Abstract

Wearable devices continuously measure multiple physiological variables to inform users of health and behavior indicators. The computed health indicators must rely on informative signals obtained by processing the raw physiological variables with powerful noise- and artifacts-filtering algorithms. In this study, we aimed to elucidate the effects of signal processing techniques on the accuracy of detecting and discriminating physical activity (PA) and acute psychological stress (APS) using physiological measurements (blood volume pulse, heart rate, skin temperature, galvanic skin response, and accelerometer) collected from a wristband. Data from 207 experiments involving 24 subjects were used to develop signal processing, feature extraction, and machine learning (ML) algorithms that can detect and discriminate PA and APS when they occur individually or concurrently, classify different types of PA and APS, and estimate energy expenditure (EE). Training data were used to generate feature variables from the physiological variables and develop ML models (naïve Bayes, decision tree, k-nearest neighbor, linear discriminant, ensemble learning, and support vector machine). Results from an independent labeled testing data set demonstrate that PA was detected and classified with an accuracy of 99.3%, and APS was detected and classified with an accuracy of 92.7%, whereas the simultaneous occurrences of both PA and APS were detected and classified with an accuracy of 89.9% (relative to actual class labels), and EE was estimated with a low mean absolute error of 0.02 metabolic equivalent of task (MET).The data filtering and adaptive noise cancellation techniques used to mitigate the effects of noise and artifacts on the classification results increased the detection and discrimination accuracy by 0.7% and 3.0% for PA and APS, respectively, and by 18% for EE estimation. The results demonstrate the physiological measurements from wristband devices are susceptible to noise and artifacts, and elucidate the effects of signal processing and feature extraction on the accuracy of detection, classification, and estimation of PA and APS.

Highlights

  • Monitoring physical activity (PA) and acute psychological stress (APS) throughout daily life is important in the management of chronic diseases because regular PA can promote cardiovascular health, whereas episodes of APS can increase the risks of adverse cardiovascular events

  • Motivated by the above considerations, in this work, we studied the effects of data filtering and adaptive noise cancellation techniques on the accuracy of detecting and discriminating PA and APS, and quantifying the PA intensity using a variety of machine learning (ML) algorithms and physiological measurements collected from a wristband

  • We demonstrate that effective signal processing and feature extraction are important to ensure high accuracy for ML algorithms to discriminate among different types of individual or concurrent incidences of PA and APS and quantify the intensity of the PA

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Summary

Introduction

Monitoring physical activity (PA) and acute psychological stress (APS) throughout daily life is important in the management of chronic diseases because regular PA can promote cardiovascular health, whereas episodes of APS can increase the risks of adverse cardiovascular events. Wearable device sensors continuously measure multiple physiological variables to enable self-monitoring of health and preventive medicine [1,2,3,4,5,6]. These signals provide valuable information in real time and act as surrogates for reporting variations in the levels of hormones such as cortisol, Signals 2020, 1, 188–208; doi:10.3390/signals1020011 www.mdpi.com/journal/signals. Signals from a wearable device would complement the information received from a continuous glucose monitoring device and provide advance information of the presence of PA and/or APS, which will affect the glucose level, enabling better insulin dosing decisions [6,9,13,14,15,16]. They require powerful signal processing algorithms to extract reliable information from noisy data and eliminate the effects of artifacts

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