New Devices for Nutrition Tracking:Vitamins and Minerals
AMALIA GIL
Jan 28, 2019
CESO PRESENTATION
Anyone familiar with this?
[1] Canada’s Food Guide (2007)
[2] Canada’s Food Guide (2019)
Burden of NOT Meeting Food Guide
$13.8 Billion/Year
Health Care Costs
Hospital Care
Physician Care
Prescription Drugs
Indirect Costs
Loss production
Morbidity
Premature Mortality
[3] Lieffers et al. (2018)
Essential Vitamins and Minerals
Brain and Memory
B6, B12, Folic AcidEye Function
A, C, E, Lutein, Zinc
Digestion
A, B12, C, D
Heart and Blood
Iron, D, K
Bone Strength
D, K2, Calcium, Magnesium
Reproductive
B6, B12, Folic Acid
Energy Release
B12, Magnesium
Muscular System
Vitamins C, D, E
[4] Kelley, J. (2019)
Increased Risk of Chronic Disease
Type 2 Diabetes Hypertension
Ischemic Heart Failure
Pharyngeal Cancer
Kidney Disease
Stroke
Rectal Cancer
[5] Alberta Health Services (2013)
Current Tracking Method
Stage 1
Stage 2
“Assessment”
“Treatment”
Doctor’s Office
Blood Tests Results
Change in Lifestyle or Diet or Supplement
Blood Tests Results
Discussion with Doctor
Case Study - Hemoglobin
6 months 3 months
LOW
Solutions
[6-7] VitaScan.me, aminahealth.com
How it works - Technology
1. Finger prick of blood onto test strip
2. Strip placed into reader
3. Results in 10-20 min on phone or computer
Iron Level
16 ng/ml
[6] vistascan.me
How it works – Test StripLateral Flow Immunofluorescent Assay
• Flow is left to right • Fluorescently labelled antibodies• Specific affinity to the substance
[8-10] Lee et al. (2016), Lu et al. (2017)
Example – Ferritin (Iron)
Ferritin – a biomarker that is used for assessment of iron concentrations in blood
Example – Ferritin (Iron)
Example – Ferritin (Iron)
Example – Ferritin (Iron)
Example – Ferritin (Iron)
Example – Ferritin (Iron)
Example – Ferritin (Iron)
How it Works - Reader
Raspberry Pi
Fluorescence Sensor
[6] vitascan.me[9] Lu et al. (2017)
Fluorescence Sensor
Excitation LED’s
Camera Lens Regular Fluorescent[9] Lu et al. (2017)
Image Analysis
Image Processing Correlation & Display
[9] Lu et al. (2017)
Advantages
Portable System
Affordable
Fast Results Test At Home
Test on Own Terms
No Doctor’s Appointment
Required
[6] vitascan.me
Lessons Learned
• Avoid concerning users that do not need to be concerned
• Extreme care to be taken with false-positives
• Avoid overloading patients & physicians with data
[11] Sawh, M (2018)
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
At Home Tracking
Prescribe Tracker
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBSBariatric Surgery
High Risk for Other Chronic Diseases
Physician
Patient
Rewards
Dietitian orHealth Care Coach
Provide Feedback and Recommendations
Professional
Further Assessment
Further Treatment/Testing
[6] vitascan.me
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Rewards
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Rewards
Dietitian orHealth Care Coach
Provide Feedback and Recommendations
Professional
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Rewards
Dietitian orHealth Care Coach
Provide Feedback and Recommendations
Professional
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Dietitian orHealth Care Coach
Rewards
Provide Feedback and Recommendations
Professional
Further Assessment
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Dietitian orHealth Care Coach
Provide Feedback and Recommendations
Rewards
Professional
Further Assessment
Deficiency Diet
Chron’s Disease
Ulcerative Colitis
IBS Bariatric Surgery
High Risk for Other Chronic Diseases
Patient
At Home Tracking
Proposed Solution – Phone App Service
Quickly Screen High Risk Patients
Physician Prescribe Tracker
Dietitian orHealth Care Coach
Provide Feedback and Recommendations
Rewards
Professional
Further Assessment
Further Treatment/Testing
Digital Therapeutics
[12] Cafazzo, J. (2018)
The Future
Thank you
New Devices for Nutrition Tracking:
Vitamins and Minerals
AMALIA GIL
Jan 28, 2019
CESO PRESENTATION
Questions?
References
1. Health and Welfare Canada. Eating Well with Canada’s Food Guide. [Internet]. Ottawa, Health Canada; 2007. Available from: https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/fn-an/alt_formats/hpfb-dgpsa/pdf/food-guide-aliment/view_eatwell_vue_bienmang-eng.pdf
2. Canada’s Food Guide: Healthy Eating Recommendations [Internet]. Ottawa, Health Canada; 2019. Available from: https://food-guide.canada.ca/static/assets/pdf/CFG-snapshot-EN.pdf
3. Lieffers JRL, Ekwaru JP, Ohinmaa A, Veugelers PJ. The economic burden of not meeting food recommendations in Canada: The cost of doing nothing. PLoS One. 2018;13(4):1–17.
4. Kelley J. Essential Vitamins And Minerals: Sources & Functions (Infographic) [Internet]. Care Happiness. [cited 2019 Jan 1]. Available from: https://carehappiness.com/essential-vitamins-minerals-sources-functions/
5. Nutrition Guideline Vitamins and Minerals. Alberta. Alberta Health Services; 2013.
6. VitaScan [Internet]. [cited 2019 Jan 1]. Available from: https://www.vitascan.me/
7. Amina Health [Internet]. [cited 2019 Jan 1]. Available from: https://www.aminahealth.com/
References
7. Amina Health [Internet]. [cited 2019 Jan 1]. Available from: https://www.aminahealth.com/
8. Lee S, O’Dell D, Hohenstein J, Colt S, Mehta S, Erickson D. NutriPhone: A mobile platform for low-cost point-of-care quantification of Vitamin B 12 concentrations. Sci Rep. 2016;6(May):1–8. 9.
9. Lu Z, O’Dell D, Srinivasan B, Rey E, Wang R, Wang R, et al. Rapid diagnostic testing platform for iron and vitamin A deficiency. Proc Natl Acad Sci. 2017;114(51):13513–8.
10. Lu Z, O’Dell D, Srinivasan B, Rey E, Wang R, Wang R, et al. Supporting Information. Proc Natl Acad Sci. 2017;114(51):1–11.
11. Sawh M. Atrial fibrillation explained: Why Apple want to look after your heart [Internet]. Wearable LTD. 2018 [cited 2019 Jan 1]. Available from: https://www.wareable.com/fitbit/atrial-fibrillation-explained-4220
12. Cafazzo J. Implementing Human Factors in Healthcare. 2018.