Smart Solutions for Diet-Related Disease Management: Connected Care, Remote Health Monitoring Systems, and Integrated Insights for Advanced Evaluation
Source abstract
Abstract
The prevalence of diet-related diseases underscores the imperative for innovative management approaches. The deployment of smart solutions signifies a paradigmatic evolution, capitalising on advanced technologies to enhance precision and efficacy. This paper aims to present and explore smart solutions for the management of diet-related diseases, focusing on leveraging advanced technologies, such as connected care, the Internet of Medical Things (IoMT), and remote health monitoring systems (RHMS), to address the rising prevalence of diet-related diseases. This transformative approach is exemplified in case studies focusing on tailored RHMS capabilities. This paper aims to showcase the potential of three RHMS in introducing a novel evaluation method and their customisation for proactive management of conditions influenced by dietary habits. The RO-SmartAgeing System uniquely addresses age-related aspects, providing an integrated approach that considers the long-term impact of dietary choices on ageing, marking an advanced perspective in healthcare. The NeuroPredict Platform, leveraging complex neuroinformatics, enhances the understanding of connections between brain health, nutrition, and overall well-being, contributing novel insights to healthcare assessments. Focused on liver health monitoring, the HepatoConect system delivers real-time data for personalized dietary recommendations, offering a distinctive approach to disease management. By integrating cutting-edge technologies, these smart solutions transcend traditional healthcare boundaries.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Nutritional Studies and Diet · Liver Disease Diagnosis and Treatment · Mobile Health and mHealth Applications
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 030167 Bucharest, Romania
National Institute for Research and Development in Informatics, 011455 Bucharest, Romania
Doctoral School of Electronics, Telecommunications and Information Technology, University Politehnica of Bucharest, 060042 Bucharest, Romania
Faculty of Electrical Engineering, Electronics and Information Technology, Valahia University of Targoviste, 130004 Targoviste, Romania
Funding
Romanian Ministry of Research, Innovation, and Digitization
References (100+)
Show source-provided references
1. Obesity as a Multisystem Disease: Trends in Obesity Rates and Obesity-related Complications10.1111/dom.14290 ↗
2. A Review of Current Trends with Type 2 Diabetes Epidemiology, Aetiology, Pathogenesis, Treatments and Future Perspectives10.2147/DMSO.S319895 ↗
3. Improving Type 2 Diabetes Mellitus Glycaemic Control through Lifestyle Modification Implementing Diet Intervention: A Systematic Review and Meta-Analysis10.1007/s00394-019-02147-6 ↗
4. Sharifi-Rad, J., Rodrigues, C.F., Sharopov, F., Docea, A.O., Can Karaca, A., Sharifi-Rad, M., Kahveci Karıncaoglu, D., Gülseren, G., Şenol, E., and Demircan, E. (2020). Diet, Lifestyle and Cardiovascular Diseases: Linking Pathophysiology to Cardioprotective Effects of Natural Bioactive Compounds. Int. J. Environ. Res. Public Health, 17.10.3390/ijerph17072326 ↗
5. Elizabeth, L., Machado, P., Zinöcker, M., Baker, P., and Lawrence, M. (2020). Ultra-Processed Foods and Health Outcomes: A Narrative Review. Nutrients, 12.10.3390/nu12071955 ↗
6. Davies, A., Rangan, A., and Allman-Farinelli, M. (2020). Dietary Behaviors That Place Young Adults at Risk for Future Osteoporosis. Nutrients, 12.10.3390/nu12061800 ↗
7. Godos, J., Currenti, W., Angelino, D., Mena, P., Castellano, S., Caraci, F., Galvano, F., Del Rio, D., Ferri, R., and Grosso, G. (2020). Diet and Mental Health: Review of the Recent Updates on Molecular Mechanisms. Antioxidants, 9.10.3390/antiox9040346 ↗
8. Aucoin, M., LaChance, L., Naidoo, U., Remy, D., Shekdar, T., Sayar, N., Cardozo, V., Rawana, T., Chan, I., and Cooley, K. (2021). Diet and Anxiety: A Scoping Review. Nutrients, 13.10.3390/nu13124418 ↗
9. Besora-Moreno, M., Llauradó, E., Tarro, L., and Solà, R. (2020). Social and Economic Factors and Malnutrition or the Risk of Malnutrition in the Elderly: A Systematic Review and Meta-Analysis of Observational Studies. Nutrients, 12.10.3390/nu12030737 ↗
10. Health Effects of Dietary Risks in 195 Countries, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 201710.1016/S0140-6736(19)30041-8 ↗
11. World Health Organization (2023). World Health Statistics 2023: Monitoring Health for the SDGs, Sustainable Development Goals 2024, World Health Organization.
12. A Multisociety Delphi Consensus Statement on New Fatty Liver Disease Nomenclature10.1097/HEP.0000000000000520 ↗
13. The Incidence Trends of Liver Cirrhosis Caused by Nonalcoholic Steatohepatitis via the GBD Study 201710.1038/s41598-021-84577-z ↗
14. The 20% Rule of NASH Progression: The Natural History of Advanced Fibrosis and Cirrhosis Caused by NASH10.1002/hep.30946 ↗
15. Global Epidemiology of Nonalcoholic Fatty Liver Disease—Meta-analytic Assessment of Prevalence, Incidence, and Outcomes10.1002/hep.28431 ↗
16. Development, Prevention, and Treatment of Alcohol-Induced Organ Injury: The Role of Nutrition
17. Intestinal Dysbiosis: A Possible Mechanism of Alcohol-Induced Endotoxemia and Alcoholic Steatohepatitis in Rats10.1111/j.1530-0277.2009.01022.x ↗
18. The Importance of Nutrition in Pregnancy and Lactation: Lifelong Consequences10.1016/j.ajog.2021.12.035 ↗
19. Composition of Human Breast Milk Microbiota and Its Role in Children’s Health10.5223/pghn.2022.25.3.194 ↗
20. Munawar, N., Ahsan, K., Muhammad, K., Ahmad, A., Anwar, M.A., Shah, I., Al Ameri, A.K., and Al Mughairbi, F. (2021). Hidden Role of Gut Microbiome Dysbiosis in Schizophrenia: Antipsychotics or Psychobiotics as Therapeutics?. Int. J. Mol. Sci., 22.10.3390/ijms22147671 ↗
21. On the Interplay between Educational Attainment and Nutrition: A Spatially-Aware Perspective10.1140/epjds/s13688-021-00273-y ↗
22. Rippin, H.L., Hutchinson, J., Greenwood, D.C., Jewell, J., Breda, J.J., Martin, A., Rippin, D.M., Schindler, K., Rust, P., and Fagt, S. (2020). Inequalities in Education and National Income Are Associated with Poorer Diet: Pooled Analysis of Individual Participant Data across 12 European Countries. PLoS ONE, 15.10.1371/journal.pone.0232447 ↗
23. A Systematic Review of Technology-Driven Methodologies for Estimation of Energy Intake10.1109/ACCESS.2019.2910308 ↗
24. Automatic, Wearable-Based, in-Field Eating Detection Approaches for Public Health Research: A Scoping Review10.1038/s41746-020-0246-2 ↗
25. Perspective: Opportunities and Challenges of Technology Tools in Dietary and Activity Assessment: Bridging Stakeholder Viewpoints10.1093/advances/nmab103 ↗
26. Kesari, A., and Noel, J.Y. (2024). StatPearls, StatPearls Publishing.
27. Gnagnarella, P., Ferro, Y., Monge, T., Troiano, E., Montalcini, T., Pujia, A., and Mazza, E. (2022). Telenutrition: Changes in Professional Practice and in the Nutritional Assessments of Italian Dietitian Nutritionists in the COVID-19 Era. Nutrients, 14.10.3390/nu14071359 ↗
28. The Impact of Expanding Telehealth-Delivered Dietary Interventions on Long-Term Cardiometabolic Health10.1089/pop.2021.0260 ↗
29. Perspectives and Practices of Dietitians with Regards to Social/Mass Media Use during the Transitions from Face-to-Face to Telenutrition in the Time of COVID-19: A Cross-Sectional Survey in 10 Arab Countries10.3389/fpubh.2023.1151648 ↗
30. Cost-Effectiveness of Telehealth-Delivered Nutrition Interventions: A Systematic Review of Randomized Controlled Trials10.1093/nutrit/nuad032 ↗
31. (2024, February 06). Putting Post-COVID Telehealth Predictions to the Test. Available online: https://www.mgma.com/mgma-stats/putting-post-covid-telehealth-predictions-to-the-test.
32. (2024, February 07). DarioHealth: Digital Health Solutions for Chronic Conditions. Available online: https://www.dariohealth.com/.
33. (2024, February 07). A Guide to Liver Cirrhosis for Patients and Care Providers. Available online: https://cirrhosiscare.ca/.
34. (2024, February 07). Biofourmis|Technology-Enabled Care Delivery. Available online: https://www.biofourmis.com/care-delivery.
35. (2024, February 07). CirrhoCare—Remote Care Management. Available online: https://cirrhocare.com/.
36. Evaluation of CirrhoCare®—A Digital Health Solution for Home Management of Individuals with Cirrhosis10.1016/j.jhep.2022.08.034 ↗
37. (2024, February 07). Online Eating Disorder Therapy|Seeds of Hope. Available online: https://www.seedsofhopesupport.com/.
38. Effect of a Ketogenic Diet versus Mediterranean Diet on Glycated Hemoglobin in Individuals with Prediabetes and Type 2 Diabetes Mellitus: The Interventional Keto-Med Randomized Crossover Trial10.1093/ajcn/nqac154 ↗
39. Examining the Effects of Mindful Eating Training on Adherence to a Carbohydrate-Restricted Diet in Patients with Type 2 Diabetes (the DELISH Study): Protocol for a Randomized Controlled Trial10.2196/11002 ↗
40. Vega-López, S., Ayers, S., Gonzalvez, A., Campos, A.P., Marsiglia, F.F., Bruening, M., Rankin, L., Vega Luna, B., Biggs, E., and Perilla, A. (2023). Diet Outcomes from a Randomized Controlled Trial Assessing a Parenting Intervention Simultaneously Targeting Healthy Eating and Substance Use Prevention among Hispanic Middle-School Adolescents. Nutrients, 15.10.3390/nu15173790 ↗
41. Wang, L., Langlais, C.S., Kenfield, S.A., Chan, J.M., Graff, R.E., Allen, I.E., Atreya, C.E., and Van Blarigan, E.L. (2022). mHealth Interventions to Promote a Healthy Diet and Physical Activity among Cancer Survivors: A Systematic Review of Randomized Controlled Trials. Cancers, 14.10.3390/cancers14153816 ↗
42. Apekey, T.A., Maynard, M.J., Kittana, M., and Kunutsor, S.K. (2022). Comparison of the Effectiveness of Low Carbohydrate Versus Low Fat Diets, in Type 2 Diabetes: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients, 14.10.3390/nu14204391 ↗
43. Evaluation of the PhunkyFoods Intervention on Food Literacy and Cooking Skills of Children Aged 7–9 Years: A Cluster Randomised Controlled Trial in Yorkshire Primary Schools UK10.1186/s13063-022-06558-5 ↗
44. Samakidou, G.E., Koliaki, C.C., Liberopoulos, E.N., and Katsilambros, N.L. (2023). Non-Classical Aspects of Obesity Pathogenesis and Their Relative Clinical Importance for Obesity Treatment. Healthcare, 11.10.3390/healthcare11091310 ↗
45. Nutrition Literacy among Cancer Survivors: Feasibility Results from the Healthy Eating and Living Against Breast Cancer (HEAL-BCa) Study: A Pilot Randomized Controlled Trial10.1007/s13187-017-1238-z ↗
46. Holdoway, A., Page, F., Bauer, J., Dervan, N., and Maier, A.B. (2022). Individualised Nutritional Care for Disease-Related Malnutrition: Improving Outcomes by Focusing on What Matters to Patients. Nutrients, 14.10.3390/nu14173534 ↗
47. Occupationally Tailored, Web-Based, Nutrition and Physical Activity Program for Firefighters: Cluster Randomized Trial and Weight Outcome10.1097/JOM.0000000000001685 ↗
48. Minari, T.P., Tácito, L.H.B., Yugar, L.B.T., Ferreira-Melo, S.E., Manzano, C.F., Pires, A.C., Moreno, H., Vilela-Martin, J.F., Cosenso-Martin, L.N., and Yugar-Toledo, J.C. (2023). Nutritional Strategies for the Management of Type 2 Diabetes Mellitus: A Narrative Review. Nutrients, 15.10.3390/nu15245096 ↗
49. Ellouze, I., Sheffler, J., Nagpal, R., and Arjmandi, B. (2023). Dietary Patterns and Alzheimer’s Disease: An Updated Review Linking Nutrition to Neuroscience. Nutrients, 15.10.3390/nu15143204 ↗
50. Machine-Learning-Based Prediction Modelling in Primary Care: State-of-the-Art Review10.3390/ai4020024 ↗
51. Precision Medicine, AI, and the Future of Personalized Health Care10.1111/cts.12884 ↗
52. Ianculescu, M., Alexandru, A., Nicolau, N.-D., Neagu, G., and Bica, O. (2019, January 28–30). IoHT and Edge Computing, Warrants of Optimal Responsiveness of Monitoring Applications for Seniors. A Case Study. Proceedings of the 22nd International Conference on Control Systems and Computer Science (CSCS), Bucharest, Romania.10.1109/CSCS.2019.00118 ↗
53. Prevalence and Disease Burden of Chronic Kidney Disease10.1007/978-981-13-8871-2_1 ↗
54. Mobile and Wearable Sensors for Data-Driven Health Monitoring System: State-of-the-Art and Future Prospect10.1016/j.eswa.2022.117362 ↗
55. Giannopoulou, E. (2008). Data Mining in Medical and Biological Research, InTech.
56. Concurrence of Big Data Analytics and Healthcare: A Systematic Review10.1016/j.ijmedinf.2018.03.013 ↗
57. Data Mining in Clinical Big Data: The Frequently Used Databases, Steps, and Methodological Models
58. Definitions, Instruments and Correlates of Patient Empowerment: A Descriptive Review10.1016/j.pec.2021.06.014 ↗
59. Instruments Measuring Interprofessional Collaboration in Healthcare—A Scoping Review10.1080/13561820.2019.1637336 ↗
60. Söderlund, A., and Von Heideken Wågert, P. (2021). Adherence to and the Maintenance of Self-Management Behaviour in Older People with Musculoskeletal Pain—A Scoping Review and Theoretical Models. J. Clin. Med., 10.10.3390/jcm10020303 ↗
61. Kobayashi, M., Wilcke, C., and Girerd, N. (2022). Assessment of Patient Knowledge, Awareness, and Adherence in Heart Failure in a Real-Life Setting: Insights from Data Acquired in Pharmacies. J. Clin. Med., 11.10.3390/jcm11030863 ↗
62. Liu, W., Fan, X., Ji, R., and Jiang, Y. (2019). Perceived Community Support, Users’ Interactions, and Value Co-Creation in Online Health Community: The Moderating Effect of Social Exclusion. Int. J. Environ. Res. Public Health, 17.10.3390/ijerph17010204 ↗
63. Yoon, S., Kwan, Y.H., Phang, J.K., Tan, W.B., and Low, L.L. (2022). Personal Goals, Barriers to Self-Management and Desired mHealth Application Features to Improve Self-Care in Multi-Ethnic Asian Patients with Type 2 Diabetes: A Qualitative Study. Int. J. Environ. Res. Public Health, 19.10.3390/ijerph192215415 ↗
64. Nagayama, Y., and Nakai, H. (2022). Community-Based Integrated Care System for People with Mental Illness in Japan: Evaluating Location Characteristics of Group Homes to Determine the Feasibility of Daily Life Skill Training. Challenges, 13.10.3390/challe13020038 ↗
65. Al Kuwaiti, A., Nazer, K., Al-Reedy, A., Al-Shehri, S., Al-Muhanna, A., Subbarayalu, A.V., Al Muhanna, D., and Al-Muhanna, F.A. (2023). A Review of the Role of Artificial Intelligence in Healthcare. J. Pers. Med., 13.10.3390/jpm13060951 ↗
66. Bandurska, E. (2022). The Voice of Patients Really Matters: Using Patient-Reported Outcomes and Experiences Measures to Assess Effectiveness of Home-Based Integrated Care—A Scoping Review of Practice. Healthcare, 11.10.3390/healthcare11010098 ↗
67. Reimagining Connected Care in the Era of Digital Medicine10.2196/34483 ↗
68. Internet of Medical Things and Trending Converged Technologies: A Comprehensive Review on Real-Time Applications
69. Thandapani, S., Mahaboob, M.I., Iwendi, C., Selvaraj, D., Dumka, A., Rashid, M., and Mohan, S. (2023). IoMT with Deep CNN: AI-Based Intelligent Support System for Pandemic Diseases. Electronics, 12.10.3390/electronics12020424 ↗
70. Based Real Time Remote Health Monitoring Systems: A Review on Patients Prioritization and Related “Big Data” Using Body Sensors Information and Communication Technology10.1007/s10916-017-0883-4 ↗
71. Real-Time Remote-Health Monitoring Systems: A Review on Patients Prioritisation for Multiple-Chronic Diseases, Taxonomy Analysis, Concerns and Solution Procedure10.1007/s10916-019-1362-x ↗
72. Perspective: Guiding Principles for the Implementation of Personalized Nutrition Approaches That Benefit Health and Function10.1093/advances/nmz086 ↗
73. Psychosocial Factors Influencing the Eating Behaviours of Older Adults: A Systematic Review10.1016/j.arr.2022.101597 ↗
74. SAlBi Educa (Tailored Nutrition App for Improving Dietary Habits): Initial Evaluation of Usability10.3389/fnut.2022.782430 ↗
75. Da Costa, T.P., Gillespie, J., Cama-Moncunill, X., Ward, S., Condell, J., Ramanathan, R., and Murphy, F. (2022). A Systematic Review of Real-Time Monitoring Technologies and Its Potential Application to Reduce Food Loss and Waste: Key Elements of Food Supply Chains and IoT Technologies. Sustainability, 15.10.3390/su15010614 ↗
76. Silva, P., Araújo, R., Lopes, F., and Ray, S. (2023). Nutrition and Food Literacy: Framing the Challenges to Health Communication. Nutrients, 15.10.3390/nu15224708 ↗
77. Utilizing Digital Health Technologies for Patient Education in Lifestyle Medicine10.1177/1559827619892547 ↗
78. (2024, February 06). Nutrition and Physical Activity: Digital Health and Telephone Interventions to Increase Healthy Eating and Physical Activity Among Students at Institutions of Higher Education—Healthy People 2030|Health.Gov, Available online: https://health.gov/healthypeople/tools-action/browse-evidence-based-resources/nutrition-and-physical-activity-digital-health-and-telephone-interventions-increase-healthy-eating-and-physical-activity-among-students-institutions-higher.
79. Precision Nutrition: A Review of Current Approaches and Future Endeavors10.1016/j.tifs.2022.08.017 ↗
80. Thapa, C., and Camtepe, S. (2021). Precision Health Data: Requirements, Challenges and Existing Techniques for Data Security and Privacy. Comput. Biol. Med., 129.10.1016/j.compbiomed.2020.104130 ↗
81. Gheonea, T.C., Oancea, C.-N., Mititelu, M., Lupu, E.C., Ioniță-Mîndrican, C.-B., and Rogoveanu, I. (2023). Nutrition and Mental Well-Being: Exploring Connections and Holistic Approaches. J. Clin. Med., 12.10.3390/jcm12227180 ↗
82. Amjad, A., Kordel, P., and Fernandes, G. (2023). A Review on Innovation in Healthcare Sector (Telehealth) through Artificial Intelligence. Sustainability, 15.10.3390/su15086655 ↗
83. Wei, S., and Wu, Z. (2023). The Application of Wearable Sensors and Machine Learning Algorithms in Rehabilitation Training: A Systematic Review. Sensors, 23.10.3390/s23187667 ↗
84. Chen, X., and Kamavuako, E.N. (2023). Vision-Based Methods for Food and Fluid Intake Monitoring: A Literature Review. Sensors, 23.10.3390/s23136137 ↗
85. Vasiloglou, M.F., Christodoulidis, S., Reber, E., Stathopoulou, T., Lu, Y., Stanga, Z., and Mougiakakou, S. (2020). What Healthcare Professionals Think of “Nutrition & Diet” Apps: An International Survey. Nutrients, 12.10.3390/nu12082214 ↗
86. Netzer, R., and Elboim-Gabyzon, M. (2023). Implementation of Nutritional Assessment and Counseling in Physical Therapy Treatment: An Anonymous Cross-Sectional Survey. Nutrients, 15.10.3390/nu15194204 ↗
87. Azzi, S., Gagnon, S., Ramirez, A., and Richards, G. (2020). Healthcare Applications of Artificial Intelligence and Analytics: A Review and Proposed Framework. Appl. Sci., 10.10.3390/app10186553 ↗
88. Berros, N., El Mendili, F., Filaly, Y., and El Bouzekri El Idrissi, Y. (2023). Enhancing Digital Health Services with Big Data Analytics. Big Data Cogn. Comput., 7.10.3390/bdcc7020064 ↗
89. Catapano, A., Trinchese, G., Cimmino, F., Petrella, L., D’Angelo, M., Di Maio, G., Crispino, M., Cavaliere, G., Monda, M., and Mollica, M.P. (2023). Impedance Analysis to Evaluate Nutritional Status in Physiological and Pathological Conditions. Nutrients, 15.10.3390/nu15102264 ↗
90. Jacob Rodrigues, M., Postolache, O., and Cercas, F. (2020). Physiological and Behavior Monitoring Systems for Smart Healthcare Environments: A Review. Sensors, 20.10.3390/s20082186 ↗
91. (2024, January 02). Smart Blood Pressure Monitor with ECG & Digital Stethoscope—BPM Core|Withings. Available online: https://www.withings.com/it/en/bpm-core.
92. (2024, January 02). Move ECG—Withings|Support. Available online: https://support.withings.com/hc/en-us/sections/4411845138449-Move-ECG.
93. (2024, January 02). Understand Your Body—Body+|Withings. Available online: https://www.withings.com/eu/en/body-plus.
94. (2024, January 02). Under-Mattress Sleep Tracker—Sleep Analyzer|Withings. Available online: https://www.withings.com/de/en/sleep-analyzer.
95. (2024, January 02). Smart Temporal Thermometer—Thermo|Withings. Available online: https://www.withings.com/ro/en/thermo.
96. (2024, January 02). Get a Health Check-up—Body Scan|Withings. Available online: https://www.withings.com/ro/en/body-scan.
97. (2024, January 02). Basics|Fitbit Charge 5 User Manual. Available online: https://help.fitbit.com/manuals/charge_5/Content/manuals/html/Navigate%20Device.htm.
98. (2024, January 02). I-Sens, CareSens® N Blood Glucose Monitoring System 2024. Available online: https://i-sens.com/.
99. (2024, January 02). MySignals. Available online: http://www.intrinsic.in/Products/MySignals.aspx.
100. (2024, January 02). Moodmetric Smart Ring Is for Managing Stress. Available online: https://moodmetric.com/services/moodmetric-smart-ring/.