Multi-window HRV and temporal context for sleep staging from ECG and smartwatch PPG-derived intervals

Sleep staging is essential for evaluating sleep quality, yet conventional polysomnography is costly, intrusive, and difficult to deploy in everyday settings. This study presents an HRV-centered sleep-staging framework for ECG-derived RR intervals and smartwatch PPG-derived IBI sequences. Rather than introducing a new Transformer architecture, the study systematically evaluates multi-window HRV representation and sleep-progress context for four-class sleep staging, while examining demographic information and feature-interaction strategies as auxiliary components. The framework extracts time-domain, frequency-domain, and nonlinear HRV features from multiple temporal windows, combines them primarily with sleep-progress context while optionally incorporating demographic context, and uses a lightweight Transformer encoder as a temporal integration module for classifying Wake, Light sleep, Deep sleep, and REM sleep. In the final baseline comparison, the proposed configuration achieved accuracies and Cohen’s Kappa coefficients of 0.6988/0.5326 on the SHHS 1000 subset, 0.6958/0.4830 on Huami ECG, and 0.6915/0.4615 in the Huami smartwatch PPG setting. Ablation analyses showed that multi-window HRV representation and temporal sleep-progress information provided the most consistent contributions, whereas demographic variables and feature-interaction strategies had auxiliary and dataset-dependent effects. For practical interpretation, configurations without the future-context 300-s feature are considered the relevant setting because they exclude explicitly post-epoch information, whereas configurations containing this feature are treated only as offline retrospective analyses. Further validation across independent datasets, wearable devices, prospective deployment settings, and external PPG interval-estimation pipelines is needed before broader real-world use.

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Publication Details

Journal
Scientific Reports
Published
2026-11-05
DOI
https://doi.org/10.1038/s41598-026-73376-z
Primary Topic
Non-Invasive Vital Sign Monitoring
Type
article
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article

Multi-window HRV and temporal context for sleep staging from ECG and smartwatch PPG-derived intervals

Zhulin Tao, Yiran Peng, Jiaqi Li, Yimin Wang et al.
Scientific Reports
Non-Invasive Vital Sign Monitoring
article

Multi-window HRV and temporal context for sleep staging from ECG and smartwatch PPG-derived intervals

Zhulin Tao, Yiran Peng, Jiaqi Li, Yimin Wang, Zhangyan Yan, Yu Zou, Ziyue Zhang, Chenxi Cao, Zixiang Cai, Yujiao Chai
article en

Abstract

Sleep staging is essential for evaluating sleep quality, yet conventional polysomnography is costly, intrusive, and difficult to deploy in everyday settings. This study presents an HRV-centered sleep-staging framework for ECG-derived RR intervals and smartwatch PPG-derived IBI sequences. Rather than introducing a new Transformer architecture, the study systematically evaluates multi-window HRV representation and sleep-progress context for four-class sleep staging, while examining demographic information and feature-interaction strategies as auxiliary components. The framework extracts time-domain, frequency-domain, and nonlinear HRV features from multiple temporal windows, combines them primarily with sleep-progress context while optionally incorporating demographic context, and uses a lightweight Transformer encoder as a temporal integration module for classifying Wake, Light sleep, Deep sleep, and REM sleep. In the final baseline comparison, the proposed configuration achieved accuracies and Cohen’s Kappa coefficients of 0.6988/0.5326 on the SHHS 1000 subset, 0.6958/0.4830 on Huami ECG, and 0.6915/0.4615 in the Huami smartwatch PPG setting. Ablation analyses showed that multi-window HRV representation and temporal sleep-progress information provided the most consistent contributions, whereas demographic variables and feature-interaction strategies had auxiliary and dataset-dependent effects. For practical interpretation, configurations without the future-context 300-s feature are considered the relevant setting because they exclude explicitly post-epoch information, whereas configurations containing this feature are treated only as offline retrospective analyses. Further validation across independent datasets, wearable devices, prospective deployment settings, and external PPG interval-estimation pipelines is needed before broader real-world use.

Scientific Reports
Macau University of Science and Technology (MO), Communication University of China (CN)
Openalex Percentile: Top 26%
Non-Invasive Vital Sign Monitoring
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