{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:11:23Z","timestamp":1788757883491,"version":"build-2803163510"},"reference-count":68,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most digital nutrition tools rely on retrospective meal logging and generic reminders. AbSound adds abdominal acoustic cues intended to support meal-timing reflection and dietary self-regulation. These cues were treated as meal-relevant behavioral proxies, not physiological markers of hunger, satiety, or gastrointestinal motility. We evaluated the platform among Taiwanese university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      Phase 1 was a 12-week single-arm field intervention with 200 participants completing follow-up. Outcomes included engagement, meal-logging completeness, fruit and vegetable intake, dietary self-regulation, daily steps, WHOQOL-BREF, and BMI. Phase 2 was a separate 4-week open-label randomized feasibility pilot (\n                      <jats:italic>N<\/jats:italic>\n                      = 32; 16 per group) comparing AbSound with standard tracking. Analyses emphasized within-participant trajectories, feasibility estimates, exploratory between-group changes, and agreement with composite meal-state\/acoustic-event labels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In Phase 1, fruit and vegetable intake, dietary self-regulation, daily steps, and quality of life improved over time, whereas BMI remained stable. Because Phase 1 had no control group, these findings represent temporal associations. Active-day engagement was 78%, meal-logging completeness was 48.5%, and both declined across the semester. In Phase 2, participants used AbSound for 9.35 hours\/day across 25.81 of 28 days and acknowledged 78.54% of alerts. Exploratory between-group change estimates directionally favored AbSound for late-night snacking, eating speed, diet quality, and eating self-regulation, but the pilot was not powered for efficacy. The acoustic model achieved 87.2% accuracy and a macro-F1 of 82.8% across 1,207 labeled events; these metrics reflect agreement with composite event labels rather than construct validation of hunger, satiety, or gut motility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings support the short-term feasibility of context-aware digital nutrition and abdominal acoustic feedback as behavioral self-regulation supports. Larger randomized trials should evaluate efficacy, time-lock acoustic events to validated appetite ratings, use participant-disjoint acoustic validation, and assess longer-term behavioral and clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1853482","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:22:53Z","timestamp":1788754973000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Context-aware digital nutrition and abdominal acoustic feedback in Taiwanese university students: a 12-week single-arm field intervention and a separate 4-week randomized feasibility pilot"],"prefix":"10.3389","volume":"13","author":[{"given":"Chuanchia","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology","place":["Taipei, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Han","sequence":"additional","affiliation":[{"name":"Doctoral Program in Design, College of Design, National Taipei University of Technology","place":["Taipei, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jwoshiun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology","place":["Taipei, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tungjing","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Electronic Engineering, National Taipei University of Technology","place":["Taipei, Taiwan"]},{"name":"Department of Physiology and Biophysics, Graduate Institute of Physiology, College of Medicine, National Defense Medical University","place":["Taipei, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1016\/S0140-6736(11)60813-1","article-title":"The global obesity pandemic: shaped by global drivers and local environments","volume":"378","author":"Swinburn","year":"2011","journal-title":"Lancet."},{"key":"B2","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1146\/annurev.publhealth.29.020907.090926","article-title":"Robinson-O'Brien R, Glanz K. 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