Metabolic Nutri-Expert System: A Comprehensive Tool for Achieving Metabolic Control of Inborn Errors of Amino Acid Metabolism

Abstract

The main aim of this study was to develop a comprehensive nutritional planning expert system for inborn errors of amino acid metabolism (IEAAM). Metabolic Nutri-Expert System, integrated in the electronic nutritional history record, was designed to accelerate either dietitian or patient/parent knowledge acquisition and education about the particular disease and propose culturally appropriate low protein diet to improve metabolic control or maintain the present health status. The Genetic Metabolic Dietitians International (GMDI) nutritional guideline was used to estimate the recommended nutritional values in the proposed system. The recommended daily Intakes (RDIs) for patients ingesting amino acid mixture, the U.S. Department of agriculture (UDSA) nutrient list, and both Iranian and modern low protein recipes were applied to perform diet planning. The proposed system also allows the user to modify the diet as he/she likes, and to propose his/her own low protein cookery recipes as well. This comprehensive computer system, through the multidisciplinary viewpoint, aimed to at least partially replace some of the regular traditional metabolic dietitian visits and optimize the patient's metabolic control and adherence outcomes.

Trends and Insights on Tools Used for the Development of Expert Systems: A Systematic Review of Research Articles (2018-2022)

“…The CLIPS expert system shell has been used to undertake different projects with the implementation taking different forms. CLIPS has been used independently to develop expert systems for nutritional planning (Mazloom et al, 2018), control of desalination process (Rivas-Perez et al, 2019), and in code generation using fish bones diagrams (Yurin et al, 2018). The shell has also been integrated with other software tools while developing expert systems.…”

Carbulin: A Comprehensive Mobile Application for Advanced Carbohydrate Counting and Diet- and Insulin-Regimen Planning for Type 1 Diabetic Patients

“…On the other hand, culinary culture of an individual country, as a collection of human dietary behavior, traditional diet, and food consumption pattern, is reliant on the geographical environment and available food items. Iranian dietary culture is therefore, different from those of western countries [ 8 ]. Such issue should be addressed carefully during menu design and dietary planning for general population and patients, both in-person and virtual self-management education.…”

“…Any effort in developing disease-specific self-management software/app should preferably be accompanied by the use of the pertinent national dietary pattern and menu [ 8 ]. In this regard, Carbulin is primarily developed for dietary management of type 1 DM and also helps the user improve his/her knowledge and nutritional skills in advanced carbohydrate counting in order to achieve and maintain optimal glycemic control, considering Iranian menu.…”