Dr Edward Sazonov, an associate professor of electrical and computer engineering at The University of Alabama, hopes to change that through development of a sensor worn around the ear that would automatically track diet, giving medical professionals and consumers accurate information that can be missed with self-reporting.
"Weight gain comes from an unbalance of the energy we take in versus the energy we expend," Sazonov said.
"We can estimate diet and nutrient intake, but the primary method is self-reporting. The sensor could provide objective data, helping us better understand patterns of food intake associated with obesity and eating disorders," said Sazonov.
Already proven viable, the device will be updated, further miniaturized and validated in a more formal, robust experiment in the community.
Called an Automatic Ingestion Monitor, or AIM, it has potential to monitor eating by automatically detecting and capturing imagery of food intake and to estimate the mass and the energy content of ingested food.
The sensor feels vibrations from movement in the jaw during food intake, and the device is programmed to filter out jaw motions, such as talking, that are not coming from drinking or eating. Estimates of energy intake would be taken from the pictures of food or drink.
In a study, the AIM will be tested against the accuracy of an alternative method, the use of a doubly-labeled water to track energy use by humans.
That method measures the body's elimination rate of stable isotopes of hydrogen and oxygen added to the water, a process that can take two weeks. The information can be used to estimate how many calories a person consumes over a period of time.
However, this method is expensive and requires medical specialization, and, unlike the proposed AIM, does not track eating behaviour.
The information provided by AIM could be used to improve behavioural weight loss strategies or to develop new kinds of weight-loss interventions.
In addition, the AIM could also provide an objective method of assessing the effectiveness of pharmacological and behavioural interventions for eating disorders.

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