From late-night fridge raids to “joyful binges,” researchers say wearables could in the future unlock customized methods to curb overeating
A necklace that counts your bites, a wristband that tracks your motions and a bodycam that solely activates if you eat. Northwestern researchers strapped all three to dozens of adults with weight problems and uncovered 5 hidden overeating kinds that will form the following technology of digital well being instruments.
Researchers at Northwestern College developed a life-style drugs program utilizing three wearable sensors (a necklace, a wristband and a physique digicam) to seize consuming conduct in real-world settings whereas respecting privateness.
“Overeating is a serious contributor to weight problems, but most therapies overlook the unconscious habits that drive it,” stated Nabil Alshurafa, PhD, affiliate professor of Preventive Drugs within the Division of Behavioral Drugs and of pc engineering on the McCormick Faculty of Engineering. He’s the corresponding writer of the examine, revealed this month in NPJ Digital Drugs, a part of the Nature portfolio.
For the examine, sixty adults with weight problems wore the sensors and logged their meal-related temper and context (comparable to who they had been with and what they had been doing) via a smartphone app for 2 weeks. The analysis generated hundreds of hours of information and revealed that overeating falls into 5 distinct patterns:
- Take-out feasting: gorging on supply and take-out meals
- Night restaurant reveling: social dinners resulting in extra meals consumption
- Night craving: late-night snack compulsion
- Uncontrolled pleasure consuming: spontaneous, joyful binges
- Stress-driven night nibbling: anxiety-fueled grazing
“These patterns mirror the advanced dance between atmosphere, emotion and behavior,” Alshurafa stated. “What’s wonderful is now now we have a roadmap for customized interventions.”
The findings may encourage a brand new diagnostic mannequin, the place people are profiled into one of many 5 patterns and given tailor-made interventions. Alshurafa stated his workforce is already working with clinicians to pilot customized behavior-change trials.
“What struck me most was how overeating isn’t nearly willpower,” stated lead writer Farzad Shahabi, a PhD scholar in Alshurafa’s lab. “Utilizing passive sensing, we had been in a position to uncover hidden consumption patterns in individuals’s real-world conduct which can be emotional, behavioral and contextual. Seeing the patterns emerge from the info felt like turning on a light-weight in a room we’ve all been stumbling via for many years. Our long-term imaginative and prescient is to maneuver past one-size-fits-all options and towards a world wherein well being expertise feels much less like a prescription and extra like a partnership.”
Alshurafa’s workforce constructed a customized digicam referred to as HabitSense, a patented Exercise-Oriented Digital camera (AOC) developed after experimenting with a police bodycam. HabitSense makes use of thermal sensing to file solely when meals enters its discipline of view, avoiding broad surveillance. It captures exercise moderately than surroundings, lowering privateness considerations whereas logging crucial information.
Members additionally wore NeckSense, a necklace designed by Alshurafa’s workforce that detects bites, chewing pace and hand-to-mouth motions, together with a wrist-worn tracker much like a FitBit or Apple Watch.
Alshurafa stated his personal historical past of fluctuating weight fueled the analysis. He typically gained or misplaced 40 to 50 kilos in his youthful years, biking via diets and late-night binge consuming in entrance of the TV.
“I attempted to show my private battle right into a scientific mission that guarantees to reshape weight problems therapy,” he stated. “By merging pc science, behavioral drugs and a touch of Jane Goodall–type curiosity, we’re working to cleared the path towards actually customized, habit-based healthcare. This examine marks solely the start of a journey towards smarter and extra compassionate interventions for hundreds of thousands grappling with overeating.”
As for what it could appear like sooner or later, the Northwestern workforce says the examine lays the groundwork for wearables that may spot when somebody is drifting towards overeating and step in on the proper second. In checks, sensors flagged danger with reasonable accuracy, and when mixed with temper and context information, the predictions obtained even sharper. The researchers additionally recognized particular alerts (like hitting round 500 chews or 75 bites in a single meal) that will point out overeating, which may immediate a tool to supply nudges tailor-made to an individual’s patterns.

Such an method may provide a non-GLP-1 observe for weight administration and should even assist sufferers who’re truly fizzling out weight reduction medication, serving to to maintain conduct change.
Within the meantime, different wearable startups are additionally circling the meals house. Rex.match, for instance, is about to launch The Drop, a $199 pendant-style wearable nutrition tracker that uses a 4K AI camera to automatically log meals and estimate calories and macros. Whereas Northwestern’s analysis is extra about decoding behaviors than changing meals logging, the tasks level to the identical bigger development: utilizing wearables to grasp what (and the way) individuals eat.