Sustainable and Secure Energy Optimization Strategies in the Internet of Healthcare Things (IoHT)

Authors

  • Mahmood Al-shareeda Department of Electronic Technologies, Basra Technical Institute, Southern Technical University, 61001, Basra, Iraq. , College of Engineering, Al-Ayen University, Thi-Qar, 64001, Iraq. Author
  • Haider Alrudainy Author

Keywords:

Smart Healthcare Systems, Sustainable Energy Optimization, Internet of Healthcare Things (IoHT), Low-Power Communication Protocols, Energy-Efficient IoT.

Abstract

Internet of Healthcare Things (IoHT) is transforming healthcare with connected medical devices, wearables, and analytical insights through AI to allow patient monitoring and diagnostics enhancements. However, the deployment of IoHT is significantly constrained by power restrictions, energy consumption, and communication inefficiencies. In this paper, we propose a new taxonomy for sustainable energy optimization and categorize solutions into hardware-based, software-based, communication-based, integrated system-based, and intelligent decision-based solutions accordingly. This paper explores the categories in detail with regard to efficiency, scalability, and implementation difficulty. The trade- off between energy-saving and system performance was also analyzed through comparison, such as low-power communication protocols, AI-based energy management, and edge-cloud cooperation. Also, this work presents the main open challenges, such as scalability, security, and real-time adaptively, and proposes future research trends related to lightweight AI models, hybrid energy harvesting, and secure encryption schemes. This, in turn, helps ensure the longevity and successful deployment of IoHT applications and promotes the development of efficient, sustainable IoHT applications that contribute to better health outcomes.

References

[1] Surbhi, N.R.C., Dahiya, N.: of healthcare things (ioht): Critical analysis. Trends in Mechatronics Systems: Industry 4. 0 Perspectives, 59 (2024)

[2] Al-Janabi, H.D.K., Lashari, S.A., Khalil, A., Al-Shareeda, M.A., Alsadhan, A.A., Almaiah, M.A., Alkhdour, T.: D-blockauth: An authentication scheme based dual blockchain for 5g-assisted vehicular fog computing. IEEE Access (2024)

[3] Alzakari, S.A., Sarkar, A., Khan, M.Z., Alhussan, A.A.: Converging technologies for health prediction and intrusion detection in internet of healthcare things with matrix-valued neural coordinated federated intelligence. IEEE Access (2024)

[4] Houssein, E.H., Othman, M.A., Mohamed, W.M., Younan, M.: Internet of things in smart cities: Comprehensive review, open issues and challenges. IEEE Internet of Things Journal (2024)

[5] Mu, X., Antwi-Afari, M.F.: The applications of internet of things (iot) in indus- trial management: a science mapping review. International Journal of Production Research 62(5), 1928–1952 (2024)

[6] Al-Mekhlaf, Z.G., Saare, M.A., Altmemi, J.M.H., Al-Shareeda, M.A., Mohammed, B.A., Alshammari, G., Alrashdi, R., Alkhabra, Y.A., Alreshidi, I.: A quantum-resilient lattice-based security framework for internet of medical things in healthcare systems. Journal of King Saud University Computer and Information Sciences 37(6), 126 (2025)

[7] Aouedi, O., Vu, T.-H., Sacco, A., Nguyen, D.C., Piamrat, K., Marchetto, G., Pham, Q.-V.: A survey on intelligent internet of things: Applications, security, privacy, and future directions. IEEE communications surveys & tutorials (2024)

[8] Mohammed, B.A., Al-Shareeda, M.A., Homod, R.Z., Alkhabra, Y.A., Al- Mekhlafi, Z.G., Alshammari, G., Alanazi, A., et al.: Taxonomy-based lightweight cryptographic frameworks for secure industrial iot: A survey. IEEE Internet of Things Journal (2025)

[9] Ketu, S., Mishra, P.K.: Internet of healthcare things: A contemporary survey. Journal of Network and Computer Applications 192, 103179 (2021)

[10] Soni, E., Chopra, K.: Ioht: Healthcare with the internet of things. In: IoT and Cloud Computing-Based Healthcare Information Systems, pp. 65–82. Apple Academic Press, ??? (2023)

[11] Guledgudd, T., Noorullah Shariff, C., Quadri, S.A.: A comprehensive review: State of art integrated technologies in ioht applications. African Journal of Science, Technology, Innovation and Development 17(1), 32–55 (2025)

[12] Al-Shareeda, M.A., Manickam, S., Saare, M.A., Arjuman, N.C.: Proposed secu- rity mechanism for preventing fake router advertisement attack in ipv6 link-local network. Indones. J. Electr. Eng. Comput. Sci 29, 518–526 (2023)

[13] Alrudainy, H., Marzook, A.K., Hussein, M., Shafik, R.: Understanding power gating mechanism based on workload classification of modern heterogeneous many-core mobile platform in the dark silicon era. Iraqi Journal for Electrical & Electronic Engineering 20(2) (2024)

[14] Almazroi, A.A., Aldhahri, E.A., Al-Shareeda, M.A., Manickam, S.: Eca-vfog: An efficient certificateless authentication scheme for 5g-assisted vehicular fog computing. Plos one 18(6), 0287291 (2023)

[15] Alrudainy, H., Hussein, M., Hashim, U., Tijjani, A., Naser, T.: Experimental demonstration of high-sensitivity nano capacitors via advanced nanofabrica- tion techniques for nano electronic implementations. International Journal of Nanoelectronics and Materials (IJNeaM) 17(1), 123–130 (2024)

[16] Anirudhan, J.M., Manikandan, M.S., Mula, S.: Effective sparse reconstruction algorithms for compressed ecg sensing with deterministic binary block diagonal sensing matrix. In: 2024 16th International Conference on Electronics, Computers and Artificial Intelligence (ECAI), pp. 1–6 (2024). IEEE

[17] Bouchoucha, Y., Omri, D., Aguili, T.: Study of an improved rectenna for rf energy harvesting in the ism band for energy-autonomous iot cardio stimula- tor applications. In: 2023 International Symposium on Networks, Computers and Communications (ISNCC), pp. 1–6 (2023). IEEE

[18] Esha, N.H., Tasmim, M.R., Huq, S., Mahmud, M., Kaiser, M.S.: Trust ioht: a trust management model for internet of healthcare things. In: Proceedings of International Conference on Data Science and Applications: ICDSA 2019, pp. 47–57 (2021). Springer

[19] Khan, M.I., Silva, B.: Harnessing fpga technology for energy-efficient wearable medical devices. Electronics 13(20), 4094 (2024)

[20] Kadhum Idrees, A., Alhussein, D.A., Harb, H.: Energy-efficient multisensor adaptive sampling and aggregation for patient monitoring in edge computing based ioht networks. Journal of Ambient Intelligence and Smart Environments (Preprint), 1–19 (2023)

[21] Priyadarshi, R., Gheisari, M.: Security and privacy in machine learning for ioht and iomt: A review (2024)

[22] Verma, H., Chauhan, N., Awasthi, L.K.: Enhanced hybrid congestion mitigation strategy for ‘6lowpan-rpl based patient-centric ioht’. Computer Networks 255, 110862 (2024)

[23] Venkata Prasad, K.: Revolutionary of secure lightweight energy efficient rout- ing protocol for internet of medical things: a review. Multimedia Tools and Applications 83(13), 37247–37274 (2024)

[24] Wazid, M., Singh, J., Das, A.K., Shetty, S., Khan, M.K., Rodrigues, J.J.: Ascp-iomt: Ai-enabled lightweight secure communication protocol for internet of medical things. IEEE Access 10, 57990–58004 (2022)

[25] Tahir, M., Li, M., Khan, I., Al Qahtani, S.A., Fatima, R., Khan, J.A., Anwar, M.S.: Towards cache-assisted hierarchical detection for real-time health data monitoring in ioht. Computers, Materials & Continua 77(2) (2023)

[26] Lakhan, A., Mastoi, Q.-u.-a., Dootio, M.A., Alqahtani, F., Alzahrani, I.R., Baoth- man, F., Shah, S.Y., Shah, S.A., Anjum, N., Abbasi, Q.H., et al.: Hybrid workload enabled and secure healthcare monitoring sensing framework in distributed fog-cloud network. Electronics 10(16), 1974 (2021)

[27] Wang, J., Wang, L.: A computing resource allocation optimization strategy for massive internet of health things devices considering privacy protection in cloud edge computing environment. Journal of Grid Computing 19(2), 17 (2021)

[28] Mishra, S., Thakkar, H.K., Mallick, P.K., Tiwari, P., Alamri, A.: A sustain- able ioht based computationally intelligent healthcare monitoring system for lung cancer risk detection. Sustainable Cities and Society 72, 103079 (2021)

[29] Rahman, M.A., Hossain, M.S., Showail, A.J., Alrajeh, N.A., Alhamid, M.F.: A secure, private, and explainable ioht framework to support sustainable health monitoring in a smart city. Sustainable Cities and Society 72, 103083 (2021)

[30] Yang, Z., Liang, B., Ji, W.: An intelligent end–edge–cloud architecture for visual iot-assisted healthcare systems. IEEE internet of things journal 8(23), 16779–16786 (2021).

Additional Files

Published

2026-01-02