Apple, Eli Lilly study seeks to determine whether iPhone and Apple Watch can detect dement...

Posted:
in General Discussion edited August 2019
A research paper published this week reveals Apple and pharmaceutical titan Eli Lilly and Company are working together to determine whether consumer devices like iPhone and Apple Watch can manage Alzheimer's disease and dementia.

Eli Lilly Study


Conducted in collaboration with health-tech startup Evidation, the study describes methods by which consumer electronic devices are used to detect signs of cognitive impairments, reports CNBC.

"With this research, we looked at how everyday behavior data, such as those captured by iPhones, Apple Watches, and Beddit sleep monitors, may be effective in differentiating between individuals with mild cognitive impairment and early Alzheimer's disease, and those without symptoms," Evidation co-founder Christine Lemke said in a statement to the publication.

As noted in the report, the study lasted 12 weeks and involved 113 people who were provided an iPhone, Apple Watch and Beddit sleep tracker. A total of 31 people suffering from dementia and other cognitive ailments were tested against a control group of 82 people, with all participants asked to refrain from treating symptoms with medication during the test phase.

Sensors in iPhone were used to track steps taken, while data was pulled from apps that incorporate typing functions. The handset was also used to facilitate a daily survey. Apple Watch tracked movement, heart rate, workout sessions, app usage, Breathe sessions, hours standing and other metrics, while Beddit was employed to measure a user's circadian rhythm.

Using data from iPhone, the report's authors discovered participants with cognitive issues typed more slowly, more irregularly and did not text as often as those in the control group, the report said. Further, the symptomatic group began to show regular activity -- as measured by iPhone's accelerometer -- later in the day and displayed a reliance on helper apps and services like Clock and Siri suggestions. People with signs of cognitive decline also answered a daily one-question survey less often and later in the day than those in the control group.

Apple data scientist Richard Chen is cited as a lead author, while three other Apple employees with backgrounds in data science and and machine learning contributed to the report. Chen left the company in February, according to his LinkedIn profile. A member of Apple's special projects team, Andrew Trister, M.D., Ph.D., is also credited as a contributor.

The report's authors are cautious about the prospect of using iPhone, Apple Watch and similar devices to detect and monitor symptoms of mild cognitive impairment and Alzheimer's disease, saying additional research and validation is needed before such applications can become a reality.

Results of the study will be discussed at the KDD 2019 conference in Anchorage, Alaska, on Thursday.

Apple is increasing investment into health-related technologies, an initiative currently spearheaded by technology integrated into Apple Watch. The latest version of the wearable boasts a next-generation heart rate sensor and includes the first FDA-approved over-the-counter electrocardiogram.

Comments

  • Reply 1 of 15
    AppleExposedAppleExposed Posts: 1,805unconfirmed, member
    This is some next-level sh** and can clarify the reasons(beyond the obvious) why Apple may have acquired Beddit.

    Like I mentioned in the Intel acquisition thread. Apple doesn't JUST acquire a company without a long term vision.
    fastasleepFileMakerFellerpscooter63
  • Reply 2 of 15
    A lot of things can contribute to Dementia. Saw my Doc Monday and he mentioned that a recent CE class they discussed that a large number of sleeping pills can double the risk of Dementia. He also said that he has banned those groups of sleep meds from his practice. While detection is damn important, just as important are those aspects of daily life that can cause it. It might be that a lower level of oxygen in the blood (PulseOx) brings it on faster, or chemicals exposed to at work or during military service. PulseOx is easy to check with inexpensive meters you can get from Amazon type web sites.
    GeorgeBMacJWSC
  • Reply 3 of 15
    sirozhasirozha Posts: 801member
    The Apple Watch can absolutely be used to detect dementia. The more expensive Apple watches one buys and the more often one buys them the more demented the individual is. 
    edited August 2019 FileMakerFellerzoetmb
  • Reply 4 of 15
    fastasleepfastasleep Posts: 6,417member
    sirozha said:
    The Apple Watch can absolutely be used to detect dementia. The more expensive Apple watches one buys and the more often one buys them the more demented the individual is. 

    edited August 2019 macxpressAppleExposedFileMakerFellerSolipscooter63
  • Reply 5 of 15
    GeorgeBMacGeorgeBMac Posts: 11,421member
    kenaustus said:
    A lot of things can contribute to Dementia. Saw my Doc Monday and he mentioned that a recent CE class they discussed that a large number of sleeping pills can double the risk of Dementia. He also said that he has banned those groups of sleep meds from his practice. While detection is damn important, just as important are those aspects of daily life that can cause it. It might be that a lower level of oxygen in the blood (PulseOx) brings it on faster, or chemicals exposed to at work or during military service. PulseOx is easy to check with inexpensive meters you can get from Amazon type web sites.
    That's a smart Doctor you got there!
    One of the biggest culprits of the group he was talking about are the anticholinergics that are often used for allergies as well as urinary incontinence issues -- but also are frequently used for sleep as well.

    And, there aren't many who are on board with the idea that chronic vascular deficiencies (of which PulseOx shows one) can impact the brain.   But I think he's on the right track there.  It just makes sense!

    And, along those lines, hopefully he mentioned that, while there's no cure for dementia there is a way to prevent a lot of it:   a healthy lifestyle of healthy diet and daily (aerobic) exercise that raises the heart rate.
    JWSC
  • Reply 6 of 15
    larryjwlarryjw Posts: 1,031member
    sirozha said:
    The Apple Watch can absolutely be used to detect dementia. The more expensive Apple watches one buys and the more often one buys them the more demented the individual is. 
    I was waiting for someone to make this obvious joke. 

    Now I don't have to.

    Another is Apple will never be able to detect dementia because those able to make use of the Apple Watch is proof that they are more cognitively sound than those who don't. 
  • Reply 7 of 15
    Jokes like those above continue the stigmatization of people with dementia. Just don’t. 

    Back in topic, this is super interesting. A number of companies are working on measuring these phone interactions and they show early results of correlating user interactions with cognitive functions (digital biomarkers). This field is expanding quickly. 
    edited August 2019 pscooter63
  • Reply 8 of 15
    hydrogenhydrogen Posts: 314member
    Californian dream ... (or nightmare, if pushed to the extreme ...) ....
  • Reply 9 of 15
    paxmanpaxman Posts: 4,729member
    Alzheimer's - also refereed to as Type 3 diabetes. People like Amy Berger & Dale Bredesen are suggesting a major contributor to Alzheimer's is hyperinsulinemia caused by high carbohydrate diets. 63% of the American adult population now has diabetes. That figure is derived at by measuring blood glucose, but if insulin levels were measured the number could be significantly higher. 
  • Reply 10 of 15
    A Canadian teen has already developed an app for that! (detect Alzheimer's disease) Using gait analysis, seniors run the app while placing iPhone in back pocket, and walking. https://www.cbc.ca/news/canada/british-columbia/app-smartphone-gait-analysis-alzheimer-s-disease-seniors-health-1.5218670
  • Reply 11 of 15
    GeorgeBMacGeorgeBMac Posts: 11,421member
    paxman said:
    Alzheimer's - also refereed to as Type 3 diabetes. People like Amy Berger & Dale Bredesen are suggesting a major contributor to Alzheimer's is hyperinsulinemia caused by high carbohydrate diets. 63% of the American adult population now has diabetes. That figure is derived at by measuring blood glucose, but if insulin levels were measured the number could be significantly higher. 
    Yeh, there's a ton of propaganda out there on nutrition -- much of it pushed by the meat, dairy and processed food industries.

    Ironically, lately the "low carb" fad diets are blaming "carbs" - where they conveniently glomb oatmeal in with donuts and CocaCola.  And, the truly ironic part of that is:  They push people into eating more animal products (loaded with animal fats) which produces the root cause of diabetes:  Insulin Resistance.   Then when those low-carbers eat even healthy foods, their insulin levels spike because their insulin can't work so their pancreas just keeps pushing out more and more insulin till it craps out.  

    Basically, the Low-Carb" thing becomes a self-fulfilling prophecy -- it causes the disease it is purported to prevent!
  • Reply 12 of 15
    JWSCJWSC Posts: 1,203member
    paxman said:
    Alzheimer's - also refereed to as Type 3 diabetes. People like Amy Berger & Dale Bredesen are suggesting a major contributor to Alzheimer's is hyperinsulinemia caused by high carbohydrate diets. 63% of the American adult population now has diabetes. That figure is derived at by measuring blood glucose, but if insulin levels were measured the number could be significantly higher. 
    Yeh, there's a ton of propaganda out there on nutrition -- much of it pushed by the meat, dairy and processed food industries.

    Ironically, lately the "low carb" fad diets are blaming "carbs" - where they conveniently glomb oatmeal in with donuts and CocaCola.  And, the truly ironic part of that is:  They push people into eating more animal products (loaded with animal fats) which produces the root cause of diabetes:  Insulin Resistance.   Then when those low-carbers eat even healthy foods, their insulin levels spike because their insulin can't work so their pancreas just keeps pushing out more and more insulin till it craps out.  

    Basically, the Low-Carb" thing becomes a self-fulfilling prophecy -- it causes the disease it is purported to prevent!

    So that’s interesting that animal fats can cause insulin resistance.  I’d be curious to know studies point to this and what the primary vector is in the fats.

    I ask this because my mother, who is 75, grew up in a household where her father demanded that all the children eat fat along with their meat.  He believed it was healthy.  Ironically, my grandfather lived to 98.  My mother tells this story because of the now common belief that fats are universally bad.

    But I have read that some fats are, in fact, healthy for you because they contain some nutrients that are difficult to find elsewhere.  Which might be true as long as you don’t overdo it.  And vitamin and mineral supplements have been found to have minimal efficacy.  So the real thing appears to be better.

  • Reply 13 of 15
    RadMaxRadMax Posts: 14member
    If the owner misplaces his/her Apple Watch daily, then he/she may have dementia.   Don't even need an app for that!
    edited August 2019
  • Reply 14 of 15
    GeorgeBMacGeorgeBMac Posts: 11,421member
    JWSC said:
    paxman said:
    Alzheimer's - also refereed to as Type 3 diabetes. People like Amy Berger & Dale Bredesen are suggesting a major contributor to Alzheimer's is hyperinsulinemia caused by high carbohydrate diets. 63% of the American adult population now has diabetes. That figure is derived at by measuring blood glucose, but if insulin levels were measured the number could be significantly higher. 
    Yeh, there's a ton of propaganda out there on nutrition -- much of it pushed by the meat, dairy and processed food industries.

    Ironically, lately the "low carb" fad diets are blaming "carbs" - where they conveniently glomb oatmeal in with donuts and CocaCola.  And, the truly ironic part of that is:  They push people into eating more animal products (loaded with animal fats) which produces the root cause of diabetes:  Insulin Resistance.   Then when those low-carbers eat even healthy foods, their insulin levels spike because their insulin can't work so their pancreas just keeps pushing out more and more insulin till it craps out.  

    Basically, the Low-Carb" thing becomes a self-fulfilling prophecy -- it causes the disease it is purported to prevent!

    So that’s interesting that animal fats can cause insulin resistance.  I’d be curious to know studies point to this and what the primary vector is in the fats.

    I ask this because my mother, who is 75, grew up in a household where her father demanded that all the children eat fat along with their meat.  He believed it was healthy.  Ironically, my grandfather lived to 98.  My mother tells this story because of the now common belief that fats are universally bad.

    But I have read that some fats are, in fact, healthy for you because they contain some nutrients that are difficult to find elsewhere.  Which might be true as long as you don’t overdo it.  And vitamin and mineral supplements have been found to have minimal efficacy.  So the real thing appears to be better.

    The very definition of Type 2 Diabetes is "insulin resistance" meaning the inability of insulin to "work well".   Unfortunately I cannot point to any randomized controlled study showing the animal fat promotes insulin resistance.   But there is a growing acceptance within the wider medical profession that that is the root cause -- that the animal fat "clogs" the insulin receptors.   That is probably based on the observational fact that those who eat high fat and/or are obese are at increased risk of Type 2 Diabetes.  And, if they have it, decreasing or eliminating both of those things decreases the severity of the disease if not cures it altogether.

    There are two things blocking a complete, 100% acceptance of that -- and both keep the focus on the symptom (high blood glucose levels):  First and probably foremost, few physicians measure insulin resistance and instead only measure the symptom (sugar levels) -- which keeps everybody focused on the symptom rather than the cause.  And second, when a sedentary person eats excess "carbs" they can indirectly promote insulin resistance because, when you flood your body with them (say by washing down a couple donuts with a 20 ounce CocaCola), your body goes into an emergency response where those sugars are converted into animal fats as your body tries to clear them out of the blood stream  -- so again, the focus stays on the "carbs" (which is mostly junk food).

    (In general, our healthcare system only tries to manage the symptoms of the chronic diseases that are ravaging our developed world.  For heart disease they bypass the clogged artery rather than addressing what caused it to be clogged.  And, for Type 2 Diabetes they are only concerned with glucose levels rather than the underlying insulin resistance)

    As for "healthy fats" I am leary of them.  I have seen no convincing evidence that they promote health -- just a lot of rhetoric.   The PrediMed study for instance:  They put the people on a full Mediterranean Diet loaded with whole grains, fruits, veggies and beans - plus either olive oil or tree nuts -- and their cardiac health improved.   And the conclusion was that the health benefits must have derived from the olive oil and tree nuts --- and the fact that they converted from the Standard American Diet of mostly red & processed meats, fried foods and junk food to whole grains, fruits, veggies, and beans (all widely acknowledged as the world's healthiest foods) was largely ignored.  I just don't find that a very convincing analysis.
    ... On the other hand, I have seen no convincing argument against "healthy fats" promoting health -- so I am watching that closely.
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