Wearable device to track diet under development

A concept of the device with sensor was made through 3-D printing. Credit: The University of Alabama

Sensors and software used to track physical activity are increasingly popular, as smart phones and their apps become more powerful and sophisticated, but, when it comes to food, they all rely on the user to report meals.

Dr. Edward Sazonov, an associate professor of electrical and computer engineering at The University of Alabama, hopes to change that through development of a sensor worn around the ear that would automatically track diet, giving medical professionals and consumers accurate information that can be missed with self-reporting.

"Weight gain comes from an unbalance of the energy we take in versus the energy we expend," Sazonov said. "We can estimate diet and nutrient intake, but the primary method is self-reporting. The sensor could provide objective data, helping us better understand patterns of food intake associated with obesity and eating disorders."

Sazonov is the lead on a $1.8 million, five-year grant from the National Institute of Health to test the practical accuracy of the wearable sensor in tracking diet. Already proven viable, the device will be updated, further miniaturized and validated in a more formal, robust experiment in the community.

Called an Automatic Ingestion Monitor, or AIM, it has potential to monitor eating by automatically detecting and capturing imagery of food intake and to estimate the mass and the energy content of ingested food.

The sensor feels vibrations from movement in the jaw during food intake, and the device is programmed to filter out jaw motions, such as talking, that are not coming from drinking or eating. Estimates of energy intake would be taken from the pictures of food or drink.

More than two-thirds of adults in the United States are clinically overweight or obese, according to estimates from the Center for Disease Control and Prevention.

"Eating may be an unconscious, even automatic behavior for some individuals, and the literature is full of examples of dietary behaviors which increase the risk for overeating," Sazonov said.

In a study, the AIM will be tested against the accuracy of an alternative method, the use of a doubly-labeled water to track energy use by humans. That method measures the body's elimination rate of stable isotopes of hydrogen and oxygen added to the water, a process that can take two weeks. The information can be used to estimate how many calories a person consumes over a period of time.

However, this method is expensive and requires medical specialization, and, unlike the proposed AIM, does not track eating behavior.

The information provided by AIM could be used to improve behavioral weight loss strategies or to develop new kinds of weight-loss interventions. In addition, the AIM could also provide an objective method of assessing the effectiveness of pharmacological and behavioral interventions for eating disorders.

It's likely the technology's first application would be as a medical device, but Sazonov said it's possible it could become a consumer device that would eliminate the need for health-conscious people to keep a record of their diet.

Source: University of Alabama

New biometric watches use light to non-invasively monitor glucose, dehydration, pulse

This schematic diagram shows how the new system can be used to measure a person's glucose levels noninvasively. Credit: Biomedical Optics Express

Monitoring a patient's vital signs and other physiological parameters is a standard part of medical care, but, increasingly, health and fitness-minded individuals are looking for ways to easily keep their own tabs on these measurements. Enter the biometric watch.

In a pair of papers published in The Optical Society's (OSA) open-access journal Biomedical Optics Express, groups of researchers from the Netherlands and Israel describe two new wearable devices that use changing patterns of scattered light to monitor biometrics: one tracks glucose concentration and dehydration levels, and the other monitors pulse.

The glucose sensor is the first wearable device that can measure glucose concentration directly but noninvasively, the authors say.
And while other wearable devices have been made to monitor pulse, the authors claim their new design would be less sensitive to errors when the wearer is in motion, for example while walking or playing sports

Both of the watches described in the two papers make use of the so-called "speckle" effect, the grainy interference patterns that are produced on images when laser light reflects from an uneven surface or scatters from an opaque material. When the material that is scattering the light is moving -- say, in the case of blood flowing through the circulatory system -- "the speckle pattern changes with changes in the flow," explained biomedical engineer Mahsa Nemati, a graduate student in the Optics Research Group at the Delft University of Technology in the Netherlands and the lead author of the Biomedical Optics Express paper on monitoring pulse. Those light variations are a valuable source of information, she says.

The 'Holy Grail' of Diagnostics

In the first paper, bioengineer Zeev Zalevsky of Israel's Bar-Ilan University and his colleagues describe a new wearable biometric system that uses the speckle effect to directly monitor the glucose concentration in the bloodstream, as well as the wearer's relative hydration level.

"Glucose is the holy grail of the world of biomedical diagnostics, and dehydration is a very useful parameter in the field of wellness, which is one of our main commercial aims," Zalevsky said.

The watch-like device consists of a laser to generate a wavefront of light that illuminates a patch of skin on the wrist near an artery, and a camera that measures changes over time in the light that is backscattered off the skin. Unlike other chemicals present in the blood, glucose exhibits a so-called Faraday effect. This means that in the presence of an external magnetic field (generated by a magnet attached to the device) the glucose molecule alters the polarization of the wavefront and thus influences the resulting speckle patterns. 
Analyzing these changing patterns provides a direct measurement of the glucose concentration. Because one of the main signs of mild to moderate dehydration is muscle weakness, which will alter the strength of the signals, the same device can also be used to indicate the relative dehydration level of the user as it changes over time.

Zalevsky and his colleagues are now working to reduce the margin of error in the device's readings. "Around 96 percent of our in vivo measurements were within a range of 15 percent deviation from the readout of a medical reference glucometer device," Zalevsky noted. "The main factor for errors now is the stability of our device on the wrist of the user. We are currently investing efforts in deriving proper calibration and motion cancellation procedures that will allow us to reduce this sensitivity."

Zalevsky says this is the first step toward non-invasive, continuous in vivo measurement of glucose that is based on sensing an effect that is directly related to glucose concentration. The team expects a commercial version of the device to reach the market within two to three years.

Pulse Tracker

In the second Biomedical Optics Express paper, Nemati and her colleagues at Delft and at Phillips Research developed a method that could be used to monitor pulse non-invasively with a sensor that isn't thrown off by the wearer's movement.

Using simulated heart beats generated in milk and measurements performed on the finger of a volunteer, they found that speckle changes can be used to accurately measure flow pulsations -- that is, the heart rate -- even when the light source used to create the speckle pattern is also moving, as would be the case with a wearable biometric sensor. The researchers found that just a couple of pixels from the image were sufficient to extract the pulse rate.

"This paper shows for the first time that a speckle pattern generated from a flowing liquid can give us the pulsation properties of the flow in spite of motion-induced artifacts," Nemati said. "Sophisticated optics is not necessary to implement this, so the costs for devices can be kept low. Another advantage is that the devices can be non-contact or far from the sample," she added.

The team is currently working with companies to integrate their motion-friendly pulse-monitoring technique into existing sensors, for potential use clinically as well as in sports, Nemati said.

Source: The Optical Society

Smelly discovery challenges effectiveness of antimicrobial textiles

University of Alberta textiles scientist Rachel McQueen has found that anti-odor clothing may not be living up to its promise. Credit: University of Alberta

Anti-odour clothing may not be living up to its promise, and an ALES researcher is saying it could all be a matter of how the product was tested.

In two separate experiments, Human Ecology researcher Rachel McQueen and her team found that some antimicrobial textiles were far more effective at performing their advertised tasks in the lab than in testing on humans. In one experiment, the fabrics were designed to help lower the risk of infection; in the second, the fabric was treated with a silver compound, which can be marketed preventing odour in clothing.

"We aren't necessarily seeing the same results in the lab about antimicrobial activity translating into antimicrobial activity when we're wearing them next to our bodies in real life," she said.

The first experiment analyzed the effectiveness of three different textiles coated in antimicrobials triclosan, a zinc pyrithione derivative and a silver chloride-titanium dioxide compound. After putting the fabric on people's arms under plastic film for 24 hours, the silver-chloride titanium dioxide compound hardly eliminated any bacteria. Overall, they found the in vivo -- tested on humans -- results were not comparable with in vitro -- tested in the lab -- results in how they prevented microorganisms from surviving in the textile.

The second test had similar results, and tested whether polyester textiles treated with bioactive concentrations of an antimicrobial silver chloride compound reduced armpit odour and bacterial populations. Although lab testing showed antimicrobial activity, the treated fabrics did not lower odour or bacterial intensity in in vivo testing.

McQueen said that anything from sweat to the proteins in the human body can disrupt the antimicrobial properties of a fabric.

"In reality, when it goes to the point that it gets put on a textile... it may not have the same level of effectiveness as the ones they studied," she said.

McQueen said these findings highlight the importance of in vivo testing, which is less common than in vitro testing, in textile product development. But, because the textiles appear to be effective at reducing bacteria in the lab, she said they may be advertised as being anti-odourous, although they may not necessarily be so when actually worn.

So, for now, McQueen suggests thinking twice before trusting textile's advertised claims.

"It's just a real spectrum to how effective they may truly be. So I'd probably say, from a consumer's point of view, if you're actually buying something that says it's antimicrobial, it may not be," she said. "I think that's important to consider in relation to a lot of claims made about textiles, that is, to be skeptical about the claims marketers make."

McQueen's research was recently published in the International Journal of Clothing Science and Technology.

Source: University of Alberta

Intelligent training with a fitness shirt and an e-bike

The FitnessSHIRT reads out physiological signals like pulse and breath continuously when worn. The interpreted data can be viewed on a smartphone or tablet PC, for example. Credit: © Fraunhofer IIS

Fabric manufacturers are experiencing a revolution at present: if clothing previously offered protection against the cold, rain, and snow, the trend now is toward intelligent, proactive, high-tech textiles like self-cleaning jackets, gloves that recognize toxins, and ski anoraks with integrated navigational devices to make life easier for those wearing them.

Most clever clothing is only at the prototype stage. It is by no means off-the-rack yet. Soon the FitnessSHIRT from the Fraunhofer Institute for Integrated Circuits IIS in Erlangen, Germany, will be ready for the mass market. It continuously measures physiological signals such as breathing, pulse, and changes in heart rate -- metrics of adaptability and stress load. The intelligent sports shirt is expected to be available sometime in the next year, as an investor is already on-board.

Smart electronics are hidden in the material

Conductive textile electrodes integrated into the shirt's material capture the wearer's cardio activity. In addition, an elastic band around the upper body senses the motion of the chest during breathing. A removable electronic unit attached with snaps digitizes the raw data and calculates additional parameters like pulse rate or breath rate with the help of algorithms. The data are transmitted via radio link to a smartphone or optionally to a PC, where they are evaluated further and can be stored. These parameters form the basis for judging vital functions like stress, performance, exertion, or relaxation.

"The FitnessSHIRT can be employed a number of ways. It offers completely new options for the pursuit of sports, leisure activities, and wellness, as well as options for the medical branch," says Christian Hofmann, an engineer at IIS. For example, it could act as a training partner to provide seniors or rehabilitation patients with feedback on their vital signs during exercises or bicycling, and protect them from overexertion. Athletes will also benefit: for one thing, the SHIRT is more comfortable to wear than a chest strap. For another, the integrated sensors deliver more detailed information. Besides pulse and respiration, accelerometers sense the movement of the user and carry out an analysis. "If the pulse rate is high, for example, while the breath rate and the exercise activity is low, it could be a sign of possible heart problems," according to Hofmann.

The developers of the MENTORbike are also persuaded by the high degree of comfort when worn and the possibilities for performance diagnostics. MENTORbike is a new type of training device consisting of a pedelec, a smartphone, and an intelligent user service site on the internet. The project partners, led by BitifEye Digital Test Solutions, want to use the pedelec in combination with the FitnessSHIRT from IIS in future. The SHIRT will have a wireless connection via smartphone to the pedelec and the user service site on the internet, where the data can be viewed, analyzed, and documented. The smartphone mounted on the bicycle handlebars collects the vital parameters it receives like pulse and breath rate as well as the physical data, for instance the energy expended and the speed, analyzes them, and cuts in the electric motor as needed.

"If the pulse rate exceeds a maximum value of 150, for example, the rider is supported by the motor taking some of the load. If the pulse rate falls below a value of 80 beats per minute, the electric motor is throttled back and the pedal loading increased again. The motor output adapts automatically to the fitness of the cyclist," explains Markus Gratzfeld, an engineer with BitifEye. In this way, users are assured of an optimal level of training at all times, with neither over- nor under-exertion. Rehabilitation patients, especially persons with cardiovascular disease, could monitor their performance limits better, exercise more confidently, and increase their range of movement.

Source: Fraunhofer-Gesellschaft

Glove shows its true colors: Identifies poisons on contact

The sensor glove turns blue in the presence of hazardous substances. Credit: © Fraunhofer EMFT

Security takes top priority in laboratories and in production. In the future, employees exposed to risks will only have to put on a glove in order to receive a toxic substance warning: This textile identifi es poisonous substances, and points them out immediately.

Employees in chemical production, the semiconductor industry or in laboratories are frequently exposed to harmful substances. The problem: Many of these aggressive substances are imperceptible to human senses, which makes handling them so risky. That's why there is a broad range of solutions that employers can use to protect their staff from hazardous substances -- from highly sensitive measuring equipment to heat imaging cameras. Soon, this spectrum will be enhanced by one more clever solution that is easy to handle, and that dispenses with a power supply. Researchers at the Fraunhofer Research Institution for Modular Solid State Technologies EMFT in Regensburg have engineered a glove that recognizes if toxic substances are present in the surrounding air.

The protective glove is equipped with custom-made sensor materials and indicates the presence of toxic substances by changing colors. In this regard, the scientists adapted the materials to the corresponding analytes, and thus, the application. The color change -- from colorless (no toxic substance) to blue (toxic substance detected), for example -- warns the employee immediately. "By synthesizing the adapted color sensor materials, we can detect gases like carbon monoxide, for example, or hydrogen sulfide. Still, this protective gear represents only one potential area of application. Sensor materials could also be deployed for the quick detection of leaks in gas lines," explains Dr. Sabine Trupp, head of the Fraunhofer EMFT Sensor Materials group. The researcher and her team will exhibit this occupational safety article of clothing at Fraunhofer's joint exhibition booth (Hall 12, Booth 537) at the Sensor + Test trade show in Nuremberg from May 14 to 16.

Tailor-made indicator dyes

The warning signal is triggered by an indicator dye integrated into the glove that reacts to the presence of analytes, in this case, the toxic substances. The experts at EMFT used a variety of techniques in order to furnish textiles with sensor-activated dyes. The sensor-activated dyes are applied to the clothing with the customary dye and print process, for example, by affixing them in an immersion bath. Previously, the researchers used targeted chemical modification to adapt the color molecules to the fiber properties of the respective textile. Alternatively, the textiles can also be coated with sensor particles that are furnished with sensor dyes. For this purpose, the scientists integrated the dye molecules either into commercial pigments or they built them up on an entirely synthetic basis. The pigments are then manufactured according to the customary textile finishing process, for instance, the sensor particles are also suitable for silkscreening. "Which version we opt for depends on the requirements of the planned application," says Trupp.

The challenge lies foremost in the tailored development of sensor dyes. "The dye molecule must detect a specific analyte in a targeted manner -- only then will a chemical reaction occur. Moreover, the dye must adhere securely; it cannot disappear due to washing. We aim for the customer's preferences in the color selection as well. All of these aspects must be kept in mind when developing the molecule and pigment properties," explains Trupp.

The expert already has new ideas about how the solution could be developed further. For example, a miniaturized sensor module, integrated into textiles, could record toxic substances, store the measurement data and even transmit them to a main unit. This way, you could document how frequently an individual within a hazardous environment was exposed to poisonous concentrations over a longer period of time.

The researchers also envision other potential applications in the foodstuffs industry: In the future, color indicator systems integrated into foils or bottle closures are intended to make the quality status of the packaged foods visible. Because the sell-by date does not represent a guarantee of any kind. Foodstuffs may often spoil prematurely -- unnoticed by the consumer -- due to a packaging error, or in the warehousing, or due to disruptions in the refrigeration chain. Oil-based and fat-containing products are specifically prone to this, as are meats, fish and ready meals.

Source: Fraunhofer-Gesellschaft

A medical lab for the home

Microchip for the electrochemical detection of markers. Credit: © Fraunhofer FIT

Fraunhofer FIT demonstrates a mobile wireless system that monitors the health of elderly people in their own homes, using miniature sensors. Besides non-invasive sensors this platform integrates technology to take a blood sample and to determine specific markers in the patient's blood. At its core is the home unit, a compact device located in the patient's home. It incorporates the necessary software as well as sensors and the analytical equipment.

For years, cardiac diseases have been the most important cause of death globally. Mobile assistance systems that monitor vital parameters, e.g. blood pressure or heart rate, of risk patients in their homes could make their lives safer and more satisfying. A platform supporting this kind was developed and tested by researchers from Fraunhofer FIT, the Berlin Charité, T-Systems and several international partners.

Besides non-invasive sensors this platform integrates technology to take a blood sample and to determine specific markers in the patient's blood while the patient is at home. At its core is the home unit, a compact device located in the patient's home. It incorporates the necessary software as well as sensors and the analytical equipment. Wearable sensors for measuring vital parameters can be linked to the home unit, e.g. a pulse oximeter with a Bluetooth module in the patient's ear or a blood pressure monitor that sends its data to the system via WLAN. Using a nanopotentiostat, an electrochemical sensor, the system can measure the patient's glucose, lactate or cholesterol level. In addition, a fluorescence sensor using a laser diode captures the concentration of several cardiac markers.

To detect the risk-indicating markers in the blood, the patient uses a cartridge that she fills with a drop of blood from a prick in her finger. The cartridge is equipped with a microchip and also specially designed, so that the markers in the blood can be detected. "Miniaturized sensors in the home unit, which can detect traces of the markers down to the nano level, analyze the blood sample," says Professor Harald Mathis, head of the department 

'Biomolecular Optical Systems' of the Fraunhofer Institute for Applied Information 

Technology FIT.

The home unit aggregates the sensor data and sends the results to the patient's doctor or a medical center via secure Internet connection. A smartphone app presents the health data and the physician's feedback to the patient.

The system was developed by Fraunhofer FIT in cooperation with Charité and T-Systems Deutschland in the BMBF/EU-funded project Nanoelectronics for Mobile AAL Systems -- MAS.

Source: Fraunhofer-Institut fuer Angewandte Informationstechnik (FIT)

Tailor-made for the aquaculture sector

Details are important. The hood is specially adapted for personnel wearing helmets – without compromising vision. Credit: SINTEF Health Research

Fish husbandry workers have played an active part in developing work clothing tailor-made for their wet, windy and messy working conditions.

They're standing in a small circle around a net pen out in the ocean. Their job is to maintain the net pens, de-louse the salmon, and carry out the many other tasks essential to the running of a fish farm facility. The wind is bitter and the rain is lashing in from all directions. Sea water is splashing around their feet. Everything they handle is wet. Cold water creeps relentlessly up to their knees and along to their elbows inside their coveralls, which are only waterproof up until the second wash.

This is a normal working day for a couple of thousand workers in fish farms all along the Norwegian coast. In spite of this no work clothing exists that is specifically adapted to their very special working conditions. Yet.

Industrial designers Tore Christian Bjørsvik Storholmen and Ole Petter Næsgaard at SINTEF Health Research have developed work clothing which they hope will make conditions both safer and more comfortable for husbandry workers out on the fish farms. Their project has been carried out in close collaboration with the workers who will be wearing the clothing.

Better together

"We've spent a lot of time getting to know the business and the needs of the husbandry workers," says Næsgaard. "We've taken part in many tasks, observed what goes on, and have obtained input and feedback in response to our suggestions," he says. "We've met with a thoroughly honest group of people. They don't hold back when they're not satisfied," he says.

They visited three different facilities close to Hitra and Frøya as part of a pilot project. Ideas and sketches made during one visit were taken to the next so that they could encourage reactions and get feedback. It has been an iterative process involving an ongoing series of corrections and improvements.

"This has served as a quality control on our work to develop relevant and attractive solutions," says Storholmen. "We could never have put the first prototype on the market," he says. "But our dialogue with the users has enabled continuous refinement. New details are always being developed and incorporated. "We're now getting close to a product that can be introduced to the market," he says.

Inspired by climbers and skiers

"When we were studying the husbandry workers, we saw that they do a lot of climbing from boat to boat through ropes and cables and across a variety of different barriers. This led us to obtain inspiration from clothes developed for climbers. The result is that the clothing now offers a very good fit - combined with excellent freedom of movement," explains Storholmen.

When it comes to choosing fabrics, the researchers have obtained greater inspiration from sports clothes than from other types of work clothing. Instead of thick, insulated suits, the new clothing concept has much more in common with kit worn by skiers.

"We've exploited the shell principle," says Storholmen. "The fabric of the outermost layer is water- and wind-proof and very light and durable," he says. "We've also developed intermediate layers and underwear, so users can select the clothing they need based on weather conditions and their own level of activity," he explains.

The clothing is also specifically adapted to allow good freedom of movement in the neck area - even when wearing a life vest. The same applies to the hood which has plenty of room for the mandatory helmet. What about reflective patches? These are placed strategically on the arms, hood and shoulders, and not across the shoulders and legs which is standard for the majority of existing work clothing.

"Actually, we saw that workers testing the clothing were at first sorry to have to return it following the tests," says Storholmen. "This has to be a good sign," he says.

However, the developers are not satisfied simply with anatomical adjustments, new fabrics and good visibility. There has to be a place for modern technology in this type of clothing. So the suit is equipped with a waterproof pocket for a mobile phone, and will also be fitted with a separate pocket to accommodate a man-overboard alarm.

Comfort equals effective HSE

The fish farms visited by the researchers are in exposed coastal locations, often about a half-hour's boat trip from land. The husbandry workers are housed in floating pontoons, surrounded by net pens. They may have to stay here for as much as a week at a time. There have been situations where workers have fallen into the sea. It is essential that the new work clothing represents an improvement in safety. It must be easy for the wearer to get hold of important tools such as knives, tape and communications equipment.

"An Operations Manager told us that good work clothing is one of the most important aids to effective HSE," says Storholmen. "People standing around getting cold lose concentration on what they're doing, making accidents more likely. We believe that this is thoroughly addressed by the new clothing," he says.

A net pen is an enormous "warehouse," and if a major accident occurs, the consequences for the environment and the company's profitability may be very large.

"Aquaculture uniform"

The clothing currently worn by husbandry workers is essentially the same as the standard primarily developed for the building and construction industry, where competitive pricing is a major issue. The clothing being developed in this project will probably be more expensive.

"Current work clothing is a consumer item," say the researchers. "Our impression is that there is a willingness to pay for a better and more durable product specifically adapted to the needs of the aquaculture industry - a specially designed "aquaculture uniform" which can identify the workers and promote an increase in the pride they have in their profession," they say.

Source: SINTEF