Detection and analysis of pulse waves during sleep via wrist-worn actigraphy

PLoS One. 2019 Dec 31;14(12):e0226843. doi: 10.1371/journal.pone.0226843. eCollection 2019.

Abstract

The high temporal and intensity resolution of modern accelerometers gives the opportunity of detecting even tiny body movements via motion-based sensors. In this paper, we demonstrate and evaluate an approach to identify pulse waves and heartbeats from acceleration data of the human wrist during sleep. Specifically, we have recorded simultaneously full-night polysomnography and 3d wrist actigraphy data of 363 subjects during one night in a clinical sleep laboratory. The acceleration data was segmented and cleaned, excluding body movements and separating episodes with different sleep positions. Then, we applied a bandpass filter and a Hilbert transform to uncover the pulse wave signal, which worked well for an average duration of 1.7 h per subject. We found that 81 percent of the detected pulse wave intervals could be correctly associated with the R peak intervals from independently recorded ECGs and obtained a median Pearson cross-correlation of 0.94. While the low-frequency components of both signals were practically identical, the high-frequency component of the pulse wave interval time series was increased, indicating a respiratory modulation of pulse transit times, probably as an additional contribution to respiratory sinus arrhythmia. Our approach could be used to obtain long-term nocturnal heartbeat interval time series and pulse wave signals from wrist-worn accelerometers without the need of recording ECG or photoplethysmography. This is particularly useful for an ambulatory monitoring of high-risk cardiac patients as well as for assessing cardiac dynamics in large cohort studies solely with accelerometer devices that are already used for activity tracking and sleep pattern analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actigraphy / methods*
  • Adult
  • Aged
  • Electrocardiography / methods
  • Female
  • Heart Rate*
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Ambulatory / methods*
  • Polysomnography / methods*
  • Pulse Wave Analysis / methods*
  • Sleep / physiology*
  • Wrist
  • Young Adult

Grants and funding

This study was supported by the German Israel Foundation (GIF, http://www.gif.org.il) grants I-1298-415.13/2015 (for JZ and JK) and I-1372-303.7/2016 (for MG, RB, and TP) and the German National Cohort study (www.nako.de), funded by the Federal Ministry of Education and Research (BMBF) and the Helmholtz Association (for JZ, AM and RM). JZ acknowledges support from a Minerva Short-Term Research Grant. We acknowledge the financial support within the funding programme Open Access Publishing by the German Research Foundation (DFG). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.