ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Contactless longitudinal monitoring in the home characterizes aging and Alzheimer's disease-related night-time behavior and physiology.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The DREAMS START intervention for sleep in dementia: Long-term follow-up of a randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Trial
- The Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale in frontotemporal dementia and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Digital Technology for Sleep Symptoms in Parkinson's Disease: A Scoping Review.Journal of movement disorders · 2026Article
- Mind the gap: obtaining reliable sleep estimates and the diagnostic value of sleep discrepancy in individuals with Alzheimer's disease and Lewy body disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- AI-enabled digital phenotyping for Alzheimer's disease: a review of multimodal sensor integration and symptom trajectories.Alzheimer's research & therapy · 2026Review
- The clinical and cost-effectiveness of improving sleep via carer delivered strategies in people with dementia: the DREAMS START parallel multi-centre RCT.Health technology assessment (Winchester, England) · 2026Article
- Contactless longitudinal monitoring in the home characterizes aging and Alzheimer's disease-related night-time behavior and physiology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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Authors and funding
19 authors.
Funding
Abstract
introductionDisturbed sleep patterns are common in dementia but have not been objectively quantified over long periods.
methodsWe compared a cohort of 83 Alzheimer's disease (AD) patients to 13,588 individuals from the general population. Sleep patterns, heart rate, and breathing rate data were acquired using a zero-burden contactless, under-mattress pressure sensor. Data reduction and explainable machine learning approaches were used to identify sleep phenotypes.
resultsAD was characterized by longer time in bed, more bed exits, less snoring, and changes in estimated sleep states. We derived the Dementia Research Institute Sleep Index for Alzheimer's Disease (DRI-SI-AD), a digital biomarker quantifying sleep disturbances. DRI-SI-AD detected the effects of acute clinical events and dementia progression at the individual level. DISCUSSION: Our approach may help bridge a gap in dementia care by providing a zero-burden method for longitudinal monitoring of health events, disease progression, and dementia risk. HIGHLIGHTS: Continuous monitoring reveals dementia-specific nocturnal sleep disturbances. We developed a novel sleep biomarker, Dementia Research Institute Sleep Index (AD), for tracking Alzheimer's disease (AD) progression. We used contactless under-mattress sensors for low-burden, long-term data collection. Prolonged bedtimes and frequent exits were identified as key dementia-related sleep traits. We demonstrated the feasibility of in-home monitoring for dementia care and risk assessment.
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