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Machine learning approaches for predicting sleep arousal response based on heart rate variability, oxygen saturation, and body profiles.


ABSTRACT:

Objective

Obstructive sleep apnea is a global health concern, and several tools have been developed to screen its severity. However, most tools focus on respiratory events instead of sleep arousal, which can also affect sleep efficiency. This study employed easy-to-measure parameters-namely heart rate variability, oxygen saturation, and body profiles-to predict arousal occurrence.

Methods

Body profiles and polysomnography recordings were collected from 659 patients. Continuous heart rate variability and oximetry measurements were performed and then labeled based on the presence of sleep arousal. The dataset, comprising five body profiles, mean heart rate, six heart rate variability, and five oximetry variables, was then split into 80% training/validation and 20% testing datasets. Eight machine learning approaches were employed. The model with the highest accuracy, area under the receiver operating characteristic curve, and area under the precision recall curve values in the training/validation dataset was applied to the testing dataset and to determine feature importance.

Results

InceptionTime, which exhibited superior performance in predicting sleep arousal in the training dataset, was used to classify the testing dataset and explore feature importance. In the testing dataset, InceptionTime achieved an accuracy of 76.21%, an area under the receiver operating characteristic curve of 84.33%, and an area under the precision recall curve of 86.28%. The standard deviations of time intervals between successive normal heartbeats and the square roots of the means of the squares of successive differences between normal heartbeats were predominant predictors of arousal occurrence.

Conclusions

The established models can be considered for screening sleep arousal occurrence or integrated in wearable devices for home-based sleep examination.

SUBMITTER: Kuo CF 

PROVIDER: S-EPMC10576931 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature

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Publications

Machine learning approaches for predicting sleep arousal response based on heart rate variability, oxygen saturation, and body profiles.

Kuo Chih-Fan CF   Tsai Cheng-Yu CY   Cheng Wun-Hao WH   Hs Wen-Hua WH   Majumdar Arnab A   Stettler Marc M   Lee Kang-Yun KY   Kuan Yi-Chun YC   Feng Po-Hao PH   Tseng Chien-Hua CH   Chen Kuan-Yuan KY   Kang Jiunn-Horng JH   Lee Hsin-Chien HC   Wu Cheng-Jung CJ   Liu Wen-Te WT  

Digital health 20230101


<h4>Objective</h4>Obstructive sleep apnea is a global health concern, and several tools have been developed to screen its severity. However, most tools focus on respiratory events instead of sleep arousal, which can also affect sleep efficiency. This study employed easy-to-measure parameters-namely heart rate variability, oxygen saturation, and body profiles-to predict arousal occurrence.<h4>Methods</h4>Body profiles and polysomnography recordings were collected from 659 patients. Continuous hea  ...[more]

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