Eating Habit Improvement System Using Dietary Sound
Haruka Kamachi
1 a
, Sae Ohkubo
2 b
and Anna Yokokubo
1,2 c
and Guillaume Lopez
1,2 d
1
Graduate School of Science and Engineering, Aoyama Gakuin University, Sagamihara, Japan
2
Department of Integrated Information Technology, Aoyama Gakuin University, Sagamihara, Japan
Keywords:
Eating Activity Detection, Dietary Sound, Wearable Devices, Behavior Transformation.
Abstract:
Obesity may cause lifestyle diseases such as diabetes and high blood pressure. Eating slowly and chewing
well are essential to prevent obesity. This research aims to improve the consciousness of dietary behavior
based on eating habits by quantifying eating behavior. It proposes “ChewReminder,” a smartphone application
software that detects eating activities in real-time under a natural meal environment and gives feedback based
on detected activity. ChewReminder detects four activities: chewing, swallowing, talking, and other.The
smartwatch gives feedback using vibration depend on chewing count per one bite which information was
linked from the smartphone. Also, the total feedback about the meal was displayed on the smartphone after
finishing the meal. The chewing count for 70% subjects and chewing pace for more than half subjects was
improved with using ChewReminder by the result of total chewing count, average of chewing count per bite
and chewing pace. ChewReminder is effective especially people who are aware of fast eating. Also, the
result of long-term experiment indicated that feedback displayed on a smartphone was effective to improve
consciousness of eating activity. Therefore, the result of both experiment shows that ChewReminder is a valid
system to improve consciousness of eating activity especially chewing activity.
1 INTRODUCTION
According to the World Health Organization (WHO),
overweight means BMI 25 or more and obesity means
BMI 30 or more. In 2016, 39% of those aged 18
years or older were overweight and 13% of them were
obese. Also, obese people are increasing about three
times since 1975(Obe, ). Obesity may cause lifestyle
diseases such as diabetes and high blood pressure.
Chewing well induces more saliva secretion and
faster blood-sugar level increase. As a result, it works
on the satiety center and hungry feeling is satisfied.
That leads prevention of obesity(che, ). Also, Fig-
ure 1 shows that the quicker one eats, the higher BMI
is(Ando et al., 2008). It means that obesity is strongly
related to eating quickly. Therefore, eating slowly and
chewing well is essential to prevent obesity.
Furthermore,Past studies revealed that conversa-
tion during the meal is related to health. So, in-
creasing conversation during the meal is desirable.
(Kishida and Kamimura, 1993).
a
https://orcid.org/0000-0002-9269-1026
b
https://orcid.org/0000-0002-4802-834X
c
https://orcid.org/0000-0003-2657-4961
d
https://orcid.org/0000-0002-9144-3688
Figure 1: The relationship between BMI and BMI increase
rate with eating speed (quoted from(Ando et al., 2008)).
Recently, many wearable devices available on the
market. However, none of these devices can detect
automatically dietary behavior, especially multiple di-
etary behavior such as swallowing and talking in ad-
dition to chewing in a natural meal environment yet.
If the number of chewing during the meal can be
detected, it become possible to give feedback to peo-
ple in real-time that they do not chew enough or eat
too quickly, leading to prevent obesity. Also, it can be
expected that detecting a conversation during meals
can be used to make feedback promoting the increase
of conversation during the meal. The detection of
more specific eating behavior can contribute to the
promotion of healthier dietary habits.
346
Kamachi, H., Ohkubo, S., Yokokubo, A. and Lopez, G.
Eating Habit Improvement System Using Dietary Sound.
DOI: 10.5220/0011676300003414
In Proceedings of the 16th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2023) - Volume 5: HEALTHINF, pages 346-353
ISBN: 978-989-758-631-6; ISSN: 2184-4305
Copyright
c
2023 by SCITEPRESS Science and Technology Publications, Lda. Under CC license (CC BY-NC-ND 4.0)
2 RELATED RESEARCH
Mitsui et al. suggested a system that judges the num-
ber of chewing and the status of speaking in real-time
by using a bone conduction microphone and gives
real-time feedback to the user to improve his/her eat-
ing behavior(Mitsui et al., 2018). They could count in
real-time chewing behavior with 91% accuracy and
utterance length with 96% accuracy. However, they
did not evaluate the performances in the natural meal
environment yet, and the only used specific foods.
Nakaoka et al. developed a system “eat2pic” that
encourages users to eat healthier by sensing what they
eat using a chopstick IoT equipped with a camera
and IMU sensors, and dynamically changing digital
artwork based on this information.(Nakaoka et al.,
2021).
However special devices are needed. The feed-
back system using a smartphone need to look a dis-
play during the meal. Beside, almost all systems
have not detected speaking in addition to chewing and
swallowing for feedback in real-time under a natural
meal environment.
From above, this research aims to the feedback of
specific dietary intake behavior in a natural meal envi-
ronment based on the detection eating activity in real-
time. Therefore, it develop and suggest feedback sys-
tem including real-time feedback with a smartwatch
from audio data by using a commercially and readily
available bone conduction microphone placed inside
the ear.
3 PROPOSED SYSTEM:
ChewReminder
3.1 System Overview
The overall of “ChewReminder” is shown in Figure2.
The user put a bone conduction microphone into the
ear and wear a smartwatch on the wrist during a meal.
The eating sound is collected using a bone conduction
microphone that communicates via Bluetooth with
the smartphone. Next, the section of eating activity
is segmented automatically in real-time and predicted
type of activity using classification model. The pre-
dicted activity leads some information about the meal
such as meal time and chewing count. These informa-
tion is used as feedback. The feedback is performed
by two types: real-time and after the meal.
The expert said that doing feedback immediately
after the action is effective. Therefore, a smartwatch
is used to feedback in real-time to give a feedback im-
mediately after the action. The smartphone is used to
Figure 2: The system overview.
feedback whole meal information after meal because
that a smartphone can display a lot of information.
The smartphone used was a Google Pixel 3 and 3a
(produced by Google co. Ltd.), the bone conduction
microphone was a MOTOROLA Finiti HZ800 Blue-
tooth Headset (produced by Motorola co. Ltd.), and
the smartwatch was a POLAR M600 (produced by
POLAR). The sound signal sampling from the micro-
phone was 8kHz.
3.2 Algorithm of Eating Activity
Detection
3.2.1 Classification Model
The machine learning was used to build models
that can classify chewing, swallowing, speaking, and
other sounds. The classification model with Ran-
dom Forest using 31 extracted features suggested by
Kondo et al. was selected to implement the Android
app feedback system.(Kondo et al., 2021).
3.2.2 Method of Segmentation
The eating activity was detected by the Android app
implemented algorithm of detection eating activity
using dietary sound collected by a bone conduction
microphone. This algorithm segmented audio data
automatically corresponding to the detailed eating ac-
tivity suggested by Kamachi et al. (Kamachi et al.,
2021).
3.3 Feedback System
3.3.1 Eating Activity Detection App
The proposed feedback system in this research
(ChewReminder) consists of an Android app using
both a smartphone and a smartwatch. The smartphone
app detects four eating activities: chewing, swallow-
ing, speaking, and others. First, the user connects
a bone conduction microphone to a smartphone via
Eating Habit Improvement System Using Dietary Sound
347
Bluetooth. Next, after he/she taps Bluetooth ON but-
ton, he/she can start the system.
The bone conduction sound is automatically seg-
mented by segmentation method described in 3.2.2.
After segmentation, the features are extracted and eat-
ing activity is predicted using implemented classifica-
tion model by method described in 3.2.1. The classifi-
cation model implemented in the app was built using
Weka(wek, ), which is a machine learning software.
In this research, chewing and bite are defined as fol-
lowing.
Chew/Chewing: the action/activity of masticating
food between teeth once.
Bite: the process composed of several chews from
putting food into the mouth to swallowing it.
3.3.2 Feedback Content
The smartphone app measures following information
in real-time. These information are used to do feed-
back. Also, the app records the each detection time,
detection activity, the number of bite and the each
chewing count per bite in csv file.
The total meal time between app start when tap-
ping START button to stop when tapping STOP
button
The total chewing count in the meal
The chewing count per one bite and calculate av-
erage chewing count per bite from all chewing
count per bite
The chewing pace as average time per one chew-
ing (seconds / chewing) calculated using time of
one bite and chewing count per bite
The total talking time by summarizing time of de-
tection speaking
The total eating time of chewing calculated by
summarizing each time of one bite
The feedback system is consist of two types.
These are real-time feedback using a smartwatch and
visual feedback using a smartphone after the meal.
3.3.3 Real-Time Feedback on Smartwatch
The real-time feedback on a smartwatch uses a vi-
bration depend on chewing count per one bite to do
natural meal preventing looking a visual feedback all
time like a display of smartphone during the meal.
The smartwatch vibrates long when swallowing is de-
tected if chewing count per bite is less than 20. Also,
the smartwatch vibrates short when chewing count
Figure 3: Screenshots of feedback display examples.
per bite achieve 20 to tell user about reaching the stan-
dard value. The standard count per bite is set 20 be-
cause that modern people chew from 10 to 20 times
per one bite(ave, ).
3.3.4 Feedback on Smartphone
The smartphone app display feedback of whole meal
after finishing the meal as taping the STOP button.
The item of feedback is the total meal time, total
chewing count, average of chewing count per bite, av-
erage of chewing pace, rate of eating time and rate of
talking time. Figure 3 shows an examples of smart-
phone feedback display.
The feedback display was used an icon, bar chart,
text of number value and text sentence of advise to
understand easily. The each item has a standard value
and shows a double circle if the each value exceed
the standard value. The standard value of total meal
time is 20 minute because of from 15 to 20 minute
is the ideal meal time(mea, ). The feedback of meal
time changed bar chart color and advice message de-
pend on three steps: less than 15, between from 15
to 20 and 20 or more. The standard value of aver-
age chewing count per bite is 20. The reason why is
described in 3.3.3. An icon of apple and advice mes-
sage are changed depend on three steps: less than 10,
between from 10 to 20 and 20 or more. The stan-
dard value of chewing pace and last item was deter-
mined by data collected from four people during the
meal. From these result and environment of meal, the
standard value of chewing pace is 1.0 second per one
chewing. The last item of feedback is based on talk-
ing rate and eating rate. The good meal have 20% or
more eating rate calculated by eating time and total
meal time from above result. Also, this research de-
fined that good meal include 10% or more talking rate
calculated by detection speaking time and total meal-
time. The icon and advice message is changed depend
on three steps: condition of good meal, condition of
bad meal and other.
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348
4 EVALUATION EXPERIMENT
The real-time feedback experiment was performed to
evaluate verification of effectiveness real-time feed-
back with smartwatch. Also, long-term experiment
was performed to evaluate verification of effective-
ness feedback displayed on a smartphone.
4.1 Overview of the Experiment
This experiment was performed to verify if proposed
feedback system affect the consciousness of eating
activity. The purpose of the real-time feedback exper-
iment was investigation of changes for eating activity
and consciousness especially by aspect of real-time
feedback. The purpose of the long-term experiment
was investigation of changes for eating activity and
consciousness especially by aspect of displayed feed-
back.
4.2 Experimental Method
4.2.1 Real-Time Feedback Experiment Method
Data from 14 men and women aged from 21 to 26
years old were collected. Two or three subjects were
participating together at the same time because they
were required not only eating but also talking to each
other during the meal. The subjects were required to
eat twice a lunch box on different days. Once with
real-time feedback on a smartwatch, and the other
time without real-time feedback.
The subjects wore an in-ear bone conduction mi-
crophone and a smartwatch in both experiment.
Before the experiment, subjects answered five
grade evaluation of the questionnaire items to confirm
the result for people who has consciousness of eating
fast.
The subject experimented case with real-time
feedback was required to be conscious of chewing
count per bite based on vibration feedback types. Af-
ter experiment case with real-time feedback, subjects
answered the questionnaire about ChewReminder.
Figure 4 shows the experiment environment. The all
experiment was performed around lunch time.
The following indices were chosen for evaluation:
total meal time, total chewing count, average of chew-
ing count per bite and chewing pace displayed in fi-
nal feedback on a smartphone. These values are com-
pared between case with real-time feedback and non
real-time feedback.
The evaluation result is good when these values is
increased. The better eating habit, the longer the meal
time at least 20 minute. The many chewing count is
Figure 4: Snapshot of the data collection environment.
good for healthy meal. Also, chewing count per bite
need increase for good meal. The chewing slowly is
good to prevent obesity, so bigger value of chewing
pace is good to eat.
Also, subjects answered the questionnaire about
this feedback system and ChewReminder after exper-
iment case with real-time feedback.
4.2.2 Long-Term Experiment Method
This experiment was performed to verify if ChewRe-
minder affects the eating activity especially aspect of
displayed feedback on a smartphone.
Data from three women (subject 1, 2 and 3) aged
from 21 to 42 years old were collected. They used
ChewReminder consecutively around a week during
the meal regardless of type of meal like lunch and din-
ner.
Subject 1 used this system without real-time feed-
back on a smartwatch for a week (seven days) dur-
ing almost every meal. The total data is 19.
Subject 2 used this system with real-time feed-
back on a smartwatch for four days during lunch
and dinner with her family. The total data is six.
Subject 3 used this system with real-time feed-
back on a smartwatch for ve days during lunch
and dinner eaten alone. The total data is seven.
Subjects answered the questionnaire same as real-
time feedback experiment before start the data collec-
tion and after the all data collection.
5 EVALUATION RESULTS
5.1 Real-Time Feedback Experiment
5.1.1 The Total Meal Time
The number of people who the total meal time was
longer value obtained with real-time feedback than
that without real-time feedback was six out of total
14. Figure 11 shows the result of all subjects.
Eating Habit Improvement System Using Dietary Sound
349
Figure 5: Total meal time per subject regardless the order of
the experiments.
Figure 6: Average total
meal time when the first
meal was using real-time
feedback.
Figure 7: Average total
meal time when the first
meal was without feedback.
The box plot of the result are showed in following
figure. Figure 6 shows the result of case with real-
time feedback at first and Figure 7 shows the result of
case without real-time feedback at first. The box plot
result shows that the mean and median value when
the meal was using feedback increased compared to
the value of non real-time feedback in group that ex-
perimented using real-time feedback at first. Also, the
median value when the meal was using real-time feed-
back is increased compared to value when the meal
was without real-time feedback in the group that ex-
perimented without feedback at first.
The following figure shows the result of total meal
time per subject. Figure 8 shows the result of case
with real-time feedback at first and Figure 9 shows the
result of case without real-time feedback at first. The
four out of seven people improved the value of total
meal time from obtained without real-time feedback
to obtained using real-time feedback in the group that
experimented firstly using real-time feedback. The al-
most all people is over the standard time as 20 minute.
The total meal time of less than half people for oth-
ers was shorter or not changed. The reason why less
than half of the participants increased their meal time
may be that environment was different during the two
meals: difference the rate of talking and eating pace
depend on number of people who eat together.
5.1.2 The Total Chewing Count
The number of people who increased the total chew-
ing count data with real-time feedback from data
without real-time feedback was nine out of total 14.
Figure 8: Total meal time
per subject when the first
meal was using real-time
feedback.
Figure 9: Total meal time
per subject when the first
meal was without feedback.
Figure 10: Total chewing count per subject regardless the
order of the experiments.
Figure 10 shows the result of all subjects.
The box plot of the result are showed in follow-
ing figure. Figure 12 shows the result of case with
real-time feedback at first and Figure 13 shows that
the result of case without real-time feedback at first.
The box plot result shows that the mean value when
the meal was using real-time feedback increased com-
pared to the value when the meal was without real-
time feedback in both group. It was confirmed that
chewing count can be improved by using ChewRe-
minder.
The following figure shows the result of total
chewing count per subject. Figure 14 shows the result
of case with real-time feedback at first and Figure 15
shows the result of case without real-time feedback at
first. The four out of seven people improved the value
of total chewing count from obtained without real-
time feedback to obtained using real-time feedback
in the group that experimented firstly using real-time
feedback. The more than half of participants (four
out of six) who answered agree or strongly agree to
the questionnaire before experiment items of “Do you
think you eat fast (eating fast)?” increased total chew-
ing count.
Figure 11: Total meal time per subject regardless the order
of the experiments.
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350
Figure 12: Average total
chewing count when the
first meal was using real-
time feedback.
Figure 13: Average total
chewing count when the
first meal was without feed-
back.
Figure 14: Total chewing
count per subject when the
first meal was using real-
time feedback.
Figure 15: Total chewing
count per subject when the
first meal was without feed-
back.
5.1.3 The Average Chewing Count
The number of people who increased the average of
chewing count per bite with real-time feedback from
data without real-time feedback was 10 out of total 14
which is over than 70%. Figure 16 shows the result of
all subjects.
The box plot of the result are showed in fol-
lowing figure. Figure 17 shows the result of case
with real-time feedback at first and Figure 18 shows
the result of case without real-time feedback at first.
The box plot result shows that the mean and median
value when the meal was using real-time feedback in-
creased compared to the values of non real-time feed-
back in both group. It was confirmed that chewing
count per bite can be improved by using ChewRe-
minder.
Four out of seven people who used ChewRe-
minder first and six out of seven who used it last had
higher average chewing count per bite when using
ChewReminder real-time feedback. Almost all the
participants (five out of six) who answered agree or
strongly agree to the questionnaire before experiment
items of “Do you think you eat fast (eating fast)?” in-
creased their average chewing count per bite.
Figure 16: Average chewing count per subject regardless
the order of the experiments.
Figure 17: Average chew-
ing count when the first
meal was using real-time
feedback.
Figure 18: Average chew-
ing count when the first
meal was without feedback.
Figure 19: Chewing pace per subject regardless the order of
the experiments.
5.1.4 The Eating Pace
The number of people who increased the chewing
pace with real-time feedback from data without real-
time feedback was eight out of total 14 which is over
than half. Figure 19 shows the result of all subjects.
The box plot of the result are showed in fol-
lowing figure. Figure 20 shows the result of case
with real-time feedback at first and Figure 21 shows
the result of case without real-time feedback at first.
The box plot result shows that the mean and median
value when the meal was using real-time feedback in-
creased compared to the values of non real-time feed-
back in both group. It was confirmed that chewing
pace can be improved by using ChewReminder.
The following figure shows the result of chewing
pace per subject. Figure 22 shows the result of case
with real-time feedback at first and Figure 23 shows
the result of case without real-time feedback at first.
Five out of seven people improved the value of chew-
ing pace from obtained without real-time feedback to
obtained using real-time feedback in the group that
experimented firstly using real-time feedback. The
three out of seven people improved the value of chew-
Figure 20: Chewing pace
when the first meal was us-
ing real-time feedback.
Figure 21: Chewing pace
when the first meal was
without feedback.
Eating Habit Improvement System Using Dietary Sound
351
Figure 22: Chewing pace
per subject when the first
meal was using real-time
feedback.
Figure 23: Chewing pace
per subject when the first
meal was without feedback.
ing pace from obtained without real-time feedback
to obtained using real-time feedback in the group
that experimented firstly without real-time feedback.
There are no significant difference. The almost all
participants (five out of six) who answered agree or
strongly agree to the questionnaire before experiment
items of “Do you think you eat fast (eating fast)?”
increased chewing pace. The difference of chewing
pace between case with real-time feedback and with-
out real-time feedback for other participants who did
not increase the value was from 0.1 to 1.0 seconds per
one chewing.
5.1.5 The Questionnaire
The average of the System Usability Scale was 83.6.
It is significantly above the average score of SUS,
which is 68. The SUS score of 13 out of 14 people
is over the average score. It indicates the usability of
ChewReminder. Also, More than half of the people
in the questionnaire showed an increase in conscious-
ness of chewing and talking compared to their an-
swers in the questionnaires.It indicates the effective-
ness of ChewReminder in improving the conscious-
ness of eating behavior.
5.2 Long-Term Experiment
Figure 24 and figure 25 shows the changes in the av-
erage chewing count per bite and the chewing pace
for subject 1. From subject 1, all results are over 20, a
commonly used reference value of sufficient chewing
count per bite. Subject 1 did not use real-time feed-
back on a smartwatch. This result indicates that the
displayed feedback on the smartphone is sufficient to
maintain a good eating habit of chewing well, such
as chewing over 20 bites.The chewing pace increased
from the first time to the last time. Although ev-
ery meal is different, the chewing pace has a rising
trend. It indicates the possibility that ChewReminder
improves the eating pace by using it.
Figure 26 and figure 27 shows the changes in the
average chewing count per bite and the chewing pace
for subject 2. From result of subject 2, chewing count
per bite is decreasing trend at first, last three data is
Figure 24: Average chew-
ing count of subject 1.
Figure 25: Chewing pace of
subject 1.
Figure 26: Average chew-
ing count of subject 2.
Figure 27: Chewing pace of
subject 2.
increasing. The 5th data was obtained after pause of
few days, so it is considering that the average chew-
ing count per bite was decreased.Chewing pace is in-
creasing trend in first half. It is also considering that
the pause of few days caused decreasing of chewing
pace.
Figure 28 and figure 29 shows the changes in the
average chewing count per bite and the chewing pace
for subject 3. From result of subject 3, average of
chewing count per bite is rising trend for all data. This
result indicate that the ChewReminder using real-time
feedback and displayed feedback after the meal can
improve chewing count per bite. Chewing pace is not
rising trend for all data. The decreased data is meal of
noodle.
The participants of this long-term experiment an-
swered the questionnaire. SUS score of subject 1 was
67.5, subject 2 was 70.0 and subject 3 was 87.5. The
average of their result was 75.0. It indicate the usabil-
ity of ChewReminder.
Figure 30 shows the result of questionnaire of pos-
itive aspect which is good when selecting strongly
agree. Figure 31 shows the result of questionnaire of
negative aspect which is good when selecting strongly
disagree. The result of questionnaire shows that only
one people was conscious of talking and eating slowly
during the meal by using ChewReminder. More than
half people answered agree or strongly agree to the
other items of questionnaire. From these, it is re-
vealed that ChewReminder improved the conscious-
ness of eating activity during a meal and chewing.
Also, two people answered a higher number in the five
Figure 28: Average chew-
ing count of subject 3.
Figure 29: Chewing pace of
subject 3.
HEALTHINF 2023 - 16th International Conference on Health Informatics
352
Figure 30: Result of questionnaire of positive aspect.
Figure 31: Result of questionnaire of negative aspect.
grade evaluation to the questionnaire items about con-
scious of chewing in the meal compared to conscious
of chewing to the answer of questionnaire before the
experiment, indicating effect especially conscious of
chewing activity by using the ChewReminder.
6 CONCLUSIONS
This research proposed ChewReminder which is a
feedback system using dietary sound by real-time
feedback on a smartwatch and displayed feedback
on a smartphone to improve eating habit. The An-
droid app on a smartphone detect eating activities by
three steps: segmentation dietary sound, extraction
features and prediction using a classification model.
The smartwatch gives feedback using vibration de-
pend on chewing count per one bite which informa-
tion was linked from the smartphone. Also, the total
feedback about the meal was displayed on the smart-
phone after finishing the meal.
The objectives of this research was achieved.
ChewReminder can detect eating activity in real-time
under a natural meal environment and provide feed-
back based on detected eating activity. The chewing
count for 70% subjects and chewing pace for more
than half subjects was improved with using ChewRe-
minder by the result of total chewing count, average
of chewing count per bite and chewing pace. The pro-
posed system chewReminder is effective especially
people who are aware of fast eating. Also, the re-
sult of long-term experiment indicated that feedback
displayed on a smartphone was effective to improve
consciousness of eating activity. Therefore, the re-
sult of both experiment shows that ChewReminder is
a valid system to improve consciousness of eating ac-
tivity especially chewing activity.
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