A process receives, with a receiver, health and wellness data of a user that is sensed by one or more sensors during consumption by the user of media content. Further, the process receives, with the receiver, health and wellness data of the user that is determined by a healthcare provider during an event that is distinct from the consumption of the media content. In addition, the process aggregates, with a processor, the health and wellness data of the user that is sensed and the health and wellness data of the user that is determined by the health care provider into an aggregated health and wellness data model. The process also determines, with the processor, one or more optimal audio/visual device settings based on the aggregated health and wellness data model.