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June 13, 2026Yonsei Medical JournalOpen Access

Longitudinal Variability of Wearable-Derived Sleep and Heart Rate as a Digital Biomarker for Early Detection of Mild Cognitive Impairment

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Authors

HKHyunsuk KimJPJin Young Park

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Overview

Randomized trial evaluates variability in sleep and heart rate for early mild cognitive impairment detection, suggesting new screening methods.

Key Points

  • This study aims to assess how variability in sleep and heart rate can serve as indicators for early cognitive decline in individuals.
  • Collected nocturnal data from 162 participants using smart rings over an average of 70 days.
  • Derived variability-based features and compared them to mean-based models to evaluate predictive capabilities.
  • Employed logistic regression models with stepwise integration and model validation through cross-validation.
  • Variability-focused models showed better performance than mean-only models, achieving an area under the curve of 0.861 and a sensitivity of 0.820.
  • Top predictors identified include HR_drop variability and sleep-behavior rhythm, highlighting their significance in detecting cognitive decline.
  • Mean effects showed instability across different time windows, indicating the importance of variability over long-window averages.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf34dfaef96ed7f055d0ehttps://doi.org/10.3349/ymj.2025.0575
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Altered heart rate variability during sleep in mild cognitive impairment2020 · 27 citations
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  4. 4Endogenous circadian rhythm in human motor activity uncoupled from circadian influences on cardiac dynamics2007 · 124 citations
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