A review of activity trackers for senior citizens: research perspectives, commercial landscape and the role of the insurance industry

The objective assessment of physical activity levels through wearable inertial-based motion detectors for the automatic, continuous and long-term monitoring of people in free-living environments is a well-known research area in the literature. However, their application to older adults can present particular constraints. This paper reviews the adoption of wearable devices in senior citizens by describing various researches for monitoring physical activity indicators, such as energy expenditure, posture transitions, activity classification, fall detection and prediction, gait and balance analysis, also by adopting consumer-grade fitness trackers with the associated limitations regarding acceptability. This review also describes and compares existing commercial products encompassing activity trackers tailored for older adults, thus providing a comprehensive outlook of the status of commercially available motion tracking systems. Finally, the impact of wearable devices on life and health insurance companies, with a description of the potential benefits for the industry and the wearables market, was analyzed as an example of the potential emerging market drivers for such technology in the future

Early diagnosis of frailty: Technological and non-intrusive devices for clinical detection

This work analyses different concepts for frailty diagnosis based on affordable standard technology such as smartphones or wearable devices. The goal is to provide ideas that go beyond classical diagnostic tools such as magnetic resonance imaging or tomography, thus changing the paradigm; enabling the detection of frailty without expensive facilities, in an ecological way for both patients and medical staff and even with continuous monitoring. Fried's five-point phenotype model of frailty along with a model based on trials and several classical physical tests were used for device classification. This work provides a starting point for future researchers who will have to try to bridge the gap separating elderly people from technology and medical tests in order to provide feasible, accurate and affordable tools for frailty monitoring for a wide range of users.This work was sponsored by the Spanish Ministry of Science, Innovation and Universities and the European Regional Development Fund (ERDF) across projects RTC-2017-6321-1 AEI/FEDER, UE, TEC2016-76021-C2-2-R AEI/FEDER, UE and PID2019-107270RB-C21/AEI/10.13039/501100011033, UE

Behavior Change Techniques Present in Wearable Activity Trackers: A Critical Analysis

Please cite as: Mercer K, Li M, Giangregorio L, Burns C, Grindrod K Behavior Change Techniques Present in Wearable Activity Trackers: A Critical Analysis JMIR Mhealth Uhealth 2016;4(2):e40 DOI: 10.2196/mhealth.4461 PMID: 27122452 PMCID: 4917727Background: Wearable activity trackers are promising as interventions that offer guidance and support for increasing physical activity and health-focused tracking. Most adults do not meet their recommended daily activity guidelines, and wearable fitness trackers are increasingly cited as having great potential to improve the physical activity levels of adults. Objective: The objective of this study was to use the Coventry, Aberdeen, and London-Refined (CALO-RE) taxonomy to examine if the design of wearable activity trackers incorporates behavior change techniques (BCTs). A secondary objective was to critically analyze whether the BCTs present relate to known drivers of behavior change, such as self-efficacy, with the intention of extending applicability to older adults in addition to the overall population. Methods: Wearing each device for a period of 1 week, two independent raters used CALO-RE taxonomy to code the BCTs of the seven wearable activity trackers available in Canada as of March 2014. These included Fitbit Flex, Misfit Shine, Withings Pulse, Jawbone UP24, Spark Activity Tracker by SparkPeople, Nike+ FuelBand SE, and Polar Loop. We calculated interrater reliability using Cohen's kappa. Results: The average number of BCTs identified was 16.3/40. Withings Pulse had the highest number of BCTs and Misfit Shine had the lowest. Most techniques centered around self-monitoring and self-regulation, all of which have been associated with improved physical activity in older adults. Techniques related to planning and providing instructions were scarce. Conclusions: Overall, wearable activity trackers contain several BCTs that have been shown to increase physical activity in older adults. Although more research and development must be done to fully understand the potential of wearables as health interventions, the current wearable trackers offer significant potential with regard to BCTs relevant to uptake by all populations, including older adults

Wearable technology: role in respiratory health and disease

In the future, diagnostic devices will be able to monitor a patient's physiological or biochemical parameters continuously, under natural physiological conditions and in any environment through wearable biomedical sensors. Together with apps that capture and interpret data, and integrated enterprise and cloud data repositories, the networks of wearable devices and body area networks will constitute the healthcare's Internet of Things. In this review, four main areas of interest for respiratory healthcare are described: pulse oximetry, pulmonary ventilation, activity tracking and air quality assessment. Although several issues still need to be solved, smart wearable technologies will provide unique opportunities for the future or personalised respiratory medicine

Policy and prevention approaches for disordered and hazardous gaming and internet use: an international perspective

Problems related to high levels of gaming and Internet usage are increasingly recognized as a potential public health burden across the developed world. The aim of this review was to present an international perspective on prevention strategies for Internet gaming disorder and related health conditions (e.g., Internet addiction), as well as hazardous gaming and Internet use. A systematic review of quantitative research evidence was conducted, followed by a search of governmental reports, policy and position statements, and health guidelines in the last decade. The regional scope included the United States, United Kingdom, Australia, China, Germany, Japan, and South Korea. Prevention studies have mainly involved school-based programs to train healthier Internet use habits in adolescents. The efficacy of selective prevention is promising but warrants further empirical attention. On an international scale, the formal recognition of gaming or Internet use as a disorder or as having quantifiable harms at certain levels of usage has been foundational to developing structured prevention responses. The South Korean model, in particular, is an exemplar of a coordinated response to a public health threat, with extensive government initiatives and long-term strategic plans at all three levels of prevention (i.e., universal, selective, and indicated). Western regions, by comparison, are dominated by prevention approaches led by non-profit organizations and private enterprise. The future of prevention of gaming and Internet problems ultimately relies upon all stakeholders working collaboratively in the public interest, confronting the reality of the evidence base and developing practical, ethical, and sustainable countermeasures

An architecture and protocol for smart continuous eHealth monitoring using 5G

[EN] Continuous monitoring of chronic patients improves their quality of life and reduces the economic costs of the sanitary system. However, in order to ensure a good monitoring, high bandwidth and low delay are needed. The 5G technology offers higher bandwidth, lower delays and packets loss than previous technologies. This paper presents an architecture for smart eHealth monitoring of chronic patients. The architecture elements include wearable devices, to collect measures from the body, and a smartphone at the patient side in order to process the data received from the wearable devices. We also need a DataBase with an intelligent system able to send an alarm when it detects that it is happening something anomalous. The intelligent system uses machine learning in BigData taken from different hospitals and the data received from the patient to diagnose and generate alarms. Experiment tests have been done to simulate the traffic from many users to the DataBase in order to evaluate the suitability of 5G in our architecture. When there are few users (less than 200 users), we do not find big differences of round trip time between 4G and 5G, but when there are more users, like 1000 users, it increases considerably reaching 4 times more in 4G The Packet Loss is almost null in 4G until 300 users, while in 5G it is possible to keep it null until 700 users. Our results point out that in order to have high number of patients continuously monitored, it is necessary to use the 5G network because it offers low delays and guarantees the availability of bandwidth for all users.This work has been partially supported by the "Ministerio de Educacion, Cultura y Deporte", through the "Ayudas para contratos predoctorales de Formacion del Profesorado Universitario FPU (Convocatoria 2014)". Grant number FPU14/02953.Lloret, J.; Parra-Boronat, L.; Abdullah, MTA.; Tomás Gironés, J. (2017). An architecture and protocol for smart continuous eHealth monitoring using 5G. Computer Networks. 129(2):340-351. https://doi.org/10.1016/j.comnet.2017.05.018S340351129

A Mobile Healthcare Solution for Ambient Assisted Living Environments

Elderly people need regular healthcare services and, several times, are dependent of physicians’ personal attendance. This dependence raises several issues to elders, such as, the need to travel and mobility support. Ambient Assisted Living (AAL) and Mobile Health (m-Health) services and applications offer good healthcare solutions that can be used both on indoor and in mobility environments. This dissertation presents an ambient assisted living (AAL) solution for mobile environments. It includes elderly biofeedback monitoring using body sensors for data collection offering support for remote monitoring. The used sensors are attached to the human body (such as the electrocardiogram, blood pressure, and temperature). They collect data providing comfort, mobility, and guaranteeing efficiency and data confidentiality. Periodic collection of patients’ data is important to gather more accurate measurements and to avoid common risky situations, like a physical fall may be considered something natural in life span and it is more dangerous for senior people. One fall can out a life in extreme cases or cause fractures, injuries, but when it is early detected through an accelerometer, for example, it can avoid a tragic outcome. The presented proposal monitors elderly people, storing collected data in a personal computer, tablet, or smartphone through Bluetooth. This application allows an analysis of possible health condition warnings based on the input of supporting charts, and real-time bio-signals monitoring and is able to warn users and the caretakers. These mobile devices are also used to collect data, which allow data storage and its possible consultation in the future. The proposed system is evaluated, demonstrated and validated through a prototype and it is ready for use. The watch Texas ez430-Chronos, which is capable to store information for later analysis and the sensors Shimmer who allow the creation of a personalized application that it is capable of measuring biosignals of the patient in real time is described throughout this dissertation

Healthier and Independent Living of the Elderly: Interoperability in a Cross-Project Pilot

The ageing of the population creates new heterogeneous challenges for age-friendly living. The progressive decline in physical and cognitive skills tends to prevent elderly people from performing basic instrumental activities of daily living and there is a growing interest in technology for aging support. Digital health today can be exercised by anyone owning a smartphone and parameters such as heart rate, step counts, calorie intake, sleep quality, can be collected and used not only to monitor and improve the individual’s health condition but also to prevent illnesses. However, for the benefits of e-health to take place, digital health data, either Electronic Health Records (EHR) or sensor data from the IoMT, must be shared, maintaining privacy and security requirements but unlocking the potential for research an innovation throughout EU. This paper demonstrates the added value of such interoperability requirements, and a form of accomplishing them through a cross-project pilot

IoT Platform for COVID-19 Prevention and Control: A Survey

As a result of the worldwide transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), coronavirus disease 2019 (COVID-19) has evolved into an unprecedented pandemic. Currently, with unavailable pharmaceutical treatments and vaccines, this novel coronavirus results in a great impact on public health, human society, and global economy, which is likely to last for many years. One of the lessons learned from the COVID-19 pandemic is that a long-term system with non-pharmaceutical interventions for preventing and controlling new infectious diseases is desirable to be implemented. Internet of things (IoT) platform is preferred to be utilized to achieve this goal, due to its ubiquitous sensing ability and seamless connectivity. IoT technology is changing our lives through smart healthcare, smart home, and smart city, which aims to build a more convenient and intelligent community. This paper presents how the IoT could be incorporated into the epidemic prevention and control system. Specifically, we demonstrate a potential fog-cloud combined IoT platform that can be used in the systematic and intelligent COVID-19 prevention and control, which involves five interventions including COVID-19 Symptom Diagnosis, Quarantine Monitoring, Contact Tracing & Social Distancing, COVID-19 Outbreak Forecasting, and SARS-CoV-2 Mutation Tracking. We investigate and review the state-of-the-art literatures of these five interventions to present the capabilities of IoT in countering against the current COVID-19 pandemic or future infectious disease epidemics.Comment: 12 pages; Submitted to IEEE Internet of Things Journa