A methodology of studying of ingestive behavior by non-invasive monitoring of swallowing (deglutition) and chewing (mastication) has been developed. The target application for the developed methodology is to study the behavioral patterns of food consumption and producing volumetric and weight estimates of energy intake. Monitoring is non-invasive based on detecting swallowing by a sound sensor located over laryngopharynx or by a bone-conduction microphone and detecting chewing through a below-the-ear strain sensor. Proposed sensors may be implemented in a wearable monitoring device, thus enabling monitoring of ingestive behavior in free-living individuals. In this paper, the goals in the development of this methodology are two-fold. First, a system comprising sensors, related hardware and software for multi-modal data capture is designed for data collection in a controlled environment. Second, a protocol is developed for manual scoring of chewing and swallowing for use as a gold standard. The multi-modal data capture was tested by measuring chewing and swallowing in 21 volunteers during periods of food intake and quiet sitting (no food intake). Video footage and sensor signals were manually scored by trained raters. Inter-rater reliability study for three raters conducted on the sample set of five subjects resulted in high average intra-class correlation coefficients of 0.996 for bites, 0.988 for chews and 0.98 for swallows. The collected sensor signals and the resulting manual scores will be used in future research as a gold standard for further assessment of sensor design, development of automatic pattern recognition routines and study of the relationship between swallowing/chewing and ingestive behavior.

译文

已经开发了一种通过非侵入性监测吞咽 (吞咽) 和咀嚼 (咀嚼) 来研究进食行为的方法。所开发方法的目标应用是研究食物消费的行为模式以及产生能量摄入的体积和重量估计。监测是非侵入性的,基于通过位于喉咽上方的声音传感器或通过骨传导麦克风检测吞咽,并通过耳下应变传感器检测咀嚼。所提出的传感器可以在可穿戴监测装置中实现,从而能够监测自由生活个体的摄取行为。在本文中,这种方法的发展目标有两个方面。首先,设计了一种系统,该系统包括用于多模式数据捕获的传感器、相关硬件和软件,用于在受控环境中收集数据。其次,开发了一种用于手动对咀嚼和吞咽进行评分的协议,以用作金标准。通过测量21名志愿者在进食和安静坐着 (没有进食) 期间的咀嚼和吞咽来测试多模式数据捕获。视频录像和传感器信号由训练有素的评分者手动评分。对五名受试者的样本集进行的三个评分者之间的信度研究导致咬伤的0.996,咀嚼的0.988和燕子的0.98的平均类内相关系数很高。收集的传感器信号和所得的手动分数将在未来的研究中用作进一步评估传感器设计,开发自动模式识别例程以及研究吞咽/咀嚼与进食行为之间关系的金标准。

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