Ear canal pressure sensor for food intake detection

Introduction: This paper presents a novel Ear Canal Pressure Sensor (ECPS) for objective detection of food intake, chew counting, and food image capture in both controlled and free-living conditions. The contribution of this study is threefold: 1) Development and validation of a novel wearable sensor that uses changes in ear canal pressure and the device’s acceleration as an indicator of food intake, 2) A method to identify chewing segments and count the number of chews in each eating episode, and 3) Facilitation of egocentric image capture only during eating by triggering camera from sensor detection thus reducing power consumption, privacy concerns, as well as storage and computational cost.Methods: To validate the device, data were collected from 10 volunteers in a controlled environment and three volunteers in a free-living environment. During the controlled activities, each participant wore the device for approximately 1 h, and during the free living for approximately 12 h. The food intake of the participants was not restricted in any way in both part of the experiment. Subject-independent Support Vector Machine classifiers were trained to identify periods of food intake from the features of both the pressure sensor and accelerometer, and features only from the pressure sensor.Results: Results from leave-one-out cross-validation showed an average 5 sec-epoch classification F-score of 87.6% using only pressure sensor features and 88.6% using features from both pressure sensor and accelerometer in the controlled environment. For the free-living environment, both classifiers accurately detected all eating episodes. The wearable sensor achieves 95.5% accuracy in counting the number of chews with respect to manual annotation from the videos of the eating episodes using a pressure sensor classifier in the controlled environment.Discussion: The manual review of the images found that only 3.7% of captured images belonged to the detected eating episodes, suggesting that sensor-triggered camera capture may facilitate reducing the number of captured images and power consumption of the sensor.