How your smartphone could improve your health

Lamiece Hassan on why unlocking the potential of smartphone data could be the next frontier for health research.

I have an addiction to my smartphone. It helps me to navigate not only the streets of my adopted home city of Manchester, but life in general; everything from banking to shopping, scheduling, videoing, networking, dating and, on occasion, making phone calls.  And it helps me to monitor things, like my patterns in exercise, diet and sleep. I’m the type who posts annoying screenshots of their step count on Instagram after a big night (#danceallnight). To some this could seem a somewhat unhealthy, yet common, obsession. However, I’m keen to learn how our increasing attachment to technology can actually help to generate new insights into health and disease and benefit others.

You see, your smartphone is a sort of digital Swiss Army knife, jam-packed with vital sensors and tools that collect, process and transmit all manner of data. Furthermore, it’s a constant companion, always on and always with you, effortlessly tracking your everyday routines. To researchers like me, who would otherwise have to dedicate significant time and effort to collecting these data themselves, smartphone apps are appealing, inexpensive tools for generating a wealth of high quality data on everyday life on a mass-scale.  Moreover, this type of ‘big data’ could hold the key to better understanding and treatments for many health conditions – like seasonal allergies, dementia and Parkinson’s.

One area where patient data is currently lacking is seasonal allergies.  Allergies are basically the result of the body’s immune system ‘misfiring’ and incorrectly responding to harmless substances or ‘allergens’, such as pollen. These allergies are very common in the Western world. One in four people will experience an allergy at some point in their lives and this number is increasing.  However, the causes are unclear.  Dr Sheena Cruickshank, an immunologist at The University of Manchester, explains the situation: “The rise in seasonal allergies like hay fever could be down to all sorts of things – such as changes in pollen exposure, pollution or maybe a lack of childhood exposure to germs. We have good quality data on many of the suspected causes but we don’t know how people are actually being affected. Gathering real-time data on a mass-scale about when and where symptoms occur could really help to change all of that.”

A nationwide study is currently underway to fill in these blanks and try to better understand seasonal allergies, all using a smartphone app called #BritainBreathing*. Allergy sufferers act as ‘citizen sensors’, using the app to keep a daily log of their symptoms (or lack thereof) like sneezing, itchy eyes and wheezing and track them over time. The app automatically does the rest, automatically sharing anonymised reports with the research team, with a time-stamp and approximate location.

Whilst sometimes trivialised, hay fever symptoms can be severe for some people and it is often associated with other conditions, such as asthma and eczema. Caroline, now 32, has had all three since childhood: ” I’ve had eczema since I was a baby, then I got hay fever and asthma later on around primary school age. At one point I was constantly on antihistamines.” Could a smartphone app help people like Caroline get a better handle on what their triggers might be? “When you’re young everyone else manages it for you, but when you get older you need to build up a picture in your own head to start to think about triggers: what is it, where was I, what was I doing at the time? Everyone carries their phone around now so that would be a good place to start.”

Indeed, decoding data has been key to other recent breakthroughs in the world of allergy research.  Whilst big is often beautiful, advances in statistical methods have arguably been just as important to unlock the insights hidden within the data. For example, combining data from several long-term studies (which collectively tracked almost 10,000 children from birth) helped researchers to question the stereotype of the so-called “allergic march”; a supposedly classic progression of symptoms starting in childhood, beginning with eczema, then progressing to wheeze and finally hay fever.  Using sophisticated analysis techniques, researchers showed that individuals fall into one of several ‘profiles’ and that this classic sequence is much less common than once thought (less than 7% followed this pattern). Findings like these appear to strengthen the case for acknowledging how variable patterns of allergic conditions can be, with slightly different symptoms and trajectories.

Teaming smartphone data with data from research studies like these has, to date, been an area with largely untapped potential. However, researchers are increasingly recognising the opportunities in bringing together different sources of data – including smartphones, wearable fitness gadgets and medical records – to shed light on diseases like dementia and Parkinson’s. For example, the 100 for Parkinson’s project invited people to use a smartphone app to track aspects of their health (including sleep quality, mood, exercise, diet and stress) for 100 days and donate their data to research.

Of course, it’s not all plain sailing. Some have expressed concerns about the quality of data, the ability to produce meaningful analyses and safeguarding personal information. However, the ability to work with the public to build large datasets to allow us to gain insights into both health and disease states mean that it’s an option increasingly being considered by a large array of scientific and medical fields. Is the smartphone the future of health research or is the challenge of disentangling the complex data generated by constant tracking more trouble than it’s worth?  We’ll just have to wait and see. I, for one, think it’s an opportunity too big to pass up.

*The free Britain Breathing app is available on the App Store and Google Play now.

Post by: Lamiece Hassan

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Thinking on your feet: The effects of dance on the brain

It’s nearing the end of September: a month for colourful autumn leaves, freshly sharpened pencils and pumpkin spiced lattes.  For many dance music fans, it’s also time to head to the island of Ibiza for the legendary closing parties at some of the world’s greatest clubs. Typically, nights on the ‘white isle’ see clubbers dancing well into the night and early hours of the morning.

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Let’s go dancing: DJs Disciples get the crowd moving at this year’s Cream Ibiza closing party. Credit: James Chapman Photography.

But how does dancing affect us? As anyone who has ever gone to a club night, ceilidh or even a Zumba class can testify, dancing can be excellent physical exercise, raising our heart rates and burning hundreds of calories. However, there is now growing evidence that dancing can also change the way you think.

Just ask professional dancer turned academic psychologist, Dr Peter Lovatt. Dr Lovatt runs the Dance Psychology Lab and researches the links between dance, problem solving and creativity (watch his TEDx talk). According to Dr Lovatt, the benefits of dancing are obvious: “dancing made me feel relaxed and stress free, it helped me to think more clearly, and it felt like the most natural thing in the world to do.” But where’s the empirical evidence for this claim? One emerging area of research studies how different types of dancing can improve different types of problem solving. In a recent study, researchers tested the relationship between dancing and ‘divergent’ thinking; that is, creative thinking tasks with multiple solutions, such as brainstorming. In the experiment, primary school children were randomly allocated to participate in 10 minutes of either ‘improvised’ dance (the experimental group) or ‘command-style’ dance, where they learned a simple routine (the control group). The children then performed a creative toy design task. The results revealed that children assigned to the improvised dance group performed significantly better than the control group. In other words, improvised dancing seemed to boost the children’s creative thinking ability.

There is also growing interest in how dancing can help maintain healthy brain function in older age. Whilst the link between exercise and healthy cognitive function remains uncertain, it remains a key area of interest for researchers. However, fitness may not be the only mechanism involved. Indeed, dancing involves a combination of elements which may be beneficial, including social interaction, musical stimulation and cognitive reasoning (i.e. literally thinking on your feet). In one study, 35 older people who took part in a dancing programme, for over six months, showed a range of cognitive improvements, including improved working memory and reaction times. Yet within the group cardio-respiratory performance did not change. Furthermore, in an American cohort study that tracked over 400 older adults over several years, dancing was the only physical activity linked with lower risk of dementia. This suggests it might not necessarily be just the work-out factor involved in dancing that helps to protect cognitive and perceptual abilities.

Researchers have also explored the therapeutic effects of dance for treating clinical conditions. The findings of several small-scale studies indicate that dancing may be beneficial for people with certain neurodegenerative disorders, like dementia.  For example, residents of a dementia nursing home who took part in weekly dance sessions as part of a research study gained small improvements in certain visual functions and planning ability. Dancing may also help people with mental illness. In one study involving patients admitted to a psychiatric ward, just 30 minutes of dancing to lively music was sufficient to reduce their symptoms of depression and improve vitality.  The interesting thing about this study is that researchers also recruited a second group of patients to simply listen to the same music, without dancing. The results showed that only the patients who danced derived any benefit: in other words, for these patients music alone wasn’t enough.

Of course, the evidence in this area is still emerging and better quality studies are needed to fully understand how dance affects the brain.  The research that has been done still leaves lots of unanswered questions, like what are the effects of different types of dancing and does it matter what type of music you listen to? In the meantime, however, the next time you head off to Ibiza, Zumba or even just dance around the kitchen, just consider the possibility that you might be doing yourself more good than you think.

See you at the front.

Post by: Lamiece Hassan