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Armstrong B, Weaver RG, McAninch J, Smith MT, Parker H, Lane AD, Wang Y, Pate R, Rahman M, Matolak D, Chandrashekhar MVS. Development and Calibration of a PATCH Device for Monitoring Children's Heart Rate and Acceleration. Med Sci Sports Exerc 2024; 56:1196-1207. [PMID: 38377012 PMCID: PMC11096080 DOI: 10.1249/mss.0000000000003404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
INTRODUCTION Current wearables that collect heart rate and acceleration were not designed for children and/or do not allow access to raw signals, making them fundamentally unverifiable. This study describes the creation and calibration of an open-source multichannel platform (PATCH) designed to measure heart rate and acceleration in children ages 3-8 yr. METHODS Children (N = 63; mean age, 6.3 yr) participated in a 45-min protocol ranging in intensities from sedentary to vigorous activity. Actiheart-5 was used as a comparison measure. We calculated mean bias, mean absolute error (MAE) mean absolute percent error (MA%E), Pearson correlations, and Lin's concordance correlation coefficient (CCC). RESULTS Mean bias between PATCH and Actiheart heart rate was 2.26 bpm, MAE was 6.67 bpm, and M%E was 5.99%. The correlation between PATCH and Actiheart heart rate was 0.89, and CCC was 0.88. For acceleration, mean bias was 1.16 mg and MAE was 12.24 mg. The correlation between PATCH and Actiheart was 0.96, and CCC was 0.95. CONCLUSIONS The PATCH demonstrated clinically acceptable accuracies to measure heart rate and acceleration compared with a research-grade device.
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Affiliation(s)
- Bridget Armstrong
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - R. Glenn Weaver
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - Jonas McAninch
- Department of Electrical Engineering, University of South Carolina, Columbia, SC
| | - Michal T. Smith
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - Hannah Parker
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - Abbi D. Lane
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - Yuan Wang
- Epidemiology and Biostatistics at the University of South Carlina, Columbia, SC
| | - Russ Pate
- Department of Exercise Science, University of South Carolina, Columbia, SC
| | - Mafruda Rahman
- Department of Electrical Engineering, University of South Carolina, Columbia, SC
| | - David Matolak
- Department of Electrical Engineering, University of South Carolina, Columbia, SC
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Hayano J, Adachi M, Sasaki F, Yuda E. Quantitative detection of sleep apnea in adults using inertial measurement unit embedded in wristwatch wearable devices. Sci Rep 2024; 14:4050. [PMID: 38374225 PMCID: PMC10876631 DOI: 10.1038/s41598-024-54817-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 02/16/2024] [Indexed: 02/21/2024] Open
Abstract
Sleep apnea (SA) is associated with risk of cardiovascular disease, cognitive decline, and accidents due to sleepiness, yet the majority (over 80%) of patients remain undiagnosed. Inertial measurement units (IMUs) are built into modern wearable devices and are capable of long-term continuous measurement with low power consumption. We examined if SA can be detected by an IMU embedded in a wristwatch device. In 122 adults who underwent polysomnography (PSG) examinations, triaxial acceleration and triaxial gyro signals from the IMU were recorded during the PSG. Subjects were divided into a training group and a test groups (both n = 61). In the training group, an algorithm was developed to extract signals in the respiratory frequency band (0.13-0.70 Hz) and detect respiratory events as transient (10-90 s) decreases in amplitude. The respiratory event frequency estimated by the algorithm correlated with the apnea-hypopnea index (AHI) of the PSG with r = 0.84 in the test group. With the cutoff values determined in the training group, moderate-to-severe SA (AHI ≥ 15) was identified with 85% accuracy and severe SA (AHI ≥ 30) with 89% accuracy in the test group. SA can be quantitatively detected by the IMU embedded in wristwatch wearable devices in adults with suspected SA.
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Affiliation(s)
- Junichiro Hayano
- Heart Beat Science Lab, Inc., Sendai, Japan.
- Emeritus Processor, Nagoya City University, Nagoya, Japan.
| | | | | | - Emi Yuda
- Heart Beat Science Lab, Inc., Sendai, Japan
- Graduate School of Information Sciences, Tohoku University, Sendai, Japan
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Yin J, Xu J, Ren TL. Recent Progress in Long-Term Sleep Monitoring Technology. BIOSENSORS 2023; 13:395. [PMID: 36979607 PMCID: PMC10046225 DOI: 10.3390/bios13030395] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 03/11/2023] [Accepted: 03/14/2023] [Indexed: 06/18/2023]
Abstract
Sleep is an essential physiological activity, accounting for about one-third of our lives, which significantly impacts our memory, mood, health, and children's growth. Especially after the COVID-19 epidemic, sleep health issues have attracted more attention. In recent years, with the development of wearable electronic devices, there have been more and more studies, products, or solutions related to sleep monitoring. Many mature technologies, such as polysomnography, have been applied to clinical practice. However, it is urgent to develop wearable or non-contacting electronic devices suitable for household continuous sleep monitoring. This paper first introduces the basic knowledge of sleep and the significance of sleep monitoring. Then, according to the types of physiological signals monitored, this paper describes the research progress of bioelectrical signals, biomechanical signals, and biochemical signals used for sleep monitoring. However, it is not ideal to monitor the sleep quality for the whole night based on only one signal. Therefore, this paper reviews the research on multi-signal monitoring and introduces systematic sleep monitoring schemes. Finally, a conclusion and discussion of sleep monitoring are presented to propose potential future directions and prospects for sleep monitoring.
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Affiliation(s)
- Jiaju Yin
- School of Integrated Circuits, Tsinghua University, Beijing 100084, China
- Beijing National Research Center for Information Science and Technology (BNRist), Tsinghua University, Beijing 100084, China
| | - Jiandong Xu
- School of Integrated Circuits, Tsinghua University, Beijing 100084, China
- Beijing National Research Center for Information Science and Technology (BNRist), Tsinghua University, Beijing 100084, China
| | - Tian-Ling Ren
- School of Integrated Circuits, Tsinghua University, Beijing 100084, China
- Beijing National Research Center for Information Science and Technology (BNRist), Tsinghua University, Beijing 100084, China
- Center for Flexible Electronics Technology, Tsinghua University, Beijing 100084, China
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An Automated Algorithm for Determining Sleep Using Single-Channel Electroencephalography to Detect Delirium: A Prospective Observational Study in Intensive Care Units. Healthcare (Basel) 2022; 10:healthcare10091776. [PMID: 36141389 PMCID: PMC9498606 DOI: 10.3390/healthcare10091776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/11/2022] [Accepted: 09/13/2022] [Indexed: 11/17/2022] Open
Abstract
The relationship between polysomnography-based objective sleep and delirium in the intensive care unit (ICU) is inconsistent across studies, suggesting limitations in manually determining the sleep stage of critically ill patients. We objectively measured 24-h sleep using a single-channel electroencephalogram (SleepScope [SS]) and an under-mattress sleep monitor (Nemuri SCAN [NSCAN]), both of which have independent algorithms that automatically determine sleep and wakefulness. Eighteen patients (median age, 68 years) admitted to the ICU after valvular surgery or coronary artery bypass grafting were included, and their sleep time was measured one day after extubation. The median total sleep times (TSTs) measured by SS (TST-SS) and NSCAN were 548 (48−1050) and 1024 (462−1257) min, respectively. Two patients with delirium during the 24-h sleep measurement had very short TST-SS of 48 and 125 min, and the percentage of daytime sleep accounted for >80% in both SS and NSCAN. This preliminary case series showed marked sleep deprivation and increased rates of daytime sleeping in ICU patients with delirium. Although data accuracy from under-mattress sleep monitors is contentious, automated algorithmic sleep/wakefulness determination using a single-channel electroencephalogram may be useful in detecting delirium in ICU patients and could even be superior to polysomnography.
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Grant AD, Upton TJ, Terry JR, Smarr BL, Zavala E. Analysis of wearable time series data in endocrine and metabolic research. CURRENT OPINION IN ENDOCRINE AND METABOLIC RESEARCH 2022; 25:100380. [PMID: 36632470 PMCID: PMC9823090 DOI: 10.1016/j.coemr.2022.100380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Many hormones in the body oscillate with different frequencies and amplitudes, creating a dynamic environment that is essential to maintain health. In humans, disruptions to these rhythms are strongly associated with increased morbidity and mortality. While mathematical models can help us understand rhythm misalignment, translating this insight into personalised healthcare technologies requires solving additional challenges. Here, we discuss how combining minimally invasive, high-frequency biosampling technologies with wearable devices can assist the development of hormonal surrogates. We review bespoke algorithms that can help analyse multidimensional, noisy, time series data and identify wearable signals that could constitute clinical proxies of endocrine rhythms. These techniques can support the development of computational biomarkers to support the diagnosis and management of endocrine and metabolic conditions.
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Affiliation(s)
- Azure D. Grant
- Helen Wills Neuroscience Institute, University of California, Berkeley, 94720, United States of America
| | - Thomas J. Upton
- Laboratories for Integrative Neuroscience and Endocrinology, University of Bristol, Bristol, BS1 3NY, United Kingdom
| | - John R. Terry
- Centre for Systems Modelling & Quantitative Biomedicine, University of Birmingham, Edgbaston, B15 2TT, United Kingdom
| | - Benjamin L. Smarr
- Department of Bioengineering, University of California, San Diego, 92093, United States of America,Halıcıoğlu Data Science Institute, University of California, San Diego, 92093, United States of America,Corresponding author. Smarr, Benjamin L.
| | - Eder Zavala
- Centre for Systems Modelling & Quantitative Biomedicine, University of Birmingham, Edgbaston, B15 2TT, United Kingdom,Corresponding author. Zavala, Eder twitter icon
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Katori M, Shi S, Ode KL, Tomita Y, Ueda HR. The 103,200-arm acceleration dataset in the UK Biobank revealed a landscape of human sleep phenotypes. Proc Natl Acad Sci U S A 2022; 119:e2116729119. [PMID: 35302893 PMCID: PMC8944865 DOI: 10.1073/pnas.2116729119] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 01/18/2022] [Indexed: 11/18/2022] Open
Abstract
SignificanceHuman sleep phenotypes are diversified by genetic and environmental factors, and a quantitative classification of sleep phenotypes would lead to the advancement of biomedical mechanisms underlying human sleep diversity. To achieve that, a pipeline of data analysis, including a state-of-the-art sleep/wake classification algorithm, the uniform manifold approximation and projection (UMAP) dimension reduction method, and the density-based spatial clustering of applications with noise (DBSCAN) clustering method, was applied to the 100,000-arm acceleration dataset. This revealed 16 clusters, including seven different insomnia-like phenotypes. This kind of quantitative pipeline of sleep analysis is expected to promote data-based diagnosis of sleep disorders and psychiatric disorders that tend to be complicated by sleep disorders.
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Affiliation(s)
- Machiko Katori
- Department of Information Physics and Computing, Graduate School of Information Science and Technology, The University of Tokyo, Tokyo 113-0033, Japan
| | - Shoi Shi
- Department of Systems Pharmacology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
- Laboratory for Synthetic Biology, RIKEN Center for Biosystems Dynamics Research, Osaka 565-5241, Japan; and
| | - Koji L. Ode
- Department of Systems Pharmacology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
- Laboratory for Synthetic Biology, RIKEN Center for Biosystems Dynamics Research, Osaka 565-5241, Japan; and
| | - Yasuhiro Tomita
- Department of Systems Pharmacology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
- Sleep Center, Toranomon Hospital, Tokyo 105-8470, Japan
| | - Hiroki R. Ueda
- Department of Information Physics and Computing, Graduate School of Information Science and Technology, The University of Tokyo, Tokyo 113-0033, Japan
- Department of Systems Pharmacology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
- Laboratory for Synthetic Biology, RIKEN Center for Biosystems Dynamics Research, Osaka 565-5241, Japan; and
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Sabry F, Eltaras T, Labda W, Hamza F, Alzoubi K, Malluhi Q. Towards On-Device Dehydration Monitoring Using Machine Learning from Wearable Device's Data. SENSORS 2022; 22:s22051887. [PMID: 35271034 PMCID: PMC8914724 DOI: 10.3390/s22051887] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 02/18/2022] [Accepted: 02/24/2022] [Indexed: 02/04/2023]
Abstract
With the ongoing advances in sensor technology and miniaturization of electronic chips, more applications are researched and developed for wearable devices. Hydration monitoring is among the problems that have been recently researched. Athletes, battlefield soldiers, workers in extreme weather conditions, people with adipsia who have no sensation of thirst, and elderly people who lost their ability to talk are among the main target users for this application. In this paper, we address the use of machine learning for hydration monitoring using data from wearable sensors: accelerometer, magnetometer, gyroscope, galvanic skin response sensor, photoplethysmography sensor, temperature, and barometric pressure sensor. These data, together with new features constructed to reflect the activity level, were integrated with personal features to predict the last drinking time of a person and alert the user when it exceeds a certain threshold. The results of applying different models are compared for model selection for on-device deployment optimization. The extra trees model achieved the least error for predicting unseen data; random forest came next with less training time, then the deep neural network with a small model size, which is preferred for wearable devices with limited memory. Embedded on-device testing is still needed to emphasize the results and test for power consumption.
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Affiliation(s)
- Farida Sabry
- Computer Science and Engineering Department, Faculty of Engineering, Qatar University, Doha 2713, Qatar; (T.E.); (W.L.); (F.H.); (Q.M.)
- Correspondence:
| | - Tamer Eltaras
- Computer Science and Engineering Department, Faculty of Engineering, Qatar University, Doha 2713, Qatar; (T.E.); (W.L.); (F.H.); (Q.M.)
| | - Wadha Labda
- Computer Science and Engineering Department, Faculty of Engineering, Qatar University, Doha 2713, Qatar; (T.E.); (W.L.); (F.H.); (Q.M.)
| | - Fatima Hamza
- Computer Science and Engineering Department, Faculty of Engineering, Qatar University, Doha 2713, Qatar; (T.E.); (W.L.); (F.H.); (Q.M.)
| | - Khawla Alzoubi
- Engineering Technology Department, Community College of Qatar, Doha 7344, Qatar;
| | - Qutaibah Malluhi
- Computer Science and Engineering Department, Faculty of Engineering, Qatar University, Doha 2713, Qatar; (T.E.); (W.L.); (F.H.); (Q.M.)
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