npj Digital Medicine,
Год журнала:
2024,
Номер
7(1)
Опубликована: Май 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.
Sensors,
Год журнала:
2024,
Номер
24(20), С. 6532 - 6532
Опубликована: Окт. 10, 2024
Sleep
tracking
by
consumers
is
becoming
increasingly
prevalent;
yet,
few
studies
have
evaluated
the
accuracy
of
such
devices.
We
sought
to
evaluate
three
devices
(Oura
Ring
Gen3,
Fitbit
Sense
2,
and
Apple
Watch
Series
8)
compared
gold
standard
sleep
assessment
(polysomnography
(PSG)).
Thirty-five
participants
(aged
20-50
years)
without
a
disorder
were
enrolled
in
single-night
inpatient
study,
during
which
they
wore
Oura
Ring,
Fitbit,
Watch,
monitored
with
PSG.
For
detecting
vs.
wake,
sensitivity
was
≥95%
for
all
discriminating
between
stages,
ranged
from
50
86%,
as
follows:
ring
76.0-79.5%
precision
77.0-79.5%;
61.7-78.0%
72.8-73.2%;
50.5-86.1%
72.7-87.8%.
The
not
different
PSG
terms
light
sleep,
deep
or
REM
estimation.
overestimated
(18
min;
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.
Brain Sciences,
Год журнала:
2023,
Номер
13(2), С. 238 - 238
Опубликована: Янв. 31, 2023
Quantifying
athlete
sleep
patterns
may
inform
development
of
optimal
training
schedules
and
strategies,
considering
the
competitive
challenges
faced
across
season.
Therefore,
this
study
comprehensively
quantified
a
female
basketball
team
examined
variations
in
between
nights.
Seven
semi-professional,
players
had
their
monitored
using
wrist-worn
activity
monitors
perceptual
ratings
during
13-week
in-season.
Sleep
variables
were
compared
different
nights
(control
nights,
before
games,
non-congested
game
congested
nights),
generalized
linear
mixed
models,
as
well
Cohen’s
d
odds
ratios
effect
sizes.
Players
experienced
less
on
games
to
control
(p
<
0.05,
=
0.43–0.69).
also
exhibited
later
onset
times
0.01,
0.68),
earlier
offset
following
all
other
0.74–0.79).
Moreover,
attaining
better
perceived
quality
was
88%
lower
than
0.001).
While
attained
an
adequate
duration
(7.3
±
0.3
h)
efficiency
(85
2%)
average
in-season,
they
susceptible
poor
games.
Although
limited
team-based
case
series
design,
these
findings
suggest
coaches
need
reconsider
scheduling
team-based,
on-court
sessions
prior
consider
implementing
suitable
psychological
recovery
strategies
around
optimize
player
sleep.
Clinical and Translational Science,
Год журнала:
2024,
Номер
17(1)
Опубликована: Янв. 1, 2024
Whereas
traditional
oncology
clinical
trial
endpoints
remain
key
for
assessing
novel
treatments,
capturing
patients'
functional
status
is
increasingly
recognized
as
an
important
aspect
supporting
decisions
and
outcomes
in
trials.
Existing
assessments
suffer
from
various
limitations,
some
of
which
may
be
addressed
by
adopting
digital
health
technologies
(DHTs)
a
means
collecting
both
objective
self-reported
outcomes.
In
this
mini-review,
we
propose
device-agnostic
multi-domain
model
status,
includes
physical
activity
data,
vital
signs,
sleep
variables,
measures
related
to
health-related
quality
life
enabled
connected
tools.
By
using
DHTs
all
aspects
data
collection,
our
proposed
allows
high-resolution
measurement
patients
navigate
their
daily
lives
outside
the
hospital
setting.
This
complemented
electronic
questionnaires
administered
at
intervals
appropriate
each
instrument.
Preliminary
testing
practical
considerations
address
before
adoption
are
also
discussed.
Finally,
highlight
multi-institutional
pre-competitive
collaborations
successfully
transitioning
digitally
collection
feasibility
studies
interventional
trials
care
management.
Applied Ergonomics,
Год журнала:
2024,
Номер
117, С. 104225 - 104225
Опубликована: Янв. 14, 2024
Development
of
fatigue
management
solutions
is
critical
to
U.S.
Navy
populations.
This
study
explored
the
operational
feasibility
and
acceptability
commercial
wearable
devices
(Oura
Ring
ReadiBand)
in
a
warship
environment
with
845
Sailors
across
five
ship
cohorts
during
at-sea
operations
ranging
from
10
31
days.
Participants
were
required
wear
both
check-in
daily
research
staff.
Both
functioned
as
designed
reliably
collected
sleep-wake
data.
Over
10,000
person-days
at-sea,
overall
prevalence
Oura
ReadiBand
use
was
69%
71%,
respectively.
Individual
rates
71
±
38%
days
underway
for
59
34%
ReadiBand.
Analysis
individual
factors
showed
increasing
device
less
interference
age,
more
men
than
women
found
comfortable.
provides
initial
support
that
wearables
can
contribute
infrastructures
naval
environments.
Clocks & Sleep,
Год журнала:
2024,
Номер
6(1), С. 129 - 155
Опубликована: Фев. 29, 2024
Sleep
and
circadian
rhythm
disturbance
are
predictors
of
poor
physical
mental
health,
including
dementia.
Long-term
digital
technology-enabled
monitoring
sleep
rhythms
in
the
community
has
great
potential
for
early
diagnosis,
disease
progression,
assessing
effectiveness
interventions.
Before
novel
technology-based
can
be
implemented
at
scale,
its
performance
acceptability
need
to
evaluated
compared
gold-standard
methodology
relevant
populations.
Here,
we
describe
our
protocol
evaluation
technology
which
have
applied
cognitively
intact
older
adults
currently
using
people
living
with
dementia
(PLWD).
In
this
protocol,
test
a
range
technologies
simultaneously
home
(7–14
days)
subsequently
clinical
research
facility
gold
standard
physiology
is
implemented.
We
emphasize
importance
both
nocturnal
diurnal
(naps),
valid
markers
physiology,
that
best
achieved
protocols
mildly
disturbed
populations
intended
use-case.
provide
details
on
design,
implementation,
challenges,
advantages
along
examples
datasets.
Abstract
Study
Objectives
In-laboratory
polysomnography
is
the
current
gold
standard
for
objective
sleep
measurements
in
clinical
trials,
but
this
does
not
capture
night-to-night
variability
parameters.
This
study
analyzed
parameters
recorded
over
multiple
nights
of
an
ecological
setting
using
a
portable
monitor
and
then
estimated
minimum
sample
sizes
required
to
reliably
account
inter-
intra-individual
Methods
Participants
were
males
who
self-reported
absence
disorders,
used
monitoring
device
(Dreem
Headband,
Dreem,
France)
sleep.
Night-to-night
was
determined
five
consecutive
weeknights
coefficients
variation
(CV),
minimal
number
individuals
needed
determine
each
parameter
assessed.
Results
whole
group
(n
=
94;
470
nights)
high
(CV
0.44–0.58)
N2,
N3,
onset
persistent
latencies,
wake
after
(WASO),
medium
0.22–0.28)
N1
N3
percentage,
awakenings
REM
latency,
low
0.04–0.19)
efficiency,
N2
percentages,
total
time
(TST)
micro-arousal
index.
Minimum
reliable
assessment
TST
WASO
2
with
10
participants
4
50
participants,
respectively.
Conclusions
underestimated
under-recognized.
These
data
on
commonly
will
facilitate
better
estimation
trials
based
outcomes
interest.