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1	
  
PHYSICAL ACTIVITY & HEALTH
•  Lack of physical activity is a major
problem today
– Epidemics quickly expanding
(hypertension, diabetes, etc.)
2	
  
PHYSICAL ACTIVITY & HEALTH
•  Lack of physical activity is a major
problem today
– Epidemics quickly expanding
(hypertension, diabetes, etc.)
•  Wearable technology & continuous
monitoring:
– Better understand relations between
physical activity and health
– Drive behavioral change 3	
  
WEARABLE TECHNOLOGY FOR
ENERGY EXPENDITURE ESTIMATION
4	
  
WEARABLE TECHNOLOGY FOR
ENERGY EXPENDITURE ESTIMATION
WEARABLE TECHNOLOGY FOR
ENERGY EXPENDITURE ESTIMATION
WEARABLE TECHNOLOGY FOR
ENERGY EXPENDITURE ESTIMATION
Combined data streams
•  Higher accuracy
•  Detect activities
•  Strong link between heart rate,
oxygen uptake and energy
expenditure
WEARABLE TECHNOLOGY FOR
ENERGY EXPENDITURE ESTIMATION
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure
9	
  
Energy Expenditure
10	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure
11	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure
12	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure Heart Rate
13	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure Heart Rate
14	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Energy Expenditure Heart Rate
15	
  
PHYSIOLOGY IS PERSON-SPECIFIC
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
16	
  
RESEARCH QUESTIONS
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
17	
  
RESEARCH QUESTIONS
Current solutions:
•  Population based models: everyone is
the same
•  Laboratory calibrations are performed
to determine normalization
parameters (e.g. running heart rate)
and personalize models
-  i.e. context-specific HR
18	
  
INDIVIDUAL DIFFERENCES IN PHYSIOLOGY
•  Use wearable sensors and machine
learning methods to determine
context
•  Use physiological data during specific
contexts to predict normalization
parameters and personalize EE models
without laboratory calibrations
19	
  
OUR APPROACH
CONTEXT: LOW LEVEL ACTIVITIES
20	
  
Wearable
sensors
(acceleration,
heart rate)
21	
  
Wearable
sensors
(acceleration,
heart rate)
Supervised
learning
(generalized
linear models,
SVMs)
Activity type,
walking speed
CONTEXT: LOW LEVEL ACTIVITIES
22	
  
Phones (GPS)
CONTEXT: LOCATIONS
23	
  
Phones (GPS)
Unsupervised
methods
(rules)
Important
places
CONTEXT: LOCATIONS
24	
  
Low level
activities,
important
places
CONTEXT: HIGH LEVEL ACTIVITIES
25	
  
Low level
activities,
important
places
Unsupervised
methods (topic
models)
High level
activity
composites
CONTEXT: HIGH LEVEL ACTIVITIES
HR NORMALIZATION PARAMETER
ESTIMATION USING CONTEXT-SPECIFIC HR
Activity type,
walking speed,
daily routine
26	
  
Activity type,
walking speed,
daily routine
Contextualized
HR
27	
  
HR NORMALIZATION PARAMETER
ESTIMATION USING CONTEXT-SPECIFIC HR
Activity type,
walking speed,
daily routine
Contextualized
HR
HR
normalization
parameter
28	
  
Regression
model
HR NORMALIZATION PARAMETER
ESTIMATION USING CONTEXT-SPECIFIC HR
Heart Rate
29	
  
PHYSIOLOGY IS PERSON-SPECIFIC
Heart Rate Heart Rate Normalized
30	
  
PHYSIOLOGY IS PERSON-SPECIFIC
PHYSIOLOGY IS PERSON-SPECIFIC
Heart Rate Heart Rate Normalized
31	
  
dynamic
walking
running
biking
28% 33%29%3%
0.60
kcal/min
0.58
kcal/min
1.13
kcal/min
0.81
kcal/min
1.25
kcal/min
0.89
kcal/min
1.38
kcal/min
0.92
kcal/min
•  Reduces error up to 33%
•  Does not require individual
calibration or laboratory recordings
RESEARCH QUESTIONS
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
32	
  
CARDIORESPIRATORY FITNESS
ESTIMATION
•  Cardiorespiratory fitness is a widely used
marker of overall health
–  Higher CRF showing lower risk of all cause
mortality
Current solutions:
•  Maximal and submaximal tests: can be
risky for individuals in suboptimal health
conditions, expensive, require medical
supervision, laboratory equipment, spot
measurement only
33	
  
Activity type,
walking speed,
daily routine
34	
  
CRF ESTIMATION USING
CONTEXT-SPECIFIC HR
Activity type,
walking speed,
daily routine
Contextualized
HR
35	
  
CRF ESTIMATION USING
CONTEXT-SPECIFIC HR
HR	
  
CRF model
Activity type,
walking speed,
daily routine
Contextualized
HR
36	
  
CRF ESTIMATION USING
CONTEXT-SPECIFIC HR
HR	
  
CRF model
Activity type,
walking speed,
daily routine
Contextualized
HR
CRF	
  
37	
  
CRF ESTIMATION USING
CONTEXT-SPECIFIC HR
HR	
  
CRF model
Activity type,
walking speed,
daily routine
Contextualized
HR
CRF	
  
38	
  
•  10.3% error reduction when using
low level context
•  22.6% error reduction when
combining low and high level
context
CRF ESTIMATION USING
CONTEXT-SPECIFIC HR
RESEARCH QUESTIONS
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
39	
  
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
40	
  
RESEARCH QUESTIONS
•  How can we dynamically personalize
heart rate-based models to improve
EE estimation at the individual level?
•  Can we move beyond behavioral
aspects of physical activity (e.g. EE,
steps) and estimate cardiorespiratory
fitness as a proxy to health status?
41	
  
RESEARCH QUESTIONS
CRF	
  
HR	
  
42	
  
CRF model
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
CRF	
  
EE model
43	
  
CRF	
  
HR	
  
CRF model
EE	
  
HR	
  
ACC	
  
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
CRF	
  
EE model
44	
  
CRF	
  
HR	
  
CRF model
EE	
  
HR	
  
ACC	
  
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
CRF	
  
EE model
45	
  
CRF	
  
HR	
  
CRF model
EE	
  
HR	
  
ACC	
  
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
CRF	
  
EE model
46	
  
CRF	
  
HR	
  
CRF model
EE	
  
HR	
  
ACC	
  
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
EE ESTIMATION PERSONALIZED BY
CRF: HIERARCHICAL MODELS
CRF	
  
EE model
47	
  
CRF	
  
HR	
  
CRF model
EE	
  
HR	
  
ACC	
  
•  No need for explicit
HR normalization
•  RMSE reduced by
18% on average
CONCLUSIONS
•  We personalized EE estimation models
without the need for individual
calibration in laboratory settings
– reduced RMSE up to 33% (HR
normalization and hierarchical modeling)
•  We proposed new methods for context
recognition and CRF estimation in free-
living without requiring laboratory tests
– reduced CRF estimation error up to 22.6%
48	
  
49	
  

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PhD defense slides

  • 2. PHYSICAL ACTIVITY & HEALTH •  Lack of physical activity is a major problem today – Epidemics quickly expanding (hypertension, diabetes, etc.) 2  
  • 3. PHYSICAL ACTIVITY & HEALTH •  Lack of physical activity is a major problem today – Epidemics quickly expanding (hypertension, diabetes, etc.) •  Wearable technology & continuous monitoring: – Better understand relations between physical activity and health – Drive behavioral change 3  
  • 4. WEARABLE TECHNOLOGY FOR ENERGY EXPENDITURE ESTIMATION 4  
  • 5. WEARABLE TECHNOLOGY FOR ENERGY EXPENDITURE ESTIMATION
  • 6. WEARABLE TECHNOLOGY FOR ENERGY EXPENDITURE ESTIMATION
  • 7. WEARABLE TECHNOLOGY FOR ENERGY EXPENDITURE ESTIMATION
  • 8. Combined data streams •  Higher accuracy •  Detect activities •  Strong link between heart rate, oxygen uptake and energy expenditure WEARABLE TECHNOLOGY FOR ENERGY EXPENDITURE ESTIMATION
  • 13. Energy Expenditure Heart Rate 13   PHYSIOLOGY IS PERSON-SPECIFIC
  • 14. Energy Expenditure Heart Rate 14   PHYSIOLOGY IS PERSON-SPECIFIC
  • 15. Energy Expenditure Heart Rate 15   PHYSIOLOGY IS PERSON-SPECIFIC
  • 16. •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 16   RESEARCH QUESTIONS
  • 17. •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 17   RESEARCH QUESTIONS
  • 18. Current solutions: •  Population based models: everyone is the same •  Laboratory calibrations are performed to determine normalization parameters (e.g. running heart rate) and personalize models -  i.e. context-specific HR 18   INDIVIDUAL DIFFERENCES IN PHYSIOLOGY
  • 19. •  Use wearable sensors and machine learning methods to determine context •  Use physiological data during specific contexts to predict normalization parameters and personalize EE models without laboratory calibrations 19   OUR APPROACH
  • 20. CONTEXT: LOW LEVEL ACTIVITIES 20   Wearable sensors (acceleration, heart rate)
  • 21. 21   Wearable sensors (acceleration, heart rate) Supervised learning (generalized linear models, SVMs) Activity type, walking speed CONTEXT: LOW LEVEL ACTIVITIES
  • 25. 25   Low level activities, important places Unsupervised methods (topic models) High level activity composites CONTEXT: HIGH LEVEL ACTIVITIES
  • 26. HR NORMALIZATION PARAMETER ESTIMATION USING CONTEXT-SPECIFIC HR Activity type, walking speed, daily routine 26  
  • 27. Activity type, walking speed, daily routine Contextualized HR 27   HR NORMALIZATION PARAMETER ESTIMATION USING CONTEXT-SPECIFIC HR
  • 28. Activity type, walking speed, daily routine Contextualized HR HR normalization parameter 28   Regression model HR NORMALIZATION PARAMETER ESTIMATION USING CONTEXT-SPECIFIC HR
  • 29. Heart Rate 29   PHYSIOLOGY IS PERSON-SPECIFIC
  • 30. Heart Rate Heart Rate Normalized 30   PHYSIOLOGY IS PERSON-SPECIFIC
  • 31. PHYSIOLOGY IS PERSON-SPECIFIC Heart Rate Heart Rate Normalized 31   dynamic walking running biking 28% 33%29%3% 0.60 kcal/min 0.58 kcal/min 1.13 kcal/min 0.81 kcal/min 1.25 kcal/min 0.89 kcal/min 1.38 kcal/min 0.92 kcal/min •  Reduces error up to 33% •  Does not require individual calibration or laboratory recordings
  • 32. RESEARCH QUESTIONS •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 32  
  • 33. CARDIORESPIRATORY FITNESS ESTIMATION •  Cardiorespiratory fitness is a widely used marker of overall health –  Higher CRF showing lower risk of all cause mortality Current solutions: •  Maximal and submaximal tests: can be risky for individuals in suboptimal health conditions, expensive, require medical supervision, laboratory equipment, spot measurement only 33  
  • 34. Activity type, walking speed, daily routine 34   CRF ESTIMATION USING CONTEXT-SPECIFIC HR
  • 35. Activity type, walking speed, daily routine Contextualized HR 35   CRF ESTIMATION USING CONTEXT-SPECIFIC HR
  • 36. HR   CRF model Activity type, walking speed, daily routine Contextualized HR 36   CRF ESTIMATION USING CONTEXT-SPECIFIC HR
  • 37. HR   CRF model Activity type, walking speed, daily routine Contextualized HR CRF   37   CRF ESTIMATION USING CONTEXT-SPECIFIC HR
  • 38. HR   CRF model Activity type, walking speed, daily routine Contextualized HR CRF   38   •  10.3% error reduction when using low level context •  22.6% error reduction when combining low and high level context CRF ESTIMATION USING CONTEXT-SPECIFIC HR
  • 39. RESEARCH QUESTIONS •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 39  
  • 40. •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 40   RESEARCH QUESTIONS
  • 41. •  How can we dynamically personalize heart rate-based models to improve EE estimation at the individual level? •  Can we move beyond behavioral aspects of physical activity (e.g. EE, steps) and estimate cardiorespiratory fitness as a proxy to health status? 41   RESEARCH QUESTIONS
  • 42. CRF   HR   42   CRF model EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS
  • 43. CRF   EE model 43   CRF   HR   CRF model EE   HR   ACC   EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS
  • 44. CRF   EE model 44   CRF   HR   CRF model EE   HR   ACC   EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS
  • 45. CRF   EE model 45   CRF   HR   CRF model EE   HR   ACC   EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS
  • 46. CRF   EE model 46   CRF   HR   CRF model EE   HR   ACC   EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS
  • 47. EE ESTIMATION PERSONALIZED BY CRF: HIERARCHICAL MODELS CRF   EE model 47   CRF   HR   CRF model EE   HR   ACC   •  No need for explicit HR normalization •  RMSE reduced by 18% on average
  • 48. CONCLUSIONS •  We personalized EE estimation models without the need for individual calibration in laboratory settings – reduced RMSE up to 33% (HR normalization and hierarchical modeling) •  We proposed new methods for context recognition and CRF estimation in free- living without requiring laboratory tests – reduced CRF estimation error up to 22.6% 48  
  • 49. 49