Sleep staging using wearables and deep neural networks

There is a well-established association between sleep and health status, but the current gold-standard for analysing sleep, polysomnography, is too disruptive and expensive to enable longitudinal monitoring. There is, therefore, a growing interest in automated sleep scoring, or staging, using a comb...

Full description

Bibliographic Details
Main Authors: Davidson, S, Harford, M, Tarassenko, L, Carter, J, Roman, C
Format: Conference item
Language:English
Published: IEEE 2023
_version_ 1797112969722593280
author Davidson, S
Harford, M
Tarassenko, L
Carter, J
Roman, C
author_facet Davidson, S
Harford, M
Tarassenko, L
Carter, J
Roman, C
author_sort Davidson, S
collection OXFORD
description There is a well-established association between sleep and health status, but the current gold-standard for analysing sleep, polysomnography, is too disruptive and expensive to enable longitudinal monitoring. There is, therefore, a growing interest in automated sleep scoring, or staging, using a combination of wearable technology to acquire cardio-respiratory vital signs and machine learning to learn how these vital signs vary with sleep state. However, sleep and the associated cardio-respiratory signals also change significantly with age, in part because of age-related changes in the autonomic nervous system, and this impacts the accuracy of wearable sleep staging methods. This paper investigates how the accuracy of a deep neural network model trained on the Sleep Heart Health Study database varies with the age of the subject. We show that the classification accuracy for each sleep stage decreases with age. We also present proof-of-concept analysis of longitudinal sleep data from a COVID-19 Challenge Study with a younger cohort (18 - 29 years of age), discuss the impact of having trained the deep neural network model on a database with an age range from 40 to 89+, and suggest how this issue may be addressed.Clinical relevance— This paper highlights how changes in sleep behaviour with age can affect neural network sleep staging using cardio-respiratory vital signs and machine learning, resulting in less accurate sleep staging in some age groups, and discusses potential methods for addressing this.
first_indexed 2024-03-07T08:10:21Z
format Conference item
id oxford-uuid:ef17df92-1f9c-444c-becd-5619851da410
institution University of Oxford
language English
last_indexed 2024-04-09T03:55:36Z
publishDate 2023
publisher IEEE
record_format dspace
spelling oxford-uuid:ef17df92-1f9c-444c-becd-5619851da4102024-03-12T11:12:19ZSleep staging using wearables and deep neural networksConference itemhttp://purl.org/coar/resource_type/c_5794uuid:ef17df92-1f9c-444c-becd-5619851da410EnglishSymplectic ElementsIEEE2023Davidson, SHarford, MTarassenko, LCarter, JRoman, CThere is a well-established association between sleep and health status, but the current gold-standard for analysing sleep, polysomnography, is too disruptive and expensive to enable longitudinal monitoring. There is, therefore, a growing interest in automated sleep scoring, or staging, using a combination of wearable technology to acquire cardio-respiratory vital signs and machine learning to learn how these vital signs vary with sleep state. However, sleep and the associated cardio-respiratory signals also change significantly with age, in part because of age-related changes in the autonomic nervous system, and this impacts the accuracy of wearable sleep staging methods. This paper investigates how the accuracy of a deep neural network model trained on the Sleep Heart Health Study database varies with the age of the subject. We show that the classification accuracy for each sleep stage decreases with age. We also present proof-of-concept analysis of longitudinal sleep data from a COVID-19 Challenge Study with a younger cohort (18 - 29 years of age), discuss the impact of having trained the deep neural network model on a database with an age range from 40 to 89+, and suggest how this issue may be addressed.Clinical relevance— This paper highlights how changes in sleep behaviour with age can affect neural network sleep staging using cardio-respiratory vital signs and machine learning, resulting in less accurate sleep staging in some age groups, and discusses potential methods for addressing this.
spellingShingle Davidson, S
Harford, M
Tarassenko, L
Carter, J
Roman, C
Sleep staging using wearables and deep neural networks
title Sleep staging using wearables and deep neural networks
title_full Sleep staging using wearables and deep neural networks
title_fullStr Sleep staging using wearables and deep neural networks
title_full_unstemmed Sleep staging using wearables and deep neural networks
title_short Sleep staging using wearables and deep neural networks
title_sort sleep staging using wearables and deep neural networks
work_keys_str_mv AT davidsons sleepstagingusingwearablesanddeepneuralnetworks
AT harfordm sleepstagingusingwearablesanddeepneuralnetworks
AT tarassenkol sleepstagingusingwearablesanddeepneuralnetworks
AT carterj sleepstagingusingwearablesanddeepneuralnetworks
AT romanc sleepstagingusingwearablesanddeepneuralnetworks