{"id":32157,"date":"2014-08-14T16:31:08","date_gmt":"2014-08-14T15:31:08","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=32157"},"modified":"2014-08-14T16:37:00","modified_gmt":"2014-08-14T15:37:00","slug":"david-kerr-self-obsessing-health-technology","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/08\/14\/david-kerr-self-obsessing-health-technology\/","title":{"rendered":"David Kerr: Self obsessing health technology"},"content":{"rendered":"

\"david_kerr\"<\/a>Has the health tech industry and those who fund it lost the plot? Apparently, the next must have technology is the connected toothbrush. A \u201cdata driven oral health startup\u201d company in the United States has just received a multi-million dollar investment to further develop a smartphone connected toothbrush<\/a>.<\/p>\n

With this toothbrush, an accelerometer measures how long a user brushes his or her teeth,\u00a0and this information is then transferred to a smartphone that records teeth cleaning trends over time. The device can also play music during the suggested two minutes brushing time \u201cto create a highly engaging user experience.\u201d Whether this will be beneficial for the oral health of the nation remains to be seen, but this type of product is very likely to end up in one or two Christmas stockings this year.<\/p>\n

For some, the concept of the connected toothbrush may be a step too far for personal health devices. Yet creating technologies to record mundane human tasks may turn out to have potential value beyond simple commercial gain for the companies creating them and their investors.<\/p>\n

For example, a daily shower or bathing app\u00a0could record\u00a0duration\u00a0and temperature, which algorithmically converts the information to give an indication of the shower’s environmental burden. The market for this\u2014at least in the US\u2014could be enormous, as according to an article from the New York Times<\/em> from a few years ago<\/a>:\u00a0\u201cA daily shower is a deeply ingrained American habit. Most people would no sooner disclose they had not showered in days than admit infidelity.\u201d<\/p>\n

This type of gadget would certainly be popular here in tech savvy, drought stricken California. A\u00a0shower app could also be beneficial from a health perspective; it could encourage users to carry out self examination for early detection of skin, testicular, and breast cancer. Or, the functionality could be added so that this app was capable of measuring body fat. The time spent naked in the bathroom seems a good opportunity to combat excess weight gain.<\/p>\n

Taking this even further, the iPhone could make stool gazing mainstream\u2014bowel movement recording apps are already available. Again, these could have reasonable health benefits if the app also contributes to screening for bowel cancer, and also for people living with inflammatory bowel disease, although the symptoms are usually only too obvious.<\/p>\n

And there’s still more mundane tasks out there that we could quantify in apps, such as data dredging the daily shave. This may be a boon for the male grooming industry and for purveyors of cures for low testosterone\u2014which, incidentally, is expected to\u00a0be a $5bn industry by 2017<\/a>\u2014but it is likely to be of only marginal interest to endocrinologists. Likewise, it is a bit difficult to identify the potential health benefits of how often toenails are clipped, socks changed, or hair combed.<\/p>\n

As they move into measuring human physiology, device manufacturers and app developers will need to account for the body’s natural variability to prevent regular users becoming anxious, neurotic, and self obsessed with the minutiae of their bodily functions. \u00a0These mundane, measuring devices\u2014together with the plethora of existing wellness apps\u2014seem to have the common aim of creating perfect human beings, although at a price of having to spend significant amounts of time reviewing the data obtained.<\/p>\n

Recording personal physiology for finite periods of time to aid diagnosis and the treatment of existing medical conditions makes intuitive sense; as does recording the number of steps taken, the number of calories burned, or the maximum heart rate achieved, when it comes to health promotion. Although\u00a0it is probable\u00a0that the groups most likely to benefit from participation in exercise, will be the ones least likely to use the technology on a regular basis.<\/p>\n

Much less convincing is the idea of recording the routine and mundane activities that we all have to participate in, even with a \u201chighly engaging user experience.\u201d With many health related apps already sharing data with family, friends, and the rest of the worldwide web, I suspect that people are likely to want to keep the frequency of their tooth brushing, ear-waxing, and nose hair trimming between themselves and their bathroom mirrors.<\/p>\n

David Kerr<\/strong>\u00a0wears many hats, sometimes at the same time\u2014diabetologist; editor of Diabetes Digest; researcher; and founder of VoyageMD.com, a free service for travellers with diabetes, and Excarbs.com, which focuses on exercise and insulin. He is now director of research and development at Sansum Diabetes Research Institute in Santa Barbara, California. You can follow him on Twitter (@GoDiabetesMD<\/a>) and Linkedin.<\/em><\/p>\n

Competing interests: The author has no relevant competing interests to declare.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Has the health tech industry and those who fund it lost the plot? Apparently, the next must have technology is the connected toothbrush. A \u201cdata driven oral health startup\u201d company […]<\/p>\n

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