Research Article | Open Access
Monitoring of Infant Feeding Behavior Using a Jaw Motion Sensor
Rapid weight gain during infancy increases the risk of obesity. Given that infant feeding may contribute to rapid weight gain, it would be useful to develop objective tools which can monitor infant feeding behavior. This paper presents an objective method for examining infant sucking count during meals. A piezoelectric jaw motion sensor and a video camera were used to monitor jaw motions of 10 infants during a meal. Videotapes and sensor signals were annotated by two independent human raters, counting the number of sucks in each 10 second epoch. Annotated data were used as a gold standard for the development of the computer algorithms. The sensor signal was de-noised and normalized prior to computing the per-epoch sucking counts. A leave-one-out cross-validation scheme resulted in a mean error rate of -9.7% and an average intra-class correlation coefficient value of 0.86 between the human raters and the algorithm.
- S. N. Hester, D. S. Hustead, A. D. Mackey, A. Singhal, and B. J. Marriage, “Is the macronutrient intake of formula-fed infants greater than breast-fed infants in early infancy?” Journal of Nutrition and Metabolism, Article ID 891201, 2012.
- S. Mihrshahi, D. Battistutta, A. Magarey, and L. A. Daniels, “Determinants of rapid weight gain during infancy: baseline results from the NOURISH randomised controlled trial,” BMC Pediatrics, vol. 11, no. 1, p. 99, 2011.
- M. W. Gillman, S. L. Rifas-Shiman, C. A. Camargo Jr. et al., “Risk of overweight among adolescents who were breastfed as infants,” Journal of the American Medical Association, vol. 285, no. 19, pp. 2461–2467, 2001.
- P. Wright, J. Fawcett, and R. Crow, “The development of differences in the feeding behaviour of bottle and breast fed human infants from birth to two months,” Behavioural Processes, vol. 5, no. 1, pp. 1–20, 1980.
- M. Taki, K. Mizuno, M. Murase, Y. Nishida, K. Itabashi, and Y. Mukai, “Maturational changes in the feeding behaviour of infants - a comparison between breast-feeding and bottle-feeding,” Acta Pædiatrica, vol. 99, no. 1, pp. 61–67, 2010.
- S. Ojha, V. Saroha, M. E. Symonds, and H. Budge, “Excess nutrient supply in early life and its later metabolic consequences,” Clinical and Experimental Pharmacology & Physiology, vol. 40, no. 11, pp. 817–823, 2013.
- Z. Yang and S. L. Huffman, “Nutrition in pregnancy and early childhood and associations with obesity in developing countries .,” Maternal & Child Nutrition, 9 Suppl, pp. 1105–1119, 2013.
- L. Dubois and M. Girard, “Early determinants of overweight at 4. 5 years in a population-based longitudinal study,” International Journal of Obesity, vol. 30, no. 4, pp. 610–617, 2006.
- N. Stettler, B. S. Zemel, S. Kumanyika, and V. A. Stallings, “Infant Weight Gain and Childhood Overweight Status in a Multicenter, Cohort Study,” Pediatrics, vol. 109, no. 2, pp. 194–199, 2002.
- E. M. Taveras, S. L. Rifas-Shiman, B. Sherry et al., “Crossing growth percentiles in infancy and risk of obesity in childhood,” Archives of Pediatrics & Adolescent Medicine, vol. 165, no. 11, pp. 993–998, 2011.
- U. Ekelund, K. Ong, Y. Linné et al., “Upward weight percentile crossing in infancy and early childhood independently predicts fat mass in young adults: the Stockholm Weight Development Study (SWEDES),” The American Journal of Clinical Nutrition, vol. 83, no. 2, pp. 324–330, 2006.
- M. Eriksson, P. Tynelius, and F. Rasmussen, “Associations of birthweight and infant growth with body composition at age 15 - the COMPASS study,” Paediatric and Perinatal Epidemiology, vol. 22, no. 4, pp. 379–388, 2008.
- M. Oyama, T. Saito, and K. Nakamura, “Rapid weight gain in early infancy is associated with adult body fat percentage in young women,” Environmental Health and Preventive Medicine, vol. 15, no. 6, pp. 381–385, 2010.
- F. Weber, M. W. Woolridge, and J. D. Baum, “An ultrasonographic study of the orgenisation of sucking and swallowing in newborn infants,” Pediatric Research, vol. 18, no. 8, pp. 806–806, 1984.
- A. J. Stunkard, R. I. Berkowitz, V. A. Stallings, and D. A. Schoeller, “Energy intake, not energy output, is a determinant of body size in infants,” The American Journal of Clinical Nutrition, vol. 69, no. 3, pp. 524–530, 1999.
- S. P. Da Costa, C. P. van der Schans, S. R. Boelema, E. van der Meij, M. A. Boerman, and A. F. Bos, “Sucking patterns in fullterm infants between birth and 10 weeks of age,” Infant Behavior and Development, vol. 33, no. 1, pp. 61–67, 2010.
- E. Sazonov and J. M. Fontana, “A Sensor System for Automatic Detection of Food Intake Through Non-Invasive Monitoring of Chewing,” IEEE Sensors Journal, vol. 12, no. 5, pp. 1340–1348, 2012.
- O. Amft, “A wearable earpad sensor for chewing monitoring,” in 2010 IEEE Sensors, pp. 222–227, 2010.
- J. M. Fontana and E. S. Sazonov, “A robust classification scheme for detection of food intake through non-invasive monitoring of chewing,” in Conf Proc IEEE Eng Med Biol Soc, pp. 4891–4894, 2012.
- J. M. Fontana, M. Farooq, and E. Sazonov, “Automatic Ingestion Monitor: A Novel Wearable Device for Monitoring of Ingestive Behavior,” IEEE Transactions on Biomedical Engineering, vol. 61, no. 6, pp. 1772–1779.
- E. Sazonov, S. Schuckers, P. Lopez-Meyer et al., “Non-invasive monitoring of chewing and swallowing for objective quantification of ingestive behavior,” Physiological Measurement, vol. 29, no. 5, pp. 525–541, 2008.
- Use of World Health Organization and CDC Growth Charts for Children Aged 0-59 Months in the United States, Accessed Dec 19, 2013 http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5909a1.htm.
- S. J. Fomon, F. Haschke, E. E. Ziegler, and S. E. Nelson, “Body composition of reference children from birth to age 10 years,” The American Journal of Clinical Nutrition, vol. 35, no. 5, pp. 1169–1175, 1982.
- M. Hernandez-Reif, T. Field, and M. Diego, “Differential sucking by neonates of depressed versus non-depressed mothers,” Infant Behavior and Development, vol. 27, no. 4, pp. 465–476, 2004.
- M. Hernandez-Reif, T. Field, N. Del Pino, and M. Diego, “Less exploring by mouth occurs in newborns of depressed mothers,” Infant Mental Health Journal, vol. 21, no. 3, pp. 204–210, 2000.
- W. Sweldens, “The Lifting Scheme: A Custom-Design Construction of Biorthogonal Wavelets,” Applied and Computational Harmonic Analysis, vol. 3, no. 2, pp. 186–200, 1996.
- WHO, “The WHO Multicentre Growth Reference Study (MGRS): Rationale, planning, and implementation,” Accessed Dec 8, 2013 http://www.who.int/childgrowth/mgrs/fnu/en/.
- H. Passing and Bablok, “A new biometrical procedure for testing the equality of measurements from two different analytical methods. Application of linear regression procedures for method comparison studies in clinical chemistry, Part I,” Journal of Clinical Chemistry and Clinical Biochemistry, vol. 21, no. 11, pp. 709–720, 1983.
- W. Chen, S. Bambang Oetomo, L. Feijs, S. Bouwstra, I. Ayoola, and S. Dols, “Design of an Integrated Sensor Platform for Vital Sign Monitoring of Newborn Infants at Neonatal Intensive Care Units,” Journal of Healthcare Engineering, vol. 1, no. 4, pp. 535–553, 2010.
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