时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
Despite growing recognition of early functional change, current assessment approaches remain largely limited to episodic clinic-based assessments and self-reported measures [].；However, their use depends in part on whether adequate monitoring can be achieved under real-world conditions [,].；However, important gaps remain in understanding real-world feasibility among older adults.
方法
This study was conducted within the China Healthy Aging Cohort Study (China-Aging; ClinicalTrials.gov identifier: ), an ongoing longitudinal, multicenter cohort of community-dwelling older adults across several regions in China [].；The wearable monitoring component was established within the Beijing center of the China-Aging cohort to collect longitudinal, real-world behavioral and physiological data using wrist-worn wearable devices.；Baseline demographic and clinical assessments were conducted by trained researchers as part of the China-Aging cohort procedures.；The study was approved by the Ethics Committee of Xuanwu Hospital, Capital Medical University (approval number 2024214001), and all participants provided written informed consent prior to participation.
核心结论
Of these, 147 used a phone that was incompatible with the Huawei Health app (eg, iOS devices or unsupported Android versions), 64 did not proceed because stable data transmission could not be established during connection testing, and 13 did not enroll for other reasons that were not systematically recorded.；Baseline comparisons between the 486 enrolled and 224 nonenrolled participants showed no significant differences in age, sex, education, marital status, or self-rated health.；Enrolled participants had higher MMSE scores and differed in living arrangement and care arrangement; a statistically significant but small difference was also observed in ADL. ‖ 结论：In conclusion, this study demonstrates that wrist-worn wearable monitoring is feasible for a substantial proportion of community-dwelling older adults in China under limited-support, naturalistic conditions, although monitoring extent and continuity varied considerably.
局限
At the same time, monitoring patterns varied considerably across individuals, with substantial heterogeneity in both monitoring extent and continuity, highlighting challenges for sustained real-world monitoring and large-scale implementation.；The observed monitoring patterns should be interpreted in the context of the limited-support design.；Notably, this occurred despite successful device pairing, connection testing, and data transmission before enrollment, suggesting that successful technical onboarding alone may not be sufficient to ensure subsequent wearable use.
对本项目的价值
★☆☆☆☆ 脑老化是最大未满足需求，也是终点最难量化的领域；biomarker 与认知读数选择最敏感。
全文来源
PMC JATS 全文（正文 33,933 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Real-World Health Monitoring Using Wrist-Worn Wearables in Community-Dwelling Older Adults in China: Mixed Methods Feasibility Study.
- 期刊与标识：JMIR Hum Factors · PMID 42956267 · DOI 10.2196/98592
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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