Wearable technology and blood pressure monitoring: Addressing the global hypertension problem
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High blood pressure is one of the largest public health epidemics in the world, affecting over one billion people according the World Health Organization and presenting significant risk factors for stroke, heart failure, coronary artery disease, diabetes and kidney disease. Monitoring blood pressure is the first step toward improving it, but it remains challenging to consistently monitor blood pressure in ways that don’t disrupt people’s lives. There are numerous efforts underway to address some of those challenges through wearable technology and devices, from watches to earbuds to clothing and more. In this webinar, leaders from Omron and Valencell will explore the latest technologies and initiatives designed to navigate the technical challenges, regulatory environment, consumer expectations, and opportunities to make a dent in the global hypertension epidemic.
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Wearable technology and blood pressure monitoring: Addressing the global hypertension problem
- 1. Wearable technology and blood pressure monitoring: Making a dent in global hypertension © 2019 Valencell, Inc Ranndy Kellogg, Omron Healthcare Ryan Kraudel, Valencell
- 2. © 2019 Valencell, Inc Agenda • Scope of the problem • A few things to know about blood pressure • Key challenges in addressing the problem • Opportunities to address the problem • Future view of wearables and blood pressure
- 3. High blood pressure is a global health tragedy
- 4. Number of people with high blood pressure in 2017 Source: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. https://www.ncbi.nlm.nih.gov/pubmed/30496105?dopt=Abstract
- 5. Americans with high blood pressure in 2018 Source: American Heart Association, January 2018 https://www.heart.org/en/news/2018/05/01/more-than-100- million-americans-have-high-blood-pressure-aha-says
- 6. Number of deaths directly attributed to high blood pressure in 2017 Source: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. https://www.ncbi.nlm.nih.gov/pubmed/30496105?dopt=Abstract
- 7. Estimated cost of elevated blood pressure around the world Source: The global cost of nonoptimal blood pressure. https://www.ncbi.nlm.nih.gov/pubmed/19474763
- 8. A few other things to know about blood pressure
- 9. More than smoking, high fasting glucose and high BMI Source: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. https://www.ncbi.nlm.nih.gov/pubmed/30496105?dopt=Abstract
- 10. It’s A Silent Killer
- 11. • Time of day • Food & drink – alcohol, caffeine, salty foods, etc. • Exercise • Temperature • White lab coat effect • Medications • Family history • Stress • Full bladder BP fluctuates at times throughout the day depending on:
- 12. In general, blood pressure rises as we age… ...but lifestyle choices have a big influence on the rate of change.
- 13. Challenges in Addressing Global Hypertension
- 14. Source: Resolve to Save Lives https://www.resolvetosavelives.org/hypertension/ 484M 161M 322M 161M
- 15. Tracking BP Takes Time Source: American Heart Association https://www.heart.org/en/health-topics/high-blood-pressure/understanding- blood-pressure-readings/monitoring-your-blood-pressure-at-home • Get a BP cuff • Learn how to use it • Use it properly • Sit still for 5 minutes • Don’t smoke, drink caffeine or exercise within 30 minutes the measure • Sit correctly • Measure at the same time every day • Take multiple readings & record the results • Don’t take measurements over clothes • Keep a BP journal
- 16. • Time of day • Food & drink – alcohol, caffeine, salty foods, etc. • Exercise • Temperature • White lab coat effect • Medications • Family history • Stress • Full bladder These confounding factors require consistency in measurement
- 17. Opportunities to Address Global Hypertension
- 18. © 2019 Valencell, Inc Opportunities Going from this… To this…
- 19. © 2019 Valencell, Inc Opportunities Going from this… To this… Single, point-in-time measurements Longitudinal BP monitoring ”in the background” over time
- 20. © 2019 Valencell, Inc Opportunities Going from this… To this… Manual tracking Weaving BP monitoring into every day life by making it easier to manage
- 21. © 2019 Valencell, Inc Opportunities Going from this… To this… Monolithic recommendations Personalized insights based on longitudinal and contextual data that facilitate focused dialogue and solutions with doctors/providers
- 22. The Future
- 23. © 2019 Valencell, Inc Calibration-Free BP Technologies Are Advancing Rapidly Technology Maturity Manual Cuffs Automated Cuffs Arterial Line Optical PPG-Only VideoPulse Wave Velocity FDA Cleared High Low Experimental Pulse Transit Time
- 24. © 2019 Valencell, Inc Future View of BP and Wearables • Market shifting toward preventative healthcare, not reactive sick-care • Combined with: • Sensors getting more accurate and ubiquitous • Applying data science to health data • Payers aligning incentives and reducing cost barriers for new devices/treatments https://www.marsdd.com/news/transforming-health-shifting-from-reactive-to-proactive-and-predictive-care/
- 25. Thank You!
Notas do Editor
- Ranndy Kellogg - CEO & President, Omron Healthcare
- And it’s almost entirely preventable and can be addressed with relatively straightforward actions
- This number has doubled over the last 40 years. And it appears to be accelerating – recent study estimated over 1.5B people with hypertension by 2025 - 30-50% growth since 2000.
- Also sleep
- BP changes over time – not a static measure In general BP rises as we age But lifestyle changes can slow or reverse that gradual BP rise: Physical activity Diet Limit alcohol Don’t smoke Manage stress
- Calibrated PTT – no known products on the market. Biobeat does not have approval for calibration-free, even though they referenced the cal-free ISO standard.
- Applying data science to enable better outcomes – the combination of biometric data, machine learning and contextual information will drive new insights at individual and population levels.