Sleep as a window of cardiometabolic health: The potential of digital sleep and circadian biomarkers DOI Creative Commons
W van den Brink, Johanneke E. Oosterman, Dagmar J Smid

et al.

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

Digital biomarkers are quantifiable and objective indicators of a person's physiological function, behavioral state or treatment response, that can be captured using connected sensor technologies such as wearable devices mobile apps. We envision continuous 24-h monitoring the underlying processes through digital enhance early diagnostics, disease management, self-care cardiometabolic diseases. Cardiometabolic diseases, which include combination cardiovascular metabolic disorders, represent an emerging global health threat. The prevention potential diseases is around 80%, indicating promising role for interventions in lifestyle and/or environmental context. Disruption sleep circadian rhythms increasingly recognized risk factors disease. used to measure clock, is, day night, quantify not only patterns but also diurnal fluctuations certain processes. In this way, support delivery optimal timed medical care. Night-time patterns, blood pressure dipping, predictive outcomes. addition, period provides opportunity with relatively low influence artifacts, physical activity eating. utilize window during daily life enable diagnosis facilitate remote patient monitoring, self-management people This review describes on highlights state-of-the-art could benefit

Language: Английский

Performance of wearable sleep trackers during nocturnal sleep and periods of simulated real-world smartphone use DOI Creative Commons
Adrian R. Willoughby, Hosein Aghayan Golkashani, Shohreh Ghorbani

et al.

Sleep Health, Journal Year: 2024, Volume and Issue: unknown

Published: April 1, 2024

Goal and aimsTo test sleep/wake transition detection of consumer sleep trackers research-grade actigraphy during nocturnal simulated peri-sleep behavior involving minimal movement.Focus technologyOura Ring Gen 3, Fitbit Sense, AXTRO Fit Xiaomi Mi Band 7, ActiGraph GT9X.Reference technologyPolysomnography.SampleSixty-three participants (36 female) aged 20-68.DesignParticipants engaged in common (reading news articles, watching videos, exchanging texts) on a smartphone before after the period. They were woken up night to complete short questionnaire simulate responding an incoming message.Core analyticsDetection timing accuracy for onset times wake times.Additional analytics exploratory analysesDiscrepancy analysis both including excluding activity periods. Epoch-by-epoch rate extent misclassification periods.Core outcomesOura more accurate at detecting transitions than actigraph lower-priced tracker devices. Detection was less reliable with lower efficiency.Important additional outcomesWith inclusion periods, specificity Kappa improved significantly Oura Fitbit, but not ActiGraph. All devices misclassified motionless as some extent, this prevalent Fitbit.Core conclusionsPerformance is robust nights suboptimal bedtime routines or minor disturbances. Reduced performance low efficiency bolsters concerns that these are fragmented disturbed sleep.

Language: Английский

Citations

4

The CCJR® Gerard A. Engh Excellence in Knee Research Award: Remote Monitoring of Sleep Disturbance Following Total Knee Arthroplasty: A Cautionary Note DOI
Joseph T. Gibian, Kimberly A. Bartosiak,

Venessa Riegler

et al.

The Journal of Arthroplasty, Journal Year: 2024, Volume and Issue: 39(8), P. S22 - S26

Published: April 8, 2024

Language: Английский

Citations

4

Wearable Ring-Shaped Biomedical Device for Physiological Monitoring through Finger-Based Acquisition of Electrocardiographic, Photoplethysmographic, and Galvanic Skin Response Signals: Design and Preliminary Measurements DOI Creative Commons
Gabriele Volpes, Simone Valenti,

Giuseppe Genova

et al.

Biosensors, Journal Year: 2024, Volume and Issue: 14(4), P. 205 - 205

Published: April 20, 2024

Wearable health devices (WHDs) are rapidly gaining ground in the biomedical field due to their ability monitor individual physiological state everyday life scenarios, while providing a comfortable wear experience. This study introduces novel wearable device capable of synchronously acquiring electrocardiographic (ECG), photoplethysmographic (PPG), galvanic skin response (GSR) and motion signals. The has been specifically designed be worn on finger, enabling acquisition all biosignals directly fingertips, offering significant advantage being very easy employed by users. simultaneous different allows extraction important indices, such as heart rate (HR) its variability (HRV), pulse arrival time (PAT), GSR level, blood oxygenation level (SpO2), respiratory rate, well detection, assessment states, together with detection potential physical mental stress conditions. Preliminary measurements have conducted healthy subjects using measurement protocol consisting resting states (i.e., SUPINE SIT) alternated conditions STAND WALK). Statistical analyses carried out among distributions indices extracted time, frequency, information domains, evaluated under results our demonstrate capability detect changes between rest conditions, thereby encouraging use for assessing individuals’ state. Furthermore, possibility performing synchronous acquisitions PPG ECG signals allowed us compare HRV (PRV) so corroborate reliability PRV analysis stationary Finally, confirms already known limitations during activities, suggesting algorithms artifact correction.

Language: Английский

Citations

4

Early adverse physiological event detection using commercial wearables: challenges and opportunities DOI Creative Commons

Jesse F. Phipps,

Bryant Passage, Kaan Sel

et al.

npj Digital Medicine, Journal Year: 2024, Volume and Issue: 7(1)

Published: May 23, 2024

Abstract Data from commercial off-the-shelf (COTS) wearables leveraged with machine learning algorithms provide an unprecedented potential for the early detection of adverse physiological events. However, several challenges inhibit this potential, including (1) heterogeneity among and within participants that make scaling to a general population less precise, (2) confounders lead incorrect assumptions regarding participant’s healthy state, (3) noise in data at sensor level limits sensitivity algorithms, (4) imprecision self-reported labels misrepresent true values associated given event. The goal study was two-fold: characterize performance such presence these insights researchers on limitations opportunities, subsequently devise address each challenge offer future opportunities advancement. Our proposed include techniques build determining suitable baselines participant capture important changes label correction as it pertains participant-reported identifiers. work is validated potentially one largest datasets available, obtained 8000+ 1.3+ million hours wearable captured Oura smart rings. Leveraging extensive dataset, we achieve pre-symptomatic COVID-19 receiver operator characteristic (ROC) area under curve (AUC) 0.725 without techniques, 0.739 baseline correction, 0.740 training set, 0.777 both test set. Using same respective paradigms, ROC AUCs 0.919, 0.938, 0.943 0.994 fever, 0.574, 0.611, 0.601, 0.635 shortness breath. These improvements across almost all metrics events, PR AUC, 75% specificity, precision recall. ring allows continuous monitoring event onset, further demonstrate improvement average 3.5 days 4.1 before reported positive result.

Language: Английский

Citations

4

Sleep as a window of cardiometabolic health: The potential of digital sleep and circadian biomarkers DOI Creative Commons
W van den Brink, Johanneke E. Oosterman, Dagmar J Smid

et al.

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

Digital biomarkers are quantifiable and objective indicators of a person's physiological function, behavioral state or treatment response, that can be captured using connected sensor technologies such as wearable devices mobile apps. We envision continuous 24-h monitoring the underlying processes through digital enhance early diagnostics, disease management, self-care cardiometabolic diseases. Cardiometabolic diseases, which include combination cardiovascular metabolic disorders, represent an emerging global health threat. The prevention potential diseases is around 80%, indicating promising role for interventions in lifestyle and/or environmental context. Disruption sleep circadian rhythms increasingly recognized risk factors disease. used to measure clock, is, day night, quantify not only patterns but also diurnal fluctuations certain processes. In this way, support delivery optimal timed medical care. Night-time patterns, blood pressure dipping, predictive outcomes. addition, period provides opportunity with relatively low influence artifacts, physical activity eating. utilize window during daily life enable diagnosis facilitate remote patient monitoring, self-management people This review describes on highlights state-of-the-art could benefit

Language: Английский

Citations

0