Promoting Obesity Prevention and Healthy Habits in Childhood The OCARIoT Experience.docx
1. Base paper Title: Promoting Obesity Prevention and Healthy Habits in Childhood: The
OCARIoT Experience
Modified Title: Encouraging Childhood Healthy Habits and Obesity Prevention: The
OCARIoT Experience
Abstract
Long term behavioural disturbances and interventions in healthy habits (mainly eating
and physical activity) are the primary cause of childhood obesity. Current approaches for
obesity prevention based on health information extraction lack the integration of multi-modal
datasets and the provision of a dedicated Decision Support System (DSS) for health behaviour
assessment and coaching of children. Methods: Continuous co-creation process has been
applied in the frame of the Design Thinking Methodology, involving children, educators and
healthcare professional in the whole process. Such considerations were used to derive the user
needs and the technical requirements needed for the conception of the Internet of Things (IoT)
platform based on microservices. Results: To promote the adoption of healthy habits and the
prevention of the obesity onset for children (9-12 years old), the proposed solution empowers
children -including families and educators- in taking control of their health by collecting and
following-up real-time information about nutrition, physical activity data coming from IoT
devices, and interconnecting healthcare professionals to provide a personalised coaching
solution. The validation has two phases involving +400 children (control/intervention group),
on four schools in three countries: Spain, Greece and Brazil. The prevalence of obesity
decreased in 75.5% from baseline levels in the intervention group. The proposed solution
created a positive impression and satisfaction from the technology acceptance perspective.
Conclusions: Main findings confirm that this ecosystem can assess behaviours of children,
motivating and guiding them towards achieving personal goals.
Existing System
Childhood obesity is a global paediatric public health concern in developed countries
[1], [2], that affects around 224 million school-age children and is more prevalent among
countries experiencing economic and nutrition transition [3]. Childhood obesity and
overweight have been linked to societal problems such as easy access to inexpensive junk food
and overexposure to junk food marketing; steadily increasing food portion sizes; decreased
2. provision of healthy food choices and physical education in schools; lack of safety for outdoor
activities in lower income areas; sedentary activities have become more popular such as
watching television, playing videogames, and using a computer or mobile phone [4]. Several
interventions have been developed over the years to treat childhood obesity, primarily
including weight loss [5], [6]. Nevertheless, the best strategy to combat childhood obesity is to
prevent the onset of obesity by encouraging healthy behaviours at an early age [7]. By using
technology, such as smartphones and IoT devices, coupled with analytics capabilities [8],
children can benefit from better and more personalised interventions tailored to their needs.
This paper presents OCARIoT, a solution designed to prevent obesity onset through the
promotion of healthy habits among children aged 9-12 while solving the current limitations of
similar systems [9], [10], [11]. The OCARIoT solution provides a dedicated DSS for health
behaviour assessment and coaching of children and describes the other components of the IoT-
based platform enabling the acquisition, integration, and training of multimodal datasets from
IoT devices for environment and personal health monitoring. Overall implementation of the
pilot program is presented, in which hypotheses were assessed to support the design of the
intervention plan. Addresses a translational perspective on the results of this study through a
multidisciplinary approach bringing together researchers from broad fields of expertise such as
medicine with the participation of healthcare professionals, education enrolling schools and
educators, biomedical engineering and computer science with technical profiles involved. The
validation, evaluation and main findings are summarized as well.
Drawback in Existing System
Socioeconomic Disparities:
Children from lower socioeconomic backgrounds may face challenges in accessing
healthy food options, safe recreational spaces, or quality healthcare. Programs need to
address these disparities to ensure inclusivity.
Lack of Education:
Limited understanding of the importance of a healthy lifestyle, inadequate nutrition
knowledge, and misinformation can hinder the success of prevention programs.
Education is crucial to overcoming these barriers.
Marketing and Advertising:
The pervasive influence of marketing, especially for unhealthy food and beverages,
can counteract efforts to promote healthy habits. Regulatory measures and awareness
campaigns may be necessary.
3. Long-Term Sustainability:
Maintaining interest and participation in obesity prevention programs over the long
term can be challenging. Sustainability and ongoing support are essential components
for lasting positive change.
Proposed System
Behavioral Analysis:
Implement algorithms that analyze the collected data to gain insights into individual
and collective behavioral patterns. This analysis can help identify areas for intervention
and provide personalized feedback.
Personalized Recommendations:
Develop algorithms that generate personalized recommendations based on the
behavioral analysis. These recommendations may include dietary advice, exercise
routines, and other lifestyle modifications tailored to each child's needs.
Monitoring and Evaluation:
Implement systems for continuous monitoring and evaluation of the program's
effectiveness. This may involve tracking key performance indicators, assessing
participant satisfaction, and conducting periodic assessments of health outcomes.
Privacy and Security Measures:
Implement robust privacy and security measures to protect the personal information
of participants. Comply with relevant data protection regulations and ensure transparent
communication about data usage.
Algorithm
Nutrition and Diet Planning Algorithms:
Algorithms in this category may analyze dietary patterns, nutritional content of
foods, and individual preferences to offer personalized diet plans. They can assist in
educating children and their families about healthier food choices.
4. Data Analytics for Program Evaluation:
Algorithms may be employed to analyze large datasets generated by the program,
including participant demographics, engagement metrics, and health outcomes. This
can help in assessing the overall impact and identifying areas for improvement.
Gamification and Engagement Algorithms:
Gamification techniques, including reward systems and interactive elements, are
often employed to engage children in healthy habits. Algorithms may be used to
optimize these gamified experiences to maximize effectiveness.
Advantages
Technology Integration for Engagement:
Leveraging technology, such as mobile apps, wearables, or online platforms, can
enhance engagement among children and their families. Gamification and interactive
elements can make the process more enjoyable and sustainable.
Family-Centered Approach:
Involving parents and caregivers is crucial for success. Family-centered
interventions can create a holistic approach to health, encouraging healthy habits not
only for children but for the entire family.
Collaboration with Stakeholders:
Collaborating with healthcare professionals, educators, community leaders, and
other stakeholders can strengthen the program's impact. A multi-disciplinary approach
ensures a comprehensive and well-rounded strategy.
Accessibility and Inclusivity:
Ensuring that the program is accessible to a diverse range of children, including
those from different socioeconomic backgrounds, is crucial. Inclusivity promotes
equal opportunities for health improvement.
Software Specification
Processor : I3 core processor
Ram : 4 GB
Hard disk : 500 GB
Software Specification
Operating System : Windows 10 /11
5. Frond End : Python
Back End : Mysql Server
IDE Tools : Pycharm