Evidence map›Paper›PMID 41495409›Full record

ArticleNature medicine2026

A multimodal sleep foundation model for disease prediction.

Rahul Thapa, Magnus Ruud Kjaer, Bryan He, Ian Covert, Hyatt Moore Iv, Umaer Hanif, Gauri Ganjoo, M Brandon Westover, Poul Jennum, Andreas Brink-Kjaer and 2 more

Abstract read
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Sleep as therapy.Nature medicine · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Rahul Thapa *Department of Biomedical Data Science, Stanford University, Stanford, CA, USA.
Magnus Ruud Kjaer *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0009-0007-2963-0945
Bryan HeDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Ian CovertDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Hyatt Moore IvDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Umaer HanifDepartment of Clinical Neurophysiology, Danish Center for Sleep Medicine, Rigshospitalet, Glostrup, Denmark.
Gauri GanjooDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
M Brandon WestoverDepartment of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Poul JennumDepartment of Clinical Neurophysiology, Danish Center for Sleep Medicine, Rigshospitalet, Glostrup, Denmark.
Andreas Brink-KjaerDepartment of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark.
Emmanuel MignotDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA. mignot@stanford.edu.ORCID http://orcid.org/0000-0002-6928-5310
James ZouDepartment of Biomedical Data Science, Stanford University, Stanford, CA, USA. jamesz@stanford.edu.ORCID http://orcid.org/0000-0001-8880-4764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep is a fundamental biological process with broad implications for physical and mental health, yet its complex relationship with disease remains poorly understood. Polysomnography (PSG)-the gold standard for sleep analysis-captures rich physiological signals but is underutilized due to challenges in standardization, generalizability and multimodal integration. To address these challenges, we developed SleepFM, a multimodal sleep foundation model trained with a new contrastive learning approach that accommodates multiple PSG configurations. Trained on a curated dataset of over 585,000 hours of PSG recordings from approximately 65,000 participants across several cohorts, SleepFM produces latent sleep representations that capture the physiological and temporal structure of sleep and enable accurate prediction of future disease risk. From one night of sleep, SleepFM accurately predicts 130 conditions with a C-Index of at least 0.75 (Bonferroni-corrected P < 0.01), including all-cause mortality (C-Index, 0.84), dementia (0.85), myocardial infarction (0.81), heart failure (0.80), chronic kidney disease (0.79), stroke (0.78) and atrial fibrillation (0.78). Moreover, the model demonstrates strong transfer learning performance on a dataset from the Sleep Heart Health Study-a dataset that was excluded from pretraining-and performs competitively with specialized sleep-staging models such as U-Sleep and YASA on common sleep analysis tasks, achieving mean F

Indexed as

PolysomnographySleepAgedFemaleHumansMaleMiddle AgedSleep Wake Disorders

Identifiers

PMID41495409
PMCPMC12920147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.