Smart Supply Chain Strategy for Promoting Physical Fitness of Elderly People

doi:10.12114/j.issn.1007-9572.2020.00.531

Abstract

Abstract: Accelerated population aging has brought severe challenges to socioeconomic development in China. Health-related physical fitness of the elderly is closely related to the quality of life and health status. How to integrate regional resources to meet the health needs of the elderly has become an urgent social issue to be solved. To promote the health-related physical fitness of the elderly，we developed a kind of smart supply chain strategy program in an explorative way using the supply chain theory，internet-based healthcare technologies and three-level prevention thought，namely，a whole life healthcare promotion program，which is implemented consecutively according to comprehensive assessment status of health-related physical fitness of the elderly，by integrating the regional resources of government，medical institutions and social organizations using smart service systems.

Key words: Health-related physical fitness, Health promotion, Service chain, Aging, Internet+

摘要： 人口老龄化的加剧给我国社会经济带来严峻挑战。老年人健康体适能水平与其生活质量和健康状况密切相关，如何整合区域资源，满足老年人的健康需求，已成为我国亟待解决的社会问题。本研究基于“服务链”理论，结合“互联网+医疗”技术和三级预防思路，探索构建基于服务链的智能化老年人健康体适能促进策略，即通过整合区域内政府、医疗机构和社会组织的资源，依托智能服务信息系统，根据老年人健康体适能的综合评分，分级分类地实施全周期、连续性的促进方案。

关键词: 健康体适能, 健康促进, 服务链, 老龄化, 互联网+

QIU Heng,XU Jun,HUANG Chen, et al. Smart Supply Chain Strategy for Promoting Physical Fitness of Elderly People　[J]. Chinese General Practice, 2021, 24(10): 1298-1301. DOI: 10.12114/j.issn.1007-9572.2020.00.531.
邱恒,许军,黄晨等. 服务链视角下智能老年人健康体适能促进策略研究[J]. 中国全科医学, 2021, 24(10): 1298-1301. DOI: 10.12114/j.issn.1007-9572.2020.00.531.

References

［1］国家统计局．中华人民共和国2017年国民经济和社会发展统计公报［EB/OL］．（2018-02-28）［2020-08-14］．http://www.stats.gov.cn/tjsj/zxfb/201802/t20180228_1585631.html.
［2］中华人民共和国中央人民政府．《“十三五”国家老龄事业发展和养老体系建设规划》［EB/OL］．（2017-03-06）［2020-08-14］．http://www.gov.cn/zhengce/content/2017-03/06/content_5173930.htm.
［3］CHODZKO-ZAJKO W J．ACSM's exercise for older adults［M］．Philadelphia：Lippincott Williams & Wilkins，2013.
［4］许军，蒋丽洁，夏聪，等．我国老年人口健康体适能状况及影响因素的研究进展［J］．中国医药导报，2018，15（36）：20-23.
［5］孟凯利．体育生活方式对济南市社区高血压老年人功能性体适能的影响研究［D］．济南：山东大学，2018.
［6］TAKATA Y，ANSAI T，SOH I，et al．Quality of life and physical fitness in an 85-year-old population［J］．Archives of Gerontology and Geriatrics，2010，50（3）：272-276．DOI：10.1016/j.archger.2009.04.005.
［7］孟申，林世平，徐峻华，等．活跃老年人健康体适能与慢性病分析［J］．中华老年医学杂志，2015，34（5）：561-564．
［8］GO??B S，WORONKOWICZ A，KRYST A．Biological aging and physical fitness in men aged 20-70 years from Kraków，Poland［J］．American Journal of Human Biology，2016，28（4）：503-509．DOI：10.1002/ajhb.22820.
［9］谌晓安，王人卫，白晋湘．体力活动、体适能与健康促进研究进展［J］．中国运动医学杂志，2012，31（4）：363-372．
［10］王红雨，张林．70岁以上高龄老年人健康体适能特征及增龄变化研究［J］．中国体育科技，2015，51（1）：121-126．
［11］陈晓霞，张建国，刘波，等．城市高龄老人肌力、柔韧、平衡能力的分析——以南京市城区老龄人口为例［J］．成都体育学院学报，2010，36（1）：80-82．DOI：10.3969/j.issn.1001-9154.2010.01.022.
［12］沈贤，王红雨．苏州市70岁及以上老年人健康体适能及与生活质量的关系［J］．中国老年学杂志，2018，38（14）：3527-3529．DOI：10.3969/j.issn.1005-9202.2018.14.077．
［13］JONES C J，RIKLI R E．Measuring functional fitness of older adults［EB/OL］．［2020-08-14］．https://www.researchgate.net/publication/282304683_Measuring_functional_fitness_of_older_adults.
［14］许可彩，于卫华．老年人功能性体适能的影响因素研究进展［J］．护理学报，2019，26（13）：34-37．
［15］靳永爱，赵梦晗．互联网使用与中国老年人的积极老龄化——基于2016年中国老年社会追踪调查数据的分析［J］．人口学刊，2019，41（6）：44-55．
［16］耿朝辉，袁长蓉．构建移动医疗领域健康行为干预模式的常用理论框架［J］．解放军护理杂志，2016，33（3）：43-47．DOI：10.3969/j.issn.1008-9993.2016.03.011．
［17］GARCíA-HERMOSO A，ALONSO-MARTINEZ A M，RAMíREZ-VéLEZ R，et al．Effects of exercise intervention on health-related physical fitness and blood pressure in preschool children：a systematic review and meta-analysis of randomized controlled trials［J］．Sports Medicine，2020，50（1）：187-203.
［18］VANCAMPFORT D，HAGEMANN N，WYCKAERT S，et al．Higher cardio-respiratory fitness is associated with increased mental and physical quality of life in people with bipolar disorder：a controlled pilot study［J］．Psychiatry Research，2017，256：219-224．DOI：10.1016/j.psychres.2017.06.066.
［19］KANG K D，YUN S W，CHUNG U，et al．Effects of methylphenidate on body index and physical fitness in Korean children with attention deficit hyperactivity disorder［J］．Human Psychopharmacology，2016，31（2）：76-82．
［20］DORNE R．Service chain management technology innovation for the service business［M］．Berlin：Springer，2008.
［21］张永春，杜凝．科学构建社区参与的养老机构长效良性机制——基于“服务链理论”的分析视角［J］．福建论坛（人文社会科学版），2018，38（9）：151-157．
［22］胡正华，宁宣熙．服务链概念、模型及其应用［J］．商业研究，2003，46（7）：111-114．
［23］綦佳，王海燕，宗刚．服务链理论研究［J］．北京工业大学学报（社会科学版），2006，6（4）：22-25．DOI：10.12120/bjutskxb20060422.
［24］夏聪，许军，吴伟旋．我国老年人口的健康状况及影响因素分析［J］．护理研究，2016，30（21）：2580-2583．
［25］CHO M H，LEE K，PARK S M，et al．Effects of smoking habit change on all-cause mortality and cardiovascular diseases among patients with newly diagnosed diabetes in Korea［J］．Scientific Reports，2018，8（1）：5316．
［26］LIN C，LIN C，CHEN S，et al．The association between sleep duration and overweight or obesity in Taiwanese adults：a cross-sectional study［J］．Obesity Research and Clinical Practice，2018，12（4）：384-388．DOI：10.1016/j.orcp.2016.07.005.
［27］孟申，林世平，林玉瑰，等．1 373名活跃老年人健康体适能数据分析［J］．中华健康管理学杂志，2015，9（6）：441-445．DOI：10.3760/cma.j.issn.1674-0815.2015.06.010.
MENG S，LIN S P，LIN Y G，et al．Analysis on data of the health-related physical fitness of 1 373 elderly people［J］．Chinese Journal of Health Management，2015，9（6）：441-445．DOI：10.3760/cma.j.issn.1674-0815.2015.06.010.
［28］SILVA F M，PETRICA J，SERRANO J，et al．The sedentary time and physical activity levels on physical fitness in the elderly：a comparative cross sectional study［J］．Int J Environ Res Public Health，2019，16（19）：3697．DOI：10.3390/ijerph16193697.
［29］World Health Organization．Global recommendations on physical activity for health［EB/OL］．［2020-08-14］．https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/.
［30］RUEDL G，GREIER N，NIEDERMEIER M，et al．Factors associated with physical fitness among overweight and non-overweight austrian secondary school students［J］．International Journal of Environmental Research and Public Health，2019，16（21）：4117．DOI：10.3390/ijerph16214117.
［31］蒋丽洁，黄晨，薛允莲，等．健康体适能的评价指标体系和影响因素的研究进展［J］．重庆医学，2019，48（12）：2102-2106．DOI：10.3969/j.issn.1671-8348.2019.12.029．
［32］互联网医疗中国会．重构中国互联网医疗模式［J］．中国医院院长，2015，11（15）：66-72．
［33］YIP W，HSIAO W．Harnessing the privatisation of China's fragmented health-care delivery［J］．Lancet，2014，384（9945）：805-818．DOI：10.1016/S0140-6736(14)61120-X.

[1]	TAN Yi, ZHU Lihong, YIN Zengwei, HOU Shunan, YU Houming. A Real-world Study of MRI-guided Intravenous Thrombolytic Therapy in Acute Ischemic Stroke [J]. Chinese General Practice, 2025, 28(20): 2508-2515.
[2]	CHEN Kaiyuan, CHEN Long, ZHANG Yi, CHAI Runqi, WANG Na, ZENG Huatang, CHAI Senchun, LIANG Wannian. Research on the Privacy-preserving Technical Scheme and the Coordinative Policies Strategies for Big Data in Medical Imaging [J]. Chinese General Practice, 2025, 28(19): 2338-2344.
[3]	DENG Yaqian, CAO Chunli, MA Jinmei, LI Wenxiao, XU Zelin, CHENG Jing, LI Jun. Predictive Value of S-Detect Combined with Virtual Touch Tissue Imaging Quantification in Axillary Lymph Node Metastasis of Breast Cancer [J]. Chinese General Practice, 2025, 28(17): 2149-2155.
[4]	YUAN Xiaorui, TAN Yanlin, FU Chun. Construction of the Predictive Model for Lymph Node Metastasis in Patients with Epithelial Ovarian Cancer: Based on ¹⁸F-FDG PET/CT Radiomics Technology [J]. Chinese General Practice, 2025, 28(12): 1465-1472.
[5]	XU Linhui, LI Pengfei, WU Miaomiao, KANG Lihua, JI Min, YU Ying, GUAN Huaijin. The Roles of Deubiquitination in Age-related Diseases [J]. Chinese General Practice, 2025, 28(09): 1143-1155.
[6]	YANG Jianuo, WANG Guanli, YANG Jiafu, HE Jiahao, CHEN Shumin, SHEN Yi, LI Juan, REN Ni, LIU Chunli, DENG Fangge. New Progress in the Application of Infrared Thermal Imaging in Pulmonary Diseases [J]. Chinese General Practice, 2025, 28(08): 1012-1016.
[7]	PENG Hongye, JING Yanan, WANG Ying, LU Chunli. The Current State of Development and the Challenges of Localization in Lifestyle Medicine both Domestically and Internationally [J]. Chinese General Practice, 2025, 28(07): 797-806.
[8]	HU Yifan, CHEN Miaoyang, XIONG Qingfang, ZHONG Yandan, LIU Duxian, GU Aidong, YANG Yongfeng. Consistency Analysis of Imaging and Histological Diagnosis of Non-alcoholic Fatty Liver Disease [J]. Chinese General Practice, 2024, 27(28): 3546-3551.
[9]	HUANG Fan, ZHENG Beisi, HUANG Jiaying, HUANG Qianying, LI Tao, WU Shan, LIN Yanzhao, FAN Zhiyong. Warm Qi Arrives after Tuina: Dose-effect Association between Number of Tuina and Warming Effect Measured Using Infrared Thermal Imaging [J]. Chinese General Practice, 2024, 27(26): 3264-3272.
[10]	CHEN Zeran, HUANG Mengying, ZENG Lichuan, JIN Shuoguo, YIN Haiyan. Advances in Magnetic Resonance Imaging Technology Applied to Human Brain Glymphatic System [J]. Chinese General Practice, 2024, 27(26): 3314-3319.
[11]	CHEN Junli, WANG Lu, REN Jianxue, JING Qi, SHENG Hongqi, GAO Qianqian, CAI Weiqin, MA Anning. Study on the Spatial Distribution and Influencing Factors of Basic Endowment Insurance for Uban and Rural Residents in China Under the Background of Healthy Aging [J]. Chinese General Practice, 2024, 27(19): 2382-2387.
[12]	PANG Lan, LI Peifan, ZHU Xiaogang, YANG Zaihong, ZHENG Lei. Deep Transcranial Magnetic Stimulation Combined with Escitalopram Oxalate in the Treatment of Depression: a Randomized Controlled Trial [J]. Chinese General Practice, 2024, 27(17): 2098-2103.
[13]	ZHANG Yafang, WEN Xuan, YANG Zhongting, DU Xingmei, DENG Chunyan, YE Qingyun, DENG Rui, HUANG Yuan. Impact of Household Income Levels on Successful Aging of the Elderly [J]. Chinese General Practice, 2024, 27(08): 930-935.
[14]	MA Jinmei, LIU Wen, CAO Chunli, KANG Yanfei, ZHANG Xiaomei, LI Jun. Ultrasound and ^99mTc-MIBI Scintigraphy in Differentiating between Parathyroid Hyperplasia and Parathyroid Adenoma [J]. Chinese General Practice, 2023, 26(36): 4552-4557.
[15]	MENG Jiangtao, YANG Siyu, SUN Lei, LEI Ruining, ZHAO Xiaoxia. Advances in the Prognostic Value of Diffusion Tensor Imaging with Motor Evoked Potential for Motor Function in Cerebral Infarction Patients with Hemiplegia [J]. Chinese General Practice, 2023, 26(32): 4098-4102.