Wearable devices monitoring food intake through passive sensing is slowly emerging to complement self-reporting of users' caloric intake and eating behaviors. Though the ultimate goal for the passive sensing of eating is to become a reliable gold standard in dietary assessment, it is currently showing promise as a means of validating self-report measures. Continuous food-intake monitoring allows for the validation and refusal of users' reported data in order to obtain more reliable user information, resulting in more effective health intervention services. Recognizing the importance and strength of wearable sensors in food intake monitoring, there has been a variety of approaches proposed and studied in recent years. While existing technologies show promise, many challenges and opportunities discussed in this survey, still remain. This paper presents a meticulous review of the latest sensing platforms and data analytic approaches to solve the challenges of food-intake monitoring, ranging from ear-based chewing and swallowing detection systems that capture eating gestures to wearable cameras that identify food types and caloric content through image processing techniques. This paper focuses on the comparison of different technologies and approaches that relate to user comfort, body location, and applications for medical research. We identify and summarize the forthcoming opportunities and challenges in wearable food intake monitoring technologies.
Food intake levels, hydration, ingestion rate, and dietary choices are all factors known to impact the risk of obesity. This paper presents a novel wearable system in the form of a necklace, which aggregates data from an embedded piezoelectric sensor capable of detecting skin motion in the lower trachea during ingestion. The skin motion produces an output voltage with varying frequencies over time. As a result we propose an algorithm based on time-frequency decomposition, spectrogram analysis of piezoelectric sensor signals, to accurately distinguish between food types such as liquid and solid, hot and cold drinks and hard and soft foods. The necklace transmits data to a smartphone, which performs the processing of the signals, classifies the food type, and provides visual feedback to the user to assist the user in monitoring their eating habits over time. We compare our spectrogram analysis with other time-frequency features such as Matching Pursuit (MP) and Wavelets. Experimental results demonstrate promise in using time-frequency features, with high accuracy of distinguishing between food categories using spectrogram analysis and extracting key features representative of the unique swallow patterns of various foods.
Dietary intake, eating behaviors, and context are important in chronic disease development, yet our ability to accurately assess these in research settings can be limited by biased traditional self-reporting tools. Objective measurement tools, specifically, wearable sensors, present the opportunity to minimize the major limitations of self-reported eating measures by generating supplementary sensor data that can improve the validity of self-report data in naturalistic settings. This scoping review summarizes the current use of wearable devices/sensors that automatically detect eating-related activity in naturalistic research settings. Five databases were searched in December 2019, and 618 records were retrieved from the literature search. This scoping review included N = 40 studies (from 33 articles) that reported on one or more wearable sensors used to automatically detect eating activity in the field. The majority of studies (N = 26, 65%) used multi-sensor systems (incorporating > 1 wearable sensors), and accelerometers were the most commonly utilized sensor (N = 25, 62.5%). All studies (N = 40, 100.0%) used either self-report or objective ground-truth methods to validate the inferred eating activity detected by the sensor(s). The most frequently reported evaluation metrics were Accuracy (N = 12) and F1-score (N = 10). This scoping review highlights the current state of wearable sensors' ability to improve upon traditional eating assessment methods by passively detecting eating activity in naturalistic settings, over long periods of time, and with minimal user interaction. A key challenge in this field, wide variation in eating outcome measures and evaluation metrics, demonstrates the need for the development of a standardized form of comparability among sensors/multi-sensor systems and multidisciplinary collaboration.npj Digital Medicine (2020) 3:38 ; https://doi.
Detecting human activity independent of intensity is essential in many applications, primarily in calculating metabolic equivalent rates and extracting human context awareness. Many classifiers that train on an activity at a subset of intensity levels fail to recognize the same activity at other intensity levels. This demonstrates weakness in the underlying classification method. Training a classifier for an activity at every intensity level is also not practical. In this paper, we tackle a novel intensity-independent activity recognition problem where the class labels exhibit large variability, the data are of high dimensionality, and clustering algorithms are necessary. We propose a new robust stochastic approximation framework for enhanced classification of such data. Experiments are reported using two clustering techniques, K-Means and Gaussian Mixture Models. The stochastic approximation algorithm consistently outperforms other well-known classification schemes which validate the use of our proposed clustered data representation. We verify the motivation of our framework in two applications that benefit from intensity-independent activity recognition. The first application shows how our framework can be used to enhance energy expenditure calculations. The second application is a novel exergaming environment aimed at using games to reward physical activity performed throughout the day, to encourage a healthy lifestyle.
Sleep plays a pivotal role in the quality of life, and sleep posture is related to many medical conditions such as sleep apnea. In this paper, we design a dense pressuresensitive bedsheet for sleep posture monitoring. In contrast to existing techniques, our bedsheet system offers a completely unobtrusive method using comfortable textile sensors. Based on high-resolution pressure distributions from the bedsheet, we develop a novel framework for pressure image analysis to monitor sleep postures, including a set of geometrical features for sleep posture characterization and three sparse classifiers for posture recognition. We run a pilot study and evaluate the performance of our methods with 14 subjects to analyze 6 common postures. The experimental results show that our proposed method enables reliable sleep posture recognition and offers better overall performance than state-of-the-art methods, achieving up to 83.0% precision and 83.2% recall on average.
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