\u7761\u7720\u958b\u59cb\u306e\u5272\u5408\u3092\u8a08\u7b97\u3057\u305f\u3002\u3053\u306e\u6642\u9593\u5e2f\u3092\u9078\u3093\u3060\u306e\u306f\u3001\u30b3\u30db\u30fc\u30c8\u306e\u5e73\u5747\u7761\u7720\u958b\u59cb\u6642\u523b\u304c\u5348\u5f8c11\u664210\u5206\u3067\u3042\u308a\u3001\u30d2\u30fc\u30c8\u30de\u30c3\u30d7\u306b\u30d7\u30ed\u30c3\u30c8\u3057\u305f\u3068\u304d\u306b\u7761\u7720\u958b\u59cb\u6642\u523b\u306e\u5927\u90e8\u5206\u304c\u3053\u306e\u6642\u9593\u67a0\u5185\u306b\u3042\u3063\u305f\u305f\u3081\u3067\u3042\u308b(\u56f31)\u3002\u9031\u672b\u306f\u5178\u578b\u7684\u306a\u7761\u7720\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306e\u4ee3\u8868\u6027\u304c\u4f4e\u3044\u305f\u3081\u3001\u300c\u4f1d\u7d71\u7684\u306a\u300d\u7761\u7720\u958b\u59cb\u6642\u523b\u306e\u5206\u6790\u304b\u3089\u9664\u5916\u3055\u308c\u305f\u3002<\/p>\n

Results
\nFitbit \u304b\u3089\u53d6\u5f97\u3057\u305f\u7761\u7720\u30c7\u30fc\u30bf\u3092\u6301\u306414,892\u4eba\u3092\u7279\u5b9a\u3057\u305f\u3002\u96fb\u5b50\u5065\u5eb7\u8a18\u9332\u30c7\u30fc\u30bf\u304c\u30ea\u30f3\u30af\u3055\u308c\u3001Fitbit\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u671f\u9593\u304c6\u304b\u6708\u4ee5\u4e0a\u3067\u3001\u7761\u7720\u6642\u9593\u304c4\u6642\u9593\u672a\u6e80\u306e\u591c\u304c30%\u672a\u6e80\u3067\u3042\u308b\u6210\u4eba\u53c2\u52a0\u80056,785\u4eba\u304c\u5206\u6790\u306b\u542b\u307e\u308c\u3001\u305d\u306e\u7d50\u679c6,477,023\u4eba\u6cca\u3068\u306a\u3063\u305f\u3002\u5e74\u9f62\u306e\u4e2d\u592e\u5024\u306f50.2\u6b73(\u56db\u5206\u4f4d\u7bc4\u56f2=35.7\uff5e61.5)\u3067\u3042\u3063\u305f(\u88681)\u3002\u53c2\u52a0\u8005\u306e\u307b\u3068\u3093\u3069\u306f\u5973\u6027(71%)\u3001\u767d\u4eba(84%)\u3001\u5927\u5b66\u6559\u80b2\u3092\u53d7\u3051\u305f\u4eba(71%)\u3067\u3042\u3063\u305f\u3002Fitbit\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f4.49(2.53\uff5e6.45)\u5e74\u3067\u30011\u65e5\u306e\u5e73\u5747\u6b69\u6570\u306e\u4e2d\u592e\u5024\u306f 7,798 (5,898 \uff5e 9,947) \u6b69\/\u65e5\u3067\u3042\u3063\u305f\u3002\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u306e\u4e2d\u592e\u5024\u306f\u3001\u5165\u7720\u6642\u523b\u304c\u5348\u5f8c11\u664210\u5206\uff08\u5348\u524d10\u664230\u5206\uff5e\u5348\u524d0\u6642\uff09\u3001\u7761\u7720\u6642\u9593\u304c6.7\uff086.2\uff5e7.2\uff09\u6642\u9593\u3001\u4e0d\u7720\u6642\u9593\u304c0.3\uff080.2\uff5e0.5\uff09\u6642\u9593\u3001\u7761\u7720\u4e0d\u898f\u5247\u6027\uff081\u65e5\u306e\u5e73\u5747\u7761\u7720\u6642\u9593\u306e\u6a19\u6e96\u504f\u5dee\uff09\u304c1.5\uff081.2\uff5e1.8\uff09\u6642\u9593\u3067\u3042\u3063\u305f\u3002\u5e73\u65e5\u306b\u304a\u3051\u308b\u300c\u4f1d\u7d71\u7684\u300d\u306a\u6642\u9593\u5e2f\uff08\u5348\u5f8c8\u6642\u304b\u3089\u5348\u524d2\u6642\uff09\u306e\u5165\u7720\u306e\u5272\u5408\u306e\u4e2d\u592e\u5024\u306f93.5\uff0885.2\uff5e97.3\uff09\uff05\u3067\u3042\u3063\u305f\u3002\u7761\u7720\u6bb5\u968e\u306b\u3064\u3044\u3066\u306f\u3001\u30ec\u30e0\u7761\u7720\u3001\u6d45\u3044\u7761\u7720\u3001\u6df1\u3044\u7761\u7720\u306b\u8cbb\u3084\u3055\u308c\u305f\u5272\u5408\u306e\u4e2d\u592e\u5024\u306f\u305d\u308c\u305e\u308c20.7\uff0817.8\uff5e23.1\uff09\uff05\u300164.2\uff0860.3\uff5e68.5\uff09\uff05\u300115.1\uff0812.7\uff5e17.5\uff09\uff05\u3067\u3042\u3063\u305f\u3002\u53c2\u52a0\u8005\u306e\u4eba\u53e3\u7d71\u8a08 (\u81ea\u5df1\u7533\u544a\u306e\u6027\u5225\u3001\u81ea\u5df1\u7533\u544a\u306e\u4eba\u7a2e\/\u6c11\u65cf\u3001\u6559\u80b2) \u304a\u3088\u3073\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u8981\u56e0 (\u55ab\u7159\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u6442\u53d6) \u5225\u306b\u5c64\u5225\u5316\u3059\u308b\u3068\u3001\u7761\u7720\u6642\u9593\u306e\u4e2d\u592e\u5024\u306b\u5927\u304d\u306a\u9055\u3044\u304c\u3042\u3063\u305f (\u88681)<\/p>\n

\u8868\uff11\uff1a\u7814\u7a76\u53c2\u52a0\u8005\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u7279\u6027
\n\"\"<\/a><\/p>\n

\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3068\u767a\u75c7\u75be\u60a3\u306e\u95a2\u9023\u6027
\nFitbit \u7531\u6765\u306e\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u306848\u306e\u6709\u610f\u306a\u95a2\u9023\u6027\u304c\u7279\u5b9a\u3055\u308c\u305f\u3002\u3053\u308c\u306b\u306f\u3001\u7761\u7720\u6642\u9593\u306b\u95a2\u3059\u308b2\u3064\u306e\u95a2\u9023\u6027\u3001\u4e0d\u7720\u6642\u9593\u306b\u95a2\u3059\u308b3\u3064\u306e\u95a2\u9023\u6027\u3001\u7761\u7720\u6bb5\u968e\u306b\u95a2\u3059\u308b14\u306e\u95a2\u9023\u6027\u3001\u7761\u7720\u4e0d\u898f\u5247\u6027\u306b\u95a2\u3059\u308b24\u306e\u95a2\u9023\u6027\u3001\u304a\u3088\u3073\u5f93\u6765\u578b\u3068\u975e\u5f93\u6765\u578b\u306e\u7761\u7720\u958b\u59cb\u306b\u95a2\u3059\u308b5\u3064\u306e\u95a2\u9023\u6027\u304c\u542b\u307e\u308c\u308b\u3002\u4e0d\u7720\u75c7\u3068\u5e73\u5747\u4e0d\u7720\u6642\u9593\u3001\u7761\u7720\u4e0d\u898f\u5247\u6027\u3001\u304a\u3088\u3073\u5f93\u6765\u578b\u306e\u7761\u7720\u958b\u59cb\u6bd4\u7387\u3068\u306e\u95a2\u9023\u6027\u306a\u3069\u3001\u8907\u6570\u306e\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u306b\u308f\u305f\u3063\u3066\u6709\u610f\u306a\u95a2\u9023\u6027\u3092\u6301\u3064\u8868\u73fe\u578b\u304c\u3044\u304f\u3064\u304b\u898b\u3089\u308c\u305f\u3002
\n\u5e73\u57471\u65e5\u7761\u7720\u6642\u9593\u304c1\u6642\u9593\u9577\u304f\u306a\u308b\u3054\u3068\u306b\u3001\u75c5\u7684\u80a5\u6e80\uff08\u30aa\u30c3\u30ba\u6bd4\uff08OR\uff09=0.62\u300195%\u4fe1\u983c\u533a\u9593\uff08CI\uff09=0.53\uff5e0.73\uff09\u304a\u3088\u3073\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\uff080.77\u30010.68\uff5e0.87\uff09\u306e\u65b0\u305f\u306a\u8a3a\u65ad\u3092\u53d7\u3051\u308b\u78ba\u7387\u304c\u4f4e\u4e0b\u3057\u305f\u3002\u5e73\u57471\u65e5\u4e0d\u7720\uff081\u6642\u9593\u3042\u305f\u308a\uff09\u304c\u9577\u304f\u306a\u308b\u3068\u3001\u7761\u7720\u969c\u5bb3\uff081.58\u30011.32\uff5e1.89\uff09\u3001\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\uff081.42\u30011.21\uff5e1.68\uff09\u3001\u606f\u5207\u308c\uff081.37\u30011.19\uff5e1.56\uff09\u306e\u30aa\u30c3\u30ba\u304c\u4e0a\u6607\u3057\u305f\u3002
\n\u7761\u7720\u4e0d\u898f\u5247\u6027\u306e\u5897\u52a0\uff08\u6bce\u65e5\u306e\u7761\u7720\u6642\u9593\u306e\u6a19\u6e96\u504f\u5dee\u306e1\u6642\u9593\u3042\u305f\u308a\u306e\u5909\u5316\uff09\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u7cbe\u795e\u75be\u60a3\u3001\u7761\u7720\u969c\u5bb3\u3001\u4ee3\u8b1d\u969c\u5bb3\u306e\u767a\u75c7\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u7761\u7720\u4e0d\u898f\u5247\u6027\u306e\u5897\u52a0\u306b\u95a2\u9023\u3059\u308b\u6162\u6027\u75be\u60a3\u306b\u306f\u3001\u672c\u614b\u6027\u9ad8\u8840\u5727\uff081.56;1.35\u20131.81\uff09\u3001\u9ad8\u8102\u8840\u75c7\uff081.39;1.20\u20131.61\uff09\u3001\u80a5\u6e80\uff081.49;1.28\u20131.73\uff09\u306a\u3069\u304c\u3042\u308b\u3002\u307e\u305f\u3001\u5927\u3046\u3064\u75c5\u6027\u969c\u5bb3\uff081.75; 1.52\u20132.01\uff09\u3001\u4e0d\u5b89\u969c\u5bb3\uff081.55; 1.35\u20131.78\uff09\u3001\u53cc\u6975\u6027\u969c\u5bb3\uff082.27; 1.65\u20133.11\uff09\u306a\u3069\u3001\u3044\u304f\u3064\u304b\u306e\u7cbe\u795e\u75be\u60a3\u306e\u30aa\u30c3\u30ba\u4e0a\u6607\u3082\u89b3\u5bdf\u3055\u308c\u305f\u3002\u3055\u3089\u306b\u3001\u7761\u7720\u4e0d\u898f\u5247\u6027\u306e\u5897\u52a0\u306f\u3001\u80c3\u98df\u9053\u9006\u6d41\u75c7\uff081.46;1.26\u20131.68\uff09\u3001\u9589\u585e\u6027\u7761\u7720\u6642\u7121\u547c\u5438\uff081.43;1.22\u20131.67\uff09\u3001\u5598\u606f\uff081.50;1.25\u20131.81\uff09\u3001\u7247\u982d\u75db\uff081.60;1.31\u20131.95\uff09\u306a\u3069\u3001\u7761\u7720\u3092\u59a8\u3052\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u72b6\u614b\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u7761\u7720\u4e0d\u898f\u5247\u6027\u306b\u95a2\u3059\u308b\u7d50\u679c\u306e\u5927\u534a\uff0824 \u4ef6\u4e2d 23 \u4ef6\uff09\u306f\u30011 \u65e5\u306e\u5e73\u5747\u7761\u7720\u6642\u9593\u3067\u8abf\u6574\u3057\u305f\u5f8c\u3082\u4f9d\u7136\u3068\u3057\u3066\u6709\u610f\u3060\u3063\u305f\u3002<\/p>\n

Fitbit \u304b\u3089\u5f97\u3089\u308c\u305f\u7761\u7720\u6bb5\u968e\u3092\u8abf\u3079\u305f\u3068\u3053\u308d\u3001\u30ec\u30e0\u7761\u7720\u306e\u5272\u5408\u304c\u9ad8\u3044\u307b\u3069\u3001\u5fc3\u623f\u7d30\u52d5 (OR 0.86\u300195% CI 0.82\uff5e0.91)\u3001\u5fc3\u623f\u7c97\u52d5 (0.78\u30010.73\uff5e0.84)\u3001\u6d1e\u623f\u7d50\u7bc0\u6a5f\u80fd\u4e0d\u5168\/\u5f90\u8108 (0.72\u30010.65\uff5e0.80) \u306a\u3069\u306e\u5fc3\u62cd\u30ea\u30ba\u30e0\u304a\u3088\u3073\u5fc3\u62cd\u6570\u7570\u5e38\u306e\u767a\u751f\u7387\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u6d45\u3044\u7761\u7720\u306e\u5272\u5408\u304c\u9ad8\u3044\u307b\u3069\u3001\u5fc3\u623f\u7d30\u52d5\uff081.13;1.09\u20131.17\uff09\u3001\u5fc3\u623f\u7c97\u52d5\uff081.19;1.13\u20131.25\uff09\u3001\u6d1e\u623f\u7d50\u7bc0\u6a5f\u80fd\u4e0d\u5168\/\u5f90\u8108\uff081.23;1.15\u20131.32\uff09\u3001\u9244\u6b20\u4e4f\u6027\u8ca7\u8840\uff081.06;1.03\u20131.09\uff09\u306e\u30aa\u30c3\u30ba\u304c\u4e0a\u6607\u3057\u305f\u3002\u6df1\u3044\u7761\u7720\u306e\u5272\u5408\u304c\u9ad8\u3044\u307b\u3069\u3001\u5fc3\u623f\u7d30\u52d5\uff080.87;0.81\u20130.93\uff09\u3001\u5927\u3046\u3064\u75c5\u6027\u969c\u5bb3\uff080.93;0.91\u20130.96\uff09\u3001\u4e0d\u5b89\u969c\u5bb3\uff080.94;0.91\u20130.97\uff09\u306e\u30aa\u30c3\u30ba\u304c\u4f4e\u304f\u306a\u3063\u305f\u3002
\n\u5e73\u5747\u7761\u7720\u6642\u9593\u306e\u5897\u52a0\u306f\u80a5\u6e80\u30ea\u30b9\u30af\u306e\u4f4e\u4e0b\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff08\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08HR\uff09=0.90\u300195% CI=0.83\uff5e0.98\uff09\u306e\u306b\u5bfe\u3057\u3001\u7761\u7720\u4e0d\u898f\u5247\u6027\u306e\u5897\u52a0\u306f\u80a5\u6e80\u30ea\u30b9\u30af\u306e\u5897\u52a0\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\uff081.21\u30011.08\uff5e1.37\uff09\u3002\u30ec\u30e0\u7761\u7720\u306e\u5272\u5408\u306e\u5897\u52a0\u306f\u3001\u5fc3\u4e0d\u5168\uff08HR 0.51\u30010.26\uff5e0.99\uff09\u304a\u3088\u3073\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\uff080.80\u30010.69\uff5e0.92\uff09\u306e\u767a\u75c7\u30ea\u30b9\u30af\u306e\u6e1b\u5c11\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u6d45\u3044\u7761\u7720\u306e\u5272\u5408\u306e\u5897\u52a0\u306f\u3001\u5fc3\u4e0d\u5168\uff082.30;1.05\u20135.04\uff09\u3001\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\uff081.31;1.13\u20131.52\uff09\u3001\u5fc3\u623f\u7d30\u52d5\uff081.76;1.02\u20133.05\uff09\u306e\u767a\u75c7\u30ea\u30b9\u30af\u306e\u5897\u52a0\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002\u6df1\u3044\u7761\u7720\u306e\u5272\u5408\u306e\u5897\u52a0\u306f\u3001\u5fc3\u623f\u7d30\u52d5\uff080.59;0.35\u20130.99\uff09\u304a\u3088\u3073\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\uff080.84;0.72\u20130.98\uff09\u306e\u30ea\u30b9\u30af\u306e\u6e1b\u5c11\u3068\u95a2\u9023\u3057\u3066\u3044\u305f\u3002
\n\u5e73\u5747\u7761\u7720\u6642\u9593\u3068\u9ad8\u8840\u5727\uff08\u975e\u7dda\u5f62\u6027\u306eP=0.003\uff09\u3001\u5927\u3046\u3064\u75c5\uff08P<0.001\uff09\u3001\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\uff08P<0.001\uff09\u306e\u9593\u306b\u306f\u3001\u6709\u610f\u306a\u975e\u7dda\u5f62\u306e J \u5b57\u578b\u95a2\u4fc2\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u5e73\u5747\u7761\u7720\u6642\u9593\u306e\u4e2d\u592e\u5024\uff086.8\u6642\u9593\uff09\u3068\u6bd4\u8f03\u3059\u308b\u3068\u3001\u5e73\u5747\u7761\u7720\u6642\u9593\u304c5\u6642\u9593\u306e\u53c2\u52a0\u8005\u306f\u3001\u9ad8\u8840\u5727\u306e\u30ea\u30b9\u30af\u304c29%\u5897\u52a0\u3057\uff08HR=1.29\u300195% CI =1.09\uff5e1.54\uff09\u3001\u5927\u3046\u3064\u75c5\u306e\u30ea\u30b9\u30af\u304c64%\u5897\u52a0\u3057\uff081.64\u30011.27\uff5e2.12\uff09\u3001\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c 46% \u5897\u52a0\u3057\u305f\uff081.46\u30011.16\uff5e1.83\uff09\u3002\u5e73\u57471\u65e5\u7761\u7720\u6642\u9593\u304c10\u6642\u9593\u306e\u53c2\u52a0\u8005\u3067\u306f\u3001\u9ad8\u8840\u5727\u306e\u30ea\u30b9\u30af\u304c61%\u5897\u52a0\u3057\uff081.61; 1.01\u20132.58\uff09\u3001\u5927\u3046\u3064\u75c5\u306e\u30ea\u30b9\u30af\u304c163%\u5897\u52a0\u3057\uff082.63;1.31\uff5e5.31\uff09\u3001\u5168\u822c\u6027\u4e0d\u5b89\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c130%\u5897\u52a0\u3057\u305f\uff082.30;1.27\u20134.17\uff09<\/p>\n

Discussion
\n\u5e02\u8ca9\u306e\u30a6\u30a7\u30a2\u30e9\u30d6\u30eb\u30c7\u30d0\u30a4\u30b9\u304b\u3089\u306e\u7761\u7720\u306e\u76f4\u63a5\u6e2c\u5b9a\u3092\u4f7f\u7528\u3057\u3066\u3001\u7761\u7720\u30d1\u30bf\u30fc\u30f3\u3092\u5ba2\u89b3\u7684\u304b\u3064\u9577\u671f\u7684\u306b\u5206\u6790\u3059\u308b\u3001\u3053\u308c\u307e\u3067\u3067\u6700\u5927\u306e\u7814\u7a76\u3092\u5b9f\u65bd\u3057\u305f\u3002\u65e5\u3005\u306e\u6d3b\u52d5 (\u6b69\u6570) \u3092\u8003\u616e\u3057\u305f\u5f8c\u3067\u3082\u3001\u7761\u7720\u306e\u91cf\u3001\u8cea\u3001\u898f\u5247\u6027\u3068\u91cd\u8981\u306a\u6162\u6027\u75be\u60a3\u306e\u767a\u75c7\u3068\u306e\u9593\u306b\u3001\u81e8\u5e8a\u7684\u304b\u3064\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u95a2\u4fc2\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002
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\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 -\u6587\u732e\u540d- Zheng NS, Annis J, Master H, Han L, … \u7d9a\u304d\u3092\u8aad\u3080 \u7761\u7720\u306e\u5065\u5eb7\u3068\u6162\u6027\u75be\u60a3<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,15,5],"tags":[],"class_list":["post-2839","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-15","category-5"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2839"}],"version-history":[{"count":9,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2839\/revisions"}],"predecessor-version":[{"id":2851,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2839\/revisions\/2851"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}