Wearable sensing for liquid intake monitoring via apnea detection in breathing signals

PurposeAppropriate amount of liquid intake is crucial for maintaining human physiological operations. Traditionally, researchers have used self-reported questionnaires for estimating daily liquid intake, which has been proven to be unreliable. In this study, we developed an instrumented system for liquid intake monitoring to reduce estimation subjectivity by complementing self-reporting information with instrumented data.MethodsLiquid intake can be detected by the way of detecting a person’s swallow events. The system works based on a key observation that a person’s otherwise continuous breathing process is interrupted by a short apnea when a swallow occurs as a part of the intake process. We detect the swallows via recognizing apneas extracted from breathing signal captured by a wearable sensor chest-belt. Such apnea detection is performed using matched filters and machine learning mechanisms with both time and frequency domain features. Spectrum analysis, artifact handling, and iterative template refinement were also proposed, analyzed and experimented with.ResultsIt is demonstrated that the proposed matched filter method on an average can provide true positive rates up to 82.81% and false positive rates as low as 3.31%. It is also demonstrated that the machine learning method using Decision Tree (J48) provides the best true positive rates up to 97.5% and false positive rates as low as 0.7%.ConclusionsThe experiments and analysis suggest that the proposed liquid intake monitoring system and algorithms through breathing signal shows potential for being used for liquid intake monitoring.

[1]  Tom Chau,et al.  An Online Swallow Detection Algorithm Based on the Quadratic Variation of Dual-Axis Accelerometry , 2010, IEEE Transactions on Signal Processing.

[2]  Gila Benchetrit,et al.  Use of Respiratory Inductance Plethysmography for the Detection of Swallowing in the Elderly , 2005, Dysphagia.

[3]  David G. Stork,et al.  Pattern Classification (2nd ed.) , 1999 .

[4]  D. Schoeller Limitations in the assessment of dietary energy intake by self-report. , 1995, Metabolism: clinical and experimental.

[5]  G. Gautschi Piezoelectric Sensorics: Force Strain Pressure Acceleration and Acoustic Emission Sensors Materials and Amplifiers , 2002 .

[6]  Edward Sazonov,et al.  Non-invasive monitoring of chewing and swallowing for objective quantification of ingestive behavior. , 2008, Physiological measurement.

[7]  Steve W. J. Kozlowski,et al.  The Dynamics of Emergence: Cognition and Cohesion in Work Teams , 2012 .

[8]  G. Turin,et al.  An introduction to matched filters , 1960, IRE Trans. Inf. Theory.

[9]  C. Samuel-Hodge,et al.  A comparison of self-reported energy intake with total energy expenditure estimated by accelerometer and basal metabolic rate in African-American women with type 2 diabetes. , 2004, Diabetes care.

[10]  Dinesh K. Bhatia,et al.  Towards automated ingestion detection: Swallow sounds , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[11]  David G. Stork,et al.  Pattern Classification , 1973 .

[12]  Geoff Holmes,et al.  Benchmarking Attribute Selection Techniques for Discrete Class Data Mining , 2003, IEEE Trans. Knowl. Data Eng..

[13]  Isaac Sia,et al.  Spontaneous Swallowing Frequency Has Potential to Identify Dysphagia in Acute Stroke , 2013, Stroke.

[14]  Ian H. Witten,et al.  The WEKA data mining software: an update , 2009, SKDD.

[15]  Gerhard Tröster,et al.  Methods for Detection and Classification of Normal Swallowing from Muscle Activation and Sound , 2006, 2006 Pervasive Health Conference and Workshops.

[16]  A. Kandori,et al.  Simple Magnetic Swallowing Detection System , 2012, IEEE Sensors Journal.

[17]  Oleksandr Makeyev,et al.  Automatic food intake detection based on swallowing sounds , 2012, Biomed. Signal Process. Control..

[18]  Peter Hult,et al.  Validation and Characterization of the Computerized Laryngeal Analyzer (CLA) Technique , 1999, Dysphagia.

[19]  J. Brasseur,et al.  Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. , 1990, The American journal of physiology.

[20]  Wolf-Joachim Fischer,et al.  Food Intake Activity Detection Using a Wearable Microphone System , 2011, 2011 Seventh International Conference on Intelligent Environments.

[21]  Cumhur Ertekin,et al.  An electronic device measuring the frequency of spontaneous swallowing: Digital Phagometer , 2004, Dysphagia.

[22]  Bo Dong,et al.  Swallow monitoring through apnea detection in breathing signal , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[23]  Kenji Suzuki,et al.  A neck mounted interface for sensing the swallowing activity based on swallowing sound , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[24]  O. Bar-or,et al.  The young athlete: some physiological considerations. , 1995, Journal of sports sciences.

[25]  J L Warren,et al.  The burden and outcomes associated with dehydration among US elderly, 1991. , 1994, American journal of public health.

[26]  Wendy C. Gehm,et al.  Non-invasive monitoring of functionally distinct muscle activations during swallowing , 2002, Clinical Neurophysiology.

[27]  Bo Dong,et al.  Wearable networked sensing for human mobility and activity analytics: A systems study , 2012, 2012 Fourth International Conference on Communication Systems and Networks (COMSNETS 2012).

[28]  V. Vance,et al.  Self-reported dietary energy intake of normal weight, overweight and obese adolescents , 2009, Public Health Nutrition.