Development of a Smart Lung Health Monitoring System Using Sensors and Data Analytics for Early Disease Detection
Abstract
This study introduces a novel multimodal wearable sensor system for real-time monitoring and analysis of respiratory and cardiac activity. The primary objective is to facilitate the early detection of cardiopulmonary abnormalities by integrating electrical (ECG) and acoustic data. A total of 30 participants, aged 25 to 50 years, were involved in controlled breathing experiments, which included deep (1000 ml, 15 breaths/min), moderate (750 ml, 20 breaths/min), and shallow (500 ml, 30 breaths/min) breathing, as well as coughing simulations. Signal processing using a 7th-order polynomial approximation yielded the lowest modeling error at 6.8%, ensuring precise waveform reconstruction. The system demonstrated a clear differentiation of respiratory patterns via Area Under the Curve (AUC) metrics, with average AUC values increasing from 1200 µV·s during shallow breathing to 3200 µV·s during deep breathing. Further analysis of the first derivative of AUC values revealed a strong correlation (r = 0.89) between respiratory volume and ECG amplitude fluctuations, highlighting robust cardiorespiratory coupling. Notably, the system achieved a 92% accuracy in detecting abnormal breathing events, such as shallow breathing and coughing fits. By combining ECG-derived heart rate variability with respiratory data, the system offers a comprehensive assessment of cardiopulmonary interaction. The key contribution of this work lies in its real-time, continuous monitoring capability using a compact wearable form factor, which distinguishes it from existing single-modality systems. This approach represents a significant advancement in non-invasive health monitoring, with strong potential for application in clinical diagnostics and home-based tracking of chronic conditions, such as asthma, COPD, and cardiac dysregulation.
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do Nascimento, L.M.S.; Bonfati, L.V.; Freitas, M.L.B.; Mendes Junior, J.J.A.; Siqueira, H.V.; Stevan, S.L., Jr. Sensors and systems for physical rehabilitation and health monitoring—A review. Sensors 2020, 20, 4063. https://doi.org/10.3390/s20154063
Ming, D.K.; Sangkaew, S.; Chanh, H.Q.; Nhat, P.T.H.; Yacoub, S.; Georgiou, P.; Holmes, A.H. Continuous physiological monitoring using wearable technology to inform individual management of infectious diseases, public health and outbreak responses. Int. J. Infect. Dis. 2020, 96, 648–654. https://doi.org/10.1016/j.ijid.2020.05.081
Braman, S.S. The global burden of asthma. Chest 2006, 130, 4S–12S. https://doi.org/10.1378/chest.130.1_suppl.4S
Center for Disease Control and Prevention. Asthma Facts—CDC’s National Asthma Control Program Grantees; US Department of Health and Human Services, Centers for Disease Control and Prevention: Atlanta, GA, USA, 2013.
Bellia, V.; Scichilone, N.; Battaglia, S. Asthma in the elderly. Eur. Respir. Mon. 2009, 43, 56–76.
AL-Khalidi, F.Q.; Saatchi, R.; Burke, D.; Elphick, H.; Tan, S. Respiration rate monitoring methods: A review. Pediatr. Pulmonol. 2011, 46, 523–529. https://doi.org/10.1002/ppul.21467
Siqueira, A.; Spirandeli, A.F.; Moraes, R.; Zarzoso, V. Respiratory waveform estimation from multiple accelerometers: An optimal sensor number and placement analysis. IEEE J. Biomed. Health Inform. 2018, 23, 1507–1515. https://doi.org/10.1109/JBHI.2018.2851030
Gaidhani, A.; Moon, K.S.; Ozturk, Y.; Lee, S.Q.; Youm, W. Extraction and analysis of respiratory motion using wearable inertial sensor system during trunk motion. Sensors 2017, 17, 2932. https://doi.org/10.3390/s17122932
Jiang, Y.; Duan, Z.; Fan, Z.; Yao, P.; Yuan, Z.; Jiang Yadong Cao, Y.; Tai, H. Power generation humidity sensor based on NaCl/halloysite nanotubes for respiratory patterns monitoring. Sens. Actuators B Chem. 2023, 380, 133396. https://doi.org/10.1016/j.snb.2023.133396
Liu, Z.; Zhang, S.; Jin, Y.M.; Ouyang, H.; Zou, Y.; Wang, X.X.; Xie, L.X.; Li, Z. Flexible piezoelectric nanogenerator in wearable self-powered active sensor for respiration and healthcare monitoring. Semicond. Sci. Technol. 2017, 32, 064004. https://doi.org/10.1088/1361-6641/aa6c58
Pino, E.J.; Gómez, B.; Monsalve, E.; Aqueveque, P. Wireless Low–Cost Bioimpedance Measurement Device for Lung Capacity Screening. In Proceedings of the 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), IEEE, Berlin, Germany, 23–27 July 2019; pp. 1187–1190. https://doi.org/10.1109/EMBC.2019.8857766
George, U.Z.; Moon, K.S.; Lee, S.Q. Extraction and Analysis of Respiratory Motion Using a Comprehensive Wearable Health Monitoring System. Sensors 2021, 21, 1393. https://doi.org/10.3390/s21041393
Helfenbein, E.; Firoozabadi, R.; Chien, S.; Carlson, E.; Babaeizadeh, S. Development of three methods for extracting respiration from the surface ECG: A review. J. Electrocardiol. 2014, 47, 819–825. https://doi.org/10.1016/j.jelectrocard.2014.07.020
Yasuma, F.; Hayano, J. Respiratory sinus arrhythmia: Why does the heartbeat synchronize with respiratory rhythm? Chest 2004, 125, 683–690. https://doi.org/10.1378/chest.125.2.683
Charlton, P.H.; Bonnici, T.; Tarassenko, L.; Clifton, D.A.; Beale, R.; Watkinson, P.J. An assessment of algorithms to estimate respiratory rate from the electrocardiogram and photoplethysmogram. Physiol. Meas. 2016, 37, 610. https://doi.org/10.1088/0967-3334/37/4/610
Lázaro, J.; Reljin, N.; Bailón, R.; Gil, E.; Noh, Y.; Laguna, P.; Chon, K.H. Electrocardiogram derived respiratory rate using a wearable armband. IEEE Trans. Biomed. Eng. 2020, 68, 1056–1065. https://doi.org/10.1109/TBME.2020.3012731
Penzel, T.; Kantelhardt, J.W.; Bartsch, R.P.; Riedl, M.; Kraemer, J.F.; Wessel, N.; Garcia, C.; Glos, M.; Fietze, I.; Schöbel, C. Modulations of heart rate, ECG, and cardio-respiratory coupling observed in polysomnography. Front. Physiol. 2016, 7, 460. https://doi.org/10.3389/fphys.2016.00460
Varon, C.; Morales, J.; Lázaro, J.; Orini, M.; Deviaene, M.; Kontaxis, S.; Testelmans, D.; Buyse, B.; Borzée, P.; Sörnmo, L. A Comparative Study of ECG-derived Respiration in Ambulatory Monitoring using the Single-lead ECG. Sci. Rep. 2020, 10, 5704. https://doi.org/10.1038/s41598-020-62670-3
Zhang, Z.; Zheng, J.; Wu, H.; Wang, W.; Wang, B.; Liu, H. Development of a respiratory inductive plethysmography module supporting multiple sensors for wearable systems. Sensors 2012, 12, 13167–13184. https://doi.org/10.3390/s121013167
Piuzzi, E.; Pisa, S.; Pittella, E.; Podestà, L.; Sangiovanni, S. Low-cost and portable impedance plethysmography system for the simultaneous detection of respiratory and heart activities. IEEE Sens. J. 2018, 19, 2735–2746. https://doi.org/10.1109/JSEN.2018.2883466
Niu, J.; Cai, M.; Shi, Y.; Ren, S.; Xu, W.; Gao, W.; Luo, Z.; Reinhardt, J.M. A novel method for automatic identification of breathing state. Sci. Rep. 2019, 9, 103. https://doi.org/10.1038/s41598-018-36733-w
Moon, K.; WooSub, Y. An Interactive Health-Monitoring Platform for Wearable Wireless Sensor Systems. U.S. Patent Application 17/635,696, 15 September 2022.
Doyle, D.J. Acoustical Respiratory Monitoring in the Time Domain. Open Anesth. J. 2019, 13, 144–151. https://doi.org/10.2174/2589645801913010144
Chowdhury, M.E.; Khandakar, A.; Alzoubi, K.; Mansoor, S.; MTahir, A.; Reaz, M.B.I.; Al-Emadi, N. Real-time smart-digital stethoscope system for heart diseases monitoring. Sensors 2019, 19, 2781. https://doi.org/10.3390/s19122781
Faezipour, M.; Abuzneid, A. Smartphone-based self-testing of COVID-19 using breathing sounds. Telemed. e-Health 2020, 26, 1202–1205. https://doi.org/10.1089/tmj.2020.0091
Niu, J.; Shi, Y.; Cai, M.; Cao, Z.; Wang, D.; Zhang, Z.; Zhang, X.D. Detection of sputum by interpreting the time-frequency distribution of respiratory sound signal using image processing techniques. Bioinformatics 2018, 34, 820–827. https://doi.org/10.1093/bioinformatics/btx660
Tyulepberdinova, G.; Oralbekova, Z.; Kunelbayev, M.; Amirkhanova, G.; Issabayeva, S. Design of an IoT-enabled wearable device for stress level monitoring.
International Journal of Innovative Research and Scientific Studies, 2025, 8(1), 599–612. https://doi.org/10.53894/ijirss.v8i1.4406
Tyulepberdinova, G.; Kunelbayev, M.; Mansurova, M.; Amirkhanova, G.; Oralbekova, Z. Development and research of a remote patient monitoring system.
International Journal of Innovative Research and Scientific Studies, 2024, 7(2).
https://www.researchgate.net/publication/377801403_Development_and_research_of_a_remote_patient_monitoring_system
Tyulepberdinova, G.; Kunelbayev, M.; Mansurova, M.; Amirkhanova, G.; Oralbekova, Z. Development of a patient health monitoring system based on the Internet of Things with a module for predicting vital signs. ResearchGate, 2024. https://www.researchgate.net/publication/377350456_Development_of_a_patient_health_monitoring_system_based_on_the_internet_of_things_with_a_module_for_predicting_vital_signs
DOI: https://doi.org/10.47738/jads.v6i4.857
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