“…Apart from the limitation that eating with the non-dominant hand will be missed most bite counters still rely on the user input to press a start button before the eating episodes in naturalistic environments. Other approaches aim at detecting eating episodes based on continuous measurements of swallowing and/or chewing activities: For example, audio recording at the inner ear has been used (Amft, Kusserow, & Troster, 2009;Bedri, Verlekar, Thomaz, Avva, & Starner, 2015;Nishimura & Kuroda, 2008;Papapanagiotou, Diou, Zhou, van den Boer, et al, 2016;Päßler & Fischer, 2014). Because of specialized algorithms that are needed to process the acoustic signals, most devices achieve acceptable results in laboratory setting with restricted food types and eating episodes, however, their accuracy in unrestricted, more challenging environments needs to be established.…”