Deep Learning for Sleep Heart Rate Estimation from Accelerometers: Toward Population-Scale Cardiac Insight Without Optical Sensors

Sleep health notes

Sleep health notes will be added by the Sleepatch editorial team.

中文解读

中文解读待补充：本站会优先为失眠研究、睡眠质量改善、昼夜节律等高价值睡眠研究添加中文说明。

Original abstract

Large longitudinal cohorts often contain wrist accelerometry without optical heart-rate sensing, motivating recovery of cardiac information from motion signals already collected during sleep. We present SeqSmoother, a transformer-based temporal corrector for sleep heart rate (HR) estimation from wrist accelerometry. SeqSmoother combines spectral descriptors with an intermediate Nightbeat-derived frequency anchor and a physics-motivated sub-harmonic feature designed to identify harmonic frequency lock-on. All inference-time features are derived from wrist accelerometry, while ECG is used only to construct reference HR labels and training-label quality weights. We evaluate SeqSmoother using 13 participant-disjoint held-out folds and compare it with the official Nightbeat implementation under a matched 60-s window and 15-s step protocol. Across all out-of-fold predictions, SeqSmoother achieved a participant-macro MAE of 1.60 bpm. On Nightbeat-retained matched intervals, Nightbeat achieved lower absolute error than SeqSmoother (0.615 versus 1.091 bpm), while SeqSmoother provided estimates over a larger portion of the eligible recording; Nightbeat produced final estimates for 72.85% of the SeqSmoother-eligible out-of-fold grid. Separately, the proposed sub-harmonic ratio achieved an AUROC of 0.972 for identifying reference-defined harmonic lock-on candidates. These findings reveal an accuracy-availability trade-off between learned temporal modeling and quality-gated signal processing while providing empirical support for a physics-informed approach to identifying frequency-tracking failures in accelerometer-based sleep HR estimation.

Links and sources

• Official / arXiv page
• PDF from original source

Comments