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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Personalized Food Recommendation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Hanna Schafer</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Georg Groh</string-name>
          <email>grohg@in.tum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Johann Schlichter</string-name>
          <email>schlichter@in.tum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Silvia Kolossa</string-name>
          <email>silvia.kolossa@tum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Hannelore Daniel</string-name>
          <email>daniel@wzw.tum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ralf Hecktor</string-name>
          <email>ralf.hecktor@tum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Theresa Greupner</string-name>
          <email>theresa.greupner@mytum.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Technische Universitat Munchen</institution>
          ,
          <country country="DE">Germany</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>In this paper a food recommender system giving general and personalized advice is described. The system is based on semi-formal knowledge of personal nutrition gained in a previous project (Food4Me). This project implements a manual expert knowledge based approach using a decision tree for recommending optimal adaptions to the individual nutrition behavior. The system was evaluated in a Proof-of-Principle study whose results lead to the current two research projects. The rst project aims at an automated recommender system based on formalized expert knowledge building on the insights from Food4Me. This recommendation system is then extended by including it into an application which provides continuous feedback on the participant's nutritional behavior. Also individual preferences are integrated using approaches from critique based- and persuasive recommender systems. The second system uses an adapted collaborative ltering approach to recommend food based on healthiness and taste ratings of other users augmented by a rating based recommender system for sports. This recommender system is further extended by social support groups and game interaction in view of social motivation. In the future both projects might be used in combination to provide optimal health support.</p>
      </abstract>
      <kwd-group>
        <kwd>Food Recommendation</kwd>
        <kwd>Personalized Recommendation</kwd>
        <kwd>Social Recommender Systems</kwd>
        <kwd>Collaborative Filtering</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>Food recommendation challenges the way recommender systems are used, since
it requires a strong adaption to the domain speci c requirements in order to
provide individually valid and practically usable health advice. On one hand,
user ratings of food taste may be individually reliable in view of using them in
a collaborative ltering approach. On the other hand, the variety of nutritional
advice available and the di culty of knowing all ingredients and nutrients in a
given meal make it harder for consumers to judge the health value of their meal.
Thus a personalized recommender based on expert knowledge may be necessary
to provide good results.</p>
      <p>On the other hand, the impact on nutritional behavior not only depends on the
quality of the given recommendations but also on the context in which they
are given. This context may be the quantity and frequency of recommendations
or the personal context of the receiving user. To increase the adaption rate, the
system needs to provide strong motivational factors such as a user-centric design
using state of the art usability features and social components such as user to
user interaction.</p>
      <p>
        As a rst step towards personalizing food recommenders, the in uence of
considering individual biological markers on the overall adaptation success was studied
in the Food4Me Project [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Although recommendations based on personalized
dietary and biological information were previously implemented and evaluated,
as described in [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ], new biological markers and new insight into their correlation
with nutritional aspects justi ed reevaluating the knowledge base by conducting
the Food4Me project [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>Furthermore, we aim at investigating approaches for automating the manual
recommender, at comparing crowd sourced knowledge with expert knowledge
and at improving the previous project's evaluation results in terms of e ect on
individual health.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Previous Research and Results</title>
      <p>
        The previously conducted Food4Me project [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] included a Proof-Of-Principle
study about the e ect of personalization on healthy nutrition recommendations.
The recommendation system applied was based on expert selected rules and
considered the dietary intake, the phenotype and the genotype of participants.
The study was split into four di erent recommendation groups [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]:
1. Control Group getting general health advice
2. Group L1 of personalized food recommendations based on dietary intake
3. Group L2 based on L1 and phenotypic data
4. Group L3 based on L2 and genotypic data
The dietary intake was recorded with a Food-Frequency-Questionnaire (FFQ)
at di erent stages in the study. Based on that intake and the additional
biological markers suggestions of adapting the participant's nutritional behavior were
given together with explanations about the reasons for these suggestions [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. The
results [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] showed an overall positive impact of personalized recommendations
on the users' nutritional behavior. While the control group reduced its energy
consumption by 1050 kJ per day, the personalized groups reached an average of
1500 kJ per day. In between the di erent personalization features, the highest
impact came from considering the dietary intake (-5050 kJ). The phenotypic
addition L2 and the genotypic element L3 strongly increased either the healthy
eating index or the energy reduction but always show negative in uence on the
opposite value.
      </p>
      <p>
        Another part of the Food4Me project presented optimized meal plans instead of
nutritional advice [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. This study showed that meal recommendations are
welcomed but should be provided in a exible way.
      </p>
      <p>
        In the research eld of food recommender systems Freyne et al. [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] analyzed
that collaborative ltering can improve personalized recipe recommendations
compared to content based approaches. They also found that the food item level
provides better accuracies than the recipes, when available. In more recent work
(Ge [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], 2015) food recommender systems are optimized algorithmically by using
an extension of Matrix Factorization, but also optimized considering the human
computer interaction responsible for the acceptance of recommendations.
Building on this application they even consider the health and taste utility when
recommending recipes [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], but are constricted to the calorie value.
3
      </p>
      <p>Current Work on Personalized Food Recommenders
Building upon the results of the Food4Me project in the enable cluster both an
automated recommender system based on expert knowledge and continuous
dietary intake information and a recommender system using collaborative ltering
on crowd based taste and health ratings will be implemented.</p>
      <p>
        The knowledge based recommender will work closely with the results of the
Food4Me study. The impact of dietary intake personalization will be ampli ed
by o ering a nutrition diary where the user can enter any food he consumed.
To simplify this step, many food items and meals are backed up by recipes that
can be searched and adapted to the real intake. The healthiness of these recipes
is evaluated by the contributions of a food item to a set of food groups
developed in a contributing foundational study [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] instead of focusing on speci c
nutrients. Based on the general dietary consumption guidelines from Food4Me
a health scoring was developed that ranks food items or meals based on
previous consumption in each food group from the user's diary and the food group
contributions of the food item in question [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. The representation of most items
in form of recipes was not only chosen to simplify the user input process, but
also to provide the user with a ranked list of options for his next meal instead of
only health advice. To keep the transparency each meal recommendation is
combined with the health advice causing its ranking, which enables the user to learn
about the logical connection to his behavior and thus increases his motivation.
An additional feature of this personalization is to lter out meals that contain
elements excluded by the user pro le because of either allergies and intolerances
or individual and religious preferences.
      </p>
      <p>The crowd based recommender considers the motivational and social components
of adapting one's nutritional habits. It recommends the food that similar users
rated with high taste and health values using a collaborative ltering approach.
The users have the option to post meals which they previously entered into their
nutrition diary. By doing so they receive social feedback on their previous
nutritional behavior when observing the received ratings. Another social element
that will be introduced in this system are support groups of 8-10 people. Those
groups are created considering the similarity of health issues between users.
Further options would be to involve family members or school peers as a separate
group environment. Those groups o er the opportunity to exchange messages,
share meals or exercises and to review each others nutrition diaries. In addition
to the social support those groups should provide a usage incentive by o ering
games and group recommendations (of food and sports activities) for the group
to interact with. These games can either have an educational focus in terms of
healthy food or motivate to do more exercise by requiring physical activity or by
advertising the fun of group sport activities. Also games focused on fun aspects
can be linked to the nutritional adaptation by providing the game avatars with
special strengths or gadgets whenever a health goal is achieved.
Both systems will be evaluated in their impact on user adaption and thus allow
conclusions about the value of expert knowledge against crowd intelligence. It
also reviews the impact of self awareness and self-management introduced by
the health advice in knowledge based recommendations against the impact of
social awareness and peer group e ects created in the crowd based solution. The
inclusion of exercise is only considered as a social and motivational component
at the moment, but could be extended when showing signi cant impact.
4</p>
    </sec>
    <sec id="sec-3">
      <title>Long Term Vision</title>
      <p>After successfully studying both project approaches, there will be further issues
open for investigation. One vision is to build a hybrid recommender system that
includes both the expert knowledge as well as the crowd ratings. A second
vision currently is to create an analogous hybrid recommender system that ranks
possible sport or tness activities based on user ratings and their health e ect.
Further perspective extensions are meal and exercise recommendations for
complete groups which will enable families or groups of friends to plan their meals
ahead. Another extension with regard to the usability is automatic meal
recognition from speech or images. The evaluation of both projects will show which
of these visions show the best potential for further health improvement.</p>
    </sec>
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