Search arXivSearch

arXiv · 2312.13660

Empowering health in aging: Innovation in undernutrition detection and prevention through comprehensive monitoring

Abstract

Addressing the health challenges faced by the aging population, particularly undernutrition, is of paramount importance, given the significant representation of older individuals in society. Undernutrition arises from a disbalance between nutritional intake and energy expenditure, making its diagnosis crucial. Advances in technology allowed a better precision and efficiency of biomarker measurements, making it easier to detect undernutrition in the elderly. This article introduces an innovative system developed as part of the CART initiative at Toulouse University Hospital in France. This system takes a comprehensive approach to monitor health and well-being, collecting data that can provide insights, shape health outcomes, and even predict them. A key focus of this system is on identifying nutrition-related behaviors. By integrating quantitative and clinical assessments, which include biannual nutritional evaluations, as well as physical and physiological measurements like mobility and weight, this approach improves the diagnosis and prevention of undernutrition risks. It offers a more holistic perspective aligned with physiological standards. An example is given with the data collection of an elderly person followed at home for 3 months. We believe that this advance could make a significant contribution to the overall improvement of health and well-being, particularly in the elderly population.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Abderrahim Derouiche, Ghazi Bouaziz, Damien Brulin, Eric Campo, Antoine Piau. 2023-12-21. Empowering health in aging: Innovation in undernutrition detection and prevention through comprehensive monitoring. https://arxiv.org/abs/2312.13660

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

BreCol: Benchmarking Classical and Deep-Learning Methods for Microbiome-Based Cancer Detection

DNA sequencing of the gut microbial community shows promise for cancer detection, but questions remain about the generalizability of results across studies. We propose BreCol, a benchmark of 2,040 16S rRNA gene sequencing runs across 26 studies spanning breast cancer, colorectal cancer, and healthy cohorts. Train-test splits are made within pre-2023 studies, while holdout evaluation uses studies from 2023 onward, reflecting temporal separation from training data. Classical models reach test/holdout AUCs of 0.77/0.60 for cancer diagnosis and 1.00/0.83 for cancer type prediction. We train the models on both cancer types simultaneously and find that colorectal cancer is often easier to detect than breast cancer. We also evaluate two deep learning models: HyenaDNA, a long-range sequence model that pools hidden states for classification, and SetBERT, a transformer that produces contextualized embeddings over sets of reads. Both deep learning models underperform the best classical methods on holdout data, though tuning training set size and the classification head yields modest gains. Our classical pipeline uses unsupervised clustering to derive features from tetramer frequencies, preserving within-run compositional signal and achieving near state-of-the-art performance without relying on taxonomic assignments. BreCol data and associated code are publicly available.

q-bio.QM

Topological Inference for Organoids

The reproducibility of organ morphology and the extent to which computational models can predict morphogenesis remain difficult to quantify, particularly for organs with complex networks of fluid-filled lumina. Here, we combine Topological Data Analysis (TDA), biophysical simulation, and Bayesian inference to study lumen morphogenesis in pancreatic organoids. Lumen formation is governed by physical processes that are challenging to measure directly, including cell proliferation and luminal osmotic pressure. We simulate organoid development using a phase-field model and address the inverse problem of inferring these parameters from either time-lapse images or single morphological snapshots. Since lumen architectures vary substantially in size, structure, and connectivity, conventional geometric descriptors provide only a partial representation of their morphology. We therefore represent each organoid using SampEuler, a topological descriptor derived from the Euler Characteristic Transform (ECT). We first show that SampEuler captures morphological information encoded by established morphometrics. We then perform parameter inference using an approximate Bayesian computation (ABC) rejection framework with the SampEuler Wasserstein distance. Using synthetic organoids with known ground-truth parameters, our approach accurately recovers the osmotic pressure and the proliferation rate while revealing a compensatory trade-off between the two processes. Applied to experimental data from ten pancreatic organoids, the inferred posterior distributions are consistent with biological expectations. Together, these results establish a non-destructive, image-based pipeline for estimating otherwise inaccessible physical parameters governing lumen formation and highlight the potential of topological representations for linking complex biological morphology to mechanistic models.

q-bio.QM

Circadian Derived Features for Early Discrimination Across Insomnia Severity Levels: At Least 8 Weeks of Monitoring Are Needed for Clinically Meaningful Assessment

Background: Wearable devices provide continuous, objective measures of daily activity and offer promise for assessing sleep disorders. However, the minimum monitoring duration needed to differentiate insomnia severity remains unclear. We investigated when wearable-derived behavioral features become informative for distinguishing Insomnia Severity Index (ISI) categories and examined the contribution of Activity Count (AC) and circadian-derived features. Methods: We analyzed wearable data from 2,305 participants in the Advancing Understanding of Recovery after Trauma (AURORA) study. Separate binary classifiers were developed for four ISI categories across six follow-up periods using AC and circadian-derived feature sets. Performance was evaluated using accuracy, F1-score, precision, recall, and AUROC. Results: Classification improved with longer monitoring. Across ISI categories, approximately eight weeks was the earliest time point at which wearable-derived features consistently achieved informative discrimination, with modest improvements thereafter. Participants without clinically significant insomnia were easiest to identify, reaching an AUROC of 0.693. Circadian-derived features performed comparably to, and in several cases better than, AC features, suggesting that the temporal organization of daily activity provides information beyond overall activity volume. Conclusions: Approximately eight weeks of longitudinal wearable monitoring may represent a practical minimum for differentiating ISI-defined insomnia categories. Longer monitoring provided only incremental improvements. Circadian behavioral features show promise as digital biomarkers for objective insomnia assessment.

q-bio.QM