Evidence map›Paper›PMID 40399918›Full record

ArticleAlzheimer's research & therapy2025

Diagnostic performance of actigraphy in Alzheimer's disease using a machine learning classifier - a cross-sectional memory clinic study.

Mathias Holsey Gramkow, Andreas Brink-Kjær, Frederikke Kragh Clemmensen, Nikolai Sulkjær Sjælland, Gunhild Waldemar, Poul Jennum, Steen Gregers Hasselbalch, Kristian Steen Frederiksen

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Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mathias Holsey GramkowDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Inge Lehmans Vej 8, Copenhagen, DK-2100, Denmark. mathias.holsey.gramkow@regionh.dk.
Andreas Brink-KjærDepartment of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark.
Frederikke Kragh ClemmensenDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Nikolai Sulkjær SjællandDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Gunhild WaldemarDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Poul JennumDepartment of Clinical Neurophysiology, Danish Center for Sleep Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Steen Gregers HasselbalchDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Kristian Steen FrederiksenDanish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMovement patterns, activity levels and circadian rhythm are altered in Alzheimer's disease (AD) and can be assessed by actigraphy using wearable sensors. We aimed to determine the diagnostic performance of actigraphy in AD in a memory clinic population by using a machine-learning classifier.

methodsIn our single-center cross-sectional study, 70 patients with AD (MCI-moderate dementia), dementia with Lewy bodies (DLB) (N = 29) and cerebrovascular disease (CVD) (N = 23), and 48 elderly healthy controls were included. Participants underwent actigraphy at home using two body-worn sensors (SENS Motion

resultsWe found that movement patterns as well as the robustness and fragmentation of the circadian rhythm differed significantly between groups. During the daytime, patients with AD performed less moderate activity and walked less than the healthy group. While we achieved a modest accuracy of 68.8% for differentiating AD and healthy, the performance was highest (accuracy: 80-89%; precision: 69-84%) when ML was applied to actigraphy data to differentiate dementia etiologies (AD vs. DLB + AD vs. CVD).

conclusionActigraphy accurately identifies different dementia etiologies and could serve as a supplement to diagnostic investigations in patients with suspected AD for differential diagnostic purposes.

Indexed as

ActigraphyAlzheimer DiseaseMachine LearningAgedAged, 80 and overCircadian RhythmCognitive DysfunctionCross-Sectional StudiesFemaleHumansLewy Body DiseaseMaleMiddle AgedActigraphyActivity typesAlzheimer’s diseaseDiagnosisDigital biomarkerPhysical activity

Identifiers

PMID40399918
PMCPMC12374425

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.