Tero Myllymäki

Head of Physiology Research

Swiss Re 2016: Health monitoring: Making sense of sensors

WEARABLES AND ADVANCED ANALYTICS IN LIFESTYLE CHANGE

Leading provider of heartbeat analytics for wellbeing, stress, recovery and physical activity.

Established 2002 as a spin-off from Research Institute for Olympic Sports and University of Jyväskylä, Finland.

Based on 20 years of applied research and experience in heartbeat and heart rate variability.

Firstbeat has created a unique digital model of the physiology that turns heartbeat data into personal feedback.

We bring near laboratory accuracy and technology used by professional athletes available to everyone.

FIRSTBEAT’S BACKGROUND

McInnis et al (2002). The Case For More Active Policy Attention To Health Promotion. Health Affairs, 21 (2): 78-93

WHY LIFESTYLE IS IMPORTANT?

PHYSICAL ACTIVITY – KEY COMPONENT OF A HEALTHY LIFESTYLE

+20% IN FITNESS EQUALS +20 YEARS OF QUALITY LIVING

Walking stairs

Household work

EXCESSIVE STRESS AND POOR RECOVERY -SIGNIFICANT RISK FACTORS IN LIFESTYLE DISEASES

STRESSNEUROENDOCRINE

RESPONSESINCREASED RISK OF LIFESTYLE DISEASES

UNHEALTHY LIFESTYLE

smoking, low physical activity, high energy intake

/ poor diet, excessive alcohol use ...

E.g. elevated sympathetic activity and arterial blood pressure,

increased stress hormone secretion

e.g. Lucini et al. 2007, Chandola et al. 2007

Type-2 diabetesCardiovascular diseasesMetabolic syndrome…

The overall burden of

unhealthy lifestyles is heavy at

individual & societal levels!

PHYSIOLOGY ANALYTICS IN

LIFESTYLE CHANGE

WHY HEART RATE VARIABILITY?

• HRV is a powerful non-invasive tool to study autonomic nervous system (ANS) 1 and ANS blocking studies have shown HRV can be used to measure sympathetic and parasympathetic activity.

• HRV has been linked to for example mortality, well-being, fitness, work stress and the quality of sleep.

• HRV reflects the control of heart. Heart reflects body’s physiological processes and demands.

+

SympatheticActivation,mobilizationof body resources

-

ParasympatheticCalming down,

recovery,restoration of

resources

Autonomic nervous system (ANS):Balance, Control of Heartbeat

1 Task Force 1996. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 93(5):1043-65.

• Different body functions influence HRV.HRV can be used as a window to map underlying physiology.

• Heart is affected e.g. by:

• Age

• Physical condition

• Acute physical activity

• Hormonal reactions

• Metabolism

• Cognitive processes

• Stress reactions

• Relaxation/recovery

• Emotional reactions

WHAT CAN WE MEASURE THROUGH HRV?

Regulation of respiration

Sympathetic reactions

Recovery

Vagal nerve activity

Oxygen uptakeAutonomic nervous system

Stress

EPOC

Energy expenditure

Interpreted and actionable feedback

Measurement

With Any Heartbeat Sensor

Analysis

Firstbeat Body Analytics Engine

Insights

For Variety of Products and Services

DIGITAL MODEL OF PHYSIOLOGY

HRV

Physiology database

Physiological modeling

Data-driven personalized

advice

Fitness Level

Training Effect

Energy Expenditure

HOW HEARTBEAT ANALYTICS ARE APPLIED IN CONSUMER WEARABLES?

Real-time Guidance & Next Workout Recommendation

Recovery Time Advisor

Sleep Quality Stress & Recovery

Anaerobic threshold

HOW TO CHANGE BEHAVIOURS THROUGH BODY ANALYTICS?

1. MEASURE

2. LEARN FROM DATA

3. PROVIDE ACTIONABLE INSIGHTS

4. SET GOALS, FOLLOW-UP PROGRESS

5. PROVIDE SUPPORT AND TOOLS TO OVERCOME BARRIERS

HOW WE SUPPORT HEALTHY LIFESTYLES: THE PROCESS

PHYSIOLOGY-BASED LIFESTYLE COACHING: MAKING EFFECTS OF DAILY BEHAVIOURS VISIBLE

Find the balance!

A 3-DAY SUMMARY / STRESS-RECOVERY BALANCE

Does sensors make sense?

• 200.000 individual coached, more than 90% would recommend to others, 82% report being able to do at least one change to lifestyles/habits based on the results

How sensors contribute on wellbeing and performance of the workforce:

• Personal feedback for developing well-being and performance

• Measured overview of the well-being of the organization

• Effective in assisting in how to direct employee wellness investments, helps in controlling health care costs, and can reduce sick leave expenses/ risk of early retirement

Technology needs to be integrated, delivered, and scaled into differenttypes of company needs and services

LESSONS LEARNED FROM CORPORATEWELLNESS PROJECTS

Life is a story in 3.3 billion heartbeats

STRESSED EXECUTIVE’S STORY

WORK IN THE EVENING

SLEEP 4 hWORK

NIGHT SHIFT WORKER’S STORY

NIGHT SHIFTNAPS IN THE EVENING

SLEEP 4 h 45 min

ENTHUSIASTIC SPORTSMAN’S STORY

HIKING 10 hours SLEEP 10 h 25 min

MEDITATOR’S STORY

MEDITATION 45min SLEEP 7 h

WHAT KIND OF STORY YOUR LIFE IS?

THANK YOU VERY MUCH!Tero Myllymäki

tero.myllymaki@firstbeat.com

www.firstbeat.com

#firstbeat

Firstbeat Technologies Firstbeat Technologies Ltd@FirstbeatInfo @firstbeat_technologies

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