RT Journal Article T1 Promoting Obesity Prevention and Healthy Habits in Childhood: The OCARIoT Experience A1 Bastida, Leire A1 Cea, Gloria A1 Moya, Ana A1 Gallego, Alba A1 Gaeta, Eugenio A1 Sillaurren, Sara A1 Barbosa, Paulo A1 Souto, Sabrina A1 Rodrigues, Eujessika A1 Torrego-Ellacuria, Macarena A1 Triantafyllidis, Andreas A1 Alexiadis, Anastasios A1 Votis, Konstantinos A1 Tzovaras, Dimitrios A1 Rocha, Cleilton A1 Alves, Lucas A1 Malo, Pedro A1 Mateus, Marcio A1 Ferreira, Fernando A1 Arredondo, Maria Teresa AB Objective: Long term behavioural disturbances and interventions in healthy habits (mainly eating and physical activity) are the primary cause of childhood obesity. Current approaches for obesity prevention based on health information extraction lack the integration of multi-modal datasets and the provision of a dedicated Decision Support System (DSS) for health behaviour assessment and coaching of children. Methods: Continuous co-creation process has been applied in the frame of the Design Thinking Methodology, involving children, educators and healthcare professional in the whole process. Such considerations were used to derive the user needs and the technical requirements needed for the conception of the Internet of Things (IoT) platform based on microservices. Results: To promote the adoption of healthy habits and the prevention of the obesity onset for children (9-12 years old), the proposed solution empowers children -including families and educators- in taking control of their health by collecting and following-up real-time information about nutrition, physical activity data coming from IoT devices, and interconnecting healthcare professionals to provide a personalised coaching solution. The validation has two phases involving +400 children (control/intervention group), on four schools in three countries: Spain, Greece and Brazil. The prevalence of obesity decreased in 75.5% from baseline levels in the intervention group. The proposed solution created a positive impression and satisfaction from the technology acceptance perspective. Conclusions: Main findings confirm that this ecosystem can assess behaviours of children, motivating and guiding them towards achieving personal goals. Clinical and Translational Impact Statement - This study presents Early Research on the adoption of a smart childhood obesity caring solution adopting a multidisciplinary approach; it involves researchers from biomedical engineering, medicine, computer science, ethics and education. The solution has the potential to decrease the obesity rates in children aiming to impact to get a better global health. SN 2168-2372 YR 2023 FD 2023 LK https://hdl.handle.net/11556/5047 UL https://hdl.handle.net/11556/5047 LA eng NO Bastida , L , Cea , G , Moya , A , Gallego , A , Gaeta , E , Sillaurren , S , Barbosa , P , Souto , S , Rodrigues , E , Torrego-Ellacuria , M , Triantafyllidis , A , Alexiadis , A , Votis , K , Tzovaras , D , Rocha , C , Alves , L , Malo , P , Mateus , M , Ferreira , F & Arredondo , M T 2023 , ' Promoting Obesity Prevention and Healthy Habits in Childhood : The OCARIoT Experience ' , IEEE Journal of Translational Engineering in Health and Medicine , vol. 11 , pp. 261-270 . https://doi.org/10.1109/JTEHM.2023.3261899 NO Publisher Copyright: © 2023 IEEE. NO This work was supported in part by the smart childhood Obesity CARing solution using IoT potential (OCARIoT) Project, European Union's H2020 Programme, under Grant 777082; and in part by the Brazilian Ministry of Science, Technology and Innovation through Rede Nacional de Ensino e Pesquisa (RNP), under Grant 003008. DS TECNALIA Publications RD 28 sept 2024