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We explored opportunities for personalized and predictive health care by collecting serial clinical measurements, health surveys, genomics, proteomics, autoantibodies, metabolomics, and gut microbiome data from 96 individuals who participated in a data-driven health coaching program over a 16-month period with continuous digital monitoring of activity and sleep. We generated a resource of >20,000 biological samples from this study and a compendium of >53 million primary data points for 558,032 distinct features. Multiomics factor analysis revealed distinct and independent molecular factors linked to obesity, diabetes, liver function, cardiovascular disease, inflammation, immunity, exercise, diet, and hormonal effects. For example, ethinyl estradiol, a common oral contraceptive, produced characteristic molecular and physiological effects, including increased levels of inflammation and impact on thyroid, cortisol levels, and pulse, that were distinct from other sources of variability observed in our study. In total, this work illustrates the value of combining deep molecular and digital monitoring of human health. A record of this paper's transparent peer review process is included in the supplemental information., Competing Interests: Declaration of interests O.K. received research funding from Vinnova for collaboration between Astra Zeneca, Takeda, Pelago, and Labcyte. O.K. is also a board member and a co-founder of Medisapiens and Sartar Therapeutics and has received a royalty on patents licensed by Vysis-Abbot. R.S. is currently employed at Crown CRO., (Copyright © 2021. Published by Elsevier Inc.)

Novel health monitoring devices and applications allow consumers easy and ubiquitous ways to monitor their health status. However, technologies from different providers lack both technical and semantic interoperability and hence the resulting health data are often deeply tied to a specific service, which is limiting its reusability and utilization in different services. We have designed a Wellness Warehouse Engine (W2E) that bridges this gap and enables seamless exchange of data between different services. W2E provides interfaces to various data sources and makes data available via unified representational state transfer application programming interface to other services. Importantly, it includes Unifier--an engine that allows transforming input data into generic units reusable by other services, and Analyzer--an engine that allows advanced analysis of input data, such as combining different data sources into new output parameters. In this paper, we describe the architecture of W2E and demonstrate its applicability by using it for unifying data from four consumer activity trackers, using a test base of 20 subjects each carrying out three different tracking sessions. Finally, we discuss challenges of building a scalable Unifier engine for the ever-enlarging number of new devices.

Using an activity tracker for measuring activity-related parameters, e.g. steps and energy expenditure (EE), can be very helpful in assisting a person's fitness improvement. Unlike the measuring of number of steps, an accurate EE estimation requires additional personal information as well as accurate velocity of movement, which is hard to achieve due to inaccuracy of sensors. In this paper, we have evaluated regression-based models to improve the precision for both steps and EE estimation. For this purpose, data of seven activity trackers and two reference devices was collected from 20 young adult volunteers wearing all devices at once in three different tests, namely 60-minute office work, 6-hour overall activity and 60-minute walking. Reference data is used to create regression models for each device and relative percentage errors of adjusted values are then statistically compared to that of original values. The effectiveness of regression models are determined based on the result of a statistical test. During a walking period, EE measurement was improved in all devices. The step measurement was also improved in five of them. The results show that improvement of EE estimation is possible only with low-cost implementation of fitting model over the collected data e.g. in the app or in corresponding service back-end.

This paper describes a case study for collecting digital footprint data for the purpose of health data mining. The case study involved 20 subjects residing in Finland who were instructed to collect data from registries which they evaluated to be useful for understanding their health or health behaviour, current or past. 11 subjects were active, sending 100 data requests to 49 distinct organizations in total. Our results indicate that there are still practical challenges in collecting actionable digital footprint data. Our subjects received a total of 75 replies (reply rate of 75.0%) and 61 datasets (reception rate of 61%). Out of the received data, 44 datasets (72.1%) were delivered in paper format, 4 (6.6%) in portable document format and 13 (21.3%) in structured digital form. The time duration between the sending of the information requests and reception of a reply was 26.4 days on the average.