Wearable-derived maternal heart rate variability as a novel digital biomarker of preterm birth

被引:3
作者
Jasinski, Summer R. [1 ]
Rowan, Shon [2 ]
Presby, David M. [1 ]
Claydon, Elizabeth A. [3 ]
Capodilupo, Emily R. [1 ]
机构
[1] WHOOP Inc, Dept Data Sci & Res, Boston, MA 02215 USA
[2] West Virginia Univ, Sch Med, Dept Obstet & Gynecol, Morgantown, WV USA
[3] West Virginia Univ, Sch Publ Hlth, Dept Social & Behav Sci, Morgantown, WV USA
来源
PLOS ONE | 2024年 / 19卷 / 01期
关键词
D O I
10.1371/journal.pone.0295899
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Despite considerable health consequences from preterm births, their incidence remains unchanged over recent decades, due partially to limited screening methods and limited use of extant methods. Wearable technology offers a novel, noninvasive, and acceptable way to track vital signs, such as maternal heart rate variability (mHRV). Previous research observed that mHRV declines throughout the first 33 weeks of gestation in term, singleton pregnancies, after which it improves. The aim of this study was to explore whether mHRV inflection is a feature of gestational age or an indication of time to delivery. This retrospective case-control study considered term and preterm deliveries. Remote data collection via non-invasive wearable technology enabled diverse participation with subjects representing 42 US states and 16 countries. Participants (N = 241) were retroactively identified from the WHOOP (Whoop, Inc.) userbase and wore WHOOP straps during singleton pregnancies between March 2021 and October 2022. Mixed effect spline models by gestational age and time until birth were fit for within-person mHRV, grouped into preterm and term births. For term pregnancies, gestational age (Akaike information criterion (AIC) = 26627.6, R2m = 0.0109, R2c = 0.8571) and weeks until birth (AIC = 26616.3, R2m = 0.0112, R2c = 0.8576) were representative of mHRV trends, with significantly stronger fit for weeks until birth (relative log-likelihood ratio = 279.5). For preterm pregnancies, gestational age (AIC = 1861.9, R2m = 0.0016, R2c = 0.8582) and time until birth (AIC = 1848.0, R2m = 0.0100, R2c = 0.8676) were representative of mHRV trends, with significantly stronger fit for weeks until birth (relative log-likelihood ratio = 859.4). This study suggests that wearable technology, such as the WHOOP strap, may provide a digital biomarker for preterm delivery by screening for changes in nighttime mHRV throughout pregnancy that could in turn alert to the need for further evaluation and intervention.
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页数:9
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