Detecting sleep outside the clinic using wearable heart rate devices

<p dir="ltr">The adoption of multisensor wearables presents the opportunity of longitudinal monitoring of sleep in large populations. Personalized yet device-agnostic algorithms can sidestep laborious human annotations and objectify cross-cohort comparisons. We developed and tested a...

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Main Author: Ignacio Perez-Pozuelo (14153007) (author)
Other Authors: Marius Posa (13395057) (author), Dimitris Spathis (18426975) (author), Kate Westgate (792877) (author), Nicholas Wareham (153226) (author), Cecilia Mascolo (321076) (author), Søren Brage (211618) (author), Joao Palotti (8479842) (author)
Published: 2022
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Summary:<p dir="ltr">The adoption of multisensor wearables presents the opportunity of longitudinal monitoring of sleep in large populations. Personalized yet device-agnostic algorithms can sidestep laborious human annotations and objectify cross-cohort comparisons. We developed and tested a heart rate-based algorithm that captures inter- and intra-individual sleep differences in free-living conditions and does not require human input. We evaluated it on four study cohorts using different research- and consumer-grade devices for over 2000 nights. Recording periods included both 24 h free-living and conventional lab-based night-only data. We compared our optimized method against polysomnography, sleep diaries and sleep periods produced through a state-of-the-art acceleration based method. Against sleep diaries, the algorithm yielded a mean squared error of 0.04–0.06 and a total sleep time (TST) deviation of - 2.70 (± 5.74) and 12.80 (± 3.89) minutes, respectively. When evaluated with PSG lab studies, the MSE ranged between 0.06 and 0.11 yielding a time deviation between - 29.07 and - 55.04 minutes. These results showcase the value of this open-source, device-agnostic algorithm for the reliable inference of sleep in free-living conditions and in the absence of annotations.</p><p><br></p><h2>Other Information</h2><p dir="ltr">Published in: Scientific Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41598-022-11792-7" target="_blank">https://dx.doi.org/10.1038/s41598-022-11792-7</a></p>