دورية أكاديمية

Longitudinal Assessment of Seasonal Impacts and Depression Associations on Circadian Rhythm Using Multimodal Wearable Sensing: Retrospective Analysis

التفاصيل البيبلوغرافية
العنوان: Longitudinal Assessment of Seasonal Impacts and Depression Associations on Circadian Rhythm Using Multimodal Wearable Sensing: Retrospective Analysis
المؤلفون: Yuezhou Zhang, Amos A Folarin, Shaoxiong Sun, Nicholas Cummins, Yatharth Ranjan, Zulqarnain Rashid, Callum Stewart, Pauline Conde, Heet Sankesara, Petroula Laiou, Faith Matcham, Katie M White, Carolin Oetzmann, Femke Lamers, Sara Siddi, Sara Simblett, Srinivasan Vairavan, Inez Myin-Germeys, David C Mohr, Til Wykes, Josep Maria Haro, Peter Annas, Brenda WJH Penninx, Vaibhav A Narayan, Matthew Hotopf, Richard JB Dobson
المصدر: Journal of Medical Internet Research, Vol 26, p e55302 (2024)
بيانات النشر: JMIR Publications, 2024.
سنة النشر: 2024
المجموعة: LCC:Computer applications to medicine. Medical informatics
LCC:Public aspects of medicine
مصطلحات موضوعية: Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
الوصف: BackgroundPrevious mobile health (mHealth) studies have revealed significant links between depression and circadian rhythm features measured via wearables. However, the comprehensive impact of seasonal variations was not fully considered in these studies, potentially biasing interpretations in real-world settings. ObjectiveThis study aims to explore the associations between depression severity and wearable-measured circadian rhythms while accounting for seasonal impacts. MethodsData were sourced from a large longitudinal mHealth study, wherein participants’ depression severity was assessed biweekly using the 8-item Patient Health Questionnaire (PHQ-8), and participants’ behaviors, including sleep, step count, and heart rate (HR), were tracked via Fitbit devices for up to 2 years. We extracted 12 circadian rhythm features from the 14-day Fitbit data preceding each PHQ-8 assessment, including cosinor variables, such as HR peak timing (HR acrophase), and nonparametric features, such as the onset of the most active continuous 10-hour period (M10 onset). To investigate the association between depression severity and circadian rhythms while also assessing the seasonal impacts, we used three nested linear mixed-effects models for each circadian rhythm feature: (1) incorporating the PHQ-8 score as an independent variable, (2) adding seasonality, and (3) adding an interaction term between season and the PHQ-8 score. ResultsAnalyzing 10,018 PHQ-8 records alongside Fitbit data from 543 participants (n=414, 76.2% female; median age 48, IQR 32-58 years), we found that after adjusting for seasonal effects, higher PHQ-8 scores were associated with reduced daily steps (β=–93.61, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1438-8871
العلاقة: https://www.jmir.org/2024/1/e55302Test; https://doaj.org/toc/1438-8871Test
DOI: 10.2196/55302
الوصول الحر: https://doaj.org/article/38083f52351b429f9f78f5aa016729b4Test
رقم الانضمام: edsdoj.38083f52351b429f9f78f5aa016729b4
قاعدة البيانات: Directory of Open Access Journals