Exploring the feasibility of modeling next-day fatigue and sleepiness using digital sleep tracker data in neurodegenerative and immune-mediated inflammatory diseases - Summary - MDSpire

Exploring the feasibility of modeling next-day fatigue and sleepiness using digital sleep tracker data in neurodegenerative and immune-mediated inflammatory diseases

  • By

  • Bing Zhai

  • Luan Chen

  • Xujun Ma

  • Clémence Pinaud

  • Meenakshi Chatterjee

  • Juha M. Kortelainen

  • Rana Zia Ur Rehman

  • Teemu Ahmaniemi

  • Stefan Avey

  • Yu Guan

  • Victoria Macrae

  • Chloe Hinchliffe

  • Silvia Del Din

  • Nikolay V. Manyakov

  • Robert Göder

  • Robbin Romijnders

  • Walter Maetzler

  • Ralf Reilmann

  • Svenja Aufenberg

  • Robin Schubert

  • C. Janneke van der Woude

  • Daqing Zhang

  • Wan-Fai Ng

  • June 17, 2026

  • 0 min

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Objective:

To evaluate the feasibility of using consumer- and research-grade sleep trackers to predict next-day fatigue and sleepiness in individuals with neurodegenerative diseases (NDDs) and immune-mediated inflammatory diseases (IMIDs).

Approach:
    Key Findings:
    • Sleep trackers showed moderate agreement with polysomnography (PSG).
    • Models demonstrated preliminary discriminative capacity for next-day physical fatigue in healthy adults (AUC 0.75).
    • In NDD, physical fatigue AUC reached 0.62, with REM latency and deep sleep as key features.
    • Mental fatigue prediction reached AUC 0.66 in healthy adults; daytime sleepiness AUC 0.66 in NDD.
    Interpretation:

    Findings should be interpreted as exploratory, as outcome binarisation may conflate between-person disease-group differences with within-person symptom variation.

    Limitations:
    • Predictive performance in chronic disease cohorts remains limited.
    • The study highlights the need for larger, multimodal studies to establish disease-specific digital fatigue endpoints.
    Conclusion:

    Wearable sleep trackers show feasibility for objective home-based sleep monitoring, with preliminary evidence supporting sleep physiology as a candidate predictor of next-day physical fatigue in healthy adults.

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