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Track, Share and Compare:
  The Hot Trend of Self-Tracking




          Carol E. Torgan, PhD., FACSM
Kinetics Consulting :: From lab bench to park bench
      www.caroltorgan.com Twitter @ctorgan

   ACSM Health & Fitness Summit, March 2012


                                                © Carol Torgan, Ph.D. 2012
Self-tracking is …
   Tracking your life
   weight, activity, nutrition, sleep,
   menstrual cycle, heart rate, mood, ….

   physiological, behavioral
   social, environmental

   Also known as:
   Life-logging
   Data-driven lifestyle
   Personal informatics
   Personal analytics
   Personal monitoring
   Living by numbers
   Quantified self

http://quantifiedself.com Gary Wolf, Kevin Kelly
                                                   © Carol Torgan, Ph.D. 2012
The Economist, Mar 3rd 2012 print edition
http://www.economist.com/node/21548493
                                             © Carol Torgan, Ph.D. 2012
O, The Oprah Magazine, December 2011
                                       © Carol Torgan, Ph.D. 2012
Who is tracking

Patients                               Professionals
Acute and chronic health conditions           Athletes
Asthma                                     Astronauts
Cancer                                        Soldiers
Diabetes                                   Firefighters
Mental health …                             Scientists




                                                 © Carol Torgan, Ph.D. 2012
Who is self-tracking


27% of internet users, or 20% of adults, have tracked their weight, diet, exercise
  routine or some other health indicators or symptoms online:

•   15% of U.S. internet users have tracked their weight, diet, or exercise routine
    online

•   Women internet users more likely than male users to do these activities

•   Internet users who experienced a significant recent health change more likely
    to track (gain/lost weight, quit smoking, pregnancy)




The Social Life of Health Information, Susannah Fox, Pew Internet, May 2011 www.pewinternet.org
                                                                                    © Carol Torgan, Ph.D. 2012
Patients                           Professionals

           Event-driven trackers




                                            © Carol Torgan, Ph.D. 2012
Why Track?




             © Carol Torgan, Ph.D. 2012
―For many self-trackers, the goal is
unknown.

Although they may take up tracking with
a specific question in mind, they continue
because they believe their numbers hold
secrets that they can‘t afford to
ignore, including answers to questions
they have not yet thought to ask.‖

– Gary Wolf, The Data-Driven Life,
The New York Times, April 26, 2010




                                             © Carol Torgan, Ph.D. 2012
How we track


•   Paper and pencil
•   ―How clothes fit‖
•   Apps
•   Gadgets & sensors
•   Images




                        © Carol Torgan, Ph.D. 2012
www.medhelp.org/health_tools
                               © Carol Torgan, Ph.D. 2012
PTSD Coach       Chemo Calendar   Healthy Habits   Pregnancy Tracker      Meal Snap




Period Tracker     Mole Measure   iMapMyRUN        Glucose Buddy       iBP Blood Pressure

                                                                       © Carol Torgan, Ph.D. 2012
Adults who have downloaded an app to a cell phone or tablet
  • 29% downloaded a health app = 11% of all adult cell phone users
  • Similar to Sept 2010 data (no increase over the last year)




Half of adult cell phone owners have apps on their phones, Kristen Purcell, Pew Internet, Nov, 2011
www.pewinternet.org                                                                      © Carol Torgan, Ph.D. 2012
Sensor technology moves from edges inward


 Patients                   Professionals




                                       © Carol Torgan, Ph.D. 2012
Lactate analyzers: Available from laboratory catalogs AND Amazon




                                                        © Carol Torgan, Ph.D. 2012
Sensors that connect to the body




                                   © Carol Torgan, Ph.D. 2012
Best Buy: Health & Fitness




               © Carol Torgan, Ph.D. 2012
Pedometers
spring-lever movement
steps, calories burned


Actigraph
triaxial accelerometer, inclinometer
steps, energy expenditure
intensity, METs


Fitbit
accelerometer, altimeter
steps, floors climbed
calories burned



                                       © Carol Torgan, Ph.D. 2012
Nike+ Fuelband (wrist)
triaxial accelerometer
light sensor, LED lights
steps, calories, ‗NikeFuel‘




Zeo (headband)
electrical signals
sleep patterns, sleep quality score (‗ZQ‘)




                                             © Carol Torgan, Ph.D. 2012
Wearable sensors

Under Armour / Zephyr E39 biometric
compression shirt
Removable electronic monitor (‗bug‘)
Heart rate, breathing rate
Skin surface temperature
triaxial acceleration




Adidas adizero f50
powered by miCoach
Performance metrics:
speed, max speed, sprint number
distance, steps & stride rates



                                       © Carol Torgan, Ph.D. 2012
ProeTEX
T-shirt
 heart & breathing rate, body temperature
 blood oxygen saturation

Jacket
 triaxial accelerometers (collar, wrist)
 carbon oxide sensor (lapel area, near mouth)
 external temp sensor, heat flux sensor
 visual & acoustic alarms

Boots
 toxic gas concentrations (carbon dioxide)
   [at the request of the users]
 foot contact with ground


Magenes G, et al. Conf Proc IEEE Eng Med Biol Soc. 2010:3594-7.
www.proetex.org/
                                                                  © Carol Torgan, Ph.D. 2012
MagIC (Maglietta Interattiva Computerizzata)

Vest
 embedded sensors made of
    conductive fibers
 heart rate, breathing rate
 triaxial accelerometer
 washable, front or side opening

Mount Everest climbers
 telemonitoring

Congestive heart failure patients discharged from the hospital
 wore in homes few minutes each day for a month
 data viewed remotely by cardiologist
 Patients felt ―safely supervised‖ and requested to continue the monitoring period!


Meriggi, P. , et al. IEEE Trans Inf Technol Biomed. 2010 May;14(3):711-722.
                                                                              © Carol Torgan, Ph.D. 2012
Sensors on your skin: patches


Zio
cardiac monitoring (up to 14 days)
arrhythmias




Metria wearable sensor technology
 disposable patch, worn up to 7 days on
   back of arm
 heart and breathing rates, steps
 sleep duration, activity levels



                                          © Carol Torgan, Ph.D. 2012
Ingestible core body thermometer pill


Partnership
Johns Hopkins University Applied Physics Lab
NASA / Goddard Space Flight Center

Pill in system 18 to 30 hours

1988 Commercially available
(research, university, military)

1998 John Glenn used for medical experiments
on Space Shuttle Discovery




NASA Spinoff www.sti.nasa.gov/tto/Spinoff2006/hm_1.html
                                                          © Carol Torgan, Ph.D. 2012
Heart Failure: CardioMEMS
6 million heart failure patients in U.S.
> 1 million hospitalizations each year
$39 billion yearly direct cost of care

Heart functions poorly, fluid builds-up
Traditionally measure body weight

Miniature wireless sensor
MEMS = microelectromechanical system
Permanently implant in pulmonary artery
Transmits real-time pressure data
Patients take daily readings
Send to doctor (handheld or computer)
Doctor modify meds = prevent hospitalization

39% drop in hospitalizations in treated patients, shorter stays
WT Abraham, et al, The Lancet, 377:658-666, 2011
                                                                  © Carol Torgan, Ph.D. 2012
Visual tracking

 ‗Weight loss‘ on Flickr




Photos courtesy of Flickr, clockwise L to R: uneduex, 157/365; Christi Nielsen, Diet; bark, 40+290 Notch;
Vernon_White, Weight_Loss_Montage_2009-03-04_side
                                                                                           © Carol Torgan, Ph.D. 2012
Pinterest




http://pinterest.com/sarahireynolds/the-sugar/
                                                 © Carol Torgan, Ph.D. 2012
Track, share, compare




                        © Carol Torgan, Ph.D. 2012
http://nikeplus.nike.com/plus/
                                 © Carol Torgan, Ph.D. 2012
1 in 4 internet users living with chronic conditions has looked
          online for someone with similar health concerns.




                                           www.patientslikeme.com
Peer-to-peer Healthcare, Pew Internet, Feb 2011 www.pewinternet.org/Reports/2011/P2PHealthcare.aspx
                                                                                      © Carol Torgan, Ph.D. 2012
Bipolar Managed Best Without Drugs: 227 Patients Report

www.curetogether.com, data from Feb 15, 2012 by Alexandra Carmichael
                                                                       © Carol Torgan, Ph.D. 2012
http://asthmapolis.com/
                          © Carol Torgan, Ph.D. 2012
Track, share, compare, publish: Data donorship




         Study of patients with amyotrophic lateral sclerosis (ALS)
who tried lithium carbonate treatment off-label through their physicians



             http://www.nature.com/nbt/journal/v29/n5/abs/nbt.1837.html

                                                                          © Carol Torgan, Ph.D. 2012
Track, share, compare*, care

*N=1
Case Study
Personalized Medicine


Athlete Biological Passport
―The fundamental principle of the Athlete
Biological Passport is based on the monitoring
of an athlete‘s biological variables over time to
facilitate indirect detection of doping on a
longitudinal basis, rather than on the traditional
direct detection of doping.‖ – WADA




World Anti-Doping Agency (WADA)
http://www.wada-ama.org/en/Science-Medicine/Athlete-Biological-Passport/
                                                                           © Carol Torgan, Ph.D. 2012
Issues

              Cost
          Ease of use
   Accuracy, reproducibility
 Tissue compatibility, safety
    Range, response time
Clinically relevant information
      Literacy, numeracy
             Privacy
            Security




                                  © Carol Torgan, Ph.D. 2012
What can be tracked vs.
         What should be tracked




PricewaterhouseCoopers, Healthcare unwired, Sept 2010
                                                        © Carol Torgan, Ph.D. 2012
Unhealthy track, share, compare
Pro-anorexia nervosa ―pro-ana‖ communities




                                             © Carol Torgan, Ph.D. 2012
Accuracy
Sensors are like real estate: Location matters!




     ―Jawbone UP gives me 2,025 steps for 20 mins of
     drumming to REM and Smash Pumpkins.
     yfrog.com/mgrzudp‖ @dvansickle, Twitter


                                                       © Carol Torgan, Ph.D. 2012
???
Data visualization

Cause and effect vs. correlational
False positives / false negatives
Signal vs. noise




                                     © Carol Torgan, Ph.D. 2012
Health Literacy

—the degree to which a person can obtain, process, and
understand basic health information and services needed to
make appropriate health decisions.

Nearly 9 out of 10 adults have difficulty using everyday
health information that is available in health care
facilities, retail outlets, media, and communities.

Innovations in Health Literacy - Workshop Summary
March 10, 2011 Institute of Medicine Report




www.iom.edu/Reports/2011/Innovations-in-Health-Literacy.aspx
                                                               © Carol Torgan, Ph.D. 2012
Health Numeracy

―In general, I feel uncomfortable with health information
that has a lot of numbers and statistics.‖

    54% strongly or somewhat agree
    44% strongly or somewhat disagree

―In general, I depend on numbers and statistics to help me
make decisions about my health.‖

    57% strongly or somewhat agree
    42% strongly or somewhat disagree


Health Information National Trends Survey (HINTS), 2007




                  http://hints.cancer.gov/
                                                          © Carol Torgan, Ph.D. 2012
© Carol Torgan, Ph.D. 2012
Speed
Elevation
Heart rate
Power
Cadence




             © Carol Torgan, Ph.D. 2012
Opportunities


     When asked about the last time they had
                a health issue,


         70% of adults in the U.S. say they
        received information, care, or support
           from a health professional.




Peer-to-Peer Healthcare, Susannah Fox, Pew Internet, Feb 2011
   www.pewinternet.org/Reports/2011/P2PHealthcare.aspx
                                                                © Carol Torgan, Ph.D. 2012
Kids, Tweens, Teens

     Gadget savvy

    Health interests

      Community




                       © Carol Torgan, Ph.D. 2012
Baby Boomers
                         ~78 million baby boomers

~56% have high willingness to use in-home health monitoring devices
         in tandem with care from their primary physician

         ―Boomers want to shape the technology they use,
unlike younger generations who allow their lives to be shaped by it.‖
   – Michael Rogers, Practical Futurist, in MIT Enterprise Forum Northwest Report




                                                                        © Carol Torgan, Ph.D. 2011
Exercise
          Self Track:
          Apps
          Gadgets
          Communities




http://exerciseismedicine.org/
                                 © Carol Torgan, Ph.D. 2012
Can we make aspiration and inspiration lead to perspiration?




                      http://pinterest.com/ [fitness]
                                                        © Carol Torgan, Ph.D. 2012
Mobile


Camera
Microphone
Location
Apps
Text
Video
Community
Anytime, anywhere




                             © Carol Torgan, Ph.D. 2012
The future of sensors

Measure compressive stresses in spine
Monitor blood for medication concentrations
Knee implants, stents, …


Monitor our Microbiome
Microbial cells : human cells = 10:1
(10-100 trillion microbes in our intestine)


Personalized
DIY – mix and match your own sensors
Track multiple conditions (not silo‘ed)




Bottom photo: John Rodgers, Science, Vol 333 no. 6044 pp. 838-843, 2011
www.sciencemag.org/content/333/6044/838                                   © Carol Torgan, Ph.D. 2012
―What used to take up a building
 now fits in my pocket,
 and what fits in my pocket
will fit inside a blood cell in 25 years.‖
– Ray Kurzweil, inventor and futurist




                                             © Carol Torgan, Ph.D. 2012
Carol Torgan, PhD, FACSM
           Kinetics Consulting
          www.caroltorgan.com
             Twitter @ctorgan

    List of talk resources available at:
www.caroltorgan.com/track-share-compare/

  Gallery of tracking gadgets available at:
http://pinterest.com/caroltpin/wearable-tech/




                                                © Carol Torgan, Ph.D. 2012

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Track, Share and Compare: The Hot Trend of Self-Tracking

  • 1. Track, Share and Compare: The Hot Trend of Self-Tracking Carol E. Torgan, PhD., FACSM Kinetics Consulting :: From lab bench to park bench www.caroltorgan.com Twitter @ctorgan ACSM Health & Fitness Summit, March 2012 © Carol Torgan, Ph.D. 2012
  • 2. Self-tracking is … Tracking your life weight, activity, nutrition, sleep, menstrual cycle, heart rate, mood, …. physiological, behavioral social, environmental Also known as: Life-logging Data-driven lifestyle Personal informatics Personal analytics Personal monitoring Living by numbers Quantified self http://quantifiedself.com Gary Wolf, Kevin Kelly © Carol Torgan, Ph.D. 2012
  • 3. The Economist, Mar 3rd 2012 print edition http://www.economist.com/node/21548493 © Carol Torgan, Ph.D. 2012
  • 4. O, The Oprah Magazine, December 2011 © Carol Torgan, Ph.D. 2012
  • 5. Who is tracking Patients Professionals Acute and chronic health conditions Athletes Asthma Astronauts Cancer Soldiers Diabetes Firefighters Mental health … Scientists © Carol Torgan, Ph.D. 2012
  • 6. Who is self-tracking 27% of internet users, or 20% of adults, have tracked their weight, diet, exercise routine or some other health indicators or symptoms online: • 15% of U.S. internet users have tracked their weight, diet, or exercise routine online • Women internet users more likely than male users to do these activities • Internet users who experienced a significant recent health change more likely to track (gain/lost weight, quit smoking, pregnancy) The Social Life of Health Information, Susannah Fox, Pew Internet, May 2011 www.pewinternet.org © Carol Torgan, Ph.D. 2012
  • 7. Patients Professionals Event-driven trackers © Carol Torgan, Ph.D. 2012
  • 8. Why Track? © Carol Torgan, Ph.D. 2012
  • 9. ―For many self-trackers, the goal is unknown. Although they may take up tracking with a specific question in mind, they continue because they believe their numbers hold secrets that they can‘t afford to ignore, including answers to questions they have not yet thought to ask.‖ – Gary Wolf, The Data-Driven Life, The New York Times, April 26, 2010 © Carol Torgan, Ph.D. 2012
  • 10. How we track • Paper and pencil • ―How clothes fit‖ • Apps • Gadgets & sensors • Images © Carol Torgan, Ph.D. 2012
  • 11. www.medhelp.org/health_tools © Carol Torgan, Ph.D. 2012
  • 12. PTSD Coach Chemo Calendar Healthy Habits Pregnancy Tracker Meal Snap Period Tracker Mole Measure iMapMyRUN Glucose Buddy iBP Blood Pressure © Carol Torgan, Ph.D. 2012
  • 13. Adults who have downloaded an app to a cell phone or tablet • 29% downloaded a health app = 11% of all adult cell phone users • Similar to Sept 2010 data (no increase over the last year) Half of adult cell phone owners have apps on their phones, Kristen Purcell, Pew Internet, Nov, 2011 www.pewinternet.org © Carol Torgan, Ph.D. 2012
  • 14. Sensor technology moves from edges inward Patients Professionals © Carol Torgan, Ph.D. 2012
  • 15. Lactate analyzers: Available from laboratory catalogs AND Amazon © Carol Torgan, Ph.D. 2012
  • 16. Sensors that connect to the body © Carol Torgan, Ph.D. 2012
  • 17. Best Buy: Health & Fitness © Carol Torgan, Ph.D. 2012
  • 18. Pedometers spring-lever movement steps, calories burned Actigraph triaxial accelerometer, inclinometer steps, energy expenditure intensity, METs Fitbit accelerometer, altimeter steps, floors climbed calories burned © Carol Torgan, Ph.D. 2012
  • 19. Nike+ Fuelband (wrist) triaxial accelerometer light sensor, LED lights steps, calories, ‗NikeFuel‘ Zeo (headband) electrical signals sleep patterns, sleep quality score (‗ZQ‘) © Carol Torgan, Ph.D. 2012
  • 20. Wearable sensors Under Armour / Zephyr E39 biometric compression shirt Removable electronic monitor (‗bug‘) Heart rate, breathing rate Skin surface temperature triaxial acceleration Adidas adizero f50 powered by miCoach Performance metrics: speed, max speed, sprint number distance, steps & stride rates © Carol Torgan, Ph.D. 2012
  • 21. ProeTEX T-shirt heart & breathing rate, body temperature blood oxygen saturation Jacket triaxial accelerometers (collar, wrist) carbon oxide sensor (lapel area, near mouth) external temp sensor, heat flux sensor visual & acoustic alarms Boots toxic gas concentrations (carbon dioxide) [at the request of the users] foot contact with ground Magenes G, et al. Conf Proc IEEE Eng Med Biol Soc. 2010:3594-7. www.proetex.org/ © Carol Torgan, Ph.D. 2012
  • 22. MagIC (Maglietta Interattiva Computerizzata) Vest embedded sensors made of conductive fibers heart rate, breathing rate triaxial accelerometer washable, front or side opening Mount Everest climbers telemonitoring Congestive heart failure patients discharged from the hospital wore in homes few minutes each day for a month data viewed remotely by cardiologist Patients felt ―safely supervised‖ and requested to continue the monitoring period! Meriggi, P. , et al. IEEE Trans Inf Technol Biomed. 2010 May;14(3):711-722. © Carol Torgan, Ph.D. 2012
  • 23. Sensors on your skin: patches Zio cardiac monitoring (up to 14 days) arrhythmias Metria wearable sensor technology disposable patch, worn up to 7 days on back of arm heart and breathing rates, steps sleep duration, activity levels © Carol Torgan, Ph.D. 2012
  • 24. Ingestible core body thermometer pill Partnership Johns Hopkins University Applied Physics Lab NASA / Goddard Space Flight Center Pill in system 18 to 30 hours 1988 Commercially available (research, university, military) 1998 John Glenn used for medical experiments on Space Shuttle Discovery NASA Spinoff www.sti.nasa.gov/tto/Spinoff2006/hm_1.html © Carol Torgan, Ph.D. 2012
  • 25. Heart Failure: CardioMEMS 6 million heart failure patients in U.S. > 1 million hospitalizations each year $39 billion yearly direct cost of care Heart functions poorly, fluid builds-up Traditionally measure body weight Miniature wireless sensor MEMS = microelectromechanical system Permanently implant in pulmonary artery Transmits real-time pressure data Patients take daily readings Send to doctor (handheld or computer) Doctor modify meds = prevent hospitalization 39% drop in hospitalizations in treated patients, shorter stays WT Abraham, et al, The Lancet, 377:658-666, 2011 © Carol Torgan, Ph.D. 2012
  • 26. Visual tracking ‗Weight loss‘ on Flickr Photos courtesy of Flickr, clockwise L to R: uneduex, 157/365; Christi Nielsen, Diet; bark, 40+290 Notch; Vernon_White, Weight_Loss_Montage_2009-03-04_side © Carol Torgan, Ph.D. 2012
  • 28. Track, share, compare © Carol Torgan, Ph.D. 2012
  • 29. http://nikeplus.nike.com/plus/ © Carol Torgan, Ph.D. 2012
  • 30. 1 in 4 internet users living with chronic conditions has looked online for someone with similar health concerns. www.patientslikeme.com Peer-to-peer Healthcare, Pew Internet, Feb 2011 www.pewinternet.org/Reports/2011/P2PHealthcare.aspx © Carol Torgan, Ph.D. 2012
  • 31. Bipolar Managed Best Without Drugs: 227 Patients Report www.curetogether.com, data from Feb 15, 2012 by Alexandra Carmichael © Carol Torgan, Ph.D. 2012
  • 32. http://asthmapolis.com/ © Carol Torgan, Ph.D. 2012
  • 33. Track, share, compare, publish: Data donorship Study of patients with amyotrophic lateral sclerosis (ALS) who tried lithium carbonate treatment off-label through their physicians http://www.nature.com/nbt/journal/v29/n5/abs/nbt.1837.html © Carol Torgan, Ph.D. 2012
  • 34. Track, share, compare*, care *N=1 Case Study Personalized Medicine Athlete Biological Passport ―The fundamental principle of the Athlete Biological Passport is based on the monitoring of an athlete‘s biological variables over time to facilitate indirect detection of doping on a longitudinal basis, rather than on the traditional direct detection of doping.‖ – WADA World Anti-Doping Agency (WADA) http://www.wada-ama.org/en/Science-Medicine/Athlete-Biological-Passport/ © Carol Torgan, Ph.D. 2012
  • 35. Issues Cost Ease of use Accuracy, reproducibility Tissue compatibility, safety Range, response time Clinically relevant information Literacy, numeracy Privacy Security © Carol Torgan, Ph.D. 2012
  • 36. What can be tracked vs. What should be tracked PricewaterhouseCoopers, Healthcare unwired, Sept 2010 © Carol Torgan, Ph.D. 2012
  • 37. Unhealthy track, share, compare Pro-anorexia nervosa ―pro-ana‖ communities © Carol Torgan, Ph.D. 2012
  • 38. Accuracy Sensors are like real estate: Location matters! ―Jawbone UP gives me 2,025 steps for 20 mins of drumming to REM and Smash Pumpkins. yfrog.com/mgrzudp‖ @dvansickle, Twitter © Carol Torgan, Ph.D. 2012
  • 39. ??? Data visualization Cause and effect vs. correlational False positives / false negatives Signal vs. noise © Carol Torgan, Ph.D. 2012
  • 40. Health Literacy —the degree to which a person can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Nearly 9 out of 10 adults have difficulty using everyday health information that is available in health care facilities, retail outlets, media, and communities. Innovations in Health Literacy - Workshop Summary March 10, 2011 Institute of Medicine Report www.iom.edu/Reports/2011/Innovations-in-Health-Literacy.aspx © Carol Torgan, Ph.D. 2012
  • 41. Health Numeracy ―In general, I feel uncomfortable with health information that has a lot of numbers and statistics.‖ 54% strongly or somewhat agree 44% strongly or somewhat disagree ―In general, I depend on numbers and statistics to help me make decisions about my health.‖ 57% strongly or somewhat agree 42% strongly or somewhat disagree Health Information National Trends Survey (HINTS), 2007 http://hints.cancer.gov/ © Carol Torgan, Ph.D. 2012
  • 42. © Carol Torgan, Ph.D. 2012
  • 43. Speed Elevation Heart rate Power Cadence © Carol Torgan, Ph.D. 2012
  • 44. Opportunities When asked about the last time they had a health issue, 70% of adults in the U.S. say they received information, care, or support from a health professional. Peer-to-Peer Healthcare, Susannah Fox, Pew Internet, Feb 2011 www.pewinternet.org/Reports/2011/P2PHealthcare.aspx © Carol Torgan, Ph.D. 2012
  • 45. Kids, Tweens, Teens Gadget savvy Health interests Community © Carol Torgan, Ph.D. 2012
  • 46. Baby Boomers ~78 million baby boomers ~56% have high willingness to use in-home health monitoring devices in tandem with care from their primary physician ―Boomers want to shape the technology they use, unlike younger generations who allow their lives to be shaped by it.‖ – Michael Rogers, Practical Futurist, in MIT Enterprise Forum Northwest Report © Carol Torgan, Ph.D. 2011
  • 47. Exercise Self Track: Apps Gadgets Communities http://exerciseismedicine.org/ © Carol Torgan, Ph.D. 2012
  • 48. Can we make aspiration and inspiration lead to perspiration? http://pinterest.com/ [fitness] © Carol Torgan, Ph.D. 2012
  • 50. The future of sensors Measure compressive stresses in spine Monitor blood for medication concentrations Knee implants, stents, … Monitor our Microbiome Microbial cells : human cells = 10:1 (10-100 trillion microbes in our intestine) Personalized DIY – mix and match your own sensors Track multiple conditions (not silo‘ed) Bottom photo: John Rodgers, Science, Vol 333 no. 6044 pp. 838-843, 2011 www.sciencemag.org/content/333/6044/838 © Carol Torgan, Ph.D. 2012
  • 51. ―What used to take up a building now fits in my pocket, and what fits in my pocket will fit inside a blood cell in 25 years.‖ – Ray Kurzweil, inventor and futurist © Carol Torgan, Ph.D. 2012
  • 52. Carol Torgan, PhD, FACSM Kinetics Consulting www.caroltorgan.com Twitter @ctorgan List of talk resources available at: www.caroltorgan.com/track-share-compare/ Gallery of tracking gadgets available at: http://pinterest.com/caroltpin/wearable-tech/ © Carol Torgan, Ph.D. 2012

Editor's Notes

  1. Driven by 2 ends of a continuumWhere innovation occursPat and profs – lives may depend on the data
  2. Takes less than 10 minutes[Radiofrequency (RF) energy]
  3. uneduex, 157/365 Heeee. I have a waist now. And this girl with her newly found waistline must go to work.Christi Nielsen, Diet; Bark, 40+290 Notch So apparently all this crap about eating right and going to the gym is true! Sliding my belt in a notch. Yay me!
  4. http://www.pewtrusts.org/our_work_report_detail.aspx?id=85899373002Nearly Half of American Adults Are Smartphone Owners
  5. Patterns, comparisonsGoal: Use data to predict, prevent, treat, manage
  6. age, culture, language, literacy
  7. On January 1, 2011 10,000 thousand turned 65 Each day 10,000 more will turn 65 This will continue for the next 19 yearsBruce springsteen Richard Branson Madonna George Clooney Tom Cruise