decrease of cognitive decline, malnutrition and sedentariness by elderly empowerment in lifestyle...
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Decrease of cOgnitive decline, malnutRition and sedEntariness by elderly
empowerment in lifestyle Management and social Inclusion – DOREMI
FP7-ICT-2013-10 GA 611650
Oberdan Parodi
IFC-CNR Pisa, Italy
Scientific and clinical overview
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DOREMI ConsortiumoremiParticipant
no. Participant organisation namePart. short
nameCountry
1 Consiglio Nazionale Delle Ricerche CNR IT
2 Università di Pisa UNIPI IT
3 TSB Real Time Location Systems SL MYSPHERA ES
4 AIT Austrian Institute of Technology GmbH AIT AT
5 Fundació per la Universitat Oberta de Catalunya UOC ES
6 The Extracare Charitable Trust ExtraCare UK
7 Imaginary Srl IMA IT
8 De Montfort University DMU UK
9 Age Platform Europe AISBL AGE BE
10
SI4LIFE – Scienza e impresa insieme per migliorare la qualità della vita scrl
SI4LIFE IT
11 Accord Housing Association Ltd Accord UK
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UOC
IMA
DMU
AGE
CNR
AIT
MYSPHERA
EXTRACARE
UNIPI
Si4LIFE
ACCORD
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According to several Food and Health Associations, three are the most notable health promotion and disease prevention programs that target the main causes of morbidity and premature mortality, among them obesity, hypertension, and mental disorders.
These programs are addressingMalnutrition (obesity/abnormal diet lifestyle),
Sedentariness, and Cognitive decline,
the main conditions affecting the quality of life of elderly people and driving to the above described diseases.
Why the 3 target impairments in DOREMI project?
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The perverse linkamong the 3 impairments
COGNITIVE DECLINE
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MALNUTRITIONSEDENTARINESS
++
discrepancy between needs,intake and utilization of nutrients
inappropriate mobilization, CV system impairment
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Fluid imbalance hyper/dehydration
Loss of muscular strength/mass
Decrease of basal energy expenditure
Synergic detrimental effectsof Malnutrition, Sedentarinessand Cognitive decline
Cardiovascular deterioration CV EVENTS
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The DOREMI project vision is aimed at developing a
systemic solution for healthy ageing,based on a well-targeted problem
definition and model, able to prolong the functional and cognitive
capacity by a promotion of the health through a constructive interaction among mind,
physical activity, diet and social engagement
oremi ICT solution against the 3 impairments
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Engage Engage
Monitor Monitor
Analyse Analyse
Active Ageing Life Style Protocol
Specialist
Select protocol or combination of protocols (e.g. ADL, IADL, diet etc.)
Gamified Scenarios for promoting physical, mental and social activity
Social game
Dashboard / LS protocol
compliance or upgrade
Exergame and Diet advice
Lifestyle protocol gamified
Social interaction
How elderly respond to protocol
Cognitive game
Physical activity
DOREMI environment:
Monitor protocol compliance, confirm or assign a revised protocol suggested by the DOREMI
Community
Assign
Nutrition
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oremi Recognition of impairments, profiling the lifestyles
Validated scales for disease characterization
Criteria for eligibility of users’ enrolment
Degree of impairment
Profiling lifestyle solution
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Engage Engage
Monitor Monitor
Analyse Analyse
Active Ageing Life Style Protocol
Specialist
Select protocol or combination of protocols (e.g. ADL, IADL, diet etc.)
Gamified Scenarios for promoting physical, mental and social activity
Social game
Dashboard / LS protocol
compliance or upgrade
Exergame and Diet advice
Lifestyle protocol gamified
Social interaction
How elderly respond to protocol
Cognitive game
Physical activity
DOREMI environment:
Monitor protocol compliance, confirm or assign a revised protocol suggested by the DOREMI
Community
Assign
Nutrition
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oremi DOREMI Environment: ENGAGE
“SERIOUS GAMES”
DIETARY PROTOCOL
PHYSICAL ACTIVITY PROTOCOLS TO INCREASE:
• Muscle Mass
• Strength
• Physical Performance
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Engage Engage
MonitorMonitor MonitorMonitor
Analyse Analyse
Active Ageing Life Style Protocol
Specialist
Select protocol or combination of protocols (e.g. ADL, IADL, MMSE etc.)
Gamified Scenarios for promoting physical, mental and social activity
Social game
Dashboard / LS protocol
compliance or upgrade
Exergame and Diet advice
Lifestyle protocol gamified
Social interaction
How elderly respond to protocol
Cognitive game
Physical activity
DOREMI environment:
Monitor protocol compliance , confirm or assign a revised protocol suggested by the DOREMI
Community
Assign
Nutrition
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oremi DOREMI Environment: MONITOR
MALNUTRITION:
Test Scores during intervention (MNA)
Anthropometric data sensorized bed carpet
Intake and quality of food during the day
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oremi DOREMI Environment: MONITOR
SEDENTARINENESS:
Test Scores during intervention (PASE, BERG)
Anthropometric data sensorized bed carpet
Bracelet/WSN
ExerGames
Social Games
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MonitoringDOREMI parameters
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Monitoring:
Heart Rate
Physical Activity Kcal intake by food Kcal consumption by PA
Compliance to DOREMI
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oremi DOREMI Environment:MONITOR
COGNITIVE DECLINE:
Test Scores during intervention (MMSE, Token,…)
Cognitive Games (specifically designed)
Social Games
QoL assessment
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Engage Engage
Monitor Monitor
Analyse Analyse Analyse Analyse
Active Ageing Life Style Protocol
Specialist
Select protocol or combination of protocols (e.g. ADL, IADL, diet etc.)
Gamified Scenarios for promoting physical, mental and social activity
Social game
Dashboard / LS protocol
compliance or upgrade
Exergame and Diet advice
Lifestyle protocol gamified
Social interaction
How elderly respond to protocol
Cognitive game
Physical activity
DOREMI environment:
Monitor protocol compliance, confirm or assign a revised protocol suggested by the DOREMI
Community
Assign
Nutrition
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DOREMI Environment:ANALYZE
Activity Recognition Process
“Reasoning” on the performance of the user
Presentation to the specialist of the LS protocol
compliance (DASHBOARD)
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Quando il progresso allunga la vita
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Validation Subjects Extracare Accord SI4LIFE Total
Location Milton Keynes (UK) West Midlands (UK) Genoa (Italy) Seregno (Italy)
Research Group 7 7 5 11 30
Control Group* 3 3 2 2 10
WP6:Validation of integrated system and refinement
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* Control Group = untreated patients with impairments
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oremi Key Performance Indicatorsof DOREMI effectiveness
Improvements of the scores adopted for definition of each impairment
Improvement of CV performance (HR, PB, RPP) during a 6 min. walking test
Improvement of hydration
Increase of muscle mass, improvement of BMI
Metabolic improvement (glycemia, total CHOL, LDL, Albumin, etc…)
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oremi Fulfill the end-user acceptance& their privacy
Personalized regime for PA and diet high
degree of lifestyle characterization
Development of unobtrusive monitoring
Empowering, stimulating, collecting habits and data by authorized and specialized personnel
Respect of all SPIRIT 2013 Statements*
*Defining Standard Protocol Items for Clinical Trials. Annals of Internal Medicine 2013
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& partners …
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Baseline
10 days
Training
15 days
Training
60 daysFinal
evaluation
5 days
TRIAL STRUCTURE & TIMESCALE
= 90 days
A
N. 10
2015
Nov Jan
Nov 1M28M27M25
90 days
EXTRA
Hardware Transferand Site Preparation
2016
Feb
N. 10ACCORD
N. 10SI4LIFE - Seregno
N. 10SI4LIFE - Genoa
90 days
Jan 31 Feb 1 Feb 29M28
Mar
M29Mar 1
Feb May
M31May 31
N.= number of participants
PILOT STUDY TIMESCALE B
Oct 16M24
Site Preparation
Oct 31M24
Oct Oct
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Kick Off MeetingPisa, December 2, 2013
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Bioelectrical Impedance Analysisas follow-up tool for malnutrition correction: BIA
Kick Off MeetingPisa, December 2, 2013