Non-invasive glucose monitoring remains a critical challenge in the management of diabetes. HRV during sleep shows promise for glucose prediction however, age-related autonomic changes significantly confound traditional HRV analyses. We analyzed 43 subjects with multi-modal data including sleep-stage specific ECG, HRV features, and clinical measurements. A novel age-normalization technique was applied to the HRV features by, dividing the raw values by age-scaled factors. BayesianRidge regression with 5-fold cross-validation was employed for log-glucose prediction. Age-normalized HRV features achieved R2 = 0.161 (MAE = 0.182) for log-glucose prediction, representing a 25.6% improvement over non-normalized features (R2 = 0.132). The top predictive features were hrv rem mean rr age normalized (r = 0.443, p = 0.004), hrv ds mean rr age normalized (r = 0.438, p = 0.005), and diastolic blood pressure (r = 0.437, p = 0.005). Systematic ablation studies confirmed age-normalization as the critical component, with sleep-stage specific features providing additional predictive value. Age-normalized HRV features significantly enhance glucose prediction accuracy compared with traditional approaches. This sleep-aware methodology addresses fundamental limitations in autonomic function assessment and suggests a preliminary feasibility for non-invasive glucose monitoring applications. However, these results require validation in larger cohorts before clinical consideration.

-- Depression is a complex mental disorder characterized by a diverse range of observable and measurable indicators that go beyond traditional subjective assessments. Recent research has increasingly focused on objective, passive, and continuous monitoring using wearable devices to gain more precise insights into the physiological and behavioral aspects of depression. However, most existing studies primarily distinguish between healthy and depressed individuals, adopting a binary classification that fails to capture the heterogeneity of depressive disorders. In this study, we leverage wearable devices to predict depression subtypes--specifically unipolar and bipolar depression--aiming to identify distinctive biomarkers that could enhance diagnostic precision and support personalized treatment strategies. T o this end, we introduce the CAL YPSO dataset, designed for non-invasive detection of depression subtypes and symptomatology through physiological and behavioral signals, including blood volume pulse, electro-dermal activity, body temperature, and three-axis acceleration. Additionally, we establish a benchmark on the dataset using well-known features and standard machine learning methods. Preliminary results indicate that features related to physical activity, extracted from accelerometer data, are the most effective in distinguishing between unipolar and bipolar depression, achieving an accuracy of 96.77%. T emperature-based features also showed high discriminative power, reaching an accuracy of 93.55%. I. INTRODUCTION Depression is a common psychiatric disorders affecting approximately 280 million people worldwide, accounting for 3.8% of the global population.

Photoplethysmography (PPG) sensors have been widely used in consumer wearable devices to monitor heart rates (HR) and heart rate variability (HRV). Despite the prevalence, PPG signals can be contaminated by motion artifacts induced from daily activities. Existing approaches mainly use the amplitude information to perform PPG peak detection. However, these approaches cannot accurately identify peaks, since motion artifacts may bring random and significant amplitude variations. To improve the performance of PPG peak detection, the time information can be used. Specifically, heart rates exhibit temporal consistency that consecutive heartbeat intervals in a normal person can have limited variations. To leverage the temporal consistency, we propose the Temporal Attentive U-Net, i.e., TAU, to accurately detect peaks from PPG signals. In TAU, we design a time module that encodes temporal consistency in temporal embeddings. We integrate the amplitude information with temporal embeddings using the attention mechanism to estimate peak labels. Our experimental results show that TAU outperforms eleven baselines on heart rate estimation by more than 22.4%. Our TAU model achieves the best performance across various Signal-to-Noise Ratio (SNR) levels. Moreover, we achieve Pearson correlation coefficients higher than 0.9 (p < 0.01) on estimating HRV features from low-noise-level PPG signals.

Alterations in Heart Rate (HR) and Heart Rate Variability (HRV) can reflect autonomic dysfunction associated with neurodegeneration. We investigate the influence of Mild Cognitive Impairment (MCI) on HR and its variability measures in the Indian population by designing a complete signal processing pipeline to detect the R-wave peaks and compute HR and HRV features from ECG recordings of 10 seconds, for point-of-care applications. The study cohort involves 297 urban participants, among which 48.48% are male and 51.51% are female. From the Addenbrooke's Cognitive Examination-III (ACE-III), MCI is detected in 19.19% of participants and the rest, 80.8% of them are cognitively healthy. Statistical features like central tendency (mean and root mean square (RMS) of the Normal-to-Normal (NN) intervals) and dispersion (standard deviation (SD) of all NN intervals (SDNN) and root mean square of successive differences of NN intervals (RMSSD)) of beat-to-beat intervals are computed. The Wilcoxon rank sum test reveals that mean of NN intervals (p = 0.0021), the RMS of NN intervals (p = 0.0014), the SDNN (p = 0.0192) and the RMSSD (p = 0.0206) values differ significantly between MCI and non-MCI classes, for a level of significance, 0.05. Machine learning classifiers like, Support Vector Machine (SVM), Discriminant Analysis (DA) and Naive Bayes (NB) driven by mean NN intervals, RMS, SDNN and RMSSD, show a high accuracy of 80.80% on each individual feature input. Individuals with MCI are observed to have comparatively higher HR than healthy subjects. HR and its variability can be considered as potential biomarkers for detecting MCI.

The early and accurate diagnosis of sepsis is critical for enhancing patient outcomes. This study aims to use heart rate variability (HRV) features to develop an effective predictive model for sepsis detection. Critical HRV features are identified through feature engineering methods, including statistical bootstrapping and the Boruta algorithm, after which XGBoost and Random Forest classifiers are trained with differential hyperparameter settings. In addition, ensemble models are constructed to pool the prediction probabilities of high-recall and high-precision classifiers and improve model performance. Finally, a neural network model is trained on the HRV features, achieving an F1 score of 0.805, a precision of 0.851, and a recall of 0.763. The best-performing machine learning model is compared to this neural network through an interpretability analysis, where Local Interpretable Model-agnostic Explanations are implemented to determine decision-making criterion based on numerical ranges and thresholds for specific features. This study not only highlights the efficacy of HRV in automated sepsis diagnosis but also increases the transparency of black box outputs, maximizing clinical applicability.

Stress is prevalent in many aspects of everyday life including work, healthcare, and social interactions. Many works have studied handcrafted features from various bio-signals that are indicators of stress. Recently, deep learning models have also been proposed to detect stress. Typically, stress models are trained and validated on the same dataset, often involving one stressful scenario. However, it is not practical to collect stress data for every scenario. So, it is crucial to study the generalizability of these models and determine to what extent they can be used in other scenarios. In this paper, we explore the generalization capabilities of Electrocardiogram (ECG)-based deep learning models and models based on handcrafted ECG features, i.e., Heart Rate Variability (HRV) features. To this end, we train three HRV models and two deep learning models that use ECG signals as input. We use ECG signals from two popular stress datasets - WESAD and SWELL-KW - differing in terms of stressors and recording devices. First, we evaluate the models using leave-one-subject-out (LOSO) cross-validation using training and validation samples from the same dataset. Next, we perform a cross-dataset validation of the models, that is, LOSO models trained on the WESAD dataset are validated using SWELL-KW samples and vice versa. While deep learning models achieve the best results on the same dataset, models based on HRV features considerably outperform them on data from a different dataset. This trend is observed for all the models on both datasets. Therefore, HRV models are a better choice for stress recognition in applications that are different from the dataset scenario. To the best of our knowledge, this is the first work to compare the cross-dataset generalizability between ECG-based deep learning models and HRV models.

We present an approach to domain adaptation, addressing the case where data from the source domain is abundant, labelled data from the target domain is limited or non-existent, and a small amount of paired source-target data is available. The method is designed for developing deep learning models that detect the presence of medical conditions based on data from consumer-grade portable biosensors. It addresses some of the key problems in this area, namely, the difficulty of acquiring large quantities of clinically labelled data from the biosensor, and the noise and ambiguity that can affect the clinical labels. The idea is to pre-train an expressive model on a large dataset of labelled recordings from a sensor modality for which data is abundant, and then to adapt the model's lower layers so that its predictions on the target modality are similar to the original model's on paired examples from the source modality. We show that the pre-trained model's predictions provide a substantially better learning signal than the clinician-provided labels, and that this teacher-student technique significantly outperforms both a naive application of supervised deep learning and a label-supervised version of domain adaptation on a synthetic dataset and in a real-world case study on sleep apnea. By reducing the volume of data required and obviating the need for labels, our approach should reduce the cost associated with developing high-performance deep learning models for biosensors.

Linear and non-linear measures of heart rate variability (HRV) are widely investigated as non-invasive indicators of health. Stress has a profound impact on heart rate, and different meditation techniques have been found to modulate heartbeat rhythm. This paper aims to explore the process of identifying appropriate metrices from HRV analysis for sonification. Sonification is a type of auditory display involving the process of mapping data to acoustic parameters. This work explores the use of auditory display in aiding the analysis of HRV leveraged by unsupervised machine learning techniques. Unsupervised clustering helps select the appropriate features to improve the sonification interpretability. Vocal synthesis sonification techniques are employed to increase comprehension and learnability of the processed data displayed through sound. These analyses are early steps in building a real-time sound-based biofeedback training system.