If Digital Health is the Future, the Future is Not Here. Yet.
What Are Digital Health's Biggest Successes and Disappointments? CNBC's Chrissy Farr Weighs In
Fitness Trackers: Good at Heart Rate, More 'Fiction Than Fact' on Calories
Wearable Sensors Help Diagnose Lyme Disease in Stanford Study
How Reliable Are Smartphones and Wearables for Monitoring Your Heart?
Analysis: Digital Health Companies Aren't Solving the Right Problems
'Electronic Tattoos' Could Monitor Pregnant Moms at Home
Wearable Tech Gives Olympic Athletes a Boost
Computerized Clothes a Step Closer to Reality
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When on deadline she fuels herself almost exclusively on chocolate chips.\r\n\r\n ","avatar":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twitter":"lesleywmcclurg","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["author"]}],"headData":{"title":"Lesley McClurg | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/3fb78e873af3312f34d0bc1d60a07c7f?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lesleymcclurg"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_438782":{"type":"posts","id":"futureofyou_438782","meta":{"index":"posts_1591205157","site":"futureofyou","id":"438782","score":null,"sort":[1517252159000]},"guestAuthors":[],"slug":"digital-medicine-may-have-just-hit-the-trough-of-disillusionment","title":"If Digital Health is the Future, the Future is Not Here. Yet.","publishDate":1517252159,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>In 1995, in order to educate its clients on what technology to adopt, the IT consulting firm Gartner \u003ca href=\"https://www.gartner.com/technology/research/methodologies/hype-cycle.jsp\" target=\"_blank\" rel=\"noopener\">released a graph\u003c/a> illustrating the “hype cycle.”\u003c/p>\n\u003cp>The model posits that when a new technology is developed, it creates a frenzy of anticipation, leading to a Peak of Inflated Expectations. \u003ca href=\"https://theconversation.com/fitbits-decline-is-a-reflection-of-the-end-of-the-over-hyped-promise-of-wearables-73823\" target=\"_blank\" rel=\"noopener\">Failing\u003c/a> to live up to its pie-in-the-sky promise, the technology then becomes the butt of \u003ca href=\"https://www.youtube.com/watch?v=9507aK_nBHo&ab_channel=cgmcreative\">jokes and derision\u003c/a> — a Trough of Disillusionment.\u003c/p>\n\u003cfigure id=\"attachment_438726\" class=\"wp-caption aligncenter\" style=\"max-width: 506px\">\u003cimg class=\"wp-image-438726 \" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/gartner-for-marketers-hype-cycle.png\" alt=\"A graph showing the rise, fall, and subsequent rise of new forms of technology\" width=\"506\" height=\"259\">\u003cfigcaption class=\"wp-caption-text\">The Hype Cycle.\u003c/figcaption>\u003c/figure>\n\u003cp>But as it improves, it reaccumulates credibility -- the Slope of Enlightenment. The technology then matures into the mainstream, where the rollercoaster lifecycle finally smooths out along the Plateau of Productivity.\u003c/p>\n\u003cp>And this, says Dr. Robert Wachter, author of \"\u003ca href=\"https://ww2.kqed.org/futureofyou/tag/the-digital-doctor/\">The Digital Doctor\u003c/a>\" and chair of the Department of Medicine at UCSF, “turns out to be a perfect map for digital medicine.”\u003c/p>\n\u003cp>\u003cstrong>Does This Stuff Work? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We’re trying to emphasize this is not the end of wearables. [But] we don’t want to overpromise what these can achieve.'\u003ccite>Dr. Brennan Spiegel, Cedars-Sinai Health Services Research\u003c/cite>\u003c/aside>\n\u003cp>A \u003ca href=\"https://www.nature.com/articles/s41746-017-0002-4\" target=\"_blank\" rel=\"noopener\">meta-analysis\u003c/a> published this month in the journal \u003cem>Digital Medicine\u003c/em> would seem to buttress Wachter’s view. The study, conducted mostly by researchers at Cedars-Sinai Medical Center in Los Angeles, takes a broad look at the effectiveness of wearable sensors. The study looked at 16 randomized controlled trials, published from 2000 to 2016, which researchers assessed to be high quality. To be included in the study, devices had to be non-invasive, wearable, and capable of automatically transmitting data to a web portal or mobile app for review by patients or health providers. Among the devices tested were internet-connected weight scales, blood pressure monitors and activity trackers with text-message reminders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The primary question researchers wanted to answer: Do these wearable biosensors make patients healthier?\u003c/p>\n\u003cp>Not very much, was the conclusion. The analysis found no significant difference in health outcomes like weight or blood pressure between patients who used the devices and those who didn't.\u003c/p>\n\u003cp>The researchers say they were not surprised, and they hope the work will pave the way for better development and use of remote health monitoring.\u003c/p>\n\u003cp>“We’re trying to emphasize this is not the end of wearables,” says co-author Dr. Brennan Spiegel, director of Cedars-Sinai Health Services Research in Los Angeles. “[But] we don’t want to overpromise what these can achieve.”\u003c/p>\n\u003cp>The authors did note some positive effect in certain cases. For instance, \u003ca href=\"http://www.mdpi.com/1424-8220/14/4/6229/htm\">a study\u003c/a> looking at Parkinson’s patients found a positive effect when physical therapy included devices that gave feedback about gaits; and in some trials patients did lose weight.\u003c/p>\n\u003cfigure id=\"attachment_438738\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-438738 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/6905654506_5ac041bada_k-1020x752.jpg\" alt=\"Three joggers near a body of water.\" width=\"640\" height=\"472\">\u003cfigcaption class=\"wp-caption-text\">Wearing an activity tracker does not necessarily lead to more activity.\u003c/figcaption>\u003c/figure>\n\u003cp>“The most successful studies tend to be coupled with some behavioral intervention,” Spiegel says. This added component sometimes took the form of a health coach or cognitive behavioral therapy, in addition to use of the device.\u003c/p>\n\u003cp>That means the greatest hurdles to efficacy in the digital health revolution may not be technical, but human.\u003c/p>\n\u003cp>“What we conclude in the study is that digital health is not a computer science or an engineering science; it’s a social and behavioral science.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Medicine is probably the last field to be touched by technology.'\u003ccite>Dr. Bob Wachter, author of 'The Digital Doctor'\u003c/cite>\u003c/aside>\n\u003cp>Other recently published research, a \u003ca href=\"http://mhealth.jmir.org/2018/1/e23/\" target=\"_blank\" rel=\"noopener\">systematic review\u003c/a> of systematic reviews, focused on mobile health interventions, most frequently involving text messaging. The analysis, published in the\u003cem> Journal of Medical Internet Research mHealth and uHealth\u003c/em>, looked at 371 studies published between 2009 and 2016, comprised of nearly 80,000 patients. The studied interventions included apps to manage chronic disease, increase treatment adherence and modify behavior. The analysis found evidence that mobile health apps helped with a variety of conditions, including symptom improvement in chronic pulmonary disease and heart failure; glycemic control in diabetes patients; and blood pressure in those with hypertension. There was also evidence that text reminders improved adherence to tuberculosis and HIV therapies.\u003c/p>\n\u003cp>[contextly_sidebar id=\"cJJOGi35mjmKyVRrfPXWGXPW5fc4Gdks\"]However, the quality of the evidence for many studies was rated as generally low. Among the more rigorous studies were those that found good evidence for improvement in asthma symptoms, appointment attendance and smoking cessation rates.\u003c/p>\n\u003cp>\u003cstrong>Medicine Needs to do Better. Will Technology Help?\u003c/strong>\u003c/p>\n\u003cp>Wachter ticked off the ways medicine is \"coming up short in what we want from it.\"\u003c/p>\n\u003cp>\"Safety is not very good,\" he says. \"We harm and kill a lot of people because of medical mistakes. People are not very satisfied ... . Access is often quite bad. And the costs are bankrupting local governments, national governments, and businesses and individuals.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'[Investors] wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.'\u003ccite>Melissa Buckley, California Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>And yet, “Medicine is probably the last field to be touched by technology,\" he says. \"Think about how manufacturing, retail, financial services, travel, journalism, pretty much every field has been overtaken by technology.”\u003c/p>\n\u003cp>These manifold inefficiencies present a natural target for technologists, Wachter says.\u003c/p>\n\u003cp>“You have the technology trigger, a massive uptick in expectation. Then, of course, studies like [the one in \u003cem>Digital Medicine\u003c/em>] come out and it leads to a rapid downslope, that Trough of Disillusionment.\"\u003c/p>\n\u003cp>Still, Wachter, as well as many other experts, believe remote sensors, mobile health and tech-enhanced medical services will play an important role in the future of medicine, because there are so many people who need help monitoring chronic disease and guidance on diet and exercise. It’s just too time-consuming and costly to always get these directly from medical professionals, Wachter says.\u003c/p>\n\u003cp>“Right now many people take a half-day off work to go to a 15- minute visit to see the doctor. That’s crazy. How can that be the model over time?”\u003c/p>\n\u003cp>Wachter predicts digital health devices will eventually become as indispensable as smartphones and personal assistants.\u003c/p>\n\u003cp>“That has not happened yet in remote patient monitoring. My suspicion is that over time it probably will, but we have to learn a lot.”\u003c/p>\n\u003cp>Melissa Buckley is director of the Health Innovation Fund for the California Health Care Foundation, which is dedicated to improving health care for low-income state residents. The fund invests in technology and service companies it hopes will help in that mission.\u003c/p>\n\u003cp>Buckley says she’s seen companies only in the last two years try to shorten the hype cycle, which they're doing by becoming more realistic and intentional in the design and deployment of technology. She points out that some of the studies cited in the \u003cem>Digital Health \u003c/em>analysis date back to 2000, when devices were relatively primitive.\u003c/p>\n\u003cp>During the initial phase of excitement over using technology to solve health problems, she says, many investors put money into simple concepts. “They wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.”\u003c/p>\n\u003cp>The field is learning, she believes, to be more attuned to what patients really need.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“But just because [some tool] is digital, we shouldn’t think it will be magically effective.”\u003c/p>\n\n","blocks":[],"excerpt":"Studies of wearable biosensors for patients found they made patients healthier very occasionally, with most interventions showing no benefit over conventional treatment.\r\n","status":"publish","parent":0,"modified":1517528450,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1223},"headData":{"title":"If Digital Health is the Future, the Future is Not Here. Yet. | KQED","description":"Studies of wearable biosensors for patients found they made patients healthier very occasionally, with most interventions showing no benefit over conventional treatment.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"If Digital Health is the Future, the Future is Not Here. Yet.","datePublished":"2018-01-29T18:55:59.000Z","dateModified":"2018-02-01T23:40:50.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"438782 https://ww2.kqed.org/futureofyou/?p=438782","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/01/29/digital-medicine-may-have-just-hit-the-trough-of-disillusionment/","disqusTitle":"If Digital Health is the Future, the Future is Not Here. Yet.","source":"KQED Future of You","path":"/futureofyou/438782/digital-medicine-may-have-just-hit-the-trough-of-disillusionment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 1995, in order to educate its clients on what technology to adopt, the IT consulting firm Gartner \u003ca href=\"https://www.gartner.com/technology/research/methodologies/hype-cycle.jsp\" target=\"_blank\" rel=\"noopener\">released a graph\u003c/a> illustrating the “hype cycle.”\u003c/p>\n\u003cp>The model posits that when a new technology is developed, it creates a frenzy of anticipation, leading to a Peak of Inflated Expectations. \u003ca href=\"https://theconversation.com/fitbits-decline-is-a-reflection-of-the-end-of-the-over-hyped-promise-of-wearables-73823\" target=\"_blank\" rel=\"noopener\">Failing\u003c/a> to live up to its pie-in-the-sky promise, the technology then becomes the butt of \u003ca href=\"https://www.youtube.com/watch?v=9507aK_nBHo&ab_channel=cgmcreative\">jokes and derision\u003c/a> — a Trough of Disillusionment.\u003c/p>\n\u003cfigure id=\"attachment_438726\" class=\"wp-caption aligncenter\" style=\"max-width: 506px\">\u003cimg class=\"wp-image-438726 \" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/gartner-for-marketers-hype-cycle.png\" alt=\"A graph showing the rise, fall, and subsequent rise of new forms of technology\" width=\"506\" height=\"259\">\u003cfigcaption class=\"wp-caption-text\">The Hype Cycle.\u003c/figcaption>\u003c/figure>\n\u003cp>But as it improves, it reaccumulates credibility -- the Slope of Enlightenment. The technology then matures into the mainstream, where the rollercoaster lifecycle finally smooths out along the Plateau of Productivity.\u003c/p>\n\u003cp>And this, says Dr. Robert Wachter, author of \"\u003ca href=\"https://ww2.kqed.org/futureofyou/tag/the-digital-doctor/\">The Digital Doctor\u003c/a>\" and chair of the Department of Medicine at UCSF, “turns out to be a perfect map for digital medicine.”\u003c/p>\n\u003cp>\u003cstrong>Does This Stuff Work? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We’re trying to emphasize this is not the end of wearables. [But] we don’t want to overpromise what these can achieve.'\u003ccite>Dr. Brennan Spiegel, Cedars-Sinai Health Services Research\u003c/cite>\u003c/aside>\n\u003cp>A \u003ca href=\"https://www.nature.com/articles/s41746-017-0002-4\" target=\"_blank\" rel=\"noopener\">meta-analysis\u003c/a> published this month in the journal \u003cem>Digital Medicine\u003c/em> would seem to buttress Wachter’s view. The study, conducted mostly by researchers at Cedars-Sinai Medical Center in Los Angeles, takes a broad look at the effectiveness of wearable sensors. The study looked at 16 randomized controlled trials, published from 2000 to 2016, which researchers assessed to be high quality. To be included in the study, devices had to be non-invasive, wearable, and capable of automatically transmitting data to a web portal or mobile app for review by patients or health providers. Among the devices tested were internet-connected weight scales, blood pressure monitors and activity trackers with text-message reminders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The primary question researchers wanted to answer: Do these wearable biosensors make patients healthier?\u003c/p>\n\u003cp>Not very much, was the conclusion. The analysis found no significant difference in health outcomes like weight or blood pressure between patients who used the devices and those who didn't.\u003c/p>\n\u003cp>The researchers say they were not surprised, and they hope the work will pave the way for better development and use of remote health monitoring.\u003c/p>\n\u003cp>“We’re trying to emphasize this is not the end of wearables,” says co-author Dr. Brennan Spiegel, director of Cedars-Sinai Health Services Research in Los Angeles. “[But] we don’t want to overpromise what these can achieve.”\u003c/p>\n\u003cp>The authors did note some positive effect in certain cases. For instance, \u003ca href=\"http://www.mdpi.com/1424-8220/14/4/6229/htm\">a study\u003c/a> looking at Parkinson’s patients found a positive effect when physical therapy included devices that gave feedback about gaits; and in some trials patients did lose weight.\u003c/p>\n\u003cfigure id=\"attachment_438738\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-438738 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/6905654506_5ac041bada_k-1020x752.jpg\" alt=\"Three joggers near a body of water.\" width=\"640\" height=\"472\">\u003cfigcaption class=\"wp-caption-text\">Wearing an activity tracker does not necessarily lead to more activity.\u003c/figcaption>\u003c/figure>\n\u003cp>“The most successful studies tend to be coupled with some behavioral intervention,” Spiegel says. This added component sometimes took the form of a health coach or cognitive behavioral therapy, in addition to use of the device.\u003c/p>\n\u003cp>That means the greatest hurdles to efficacy in the digital health revolution may not be technical, but human.\u003c/p>\n\u003cp>“What we conclude in the study is that digital health is not a computer science or an engineering science; it’s a social and behavioral science.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Medicine is probably the last field to be touched by technology.'\u003ccite>Dr. Bob Wachter, author of 'The Digital Doctor'\u003c/cite>\u003c/aside>\n\u003cp>Other recently published research, a \u003ca href=\"http://mhealth.jmir.org/2018/1/e23/\" target=\"_blank\" rel=\"noopener\">systematic review\u003c/a> of systematic reviews, focused on mobile health interventions, most frequently involving text messaging. The analysis, published in the\u003cem> Journal of Medical Internet Research mHealth and uHealth\u003c/em>, looked at 371 studies published between 2009 and 2016, comprised of nearly 80,000 patients. The studied interventions included apps to manage chronic disease, increase treatment adherence and modify behavior. The analysis found evidence that mobile health apps helped with a variety of conditions, including symptom improvement in chronic pulmonary disease and heart failure; glycemic control in diabetes patients; and blood pressure in those with hypertension. There was also evidence that text reminders improved adherence to tuberculosis and HIV therapies.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>However, the quality of the evidence for many studies was rated as generally low. Among the more rigorous studies were those that found good evidence for improvement in asthma symptoms, appointment attendance and smoking cessation rates.\u003c/p>\n\u003cp>\u003cstrong>Medicine Needs to do Better. Will Technology Help?\u003c/strong>\u003c/p>\n\u003cp>Wachter ticked off the ways medicine is \"coming up short in what we want from it.\"\u003c/p>\n\u003cp>\"Safety is not very good,\" he says. \"We harm and kill a lot of people because of medical mistakes. People are not very satisfied ... . Access is often quite bad. And the costs are bankrupting local governments, national governments, and businesses and individuals.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'[Investors] wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.'\u003ccite>Melissa Buckley, California Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>And yet, “Medicine is probably the last field to be touched by technology,\" he says. \"Think about how manufacturing, retail, financial services, travel, journalism, pretty much every field has been overtaken by technology.”\u003c/p>\n\u003cp>These manifold inefficiencies present a natural target for technologists, Wachter says.\u003c/p>\n\u003cp>“You have the technology trigger, a massive uptick in expectation. Then, of course, studies like [the one in \u003cem>Digital Medicine\u003c/em>] come out and it leads to a rapid downslope, that Trough of Disillusionment.\"\u003c/p>\n\u003cp>Still, Wachter, as well as many other experts, believe remote sensors, mobile health and tech-enhanced medical services will play an important role in the future of medicine, because there are so many people who need help monitoring chronic disease and guidance on diet and exercise. It’s just too time-consuming and costly to always get these directly from medical professionals, Wachter says.\u003c/p>\n\u003cp>“Right now many people take a half-day off work to go to a 15- minute visit to see the doctor. That’s crazy. How can that be the model over time?”\u003c/p>\n\u003cp>Wachter predicts digital health devices will eventually become as indispensable as smartphones and personal assistants.\u003c/p>\n\u003cp>“That has not happened yet in remote patient monitoring. My suspicion is that over time it probably will, but we have to learn a lot.”\u003c/p>\n\u003cp>Melissa Buckley is director of the Health Innovation Fund for the California Health Care Foundation, which is dedicated to improving health care for low-income state residents. The fund invests in technology and service companies it hopes will help in that mission.\u003c/p>\n\u003cp>Buckley says she’s seen companies only in the last two years try to shorten the hype cycle, which they're doing by becoming more realistic and intentional in the design and deployment of technology. She points out that some of the studies cited in the \u003cem>Digital Health \u003c/em>analysis date back to 2000, when devices were relatively primitive.\u003c/p>\n\u003cp>During the initial phase of excitement over using technology to solve health problems, she says, many investors put money into simple concepts. “They wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.”\u003c/p>\n\u003cp>The field is learning, she believes, to be more attuned to what patients really need.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“But just because [some tool] is digital, we shouldn’t think it will be magically effective.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/438782/digital-medicine-may-have-just-hit-the-trough-of-disillusionment","authors":["11088"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1062","futureofyou_73"],"tags":["futureofyou_717","futureofyou_26","futureofyou_1275","futureofyou_80","futureofyou_145","futureofyou_25"],"featImg":"futureofyou_274615","label":"source_futureofyou_438782"},"futureofyou_437796":{"type":"posts","id":"futureofyou_437796","meta":{"index":"posts_1591205157","site":"futureofyou","id":"437796","score":null,"sort":[1513718610000]},"guestAuthors":[],"slug":"what-are-digital-healths-biggest-successes-and-disappointments-cnbcs-chrissy-farr-weighs-in","title":"What Are Digital Health's Biggest Successes and Disappointments? CNBC's Chrissy Farr Weighs In","publishDate":1513718610,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Christina Farr was the first host of KQED Future of You, but today she’s better known as a technology and health \u003ca href=\"https://www.cnbc.com/christina-farr/\" target=\"_blank\" rel=\"noopener\">reporter\u003c/a> for CNBC, where she continues to break \u003ca href=\"https://www.cnbc.com/2017/07/26/amazon-1492-secret-health-tech-project.html\" target=\"_blank\" rel=\"noopener\">stories\u003c/a>. She’s been covering digital health for years, and she's one of the more influential media voices on this beat -- in 2016, venture fund Rock Health named her \u003ca href=\"https://rockhealth.com/where-are-the-2016-top-50-in-digital-health-now/\" target=\"_blank\" rel=\"noopener\">digital health reporter of the year\u003c/a>.\u003c/p>\n\u003cp>As Chrissy's successor at this site, I thought it would be cool to get back to our roots and pick her brain on where digital health is going and where it's been. I interviewed her at CNBC’s San Francisco office, located in skyscraping Salesforce Tower. Here’s our chat, edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>First off, how should we define digital health?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">On wearables: 'I'm really still quite bullish. It’s not just millennials and the \"worried well\" that are using these devices; a lot of seniors love them.'\u003c/aside>\n\u003cp>People have attempted to come up with a good working definition, and sometimes it ends up sounding very vague, like \"the intersection of health and technology.\"\u003c/p>\n\u003cp>I think the term will forever be associated with \u003ca href=\"https://ww2.kqed.org/futureofyou/tag/wearables/\" target=\"_blank\" rel=\"noopener\">wearables\u003c/a> and \u003ca href=\"https://ww2.kqed.org/futureofyou/tag/telemedicine/\" target=\"_blank\" rel=\"noopener\">telemedicine\u003c/a>, and now AI and a couple of other trends. I don't really see a problem with that, because it's still connected with innovation in a lot of people's minds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>What have been some of the successes in the digital health space?\u003c/strong>\u003c/p>\n\u003cp>I see a lot of potential in digital therapeutics. Companies like Propeller Health and \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/06/23/expanding-digital-health-beyond-the-rich/\" target=\"_blank\" rel=\"noopener\">Omada Health\u003c/a> are studying the effect of apps that attempt to change behavior for purposes of disease prevention and management. Propeller Health, for example, is thinking about \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/06/13/inhalers-plus-smartphones-meant-fewer-trips-to-er-hospital/\" target=\"_blank\" rel=\"noopener\">connected inhalers\u003c/a> and how to combine them with data like the weather to figure out when a person with asthma should take medicine.\u003c/p>\n\u003caside class=\"pullquote alignright\">Disappointments? Telehealth and artificial intelligence.\u003c/aside>\n\u003cp>Virta Health is going after Type 2 diabetes reversal with a\u003ca href=\"https://www.medscape.com/viewarticle/890090\" target=\"_blank\" rel=\"noopener\"> digital system\u003c/a> that encourages a massive behavior change around diet, which it thinks could actually replace medicines.\u003c/p>\n\u003cp>AliveCor is a super-interesting company. They have a \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/17/mobile-ekg-on-a-watchband-is-useful-for-some-say-docs/\" target=\"_blank\" rel=\"noopener\">mobile EKG\u003c/a> that a lot of doctors really like. I think it's something that a lot of seniors will use when they find out they're at risk for \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" target=\"_blank\" rel=\"noopener\">atrial fibrillation\u003c/a>, because it means they can check on their heart from home and not have to go to the doctor every few months.\u003c/p>\n\u003cp>\u003cstrong>You mentioned wearables, like Fitbit and Apple Watch. How's that business going? \u003c/strong>\u003c/p>\n\u003cp>I‘m really still quite bullish on wearables, and I think they have become mainstream. It's not just millennials and the \"\u003ca href=\"http://www.telegraph.co.uk/lifestyle/wellbeing/diet/10977877/Are-you-one-of-the-rising-numbers-of-the-worried-well.html\" target=\"_blank\" rel=\"noopener\">worried well\u003c/a>\" that are using these devices; a lot of seniors love them. You're also starting to see insurance companies think about partnering with companies like Apple, and the reason they're doing that isn't necessarily to get their already healthy populations to exercise more; it's about getting to those really sick and costly people that have multiple chronic conditions.\u003c/p>\n\u003cp>\u003cstrong>Do you think investors in the digital health space are more circumspect after the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/13/the-rise-and-fall-of-theranos-a-cartoon-history/\" target=\"_blank\" rel=\"noopener\">Theranos debacle\u003c/a>?\u003c/strong>\u003c/p>\n\u003cp>Some are. Others don't necessarily want companies to invest the time into building a base of evidence before they start selling the product; these investors are looking for their money back in three to five years, like they would get with a consumer internet company.\u003c/p>\n\u003caside class=\"pullquote alignright\">'In a lot of ways, Theranos is just the worst example.'\u003c/aside>\n\u003cp>It's hard to find another company like Theranos, which put patients \u003ca href=\"http://tucson.com/news/local/theranos-to-pay-m-to-arizonans-over-blood-tests-that/article_dacc3bd1-54e0-58dd-92b3-18dec8eb8854.html\" target=\"_blank\" rel=\"noopener\">in danger\u003c/a>. But in a lot of ways, Theranos is just the worst example. More companies are still failing to provide proper evidence. Often they say, \"We're wellness. We're not making claims around disease, so we don't need to bother.\"\u003c/p>\n\u003cp>\u003cstrong>What's the biggest disappointment of the digital health era to date?\u003c/strong>\u003c/p>\n\u003cp>This is going to be controversial, but I don't think telemedicine has panned out to the extent people expected it would by this time. People thought it was going to revolutionize all health care. But I'm not seeing every physician say this is something they want to incorporate into their medical practice, because there's a perception they're not going to get paid as much.\u003c/p>\n\u003cp>Also pretty overhyped in terms of what we're actually seeing out there: AI and big data. \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/08/20/this-robo-eye-doctor-may-help-patients-with-diabetes-keep-sight/\" target=\"_blank\" rel=\"noopener\">Diabetic retinopathy\u003c/a>, for example, is an area where you see a lot of people investing in AI research. Could we take a pile of medical images that have been labeled as showing diabetic retinopathy or not, and then you train AI to do that job in triage?\u003c/p>\n\u003cp>There's been some great results, but that does not mean we're on the cusp of a robo eye doctor, because an actual eye doctor would\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/11/07/will-computers-ever-be-able-to-make-diagnoses-as-well-as-physicians/\" target=\"_blank\" rel=\"noopener\"> need to know\u003c/a> every single medical condition out there that could be affecting this person. I think we’ve been too quick to look at one disease and one use case and say, well, this is evidence that doctors will be replaced.\u003c/p>\n\u003cp>\u003cb>Do you think the Food and Drug Administration and other regulators can keep up with all this? And does the industry \u003cem>want\u003c/em> them to keep up?\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_437841\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/12/chrissymum.jpg\">\u003cimg class=\"wp-image-437841 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/12/chrissymum-1020x591.jpg\" alt=\"\" width=\"640\" height=\"371\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-1020x591.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-160x93.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-800x463.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-768x445.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-1180x683.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-960x556.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-240x139.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-375x217.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-520x301.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum.jpg 1613w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chrissy Farr discussing Fitbit vs. Apple Watch with her mom, for a CNBC segment. (CNBC)\u003c/figcaption>\u003c/figure>\n\u003cp>I think at the birth of this digital health movement, people thought of the FDA as the big bad wolf. The prevailing narrative was that it's obstructing innovation. Now there seems to be more nuance around that; people recognize that the FDA does have an important role to play. Many of the digital therapeutics companies, for instance, see the FDA as a potential stamp of approval that sets them ahead of a mass of apps that are making false claims and essentially peddling snake oil.\u003c/p>\n\u003cp>So there needs to be a watchdog, but that's not the FDA's role. They're not out there policing companies and investing time into looking through the app store and thinking, \"This dermatology app doesn't look quite right.\"\u003c/p>\n\u003cp>As a result, you get this huge quality variation, and I do sometimes fear that doctors will start prescribing or patients will start using apps that are of lower quality. I think someone needs to step into that role in 2018 so we have a better way of figuring out which apps work and which don't.\u003c/p>\n\u003cp>\u003cstrong>Last question: Occasionally you hear the complaint about digital health that these are primarily tools for young, rich people. Do you think that's valid?\u003c/strong>\u003c/p>\n\u003cp>The true problems of health care, which are particularly an issue for underrepresented groups and minorities, are around how it's paid for. We need massive payment reforms. There's also a lack of investment around social determinants, things like social services and affordable housing, which improve outcomes. \u003cspan style=\"font-weight: 400\">All of these problems are not going to be solved with an AI Band-Aid or by handing someone a Fitbit.\u003c/span>\u003c/p>\n\u003cp>That said, I don't think it's fair to label this entire group of companies as purely helping the rich, wealthy, paranoid types who are just \u003ca href=\"https://www.youtube.com/watch?v=hBA0AH-LSbo\" target=\"_blank\" rel=\"noopener\">dying to live forever\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>A lot of these companies are going after Medicaid populations, and that absolutely makes sense; that's more than 12 million people in California alone. Even Apple, which hasn't traditionally been a health care player, is working with Aetna on a study with Stanford about whether or not they can use the Apple Watch to detect \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" rel=\"noopener\">afib\u003c/a>. That's not something a young or healthy person would necessarily worry about at all. It's something that over-65, more vulnerable populations with a history of stroke are more at risk for. So you can see even Apple saying this is a tool that we expected would be mostly about consumer delight, but we've found that it can help save lives.\u003c/p>\n\n","blocks":[],"excerpt":"The technology reporter has been sorting through buzzwords and bona fides for years while on the digital health beat.","status":"publish","parent":0,"modified":1513800516,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1332},"headData":{"title":"What Are Digital Health's Biggest Successes and Disappointments? CNBC's Chrissy Farr Weighs In | KQED","description":"The technology reporter has been sorting through buzzwords and bona fides for years while on the digital health beat.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"What Are Digital Health's Biggest Successes and Disappointments? CNBC's Chrissy Farr Weighs In","datePublished":"2017-12-19T21:23:30.000Z","dateModified":"2017-12-20T20:08:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"437796 https://ww2.kqed.org/futureofyou/?p=437796","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/12/19/what-are-digital-healths-biggest-successes-and-disappointments-cnbcs-chrissy-farr-weighs-in/","disqusTitle":"What Are Digital Health's Biggest Successes and Disappointments? CNBC's Chrissy Farr Weighs In","source":"KQED Future of You","nprByline":"Jon Brooks\u003cbr />Future of You","path":"/futureofyou/437796/what-are-digital-healths-biggest-successes-and-disappointments-cnbcs-chrissy-farr-weighs-in","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Christina Farr was the first host of KQED Future of You, but today she’s better known as a technology and health \u003ca href=\"https://www.cnbc.com/christina-farr/\" target=\"_blank\" rel=\"noopener\">reporter\u003c/a> for CNBC, where she continues to break \u003ca href=\"https://www.cnbc.com/2017/07/26/amazon-1492-secret-health-tech-project.html\" target=\"_blank\" rel=\"noopener\">stories\u003c/a>. She’s been covering digital health for years, and she's one of the more influential media voices on this beat -- in 2016, venture fund Rock Health named her \u003ca href=\"https://rockhealth.com/where-are-the-2016-top-50-in-digital-health-now/\" target=\"_blank\" rel=\"noopener\">digital health reporter of the year\u003c/a>.\u003c/p>\n\u003cp>As Chrissy's successor at this site, I thought it would be cool to get back to our roots and pick her brain on where digital health is going and where it's been. I interviewed her at CNBC’s San Francisco office, located in skyscraping Salesforce Tower. Here’s our chat, edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>First off, how should we define digital health?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">On wearables: 'I'm really still quite bullish. It’s not just millennials and the \"worried well\" that are using these devices; a lot of seniors love them.'\u003c/aside>\n\u003cp>People have attempted to come up with a good working definition, and sometimes it ends up sounding very vague, like \"the intersection of health and technology.\"\u003c/p>\n\u003cp>I think the term will forever be associated with \u003ca href=\"https://ww2.kqed.org/futureofyou/tag/wearables/\" target=\"_blank\" rel=\"noopener\">wearables\u003c/a> and \u003ca href=\"https://ww2.kqed.org/futureofyou/tag/telemedicine/\" target=\"_blank\" rel=\"noopener\">telemedicine\u003c/a>, and now AI and a couple of other trends. I don't really see a problem with that, because it's still connected with innovation in a lot of people's minds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>What have been some of the successes in the digital health space?\u003c/strong>\u003c/p>\n\u003cp>I see a lot of potential in digital therapeutics. Companies like Propeller Health and \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/06/23/expanding-digital-health-beyond-the-rich/\" target=\"_blank\" rel=\"noopener\">Omada Health\u003c/a> are studying the effect of apps that attempt to change behavior for purposes of disease prevention and management. Propeller Health, for example, is thinking about \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/06/13/inhalers-plus-smartphones-meant-fewer-trips-to-er-hospital/\" target=\"_blank\" rel=\"noopener\">connected inhalers\u003c/a> and how to combine them with data like the weather to figure out when a person with asthma should take medicine.\u003c/p>\n\u003caside class=\"pullquote alignright\">Disappointments? Telehealth and artificial intelligence.\u003c/aside>\n\u003cp>Virta Health is going after Type 2 diabetes reversal with a\u003ca href=\"https://www.medscape.com/viewarticle/890090\" target=\"_blank\" rel=\"noopener\"> digital system\u003c/a> that encourages a massive behavior change around diet, which it thinks could actually replace medicines.\u003c/p>\n\u003cp>AliveCor is a super-interesting company. They have a \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/17/mobile-ekg-on-a-watchband-is-useful-for-some-say-docs/\" target=\"_blank\" rel=\"noopener\">mobile EKG\u003c/a> that a lot of doctors really like. I think it's something that a lot of seniors will use when they find out they're at risk for \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" target=\"_blank\" rel=\"noopener\">atrial fibrillation\u003c/a>, because it means they can check on their heart from home and not have to go to the doctor every few months.\u003c/p>\n\u003cp>\u003cstrong>You mentioned wearables, like Fitbit and Apple Watch. How's that business going? \u003c/strong>\u003c/p>\n\u003cp>I‘m really still quite bullish on wearables, and I think they have become mainstream. It's not just millennials and the \"\u003ca href=\"http://www.telegraph.co.uk/lifestyle/wellbeing/diet/10977877/Are-you-one-of-the-rising-numbers-of-the-worried-well.html\" target=\"_blank\" rel=\"noopener\">worried well\u003c/a>\" that are using these devices; a lot of seniors love them. You're also starting to see insurance companies think about partnering with companies like Apple, and the reason they're doing that isn't necessarily to get their already healthy populations to exercise more; it's about getting to those really sick and costly people that have multiple chronic conditions.\u003c/p>\n\u003cp>\u003cstrong>Do you think investors in the digital health space are more circumspect after the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/13/the-rise-and-fall-of-theranos-a-cartoon-history/\" target=\"_blank\" rel=\"noopener\">Theranos debacle\u003c/a>?\u003c/strong>\u003c/p>\n\u003cp>Some are. Others don't necessarily want companies to invest the time into building a base of evidence before they start selling the product; these investors are looking for their money back in three to five years, like they would get with a consumer internet company.\u003c/p>\n\u003caside class=\"pullquote alignright\">'In a lot of ways, Theranos is just the worst example.'\u003c/aside>\n\u003cp>It's hard to find another company like Theranos, which put patients \u003ca href=\"http://tucson.com/news/local/theranos-to-pay-m-to-arizonans-over-blood-tests-that/article_dacc3bd1-54e0-58dd-92b3-18dec8eb8854.html\" target=\"_blank\" rel=\"noopener\">in danger\u003c/a>. But in a lot of ways, Theranos is just the worst example. More companies are still failing to provide proper evidence. Often they say, \"We're wellness. We're not making claims around disease, so we don't need to bother.\"\u003c/p>\n\u003cp>\u003cstrong>What's the biggest disappointment of the digital health era to date?\u003c/strong>\u003c/p>\n\u003cp>This is going to be controversial, but I don't think telemedicine has panned out to the extent people expected it would by this time. People thought it was going to revolutionize all health care. But I'm not seeing every physician say this is something they want to incorporate into their medical practice, because there's a perception they're not going to get paid as much.\u003c/p>\n\u003cp>Also pretty overhyped in terms of what we're actually seeing out there: AI and big data. \u003ca href=\"https://ww2.kqed.org/futureofyou/2015/08/20/this-robo-eye-doctor-may-help-patients-with-diabetes-keep-sight/\" target=\"_blank\" rel=\"noopener\">Diabetic retinopathy\u003c/a>, for example, is an area where you see a lot of people investing in AI research. Could we take a pile of medical images that have been labeled as showing diabetic retinopathy or not, and then you train AI to do that job in triage?\u003c/p>\n\u003cp>There's been some great results, but that does not mean we're on the cusp of a robo eye doctor, because an actual eye doctor would\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/11/07/will-computers-ever-be-able-to-make-diagnoses-as-well-as-physicians/\" target=\"_blank\" rel=\"noopener\"> need to know\u003c/a> every single medical condition out there that could be affecting this person. I think we’ve been too quick to look at one disease and one use case and say, well, this is evidence that doctors will be replaced.\u003c/p>\n\u003cp>\u003cb>Do you think the Food and Drug Administration and other regulators can keep up with all this? And does the industry \u003cem>want\u003c/em> them to keep up?\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_437841\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/12/chrissymum.jpg\">\u003cimg class=\"wp-image-437841 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/12/chrissymum-1020x591.jpg\" alt=\"\" width=\"640\" height=\"371\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-1020x591.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-160x93.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-800x463.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-768x445.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-1180x683.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-960x556.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-240x139.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-375x217.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum-520x301.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/12/chrissymum.jpg 1613w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chrissy Farr discussing Fitbit vs. Apple Watch with her mom, for a CNBC segment. (CNBC)\u003c/figcaption>\u003c/figure>\n\u003cp>I think at the birth of this digital health movement, people thought of the FDA as the big bad wolf. The prevailing narrative was that it's obstructing innovation. Now there seems to be more nuance around that; people recognize that the FDA does have an important role to play. Many of the digital therapeutics companies, for instance, see the FDA as a potential stamp of approval that sets them ahead of a mass of apps that are making false claims and essentially peddling snake oil.\u003c/p>\n\u003cp>So there needs to be a watchdog, but that's not the FDA's role. They're not out there policing companies and investing time into looking through the app store and thinking, \"This dermatology app doesn't look quite right.\"\u003c/p>\n\u003cp>As a result, you get this huge quality variation, and I do sometimes fear that doctors will start prescribing or patients will start using apps that are of lower quality. I think someone needs to step into that role in 2018 so we have a better way of figuring out which apps work and which don't.\u003c/p>\n\u003cp>\u003cstrong>Last question: Occasionally you hear the complaint about digital health that these are primarily tools for young, rich people. Do you think that's valid?\u003c/strong>\u003c/p>\n\u003cp>The true problems of health care, which are particularly an issue for underrepresented groups and minorities, are around how it's paid for. We need massive payment reforms. There's also a lack of investment around social determinants, things like social services and affordable housing, which improve outcomes. \u003cspan style=\"font-weight: 400\">All of these problems are not going to be solved with an AI Band-Aid or by handing someone a Fitbit.\u003c/span>\u003c/p>\n\u003cp>That said, I don't think it's fair to label this entire group of companies as purely helping the rich, wealthy, paranoid types who are just \u003ca href=\"https://www.youtube.com/watch?v=hBA0AH-LSbo\" target=\"_blank\" rel=\"noopener\">dying to live forever\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A lot of these companies are going after Medicaid populations, and that absolutely makes sense; that's more than 12 million people in California alone. Even Apple, which hasn't traditionally been a health care player, is working with Aetna on a study with Stanford about whether or not they can use the Apple Watch to detect \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp#.VusMvOIrKUk\" rel=\"noopener\">afib\u003c/a>. That's not something a young or healthy person would necessarily worry about at all. It's something that over-65, more vulnerable populations with a history of stroke are more at risk for. So you can see even Apple saying this is a tool that we expected would be mostly about consumer delight, but we've found that it can help save lives.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/437796/what-are-digital-healths-biggest-successes-and-disappointments-cnbcs-chrissy-farr-weighs-in","authors":["byline_futureofyou_437796"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1428","futureofyou_1427","futureofyou_26","futureofyou_1275","futureofyou_80","futureofyou_25"],"featImg":"futureofyou_437838","label":"source_futureofyou_437796"},"futureofyou_397531":{"type":"posts","id":"futureofyou_397531","meta":{"index":"posts_1591205157","site":"futureofyou","id":"397531","score":null,"sort":[1495740923000]},"guestAuthors":[],"slug":"fitness-trackers-good-at-heart-rate-more-fiction-than-fact-on-calories","title":"Fitness Trackers: Good at Heart Rate, More 'Fiction Than Fact' on Calories","publishDate":1495740923,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Sleek, high-tech wristbands are extremely popular these days, promising to measure heart rate, steps taken during the day, sleep, calories burned and even stress.\u003c/p>\n\u003cp>And, increasingly, patients are heading to the doctor armed with reams of data gathered from their devices. \"They're essentially asking us to digest the data and offer advice about how to avoid cardiovascular disease,\" says cardiologist \u003ca href=\"https://profiles.stanford.edu/euan-ashley\">Euan Ashley\u003c/a>, associate professor of medicine at the Stanford University Medical Center and Stanford Hospital and Clinics in northern California. And, being somewhat near Silicon Valley, he says he gets a lot of tech-savvy patients bringing fitness-tracker data to appointments.\u003c/p>\n\u003cp>The problem, he says, is that he just didn't know how reliable that data was. So, he and colleagues decided to study seven of the most popular devices and compare their accuracy to the gold-standard tests that doctor's use.\u003c/p>\n\u003cp>They looked at two metrics: heart rate and calories burned. For heart rate, the fitness trackers were compared to findings from an \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/ekg\">electro-cardiogram\u003c/a>, or EKG. It turned out the devices were \"surprisingly accurate\", says Ashley. \"Most devices most of the time were 'off' by only about 5 percent.\"\u003c/p>\n\u003cp>However, when it came to measuring how many calories a person burned, the findings were way off, says Ashley, showing a degree of inaccuracy that ranged from 20 percent to 93 percent, meaning 93 percent of the time the worst-performing device was wrong. Researchers compared the findings of the wrist devices to a sophisticated \u003ca href=\"http://www.cosmedusa.com/en/\">system\u003c/a> of calculating metabolism which measures oxygen and carbon dioxide in people's breath.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This is a very well-designed and well-done study,\" says \u003ca href=\"http://www.timchurchmd.com/\">Dr. Tim Church\u003c/a>, a professor of preventative medicine at Pennington Biomedical Research Center at Louisiana State University who was not involved in the study. Church routinely consults with companies about how to introduce wellness strategies into the workplace. Being wrong 93 percent of the time means the findings from the fitness tracker are more \"fiction than fact,\" he says, which can actually undermine a healthy diet. \"It's just human nature. People are checking these inaccurate counts and they think they've earned a muffin or earned some ice cream and they're sabotaging their weight-loss program.\"\u003c/p>\n\u003cp>Church points to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/27654602\">study\u003c/a> last year which found participants in a weight-loss program who also wore fitness trackers actually lost less weight than participants who didn't wear the trackers. \"It's an instance of no information is probably better than having bad information,\" he says.\u003c/p>\n\u003cp>The Stanford \u003ca href=\"http://www.mdpi.com/2075-4426/7/2/3\">study was published\u003c/a> in the \u003cem>Journal of Personalized Medicine\u003c/em>. It was relatively small, with 29 men and 31 women. In addition to the primary results, there were some other interesting findings. In certain groups of people — for example, those with darker skin, higher BMIs and men — the error made by devices was actually greater than for Caucasian women with a more healthy weight.\u003c/p>\n\u003cp>\"So, for those for whom it might matter the most, who are trying to lose weight, the error was actually greater,\" says Ashley, who doesn't know why this may be the case. He speculates that it could be that companies use a fairly narrow group of people for testing the equations they use to measure heart rate and calories burned.\u003c/p>\n\u003cp>The study didn't look at how well devices count steps or monitor sleep or stress. The take-home message, says Ashley, is to not rely on the devices to measure total calories burned. Instead focus on eating what we know is a healthy diet, which is low in sugar and high in fiber, and to \"eat not until you're full but until you're no longer hungry.\"\u003c/p>\n\u003cp>And, of course, people should exercise, he says, adding, \"we have no more important intervention than exercise for the prevention of any number of diseases.\"\u003c/p>\n\u003cp>Makers of two devices, Fitbit and PulseOn say they remain confident in the performance of the trackers both in measuring heart rate and calories burned. In a statement, PulseOn questioned the study's methodology, saying that the high errors for calorie measurements \"suggest that the authors may not have properly set all the user parameters on the device.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mark Gorelick, the chief science officer at the device-maker Mio Global, says, \"we agree that more accurate calorie estimation is important for the industry as a whole, since most individuals are monitoring calorie deficits for weight loss.\" The other device makers did not immediately respond to requests for comment.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Fitness+Trackers%3A+Good+at+Measuring+Heart+Rate%2C+Not+So+Good+At+Measuring+Calories&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A study of seven popular fitness trackers found they are generally good at measuring heart rate, but may mislead consumers about how many calories they have burned.","status":"publish","parent":0,"modified":1495740923,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":764},"headData":{"title":"Fitness Trackers: Good at Heart Rate, More 'Fiction Than Fact' on Calories | KQED","description":"A study of seven popular fitness trackers found they are generally good at measuring heart rate, but may mislead consumers about how many calories they have burned.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Fitness Trackers: Good at Heart Rate, More 'Fiction Than Fact' on Calories","datePublished":"2017-05-25T19:35:23.000Z","dateModified":"2017-05-25T19:35:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"397531 https://ww2.kqed.org/futureofyou/?p=397531","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/05/25/fitness-trackers-good-at-heart-rate-more-fiction-than-fact-on-calories/","disqusTitle":"Fitness Trackers: Good at Heart Rate, More 'Fiction Than Fact' on Calories","nprImageCredit":"Paul Sakuma","nprByline":"Patti Neighmond\u003cbr />NPR Shots","nprImageAgency":"Courtesy of Stanford University School of Medicine","nprStoryId":"529839681","nprApiLink":"http://api.npr.org/query?id=529839681&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/05/24/529839681/fitness-trackers-good-at-measuring-heart-rate-not-so-good-at-measuring-calories?ft=nprml&f=529839681","nprRetrievedStory":"1","nprPubDate":"Wed, 24 May 2017 17:51:00 -0400","nprStoryDate":"Wed, 24 May 2017 14:33:00 -0400","nprLastModifiedDate":"Wed, 24 May 2017 16:49:36 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2017/05/20170524_atc_fitness_trackers_good_at_measuring_heart_rate_not_so_good_at_measuring_calories.mp3?orgId=1&topicId=1128&d=201&p=2&story=529839681&t=progseg&e=529806030&seg=7&ft=nprml&f=529839681","nprAudioM3u":"http://api.npr.org/m3u/1529893155-65420a.m3u?orgId=1&topicId=1128&d=201&p=2&story=529839681&t=progseg&e=529806030&seg=7&ft=nprml&f=529839681","path":"/futureofyou/397531/fitness-trackers-good-at-heart-rate-more-fiction-than-fact-on-calories","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2017/05/20170524_atc_fitness_trackers_good_at_measuring_heart_rate_not_so_good_at_measuring_calories.mp3?orgId=1&topicId=1128&d=201&p=2&story=529839681&t=progseg&e=529806030&seg=7&ft=nprml&f=529839681","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sleek, high-tech wristbands are extremely popular these days, promising to measure heart rate, steps taken during the day, sleep, calories burned and even stress.\u003c/p>\n\u003cp>And, increasingly, patients are heading to the doctor armed with reams of data gathered from their devices. \"They're essentially asking us to digest the data and offer advice about how to avoid cardiovascular disease,\" says cardiologist \u003ca href=\"https://profiles.stanford.edu/euan-ashley\">Euan Ashley\u003c/a>, associate professor of medicine at the Stanford University Medical Center and Stanford Hospital and Clinics in northern California. And, being somewhat near Silicon Valley, he says he gets a lot of tech-savvy patients bringing fitness-tracker data to appointments.\u003c/p>\n\u003cp>The problem, he says, is that he just didn't know how reliable that data was. So, he and colleagues decided to study seven of the most popular devices and compare their accuracy to the gold-standard tests that doctor's use.\u003c/p>\n\u003cp>They looked at two metrics: heart rate and calories burned. For heart rate, the fitness trackers were compared to findings from an \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/ekg\">electro-cardiogram\u003c/a>, or EKG. It turned out the devices were \"surprisingly accurate\", says Ashley. \"Most devices most of the time were 'off' by only about 5 percent.\"\u003c/p>\n\u003cp>However, when it came to measuring how many calories a person burned, the findings were way off, says Ashley, showing a degree of inaccuracy that ranged from 20 percent to 93 percent, meaning 93 percent of the time the worst-performing device was wrong. Researchers compared the findings of the wrist devices to a sophisticated \u003ca href=\"http://www.cosmedusa.com/en/\">system\u003c/a> of calculating metabolism which measures oxygen and carbon dioxide in people's breath.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This is a very well-designed and well-done study,\" says \u003ca href=\"http://www.timchurchmd.com/\">Dr. Tim Church\u003c/a>, a professor of preventative medicine at Pennington Biomedical Research Center at Louisiana State University who was not involved in the study. Church routinely consults with companies about how to introduce wellness strategies into the workplace. Being wrong 93 percent of the time means the findings from the fitness tracker are more \"fiction than fact,\" he says, which can actually undermine a healthy diet. \"It's just human nature. People are checking these inaccurate counts and they think they've earned a muffin or earned some ice cream and they're sabotaging their weight-loss program.\"\u003c/p>\n\u003cp>Church points to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/27654602\">study\u003c/a> last year which found participants in a weight-loss program who also wore fitness trackers actually lost less weight than participants who didn't wear the trackers. \"It's an instance of no information is probably better than having bad information,\" he says.\u003c/p>\n\u003cp>The Stanford \u003ca href=\"http://www.mdpi.com/2075-4426/7/2/3\">study was published\u003c/a> in the \u003cem>Journal of Personalized Medicine\u003c/em>. It was relatively small, with 29 men and 31 women. In addition to the primary results, there were some other interesting findings. In certain groups of people — for example, those with darker skin, higher BMIs and men — the error made by devices was actually greater than for Caucasian women with a more healthy weight.\u003c/p>\n\u003cp>\"So, for those for whom it might matter the most, who are trying to lose weight, the error was actually greater,\" says Ashley, who doesn't know why this may be the case. He speculates that it could be that companies use a fairly narrow group of people for testing the equations they use to measure heart rate and calories burned.\u003c/p>\n\u003cp>The study didn't look at how well devices count steps or monitor sleep or stress. The take-home message, says Ashley, is to not rely on the devices to measure total calories burned. Instead focus on eating what we know is a healthy diet, which is low in sugar and high in fiber, and to \"eat not until you're full but until you're no longer hungry.\"\u003c/p>\n\u003cp>And, of course, people should exercise, he says, adding, \"we have no more important intervention than exercise for the prevention of any number of diseases.\"\u003c/p>\n\u003cp>Makers of two devices, Fitbit and PulseOn say they remain confident in the performance of the trackers both in measuring heart rate and calories burned. In a statement, PulseOn questioned the study's methodology, saying that the high errors for calorie measurements \"suggest that the authors may not have properly set all the user parameters on the device.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mark Gorelick, the chief science officer at the device-maker Mio Global, says, \"we agree that more accurate calorie estimation is important for the industry as a whole, since most individuals are monitoring calorie deficits for weight loss.\" The other device makers did not immediately respond to requests for comment.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Fitness+Trackers%3A+Good+at+Measuring+Heart+Rate%2C+Not+So+Good+At+Measuring+Calories&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/397531/fitness-trackers-good-at-heart-rate-more-fiction-than-fact-on-calories","authors":["byline_futureofyou_397531"],"categories":["futureofyou_1"],"tags":["futureofyou_49","futureofyou_677","futureofyou_25"],"featImg":"futureofyou_397532","label":"futureofyou"},"futureofyou_319192":{"type":"posts","id":"futureofyou_319192","meta":{"index":"posts_1591205157","site":"futureofyou","id":"319192","score":null,"sort":[1484329014000]},"guestAuthors":[],"slug":"wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","title":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study","publishDate":1484329014,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>A next step for smart watches and fitness trackers? Wearable gadgets gave a Stanford University professor an early warning that he was getting sick before he ever felt any symptoms of Lyme disease.\u003c/p>\n\u003cp>Geneticist Michael Snyder never had Lyme's characteristic bulls-eye rash. But a smart watch and other sensors charted changes in Snyder's heart rate and oxygen levels during a family vacation. Eventually a fever struck that led to his diagnosis.\u003c/p>\n\u003cp>Say \"wearables,\" and step-counting fitness trackers spring to mind. It's not clear if they really make a difference in users' health. Now Snyder's team at Stanford is starting to find out, tracking the everyday lives of several dozen volunteers wearing devices that monitor more than mere activity.\u003c/p>\n\u003cp>He envisions one day having wearables that act as a sort of \"check engine\" light indicating it's time to see the doctor.\u003c/p>\n\u003cp>\"One way to look at this is, these are the equivalent of oral thermometers but you're measuring yourself all the time,\" said Snyder, senior author of a report released Thursday on the project.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Among the earliest hints: Changes in people's day-to-day physiology may flag when certain ailments are brewing, from colds to Lyme to Type 2 diabetes, researchers reported in the journal PLOS Biology.\u003c/p>\n\u003cp>Interest in wearable sensors is growing along with efforts to personalize medicine, as scientists learn how to tailor treatments and preventive care to people's genes, environment and lifestyle. The sensors are expected to be a part of the National Institutes of Health's huge \"precision medicine\" study, planned to begin later this year.\u003c/p>\n\u003cp>But a first step is learning what's normal for different people under different conditions.\u003c/p>\n\u003cp>The Stanford team is collecting reams of data — as many as 250,000 daily measurements — from volunteers who wear up to eight activity monitors or other sensors of varying sizes that measure heart rate, blood oxygen, skin temperature, sleep, calories expended, exercise and even exposure to radiation. That's paired with occasional laboratory tests to measure blood chemistry and some genetic information.\u003c/p>\n\u003cp>An initial finding: Blood oxygen levels decrease with rising altitudes during plane flights, in turn triggering fatigue. But toward the end of long flights, oxygen begins rising again, possibly as bodies adapt, the researchers reported.\u003c/p>\n\u003cp>It was that phenomenon that alerted Snyder, the longest-tested participant, \"that something wasn't quite right\" on one of his frequent long flights.\u003c/p>\n\u003cp>Landing in Norway for a family vacation, Snyder noticed his oxygen levels didn't return to normal like they always had before. Plus his heart rate was much higher than normal, which sometimes signals infection.\u003c/p>\n\u003cp>Sure enough, soon a low-grade fever left him dragging. He feared Lyme because two weeks before going abroad, Snyder had helped his brother build a fence in a tick-infested rural area in Massachusetts. He persuaded a Norwegian doctor to prescribe the appropriate antibiotic, and post-vacation testing back home confirmed the diagnosis.\u003c/p>\n\u003cp>Also during the study's first two years, Snyder and several other volunteers had minor cold-like illnesses that began with higher-than-normal readings for heart rate and skin temperature — and correlated with blood tests showing inflammation was on the rise before any sniffling.\u003c/p>\n\u003cp>In addition, the Stanford team detected variations in heart rate patterns that could tell the difference between study participants with what's called insulin resistance — a risk factor for Type 2 diabetes — and healthy people.\u003c/p>\n\u003cp>No, don't try to self-diagnose with your fitness tracker any time soon. The findings in Thursday's report are intriguing but the study is highly experimental, cautioned medical technology specialist Dr. Atul Butte of the University of California, San Francisco, who wasn't involved with the research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This kind of approach is going to help science more than the general public\" until there's better data about what's normal or not, Butte said. \"Remember, the baseline is always in motion. We're always getting older. We're always exposed to things. Just because there's a deviation doesn't mean it's abnormal.\"\u003c/p>\n\n","blocks":[],"excerpt":"A Stanford team is collecting as many as 250,000 daily measurements from volunteers who wear up to eight activity monitors or other sensors. One set of measurements helped diagnose Lyme disease. ","status":"publish","parent":0,"modified":1517014364,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":687},"headData":{"title":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study | KQED","description":"A Stanford team is collecting as many as 250,000 daily measurements from volunteers who wear up to eight activity monitors or other sensors. One set of measurements helped diagnose Lyme disease. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study","datePublished":"2017-01-13T17:36:54.000Z","dateModified":"2018-01-27T00:52:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"319192 http://ww2.kqed.org/futureofyou/?p=319192","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/01/13/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study/","disqusTitle":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study","source":"KQED Future of You","nprByline":"Lauran Neergard\u003cbr />Associated Press","path":"/futureofyou/319192/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A next step for smart watches and fitness trackers? Wearable gadgets gave a Stanford University professor an early warning that he was getting sick before he ever felt any symptoms of Lyme disease.\u003c/p>\n\u003cp>Geneticist Michael Snyder never had Lyme's characteristic bulls-eye rash. But a smart watch and other sensors charted changes in Snyder's heart rate and oxygen levels during a family vacation. Eventually a fever struck that led to his diagnosis.\u003c/p>\n\u003cp>Say \"wearables,\" and step-counting fitness trackers spring to mind. It's not clear if they really make a difference in users' health. Now Snyder's team at Stanford is starting to find out, tracking the everyday lives of several dozen volunteers wearing devices that monitor more than mere activity.\u003c/p>\n\u003cp>He envisions one day having wearables that act as a sort of \"check engine\" light indicating it's time to see the doctor.\u003c/p>\n\u003cp>\"One way to look at this is, these are the equivalent of oral thermometers but you're measuring yourself all the time,\" said Snyder, senior author of a report released Thursday on the project.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Among the earliest hints: Changes in people's day-to-day physiology may flag when certain ailments are brewing, from colds to Lyme to Type 2 diabetes, researchers reported in the journal PLOS Biology.\u003c/p>\n\u003cp>Interest in wearable sensors is growing along with efforts to personalize medicine, as scientists learn how to tailor treatments and preventive care to people's genes, environment and lifestyle. The sensors are expected to be a part of the National Institutes of Health's huge \"precision medicine\" study, planned to begin later this year.\u003c/p>\n\u003cp>But a first step is learning what's normal for different people under different conditions.\u003c/p>\n\u003cp>The Stanford team is collecting reams of data — as many as 250,000 daily measurements — from volunteers who wear up to eight activity monitors or other sensors of varying sizes that measure heart rate, blood oxygen, skin temperature, sleep, calories expended, exercise and even exposure to radiation. That's paired with occasional laboratory tests to measure blood chemistry and some genetic information.\u003c/p>\n\u003cp>An initial finding: Blood oxygen levels decrease with rising altitudes during plane flights, in turn triggering fatigue. But toward the end of long flights, oxygen begins rising again, possibly as bodies adapt, the researchers reported.\u003c/p>\n\u003cp>It was that phenomenon that alerted Snyder, the longest-tested participant, \"that something wasn't quite right\" on one of his frequent long flights.\u003c/p>\n\u003cp>Landing in Norway for a family vacation, Snyder noticed his oxygen levels didn't return to normal like they always had before. Plus his heart rate was much higher than normal, which sometimes signals infection.\u003c/p>\n\u003cp>Sure enough, soon a low-grade fever left him dragging. He feared Lyme because two weeks before going abroad, Snyder had helped his brother build a fence in a tick-infested rural area in Massachusetts. He persuaded a Norwegian doctor to prescribe the appropriate antibiotic, and post-vacation testing back home confirmed the diagnosis.\u003c/p>\n\u003cp>Also during the study's first two years, Snyder and several other volunteers had minor cold-like illnesses that began with higher-than-normal readings for heart rate and skin temperature — and correlated with blood tests showing inflammation was on the rise before any sniffling.\u003c/p>\n\u003cp>In addition, the Stanford team detected variations in heart rate patterns that could tell the difference between study participants with what's called insulin resistance — a risk factor for Type 2 diabetes — and healthy people.\u003c/p>\n\u003cp>No, don't try to self-diagnose with your fitness tracker any time soon. The findings in Thursday's report are intriguing but the study is highly experimental, cautioned medical technology specialist Dr. Atul Butte of the University of California, San Francisco, who wasn't involved with the research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This kind of approach is going to help science more than the general public\" until there's better data about what's normal or not, Butte said. \"Remember, the baseline is always in motion. We're always getting older. We're always exposed to things. Just because there's a deviation doesn't mean it's abnormal.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/319192/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","authors":["byline_futureofyou_319192"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_73"],"tags":["futureofyou_80","futureofyou_759","futureofyou_145","futureofyou_25"],"featImg":"futureofyou_319194","label":"source_futureofyou_319192"},"futureofyou_266349":{"type":"posts","id":"futureofyou_266349","meta":{"index":"posts_1591205157","site":"futureofyou","id":"266349","score":null,"sort":[1477326407000]},"guestAuthors":[],"slug":"how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart","title":"How Reliable Are Smartphones and Wearables for Monitoring Your Heart?","publishDate":1477326407,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Digital gizmos can monitor your heart, whether it's a wrist-worn fitness tracker or a smartphone app to help cardiologists analyze diagnostic tests. The question is whether they're going to do your heart any good. The short answer: It depends.\u003c/p>\n\u003cp>One thing to consider is whether the device is a consumer fitness monitor for tracking heart rate, or if it's a medical device approved by the Food and Drug Administration for detecting potentially dangerous heart rhythm irregularities.\u003c/p>\n\u003cp>First, the fitness monitors. Wrist-worn fitness trackers become less accurate with more vigorous exercise, which presumably is when you'd most want to know your heart rate. The \u003ca href=\"http://jamanetwork.com/journals/jamacardiology/article-abstract/2566167\">study\u003c/a>, published Wednesday in \u003cem>JAMA Cardiology,\u003c/em> tested the Apple Watch, Fitbit Charge HR, Basis Peak and Mio Alpha wristbands.\u003c/p>\n\u003cp>\"We have patients come in who have different kinds of monitors like these. Many of them are very concerned because they've recorded values that seem way outside of the normal range,\" \u003ca href=\"http://my.clevelandclinic.org/staff_directory/staff_display?doctorid=2350\">says Dr. Marc Gillinov\u003c/a>, a cardiac surgeon at the Cleveland Clinic and an author on the study. The study was designed to find out whether those readings are accurate.\u003c/p>\n\u003cp>Overall, the Apple Watch and Mio Fuse did best, with about 91 percent accuracy. The others fell in the 80 percent accuracy range, both overestimating and underestimating wearers' heart rates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For most people, errors like these aren't a big deal, says Gillinov. But for elite athletes and cardiac patients who try to keep their heart rates in certain ranges, these devices might not be the best choice.\u003c/p>\n\u003cp>\"For those groups, I'd recommend medical-quality chest-strap monitors,\" says Gillinov, adding that he doesn't think that inaccurate heart rate monitors are dangerous, just that they might not be useful.\u003c/p>\n\u003cp>Part of the problem is how they work, he explained.\u003c/p>\n\u003cp>If you've ever been in a hospital, you might have had a little plastic clip attached to your big toe (or your ear, or your finger). Those are pulse oximeters — they measure heart rate and oxygen content by shining a light through your skin. Different amounts of light bounce back depending on how much blood is flowing. By measuring changes in reflected light, pulse oximeters can track how fast your heart is beating. Hospital pulse oximeters are wrong all the time. \"We often have to move the monitors around because we lose the signal,\" says Gillinov.\u003c/p>\n\u003cp>The heart rate monitors in Fitbits and Apple Watches work the same way, except they shine the light through your wrist. If you have dark skin, a tattoo or a birthmark where the monitor sits, Gillinov says that can confuse the monitor.\u003c/p>\n\u003cp>This isn't the first time wrist-born heart rate monitors have been called inaccurate. A \u003ca href=\"http://www.lieffcabraser.com/defect/fitbit-heart-monitor/\">class-action lawsuit\u003c/a> filed against Fitbit in early 2016 claimed just that.\u003c/p>\n\u003cp>In a statement provided to NPR, Fitbit says that \"Fitbit trackers are not intended to be medical devices\" and that internal research shows that their trackers meet \"industry standard expectations for optical heart rate on the wrist.\"\u003c/p>\n\u003cp>But there are growing numbers of heart-monitoring apps that are intended to be used as medical devices, which unlike fitness trackers have to be approved by the FDA. Some are designed for home use, while others are for health care providers.\u003c/p>\n\u003cp>Screening for atrial fibrillation has gotten a lot of attention, because this irregular heartbeat can cause blood clots, parts of which can break off and move to the brain, causing stroke. Patients with atrial fibrillation are \u003ca href=\"http://www.ninds.nih.gov/disorders/atrial_fibrillation_and_stroke/atrial_fibrillation_and_stroke.htm\">five times more likely\u003c/a> to have strokes, and it affects \u003ca href=\"http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_atrial_fibrillation.htm\">9 percent of people over 65\u003c/a>.\u003c/p>\n\u003cp>It's possible to be experiencing \u003ca href=\"https://medlineplus.gov/atrialfibrillation.html\">atrial fibrillation\u003c/a> and not know it. Since this condition can come and go, there's no guarantee that doctors will catch the errant heartbeats. Right now, the only way to detect it is with an electrocardiogram, or EKG, which involves visiting a medical professional and using a machine to monitor the heart's electric signals.\u003c/p>\n\u003cp>One iPhone app, called \u003ca href=\"http://www.cardiio.com/\">Cardiio Rhythm\u003c/a>, monitors the heart using a phone's camera. The concept is similar to a pulse oximeter or wrist wearable. Researchers used this phone-based device to detect atrial fibrillation. \u003ca href=\"http://jaha.ahajournals.org/content/5/7/e003428.full\">In a study\u003c/a> published in July in the \u003cem>Journal of the American Heart Association\u003c/em>, researchers used the app to screen a little over 1,000 patients for atrial fibrillation. They caught the erratic heartbeats in 92.9 percent of patients who had it, and correctly identified 97.7 percent of patients who didn't.\u003c/p>\n\u003cp>That's not accurate enough to make a diagnosis, but it is accurate enough for widespread at-home screening, says \u003ca href=\"http://eurheartj.oxfordjournals.org/content/37/33/2568.1\">Ben Freedman\u003c/a>, deputy director of cardiovascular strategy at the Heart Research Institute in Sydney, in an \u003ca href=\"http://jaha.ahajournals.org/content/5/7/e004000.full\">editorial\u003c/a> accompanying the study. The app could tell people if they were at risk, but confirmation would have to come from a doctor's office.\u003c/p>\n\u003cp>Another device, called \u003ca href=\"https://www.alivecor.com/en/\">AliveCor\u003c/a>, scans for atrial fibrillation using a small handheld EKG. The AliveCor EKG can connect to a smartphone and analyze heart rhythm. A \u003ca href=\"http://heart.bmj.com/content/early/2016/08/26/heartjnl-2016-309993\">study\u003c/a> published Wednesday in \u003cem>Heart\u003c/em> trained 13,122 participants to use the AliveCor EKG on themselves. Only 0.4 percent of their results could not be interpreted, and they caught 98 percent of atrial fibrillation cases in participants over 60. However, it had a high rate of false positives and only correctly identified 29.2 percent of those without atrial fibrillation.\u003c/p>\n\u003cp>\"Our study found that a significant number of citizens with previously undiagnosed atrial fibrillation were picked up by community screening,\" says \u003ca href=\"http://www.hrsonline.org/Membership/Member-Spotlight/Ngai-Yin-Chan\">Dr. Ngai-Yin Chan\u003c/a>, a cardiologist at Princess Margaret Hospital in Hong Kong and the lead author on the study. People with atrial fibrillation can be prescribed blood thinners to reduce the risk of clots, and beta blockers or other medications to slow heart rate. \"Whether this will be translated into people seeking medical help needs to be answered by future studies.\"\u003c/p>\n\u003cp>A cardiologist and director of the Ahmanson-UCLA Cardiomyopathy Center, \u003ca href=\"https://www.uclahealth.org/body.cfm?id=10&action=detail&ref=24&fr=true\">Dr. Gregg Fonarow\u003c/a>, hopes that technologies like this will help identify atrial fibrillation early on and reduce the risk of stroke. \"These applications can change the way cardiologists treat atrial fibrillation and prescribe better drug protocols,\" he told NPR via email.\u003c/p>\n\u003cp>But we're not there yet. Gillinov, the author of the fitness-tracker accuracy study, deals with a lot of atrial fibrillation patients in his work as a cardiac surgeon. He thinks that self-screening could save a lot of lives, but that it's important doctors be included in the process.\u003c/p>\n\u003cp>Plus, he says, not everyone should be screened for atrial fibrillation. \"If young people start screening themselves, we're going to see a lot of false positives, even with very accurate devices.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The American Heart Association plans to release a policy statement on telehealth, including at-home heart monitoring, sometime in the next six months.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=You+Can+Monitor+Heart+Rhythm+With+A+Smartphone%2C+But+Should+You%3F+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Smartphones and wearables can be used to test for atrial fibrillation, an irregular heart rhythm that can cause strokes. But it's still not clear who should use this emerging technology.","status":"publish","parent":0,"modified":1477331796,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1152},"headData":{"title":"How Reliable Are Smartphones and Wearables for Monitoring Your Heart? | KQED","description":"Smartphones and wearables can be used to test for atrial fibrillation, an irregular heart rhythm that can cause strokes. But it's still not clear who should use this emerging technology.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Reliable Are Smartphones and Wearables for Monitoring Your Heart?","datePublished":"2016-10-24T16:26:47.000Z","dateModified":"2016-10-24T17:56:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"266349 http://ww2.kqed.org/futureofyou/?p=266349","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/10/24/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart/","disqusTitle":"How Reliable Are Smartphones and Wearables for Monitoring Your Heart?","customPermalink":"2016/10/20/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart/","nprImageCredit":"Patric Sandri","nprByline":"Erin Ross\u003cbr/>NPR Shots","nprImageAgency":"Ikon Images/Getty Images","nprStoryId":"497828894","nprApiLink":"http://api.npr.org/query?id=497828894&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/10/15/497828894/you-can-monitor-your-heart-with-a-smartphone-but-should-you?ft=nprml&f=497828894","nprRetrievedStory":"1","nprPubDate":"Tue, 18 Oct 2016 15:33:00 -0400","nprStoryDate":"Sat, 15 Oct 2016 05:00:00 -0400","nprLastModifiedDate":"Tue, 18 Oct 2016 15:33:11 -0400","path":"/futureofyou/266349/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Digital gizmos can monitor your heart, whether it's a wrist-worn fitness tracker or a smartphone app to help cardiologists analyze diagnostic tests. The question is whether they're going to do your heart any good. The short answer: It depends.\u003c/p>\n\u003cp>One thing to consider is whether the device is a consumer fitness monitor for tracking heart rate, or if it's a medical device approved by the Food and Drug Administration for detecting potentially dangerous heart rhythm irregularities.\u003c/p>\n\u003cp>First, the fitness monitors. Wrist-worn fitness trackers become less accurate with more vigorous exercise, which presumably is when you'd most want to know your heart rate. The \u003ca href=\"http://jamanetwork.com/journals/jamacardiology/article-abstract/2566167\">study\u003c/a>, published Wednesday in \u003cem>JAMA Cardiology,\u003c/em> tested the Apple Watch, Fitbit Charge HR, Basis Peak and Mio Alpha wristbands.\u003c/p>\n\u003cp>\"We have patients come in who have different kinds of monitors like these. Many of them are very concerned because they've recorded values that seem way outside of the normal range,\" \u003ca href=\"http://my.clevelandclinic.org/staff_directory/staff_display?doctorid=2350\">says Dr. Marc Gillinov\u003c/a>, a cardiac surgeon at the Cleveland Clinic and an author on the study. The study was designed to find out whether those readings are accurate.\u003c/p>\n\u003cp>Overall, the Apple Watch and Mio Fuse did best, with about 91 percent accuracy. The others fell in the 80 percent accuracy range, both overestimating and underestimating wearers' heart rates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For most people, errors like these aren't a big deal, says Gillinov. But for elite athletes and cardiac patients who try to keep their heart rates in certain ranges, these devices might not be the best choice.\u003c/p>\n\u003cp>\"For those groups, I'd recommend medical-quality chest-strap monitors,\" says Gillinov, adding that he doesn't think that inaccurate heart rate monitors are dangerous, just that they might not be useful.\u003c/p>\n\u003cp>Part of the problem is how they work, he explained.\u003c/p>\n\u003cp>If you've ever been in a hospital, you might have had a little plastic clip attached to your big toe (or your ear, or your finger). Those are pulse oximeters — they measure heart rate and oxygen content by shining a light through your skin. Different amounts of light bounce back depending on how much blood is flowing. By measuring changes in reflected light, pulse oximeters can track how fast your heart is beating. Hospital pulse oximeters are wrong all the time. \"We often have to move the monitors around because we lose the signal,\" says Gillinov.\u003c/p>\n\u003cp>The heart rate monitors in Fitbits and Apple Watches work the same way, except they shine the light through your wrist. If you have dark skin, a tattoo or a birthmark where the monitor sits, Gillinov says that can confuse the monitor.\u003c/p>\n\u003cp>This isn't the first time wrist-born heart rate monitors have been called inaccurate. A \u003ca href=\"http://www.lieffcabraser.com/defect/fitbit-heart-monitor/\">class-action lawsuit\u003c/a> filed against Fitbit in early 2016 claimed just that.\u003c/p>\n\u003cp>In a statement provided to NPR, Fitbit says that \"Fitbit trackers are not intended to be medical devices\" and that internal research shows that their trackers meet \"industry standard expectations for optical heart rate on the wrist.\"\u003c/p>\n\u003cp>But there are growing numbers of heart-monitoring apps that are intended to be used as medical devices, which unlike fitness trackers have to be approved by the FDA. Some are designed for home use, while others are for health care providers.\u003c/p>\n\u003cp>Screening for atrial fibrillation has gotten a lot of attention, because this irregular heartbeat can cause blood clots, parts of which can break off and move to the brain, causing stroke. Patients with atrial fibrillation are \u003ca href=\"http://www.ninds.nih.gov/disorders/atrial_fibrillation_and_stroke/atrial_fibrillation_and_stroke.htm\">five times more likely\u003c/a> to have strokes, and it affects \u003ca href=\"http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_atrial_fibrillation.htm\">9 percent of people over 65\u003c/a>.\u003c/p>\n\u003cp>It's possible to be experiencing \u003ca href=\"https://medlineplus.gov/atrialfibrillation.html\">atrial fibrillation\u003c/a> and not know it. Since this condition can come and go, there's no guarantee that doctors will catch the errant heartbeats. Right now, the only way to detect it is with an electrocardiogram, or EKG, which involves visiting a medical professional and using a machine to monitor the heart's electric signals.\u003c/p>\n\u003cp>One iPhone app, called \u003ca href=\"http://www.cardiio.com/\">Cardiio Rhythm\u003c/a>, monitors the heart using a phone's camera. The concept is similar to a pulse oximeter or wrist wearable. Researchers used this phone-based device to detect atrial fibrillation. \u003ca href=\"http://jaha.ahajournals.org/content/5/7/e003428.full\">In a study\u003c/a> published in July in the \u003cem>Journal of the American Heart Association\u003c/em>, researchers used the app to screen a little over 1,000 patients for atrial fibrillation. They caught the erratic heartbeats in 92.9 percent of patients who had it, and correctly identified 97.7 percent of patients who didn't.\u003c/p>\n\u003cp>That's not accurate enough to make a diagnosis, but it is accurate enough for widespread at-home screening, says \u003ca href=\"http://eurheartj.oxfordjournals.org/content/37/33/2568.1\">Ben Freedman\u003c/a>, deputy director of cardiovascular strategy at the Heart Research Institute in Sydney, in an \u003ca href=\"http://jaha.ahajournals.org/content/5/7/e004000.full\">editorial\u003c/a> accompanying the study. The app could tell people if they were at risk, but confirmation would have to come from a doctor's office.\u003c/p>\n\u003cp>Another device, called \u003ca href=\"https://www.alivecor.com/en/\">AliveCor\u003c/a>, scans for atrial fibrillation using a small handheld EKG. The AliveCor EKG can connect to a smartphone and analyze heart rhythm. A \u003ca href=\"http://heart.bmj.com/content/early/2016/08/26/heartjnl-2016-309993\">study\u003c/a> published Wednesday in \u003cem>Heart\u003c/em> trained 13,122 participants to use the AliveCor EKG on themselves. Only 0.4 percent of their results could not be interpreted, and they caught 98 percent of atrial fibrillation cases in participants over 60. However, it had a high rate of false positives and only correctly identified 29.2 percent of those without atrial fibrillation.\u003c/p>\n\u003cp>\"Our study found that a significant number of citizens with previously undiagnosed atrial fibrillation were picked up by community screening,\" says \u003ca href=\"http://www.hrsonline.org/Membership/Member-Spotlight/Ngai-Yin-Chan\">Dr. Ngai-Yin Chan\u003c/a>, a cardiologist at Princess Margaret Hospital in Hong Kong and the lead author on the study. People with atrial fibrillation can be prescribed blood thinners to reduce the risk of clots, and beta blockers or other medications to slow heart rate. \"Whether this will be translated into people seeking medical help needs to be answered by future studies.\"\u003c/p>\n\u003cp>A cardiologist and director of the Ahmanson-UCLA Cardiomyopathy Center, \u003ca href=\"https://www.uclahealth.org/body.cfm?id=10&action=detail&ref=24&fr=true\">Dr. Gregg Fonarow\u003c/a>, hopes that technologies like this will help identify atrial fibrillation early on and reduce the risk of stroke. \"These applications can change the way cardiologists treat atrial fibrillation and prescribe better drug protocols,\" he told NPR via email.\u003c/p>\n\u003cp>But we're not there yet. Gillinov, the author of the fitness-tracker accuracy study, deals with a lot of atrial fibrillation patients in his work as a cardiac surgeon. He thinks that self-screening could save a lot of lives, but that it's important doctors be included in the process.\u003c/p>\n\u003cp>Plus, he says, not everyone should be screened for atrial fibrillation. \"If young people start screening themselves, we're going to see a lot of false positives, even with very accurate devices.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The American Heart Association plans to release a policy statement on telehealth, including at-home heart monitoring, sometime in the next six months.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=You+Can+Monitor+Heart+Rhythm+With+A+Smartphone%2C+But+Should+You%3F+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/266349/how-reliable-are-smartphones-and-wearables-for-monitoring-your-heart","authors":["byline_futureofyou_266349"],"categories":["futureofyou_1060"],"tags":["futureofyou_820","futureofyou_236","futureofyou_1112","futureofyou_49","futureofyou_255","futureofyou_25"],"featImg":"futureofyou_266350","label":"futureofyou"},"futureofyou_252560":{"type":"posts","id":"futureofyou_252560","meta":{"index":"posts_1591205157","site":"futureofyou","id":"252560","score":null,"sort":[1475175620000]},"guestAuthors":[],"slug":"analysis-digital-health-companies-arent-solving-the-right-problems","title":"Analysis: Digital Health Companies Aren't Solving the Right Problems","publishDate":1475175620,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Digital health is booming. The market that includes health apps and wearables will increase around \u003cem>1,200 percent\u003c/em> over the next eight years, according to one \u003ca href=\"http://www.digitaljournal.com/pr/3084642\" target=\"_blank\">forecast\u003c/a>.\u003c/p>\n\u003cp>So what's propelling this surge in demand? \"A growing proliferation of chronic diseases, namely diabetes, cancer and heart ailments ... \" the report says.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.'\u003c/aside>\n\u003cp>Not only is this trend alarming, said the Robert Wood Johnson Foundation's Stephen Downs at the recent Stanford Medicine X conference, but many of the solutions offered by digital health companies are \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/09/20/weight-loss-study-finds-fitness-tracker-is-no-help/\" target=\"_blank\">not going to help\u003c/a>.\u003c/p>\n\u003cp>In this age of the Fitbit, Downs said, digital health companies are focused on monitoring the consequences of our \u003ca href=\"http://stateofobesity.org/physical-inactivity/\" target=\"_blank\">notoriously sedentary lifestyles. \u003c/a>But what is really called for from innovators is to stop treating symptoms and start remedying the roots of the problem.\u003c/p>\n\u003cp>“The system needs to be re-engineered!” said Downs, chief technology and strategy officer of RWJF, a philanthropic organization focused on health. \"We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Progress = Inactivity\u003c/strong>\u003c/p>\n\u003cp>Downs is of the opinion that some of our most cherished and widely used inventions have resulted in a kind of apocalypse of inactivity: Automobiles helped create pedestrian-unfriendly suburbs; washing machines provided leisure time -- to watch more TV. And the appearance of the remote control meant we no longer even had to get up to change the channel.\u003c/p>\n\u003cp>Even our thumb muscles have been given the day off since digital assistants like Siri gained the ability to write our text messages, he noted.\u003c/p>\n\u003cp>All these things, combined with an automobile-driven, fast food culture, said Downs, have contributed to a national \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\">diabetes epidemic\u003c/a> and a stunning rise in \u003ca href=\"http://stateofobesity.org/obesity-rates-trends-overview/\" target=\"_blank\">obesity rates\u003c/a>.\u003c/p>\n\u003cp>\u003cb>We Need Stuff Like This \u003c/b>\u003c/p>\n\u003cp>So how to remedy the roots of the unhealthy environments we've created? Downs says engineers and designers in \u003cem>all\u003c/em> industries should be thinking about their products' effects on our health.\u003c/p>\n\u003cp>He cited the \u003ca href=\"http://cp.media.mit.edu/\" target=\"_blank\">Changing Places\u003c/a> group at the Massachusetts Institute of Technology media lab as a project that's attempting to create core solutions that fundamentally change human behavior. One of the lab's initiatives: designing ways to feed people healthier diets through \u003ca href=\"http://web.mit.edu/jiw/www/MITCityFarm/\" target=\"_blank\">urban farms\u003c/a> that make use of city spaces. (Imagine crops growing on the sides of buildings, for instance.)\u003c/p>\n\u003cfigure id=\"attachment_253672\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/09/bldgs.jpg\">\u003cimg class=\"wp-image-253672 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/09/bldgs-800x581.jpg\" alt=\"Crops grown on the side of a building could help foster urban farming.\" width=\"800\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-800x581.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-400x290.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-768x558.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-960x697.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs.jpg 1000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crops grown on the side of a building could help foster urban farming. \u003ccite>(MIT CityFARM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The MIT researchers claim their techniques could not only completely eliminate the massive amounts of water used by agriculture, but also render\u003cb> \u003c/b>unnecessary fertilizers and pesticides.\u003c/p>\n\u003cp>Downs also pointed to a food delivery service called \u003ca href=\"https://www.blueapron.com/?cvosrc=search-paid.google.brand30&gclid=CNS2zru1sM8CFQuqaQodXTIFng&utm_campaign=brand30&utm_medium=search-paid&utm_source=google\" target=\"_blank\">Blue Apron\u003c/a> as the kind of upstream innovation that can have a positive effect on health. The company sends a box of fresh food to your doorstep, with all the ingredients and spices to cook a meal at home. Not exactly fast food -- but \u003cem>faster\u003c/em> food with better nutrition.\u003c/p>\n\u003cp>\"This is about finding solutions for people that are more compelling than the patterns that we have established,\" he said.\u003c/p>\n\u003cp>A furniture company like the San Francisco-based \u003ca href=\"http://store.steelcase.com/\" target=\"_blank\">Steelcase\u003c/a> can have an impact, too, Downs said. The company designs chairs, lamps and tables that are intended to inspire movement, remove stress and improve focus.\u003c/p>\n\u003cp>Even ride services such as Uber and Lyft, Downs said, might lead to healthier lifestyles if they influence urban dwellers to ditch their cars altogether -- someone who no longer has a car sitting in their garage may be more inclined to walk or bike.\u003c/p>\n\u003cp>One caveat: Downs said the problem with many of these solutions is they're prohibitively expensive for most people.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"People who are innovating like this really need to think about price points that are available for the masses, not just the well-off folks in Silicon Valley.\"\u003c/p>\n\n","blocks":[],"excerpt":"Digital health companies offer a lot of monitoring devices, but they don't address core societal problems that hinder health, says the Robert Woods Johnson Foundation's chief technology officer.","status":"publish","parent":0,"modified":1476217782,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":721},"headData":{"title":"Analysis: Digital Health Companies Aren't Solving the Right Problems | KQED","description":"Digital health companies offer a lot of monitoring devices, but they don't address core societal problems that hinder health, says the Robert Woods Johnson Foundation's chief technology officer.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Analysis: Digital Health Companies Aren't Solving the Right Problems","datePublished":"2016-09-29T19:00:20.000Z","dateModified":"2016-10-11T20:29:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"252560 http://ww2.kqed.org/futureofyou/?p=252560","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/09/29/analysis-digital-health-companies-arent-solving-the-right-problems/","disqusTitle":"Analysis: Digital Health Companies Aren't Solving the Right Problems","source":"Future of You","path":"/futureofyou/252560/analysis-digital-health-companies-arent-solving-the-right-problems","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Digital health is booming. The market that includes health apps and wearables will increase around \u003cem>1,200 percent\u003c/em> over the next eight years, according to one \u003ca href=\"http://www.digitaljournal.com/pr/3084642\" target=\"_blank\">forecast\u003c/a>.\u003c/p>\n\u003cp>So what's propelling this surge in demand? \"A growing proliferation of chronic diseases, namely diabetes, cancer and heart ailments ... \" the report says.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.'\u003c/aside>\n\u003cp>Not only is this trend alarming, said the Robert Wood Johnson Foundation's Stephen Downs at the recent Stanford Medicine X conference, but many of the solutions offered by digital health companies are \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/09/20/weight-loss-study-finds-fitness-tracker-is-no-help/\" target=\"_blank\">not going to help\u003c/a>.\u003c/p>\n\u003cp>In this age of the Fitbit, Downs said, digital health companies are focused on monitoring the consequences of our \u003ca href=\"http://stateofobesity.org/physical-inactivity/\" target=\"_blank\">notoriously sedentary lifestyles. \u003c/a>But what is really called for from innovators is to stop treating symptoms and start remedying the roots of the problem.\u003c/p>\n\u003cp>“The system needs to be re-engineered!” said Downs, chief technology and strategy officer of RWJF, a philanthropic organization focused on health. \"We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Progress = Inactivity\u003c/strong>\u003c/p>\n\u003cp>Downs is of the opinion that some of our most cherished and widely used inventions have resulted in a kind of apocalypse of inactivity: Automobiles helped create pedestrian-unfriendly suburbs; washing machines provided leisure time -- to watch more TV. And the appearance of the remote control meant we no longer even had to get up to change the channel.\u003c/p>\n\u003cp>Even our thumb muscles have been given the day off since digital assistants like Siri gained the ability to write our text messages, he noted.\u003c/p>\n\u003cp>All these things, combined with an automobile-driven, fast food culture, said Downs, have contributed to a national \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\">diabetes epidemic\u003c/a> and a stunning rise in \u003ca href=\"http://stateofobesity.org/obesity-rates-trends-overview/\" target=\"_blank\">obesity rates\u003c/a>.\u003c/p>\n\u003cp>\u003cb>We Need Stuff Like This \u003c/b>\u003c/p>\n\u003cp>So how to remedy the roots of the unhealthy environments we've created? Downs says engineers and designers in \u003cem>all\u003c/em> industries should be thinking about their products' effects on our health.\u003c/p>\n\u003cp>He cited the \u003ca href=\"http://cp.media.mit.edu/\" target=\"_blank\">Changing Places\u003c/a> group at the Massachusetts Institute of Technology media lab as a project that's attempting to create core solutions that fundamentally change human behavior. One of the lab's initiatives: designing ways to feed people healthier diets through \u003ca href=\"http://web.mit.edu/jiw/www/MITCityFarm/\" target=\"_blank\">urban farms\u003c/a> that make use of city spaces. (Imagine crops growing on the sides of buildings, for instance.)\u003c/p>\n\u003cfigure id=\"attachment_253672\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/09/bldgs.jpg\">\u003cimg class=\"wp-image-253672 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/09/bldgs-800x581.jpg\" alt=\"Crops grown on the side of a building could help foster urban farming.\" width=\"800\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-800x581.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-400x290.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-768x558.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs-960x697.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/09/bldgs.jpg 1000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crops grown on the side of a building could help foster urban farming. \u003ccite>(MIT CityFARM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The MIT researchers claim their techniques could not only completely eliminate the massive amounts of water used by agriculture, but also render\u003cb> \u003c/b>unnecessary fertilizers and pesticides.\u003c/p>\n\u003cp>Downs also pointed to a food delivery service called \u003ca href=\"https://www.blueapron.com/?cvosrc=search-paid.google.brand30&gclid=CNS2zru1sM8CFQuqaQodXTIFng&utm_campaign=brand30&utm_medium=search-paid&utm_source=google\" target=\"_blank\">Blue Apron\u003c/a> as the kind of upstream innovation that can have a positive effect on health. The company sends a box of fresh food to your doorstep, with all the ingredients and spices to cook a meal at home. Not exactly fast food -- but \u003cem>faster\u003c/em> food with better nutrition.\u003c/p>\n\u003cp>\"This is about finding solutions for people that are more compelling than the patterns that we have established,\" he said.\u003c/p>\n\u003cp>A furniture company like the San Francisco-based \u003ca href=\"http://store.steelcase.com/\" target=\"_blank\">Steelcase\u003c/a> can have an impact, too, Downs said. The company designs chairs, lamps and tables that are intended to inspire movement, remove stress and improve focus.\u003c/p>\n\u003cp>Even ride services such as Uber and Lyft, Downs said, might lead to healthier lifestyles if they influence urban dwellers to ditch their cars altogether -- someone who no longer has a car sitting in their garage may be more inclined to walk or bike.\u003c/p>\n\u003cp>One caveat: Downs said the problem with many of these solutions is they're prohibitively expensive for most people.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"People who are innovating like this really need to think about price points that are available for the masses, not just the well-off folks in Silicon Valley.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/252560/analysis-digital-health-companies-arent-solving-the-right-problems","authors":["11229"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_73"],"tags":["futureofyou_26","futureofyou_35","futureofyou_25"],"featImg":"futureofyou_254127","label":"source_futureofyou_252560"},"futureofyou_231484":{"type":"posts","id":"futureofyou_231484","meta":{"index":"posts_1591205157","site":"futureofyou","id":"231484","score":null,"sort":[1472657407000]},"guestAuthors":[],"slug":"electronic-tattoos-could-keep-pregnant-moms-out-of-hospital","title":"'Electronic Tattoos' Could Monitor Pregnant Moms at Home","publishDate":1472657407,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>The \"electronic tattoo\" may sound like an attempt by Silicon Valley to encroach on one of the last few activities still requiring an actual human being.\u003c/p>\n\u003cp>But what the term actually refers to is a sensor that adheres like a Band-Aid to parts of your body in order to monitor vital signs like heart rate, blood pressure and breathing. Another name for the devices-- equally evocative--is \"smart skin.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">Women experiencing complications of pregnancy could potentially stay out of the hospital and have their vital signs monitored at home.\u003c/aside>\n\u003cp>Researchers around the country are designing electronic tattoos, which look a bit like a child's sticker but come outfitted with wireless antennae.\u003c/p>\n\u003cp>“The patch is a medical adhesive with an electronic sensor that can measure biological information,” says Todd Coleman, a bioengineering professor at the University of California, San Diego. “It’s not a watch. It’s something you peel and stick and mount right on your body.\"\u003c/p>\n\u003cp>This could be a boon to pregnant women forced into hospital stays due to complications, Coleman says. \"In the case of a pregnant woman, she would put it right on her abdomen to track her pregnancy.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The device moves easily when you pull or push the skin, even on curved areas like someone's stomach or an infant's forehead. The electronic patch might flash green, yellow or red to alert mothers when their signals go awry, Coleman said.\u003c/p>\n\u003cp>In the video below, Coleman shows how electronic tattoos can help an expectant mother track fetal development or monitor a newborn's brain function.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=bhKLz1boyyY\u003c/p>\n\u003cp>Engineers are also working on devices that will include a screen like those developed from University of Tokyo researchers.\u003c/p>\n\u003cp>\"The advent of mobile phones has changed the way we communicate, said Takao Someya, a University of Tokyo researcher who worked on the device, in an April \u003ca href=\"http://www.eurekalert.org/pub_releases/2016-04/uot-uom041216.phphttp://www.eurekalert.org/pub_releases/2016-04/uot-uom041216.php\" target=\"_blank\">press release\u003c/a>. \"While these communication tools are getting smaller and smaller, they are still discrete devices that we have to carry with us.\u003c/p>\n\u003cp>\"What would the world be like if we had displays that could adhere to our bodies and even show our emotions or level of stress or unease?\"\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=ItsO4J9E98g\u003c/p>\n\u003cp>Despite that potential, it's going to be awhile before electronic tattoos hit the commercial market -- the FDA will have to approve them for use. For now, in terms of pregnancy wearables, \u003ca href=\"http://bloom.life/#hello\" target=\"_blank\">Bloom Technologies\u003c/a> offers a silicon sensor that tracks the frequency and duration of contractions. The device is much larger than electronic tattoo prototypes, and Coleman predicts it will evolve into something much slimmer.\u003c/p>\n\u003cfigure id=\"attachment_946914\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-946914\" src=\"http://ww2.kqed.org/science/wp-content/uploads/sites/35/2016/08/Bloom-Day2-0131-020437-sq-1-800x800.jpg\" alt=\"Bloom Technologies Belli sensor to monitor pregnancy contractions. \" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">Bloom Technologies Belli sensor to monitor pregnancy contractions. (Bloom Technologies)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"Also known as 'smart skin,' these pliable sensors capture crucial health data like heart rate or brain activity through a tiny elastic sheath similar to a sticker. ","status":"publish","parent":0,"modified":1517014562,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":470},"headData":{"title":"'Electronic Tattoos' Could Monitor Pregnant Moms at Home | KQED","description":"Also known as 'smart skin,' these pliable sensors capture crucial health data like heart rate or brain activity through a tiny elastic sheath similar to a sticker. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"'Electronic Tattoos' Could Monitor Pregnant Moms at Home","datePublished":"2016-08-31T15:30:07.000Z","dateModified":"2018-01-27T00:56:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"231484 http://ww2.kqed.org/futureofyou/?p=231484","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/08/31/electronic-tattoos-could-keep-pregnant-moms-out-of-hospital/","disqusTitle":"'Electronic Tattoos' Could Monitor Pregnant Moms at Home","path":"/futureofyou/231484/electronic-tattoos-could-keep-pregnant-moms-out-of-hospital","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \"electronic tattoo\" may sound like an attempt by Silicon Valley to encroach on one of the last few activities still requiring an actual human being.\u003c/p>\n\u003cp>But what the term actually refers to is a sensor that adheres like a Band-Aid to parts of your body in order to monitor vital signs like heart rate, blood pressure and breathing. Another name for the devices-- equally evocative--is \"smart skin.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">Women experiencing complications of pregnancy could potentially stay out of the hospital and have their vital signs monitored at home.\u003c/aside>\n\u003cp>Researchers around the country are designing electronic tattoos, which look a bit like a child's sticker but come outfitted with wireless antennae.\u003c/p>\n\u003cp>“The patch is a medical adhesive with an electronic sensor that can measure biological information,” says Todd Coleman, a bioengineering professor at the University of California, San Diego. “It’s not a watch. It’s something you peel and stick and mount right on your body.\"\u003c/p>\n\u003cp>This could be a boon to pregnant women forced into hospital stays due to complications, Coleman says. \"In the case of a pregnant woman, she would put it right on her abdomen to track her pregnancy.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The device moves easily when you pull or push the skin, even on curved areas like someone's stomach or an infant's forehead. The electronic patch might flash green, yellow or red to alert mothers when their signals go awry, Coleman said.\u003c/p>\n\u003cp>In the video below, Coleman shows how electronic tattoos can help an expectant mother track fetal development or monitor a newborn's brain function.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/bhKLz1boyyY'\n title='//www.youtube.com/embed/bhKLz1boyyY'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Engineers are also working on devices that will include a screen like those developed from University of Tokyo researchers.\u003c/p>\n\u003cp>\"The advent of mobile phones has changed the way we communicate, said Takao Someya, a University of Tokyo researcher who worked on the device, in an April \u003ca href=\"http://www.eurekalert.org/pub_releases/2016-04/uot-uom041216.phphttp://www.eurekalert.org/pub_releases/2016-04/uot-uom041216.php\" target=\"_blank\">press release\u003c/a>. \"While these communication tools are getting smaller and smaller, they are still discrete devices that we have to carry with us.\u003c/p>\n\u003cp>\"What would the world be like if we had displays that could adhere to our bodies and even show our emotions or level of stress or unease?\"\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/ItsO4J9E98g'\n title='//www.youtube.com/embed/ItsO4J9E98g'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Despite that potential, it's going to be awhile before electronic tattoos hit the commercial market -- the FDA will have to approve them for use. For now, in terms of pregnancy wearables, \u003ca href=\"http://bloom.life/#hello\" target=\"_blank\">Bloom Technologies\u003c/a> offers a silicon sensor that tracks the frequency and duration of contractions. The device is much larger than electronic tattoo prototypes, and Coleman predicts it will evolve into something much slimmer.\u003c/p>\n\u003cfigure id=\"attachment_946914\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-946914\" src=\"http://ww2.kqed.org/science/wp-content/uploads/sites/35/2016/08/Bloom-Day2-0131-020437-sq-1-800x800.jpg\" alt=\"Bloom Technologies Belli sensor to monitor pregnancy contractions. \" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">Bloom Technologies Belli sensor to monitor pregnancy contractions. (Bloom Technologies)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/231484/electronic-tattoos-could-keep-pregnant-moms-out-of-hospital","authors":["11229"],"categories":["futureofyou_1"],"tags":["futureofyou_26","futureofyou_1030","futureofyou_80","futureofyou_520","futureofyou_1031","futureofyou_25"],"featImg":"futureofyou_234073","label":"futureofyou"},"futureofyou_179666":{"type":"posts","id":"futureofyou_179666","meta":{"index":"posts_1591205157","site":"futureofyou","id":"179666","score":null,"sort":[1470358857000]},"guestAuthors":[],"slug":"from-the-olympics-to-the-nfl-the-future-of-training-is-wearable-tech","title":"Wearable Tech Gives Olympic Athletes a Boost","publishDate":1470358857,"format":"standard","headTitle":"Contributor | KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Every year at the \u003ca href=\"http://www.augmentedworldexpo.com/\">Augmented World Expo in Santa Clara\u003c/a>, makers of wearable gadgetry gather to debut prototypes and debate the future of bionic living.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We are very, very, very fast approaching the superhero stage.' \u003ccite>Mounir Zok, U.S. Olympic Committee\u003c/cite>\u003c/aside>\n\u003cp>This year, Mounir Zok, the director of technology and innovation for the U.S. Olympic Committee, predicted that wearable sensors will soon be just as important to elite players as their designer athletic shoes. In fact, that day might be Friday, when the 2016 games open in Rio.\u003c/p>\n\u003cp>Among the technologies used for Olympic training this year: Sensors worn by divers and gymnasts that track performance metrics in real time. Glasses for cyclists that deliver cadence, speed and heart rate data directly into their field of view. And for the Paralympic Games, Zok said, the Olympic Committee worked with automaker BMW to develop a new wheelchair that tracks stats like miles traveled and the frequency of arm strokes.\u003c/p>\n\u003cp>\u003cstrong>The Age of the Superhero\u003c/strong>\u003c/p>\n\u003cp>“We are very, very, very fast approaching the superhero stage. Tony Stark is not anymore a science fiction character,” Zok said, referring to the Marvel Comics Iron Man hero who wears an armored suit that gives him cybernetic superpowers. “Tony Stark will be on the field of play.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Technology has long been integrated into sports training, in everything from nutrition to physiology. But as recently as the year 2000, Zok pointed out, most high-tech performance analysis took place in an environment unnatural to the athlete: the lab.\u003c/p>\n\u003cp>Having an Olympian jog on a treadmill just isn’t the same as having her sprint on a track or whoosh down a mountain. And, Zok added, it took days to compile the old data into spreadsheets, which didn't help athletes make immediate corrections during training or game play.\u003c/p>\n\u003cfigure id=\"attachment_183278\" class=\"wp-caption alignright\" style=\"max-width: 442px\">\u003cimg class=\"size-medium wp-image-183278\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/usoc-442x600.jpg\" alt=\"Paralympic judo athlete, training for the 2016 Olympics in Rio. \" width=\"442\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-442x600.jpg 442w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-400x543.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-768x1042.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-869x1180.jpg 869w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-1180x1601.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-960x1303.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc.jpg 1509w\" sizes=\"(max-width: 442px) 100vw, 442px\">\u003cfigcaption class=\"wp-caption-text\">Paralympic judo athlete, training for the 2016 Olympics in Rio. \u003ccite>(Jeff Cable Photography)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This year, many Olympians are training using sensors that instantly port performance metrics to a coach’s tablet device. This gives the coach a kind of dashboard, displaying each team member’s stats as well as their historical performance.\u003c/p>\n\u003cp>Zok believes that being able to match their metrics to their visceral experience will help athletes learn faster. If an athlete knows, for example, the ideal angle at which her body should enter the water or the perfect rotational speed for her spin, she can check her stats after each dive, or dismount, and match the data against how the move felt.\u003c/p>\n\u003cp>In gymnastics, said Zok, “we have almost come up with a digital code of what makes the gold medal,” a set of figures that describes a perfect 10 performance. “Imagine having that milestone for each and every Olympic athlete, specifically when they are very young, so that they have that fixed North Star.”\u003c/p>\n\u003cp>\u003cstrong>Wearable Tech is Changing the NFL\u003c/strong>\u003c/p>\n\u003cp>Olympians aren’t the only elite athletes trying out wearable sensors. Dan Waters of San Jose-based Zebra Technologies spoke about the tracking devices NFL players wore during the 2015 season, which relayed to their coaches real-time information about their location, speed and distance traveled. Zebra’s RFID chips, worn under players’ shoulder pads, pulsed information 25 times per second to receivers mounted inside each stadium.\u003c/p>\n\u003cfigure id=\"attachment_183837\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-183837\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-800x547.jpg\" alt=\"NFL shoulder pad sensors\" width=\"800\" height=\"547\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-800x547.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-400x273.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-768x525.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-1180x806.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-960x656.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">NFL shoulder pad \u003ccite>(Zebra Technologies)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re translating the physical player into digital information that could be acted upon in real time by coaches,” said Waters. This, he said, could help coaches prevent injuries. Suppose, said Waters, “you have a wide receiver who has already run 6 miles in a game. Well, it might be good to rest that player, for example, before they pull a hamstring.”\u003c/p>\n\u003cp>Waters’ company has also worked with Big 10, Pac 12 and Southeastern Conference schools. At the moment, NFL teams have elected to receive only their own players’ data, but Waters points out that these measurements, if shared, could ultimately effect recruiting, “allowing for the more thorough and efficient identification of player alignment and tendencies; both of which will contribute greatly to scouting and coaching efforts.”\u003c/p>\n\u003cp>\u003cspan style=\"line-height: 1.5\">Zok credits the proliferation of smartphones with driving down the cost of parts—accelerometers, magnetometers, GPS devices—and enabling today’s boom in wearable sports technology. And improvements in transmission range has allowed sports scientists to finally ditch the cables that once attached computer to electrode.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Next Gen Smart Gear\u003c/strong>\u003c/p>\n\u003cp>The next wave of wearables will be smaller still, as the industry moves away from hard plastic sensors like heart rate monitors that strap to the chest or smart bands that encircle the wrist. Sports gear will likely make use of ever more lightweight “smart tattoos,” or flexible electronics that stick on like bandages, and “smart clothing” that has conductive or sensing fibers woven directly into the fabric. With these, Zok said, “We can finally exploit all the real estate that we have on our bodies.”\u003c/p>\n\u003cp>Recreational and student athletes are in line for this new generation of smart gear, too. At the expo, Joyce Chow, the creative director of design and brand development for Toronto-based Myant, was demonstrating the company’s fitness wear prototypes. “We believe that textiles are the best and the most natural solution to be next to skin,” she said, and can be used for preventing and rehabbing injuries.\u003c/p>\n\u003cp>She held aloft a windbreaker for urban runners and cyclists; it has an electroluminescent strip, as thin and rubbery as a vinyl window decal, embedded along the spine. In the current design, the strip simply lights up to make the user visible to traffic, but in future versions, she said, wearers will be able to program its flashing pattern to signal their turning direction or heart rate.\u003c/p>\n\u003cfigure id=\"attachment_183898\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-183898\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/Myant3-600x600.jpg\" alt=\"Myant wearable tech jacket\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-1920x1920.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-150x150.jpg 150w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Myant wearable tech jacket \u003ccite>(Myant)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Myant is also working on distributing sensors throughout a garment, like a compression knee sock embedded with electroactive polymer sensors; these measure deformation and can be used to monitor swelling for people with conditions like diabetes. Chow also showed off a gray tank top woven with conductive yarn that can measure breathing volume and electrocardiography; next to it was a bike shirt that shimmered metalically thanks to heat patches knitted into strategic spots to provide a gentle warmth to the wearer.\u003c/p>\n\u003cp>And CEO John Ralson of Seattle’s X2 Biosystems spoke about using wearable sensors to prevent head injuries for young athletes. His company is developing two kinds of sensors: One worn as a mouth guard fitted to the upper teeth and one that sticks to the bony area behind the ear. These monitor the buildup and distribution of impact forces that rattle the brain.\u003c/p>\n\u003cp>Much of the company’s research has been conducted in collaboration with UC Santa Barbara and Stanford University, measuring head trauma in college sports like soccer and mixed martial arts. Ralston said the company hopes to use its accumulated data to create a “neuro-trauma dosimeter,” or a device “that tells you when it’s time to get off the field,” the same way a radiation tracker would tell you when you’ve had too much exposure.\u003c/p>\n\u003cp>While it may seem sci-fi indeed to imagine athletes instantly transmitting their data through the ether, Zok said wearables are just the next evolutionary step for an industry that has always sought to give players a competitive edge through better gear.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“If you have a good running shoe, you are at an advantage,” Zok said. “If you have got ski goggles that don’t go foggy on you, you are at an advantage.” And if you’re Iron Man, maybe you have a big enough advantage to take home the gold.\u003c/p>\n\n","blocks":[],"excerpt":"This year, many Olympians are training using sensors that instantly port performance metrics to a coach’s tablet device.","status":"publish","parent":0,"modified":1470439771,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1321},"headData":{"title":"Wearable Tech Gives Olympic Athletes a Boost | KQED","description":"This year, many Olympians are training using sensors that instantly port performance metrics to a coach’s tablet device.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Wearable Tech Gives Olympic Athletes a Boost","datePublished":"2016-08-05T01:00:57.000Z","dateModified":"2016-08-05T23:29:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"179666 http://ww2.kqed.org/futureofyou/?p=179666","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/08/04/from-the-olympics-to-the-nfl-the-future-of-training-is-wearable-tech/","disqusTitle":"Wearable Tech Gives Olympic Athletes a Boost","source":"Mobile Health & Wearables","customPermalink":"2016/06/15/from-the-olympics-to-the-nfl-the-future-of-training-is-wearable-tech/","nprByline":" \u003ca href=\"http://www.karaplatoni.com/bio.html\" target=\"_blank\">Kara Platoni\u003c/a>","path":"/futureofyou/179666/from-the-olympics-to-the-nfl-the-future-of-training-is-wearable-tech","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every year at the \u003ca href=\"http://www.augmentedworldexpo.com/\">Augmented World Expo in Santa Clara\u003c/a>, makers of wearable gadgetry gather to debut prototypes and debate the future of bionic living.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We are very, very, very fast approaching the superhero stage.' \u003ccite>Mounir Zok, U.S. Olympic Committee\u003c/cite>\u003c/aside>\n\u003cp>This year, Mounir Zok, the director of technology and innovation for the U.S. Olympic Committee, predicted that wearable sensors will soon be just as important to elite players as their designer athletic shoes. In fact, that day might be Friday, when the 2016 games open in Rio.\u003c/p>\n\u003cp>Among the technologies used for Olympic training this year: Sensors worn by divers and gymnasts that track performance metrics in real time. Glasses for cyclists that deliver cadence, speed and heart rate data directly into their field of view. And for the Paralympic Games, Zok said, the Olympic Committee worked with automaker BMW to develop a new wheelchair that tracks stats like miles traveled and the frequency of arm strokes.\u003c/p>\n\u003cp>\u003cstrong>The Age of the Superhero\u003c/strong>\u003c/p>\n\u003cp>“We are very, very, very fast approaching the superhero stage. Tony Stark is not anymore a science fiction character,” Zok said, referring to the Marvel Comics Iron Man hero who wears an armored suit that gives him cybernetic superpowers. “Tony Stark will be on the field of play.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Technology has long been integrated into sports training, in everything from nutrition to physiology. But as recently as the year 2000, Zok pointed out, most high-tech performance analysis took place in an environment unnatural to the athlete: the lab.\u003c/p>\n\u003cp>Having an Olympian jog on a treadmill just isn’t the same as having her sprint on a track or whoosh down a mountain. And, Zok added, it took days to compile the old data into spreadsheets, which didn't help athletes make immediate corrections during training or game play.\u003c/p>\n\u003cfigure id=\"attachment_183278\" class=\"wp-caption alignright\" style=\"max-width: 442px\">\u003cimg class=\"size-medium wp-image-183278\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/usoc-442x600.jpg\" alt=\"Paralympic judo athlete, training for the 2016 Olympics in Rio. \" width=\"442\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-442x600.jpg 442w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-400x543.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-768x1042.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-869x1180.jpg 869w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-1180x1601.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc-960x1303.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/usoc.jpg 1509w\" sizes=\"(max-width: 442px) 100vw, 442px\">\u003cfigcaption class=\"wp-caption-text\">Paralympic judo athlete, training for the 2016 Olympics in Rio. \u003ccite>(Jeff Cable Photography)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This year, many Olympians are training using sensors that instantly port performance metrics to a coach’s tablet device. This gives the coach a kind of dashboard, displaying each team member’s stats as well as their historical performance.\u003c/p>\n\u003cp>Zok believes that being able to match their metrics to their visceral experience will help athletes learn faster. If an athlete knows, for example, the ideal angle at which her body should enter the water or the perfect rotational speed for her spin, she can check her stats after each dive, or dismount, and match the data against how the move felt.\u003c/p>\n\u003cp>In gymnastics, said Zok, “we have almost come up with a digital code of what makes the gold medal,” a set of figures that describes a perfect 10 performance. “Imagine having that milestone for each and every Olympic athlete, specifically when they are very young, so that they have that fixed North Star.”\u003c/p>\n\u003cp>\u003cstrong>Wearable Tech is Changing the NFL\u003c/strong>\u003c/p>\n\u003cp>Olympians aren’t the only elite athletes trying out wearable sensors. Dan Waters of San Jose-based Zebra Technologies spoke about the tracking devices NFL players wore during the 2015 season, which relayed to their coaches real-time information about their location, speed and distance traveled. Zebra’s RFID chips, worn under players’ shoulder pads, pulsed information 25 times per second to receivers mounted inside each stadium.\u003c/p>\n\u003cfigure id=\"attachment_183837\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-183837\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-800x547.jpg\" alt=\"NFL shoulder pad sensors\" width=\"800\" height=\"547\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-800x547.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-400x273.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-768x525.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-1180x806.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK-960x656.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/SHOULDER_PADS_BLACK.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">NFL shoulder pad \u003ccite>(Zebra Technologies)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re translating the physical player into digital information that could be acted upon in real time by coaches,” said Waters. This, he said, could help coaches prevent injuries. Suppose, said Waters, “you have a wide receiver who has already run 6 miles in a game. Well, it might be good to rest that player, for example, before they pull a hamstring.”\u003c/p>\n\u003cp>Waters’ company has also worked with Big 10, Pac 12 and Southeastern Conference schools. At the moment, NFL teams have elected to receive only their own players’ data, but Waters points out that these measurements, if shared, could ultimately effect recruiting, “allowing for the more thorough and efficient identification of player alignment and tendencies; both of which will contribute greatly to scouting and coaching efforts.”\u003c/p>\n\u003cp>\u003cspan style=\"line-height: 1.5\">Zok credits the proliferation of smartphones with driving down the cost of parts—accelerometers, magnetometers, GPS devices—and enabling today’s boom in wearable sports technology. And improvements in transmission range has allowed sports scientists to finally ditch the cables that once attached computer to electrode.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Next Gen Smart Gear\u003c/strong>\u003c/p>\n\u003cp>The next wave of wearables will be smaller still, as the industry moves away from hard plastic sensors like heart rate monitors that strap to the chest or smart bands that encircle the wrist. Sports gear will likely make use of ever more lightweight “smart tattoos,” or flexible electronics that stick on like bandages, and “smart clothing” that has conductive or sensing fibers woven directly into the fabric. With these, Zok said, “We can finally exploit all the real estate that we have on our bodies.”\u003c/p>\n\u003cp>Recreational and student athletes are in line for this new generation of smart gear, too. At the expo, Joyce Chow, the creative director of design and brand development for Toronto-based Myant, was demonstrating the company’s fitness wear prototypes. “We believe that textiles are the best and the most natural solution to be next to skin,” she said, and can be used for preventing and rehabbing injuries.\u003c/p>\n\u003cp>She held aloft a windbreaker for urban runners and cyclists; it has an electroluminescent strip, as thin and rubbery as a vinyl window decal, embedded along the spine. In the current design, the strip simply lights up to make the user visible to traffic, but in future versions, she said, wearers will be able to program its flashing pattern to signal their turning direction or heart rate.\u003c/p>\n\u003cfigure id=\"attachment_183898\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-183898\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/Myant3-600x600.jpg\" alt=\"Myant wearable tech jacket\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-768x768.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-1920x1920.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-50x50.jpg 50w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2016/06/Myant3-150x150.jpg 150w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Myant wearable tech jacket \u003ccite>(Myant)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Myant is also working on distributing sensors throughout a garment, like a compression knee sock embedded with electroactive polymer sensors; these measure deformation and can be used to monitor swelling for people with conditions like diabetes. Chow also showed off a gray tank top woven with conductive yarn that can measure breathing volume and electrocardiography; next to it was a bike shirt that shimmered metalically thanks to heat patches knitted into strategic spots to provide a gentle warmth to the wearer.\u003c/p>\n\u003cp>And CEO John Ralson of Seattle’s X2 Biosystems spoke about using wearable sensors to prevent head injuries for young athletes. His company is developing two kinds of sensors: One worn as a mouth guard fitted to the upper teeth and one that sticks to the bony area behind the ear. These monitor the buildup and distribution of impact forces that rattle the brain.\u003c/p>\n\u003cp>Much of the company’s research has been conducted in collaboration with UC Santa Barbara and Stanford University, measuring head trauma in college sports like soccer and mixed martial arts. Ralston said the company hopes to use its accumulated data to create a “neuro-trauma dosimeter,” or a device “that tells you when it’s time to get off the field,” the same way a radiation tracker would tell you when you’ve had too much exposure.\u003c/p>\n\u003cp>While it may seem sci-fi indeed to imagine athletes instantly transmitting their data through the ether, Zok said wearables are just the next evolutionary step for an industry that has always sought to give players a competitive edge through better gear.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If you have a good running shoe, you are at an advantage,” Zok said. “If you have got ski goggles that don’t go foggy on you, you are at an advantage.” And if you’re Iron Man, maybe you have a big enough advantage to take home the gold.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/179666/from-the-olympics-to-the-nfl-the-future-of-training-is-wearable-tech","authors":["byline_futureofyou_179666"],"series":["futureofyou_172"],"categories":["futureofyou_1"],"tags":["futureofyou_956","futureofyou_958","futureofyou_957","futureofyou_25"],"featImg":"futureofyou_183933","label":"source_futureofyou_179666"},"futureofyou_146457":{"type":"posts","id":"futureofyou_146457","meta":{"index":"posts_1591205157","site":"futureofyou","id":"146457","score":null,"sort":[1461011459000]},"guestAuthors":[],"slug":"computerized-clothes-a-step-closer-to-reality","title":"Computerized Clothes a Step Closer to Reality","publishDate":1461011459,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>When I picture a device measuring brain activity, clunky headgear with lots of external wires comes to mind.\u003c/p>\n\u003cp>But now tracking brain signals may soon be possible through a \u003cem>smart hat -- \u003c/em>with tiny antennas sewn into the fabric.\u003c/p>\n\u003cp>Researchers at Ohio State University have discovered how to embroider circuits into fabric with 0.1 mm precision. They say ultra-thin metallic thread is the perfect size to mesh electronic components like sensors and chips into textiles.\u003c/p>\n\u003cp>“In the past [the embroidered wires] had an error of 30 percent. That was not acceptable,\" says John Volakis, director of the ElectroScience Laboratory at Ohio State University. \"We now can do controllable performance with an error of just a fraction of a percent.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"zXei0ezQiaAtrk9tpC2XvSNatWtB8HFR\"] The advancement is the next step in functional textiles -- clothes that gather, store or transmit digital information.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Promising Medical Applications\u003c/strong>\u003c/p>\n\u003cp>Researchers think portable sensors and antennas sewn into fabrics caps could be paired with \u003ca href=\"http://www.nsf.gov/awardsearch/showAward?AWD_ID=1344928\" target=\"_blank\">technology, \u003c/a>now in development, to enable tracking of deep brain activity through wireless implants. The combination would allow for 24-hour brain monitoring in patients with neurological conditions like epilepsy or Parkinson's disease. Currently, doctors can only monitor patient's brain activity while they're in the hospital.\u003c/p>\n\u003cp>Other applications for embroidered circuits could include imaging sensors in T-shirts, which could measure the growth of a tumor or detect fluid in lungs, research scientist Asimina Kiourti says.\u003c/p>\n\u003cp>Volakis is especially excited that smart clothes could benefit senior citizens.\u003c/p>\n\u003cp>“Imagine when an elderly person falls down, you could detect the event,\" he says. \"You could monitor the vitals for elderly people in a T-shirt. Or you could sense glucose levels and heart rates. This is not an appendage, this is part of your clothes. They don’t even know they’re wearing it.”\u003c/p>\n\u003cp>\u003cstrong>Precision Embroidering = Cutting Edge Technology\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Functional textiles, also called e-textiles, are created in part on a typical sewing machine. The researchers substitute traditional thread with ultra-thin metal wires, which once embroidered feels just like fabric thread. Each filament is copper at the center, enameled with pure silver.\u003c/p>\n\u003cp>\"We started with a technology that is very well-known--machine embroidery--and we asked, how can we functionalize embroidered shapes?\" Volakis says. \"How do we make them transmit signals at useful frequencies, like for cell phones or health sensors?\"\u003c/p>\n\u003cp>\"Now, for the first time, we've achieved the accuracy of printed metal circuit boards, so our new goal is to take advantage of the precision to incorporate receivers and other electronic components.\"\u003c/p>\n\u003cp>\u003cstrong>Is There a Market?\u003c/strong>\u003c/p>\n\u003cp>The research team has manufactured prototypes that cost a fraction of the amount and take half the time to create compared to similar products just two years ago.\u003c/p>\n\u003cp>\"The next step is to have all these antennas and circuits integrated fashionably into clothing,\" says Kiourti. \"No one is going to buy something with a large antenna sticking out.\"\u003c/p>\n\u003cp>Kiourti says Fitbits and smartwatches are paving the way for wearables, but a $100 T-shirt will still be a tough sell, so lowering cost will be a key factor in developing products.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The research has been published online in the journal \u003cem>\u003ca href=\"http://ieeexplore.ieee.org/xpl/articleDetails.jsp?reload=true&arnumber=7110536\" target=\"_blank\">IEEE Antennas and Wireless Propagation Letters\u003c/a>\u003c/em>.\u003c/p>\n\n","blocks":[],"excerpt":"Researchers have discovered how to embroider circuits into fabric with 0.1 mm precision, potentially enabling a host of medical applications.","status":"publish","parent":0,"modified":1517014437,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":553},"headData":{"title":"Computerized Clothes a Step Closer to Reality | KQED","description":"Researchers have discovered how to embroider circuits into fabric with 0.1 mm precision, potentially enabling a host of medical applications.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Computerized Clothes a Step Closer to Reality","datePublished":"2016-04-18T20:30:59.000Z","dateModified":"2018-01-27T00:53:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"146457 http://ww2.kqed.org/futureofyou/?p=146457","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/04/18/computerized-clothes-a-step-closer-to-reality/","disqusTitle":"Computerized Clothes a Step Closer to Reality","path":"/futureofyou/146457/computerized-clothes-a-step-closer-to-reality","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When I picture a device measuring brain activity, clunky headgear with lots of external wires comes to mind.\u003c/p>\n\u003cp>But now tracking brain signals may soon be possible through a \u003cem>smart hat -- \u003c/em>with tiny antennas sewn into the fabric.\u003c/p>\n\u003cp>Researchers at Ohio State University have discovered how to embroider circuits into fabric with 0.1 mm precision. They say ultra-thin metallic thread is the perfect size to mesh electronic components like sensors and chips into textiles.\u003c/p>\n\u003cp>“In the past [the embroidered wires] had an error of 30 percent. That was not acceptable,\" says John Volakis, director of the ElectroScience Laboratory at Ohio State University. \"We now can do controllable performance with an error of just a fraction of a percent.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp> The advancement is the next step in functional textiles -- clothes that gather, store or transmit digital information.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Promising Medical Applications\u003c/strong>\u003c/p>\n\u003cp>Researchers think portable sensors and antennas sewn into fabrics caps could be paired with \u003ca href=\"http://www.nsf.gov/awardsearch/showAward?AWD_ID=1344928\" target=\"_blank\">technology, \u003c/a>now in development, to enable tracking of deep brain activity through wireless implants. The combination would allow for 24-hour brain monitoring in patients with neurological conditions like epilepsy or Parkinson's disease. Currently, doctors can only monitor patient's brain activity while they're in the hospital.\u003c/p>\n\u003cp>Other applications for embroidered circuits could include imaging sensors in T-shirts, which could measure the growth of a tumor or detect fluid in lungs, research scientist Asimina Kiourti says.\u003c/p>\n\u003cp>Volakis is especially excited that smart clothes could benefit senior citizens.\u003c/p>\n\u003cp>“Imagine when an elderly person falls down, you could detect the event,\" he says. \"You could monitor the vitals for elderly people in a T-shirt. Or you could sense glucose levels and heart rates. This is not an appendage, this is part of your clothes. They don’t even know they’re wearing it.”\u003c/p>\n\u003cp>\u003cstrong>Precision Embroidering = Cutting Edge Technology\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Functional textiles, also called e-textiles, are created in part on a typical sewing machine. The researchers substitute traditional thread with ultra-thin metal wires, which once embroidered feels just like fabric thread. Each filament is copper at the center, enameled with pure silver.\u003c/p>\n\u003cp>\"We started with a technology that is very well-known--machine embroidery--and we asked, how can we functionalize embroidered shapes?\" Volakis says. \"How do we make them transmit signals at useful frequencies, like for cell phones or health sensors?\"\u003c/p>\n\u003cp>\"Now, for the first time, we've achieved the accuracy of printed metal circuit boards, so our new goal is to take advantage of the precision to incorporate receivers and other electronic components.\"\u003c/p>\n\u003cp>\u003cstrong>Is There a Market?\u003c/strong>\u003c/p>\n\u003cp>The research team has manufactured prototypes that cost a fraction of the amount and take half the time to create compared to similar products just two years ago.\u003c/p>\n\u003cp>\"The next step is to have all these antennas and circuits integrated fashionably into clothing,\" says Kiourti. \"No one is going to buy something with a large antenna sticking out.\"\u003c/p>\n\u003cp>Kiourti says Fitbits and smartwatches are paving the way for wearables, but a $100 T-shirt will still be a tough sell, so lowering cost will be a key factor in developing products.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The research has been published online in the journal \u003cem>\u003ca href=\"http://ieeexplore.ieee.org/xpl/articleDetails.jsp?reload=true&arnumber=7110536\" target=\"_blank\">IEEE Antennas and Wireless Propagation Letters\u003c/a>\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/146457/computerized-clothes-a-step-closer-to-reality","authors":["11229"],"categories":["futureofyou_1060","futureofyou_1062"],"tags":["futureofyou_25"],"featImg":"futureofyou_146600","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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