Passive Heart Rate Monitoring During Smartphone Use in Everyday Life

Resting heart rate (RHR) is an important biomarker of cardiovascular health and mortality, but tracking it longitudinally generally requires a wearable device, limiting its availability. We present PHRM, a deep learning system for passive heart rate (HR) and RHR measurements during everyday smartphone use, using facial video-based photoplethysmography. Our system was developed using 225,773 videos from 495 participants and validated on 185,970 videos from 205 participants in laboratory and free-living conditions, representing the largest validation study of its kind. Compared to reference electrocardiogram, PHRM achieved a mean absolute percentage error (MAPE) < 10% for HR measurements across three skin tone groups of light, medium and dark pigmentation; MAPE for each skin tone group was non-inferior versus the others. Daily RHR measured by PHRM had a mean absolute error < 5 bpm compared to a wearable HR tracker, and was associated with known risk factors. These results highlight the potential of smartphones to enable passive and equitable heart health monitoring.

Large Language Models are Few-Shot Health Learners

Large language models (LLMs) can capture rich representations of concepts that are useful for real-world tasks. However, language alone is limited. While existing LLMs excel at text-based inferences, health applications require that models be grounded in numerical data (e.g., vital signs, laboratory values in clinical domains; steps, movement in the wellness domain) that is not easily or readily expressed as text in existing training corpus. We demonstrate that with only few-shot tuning, a large language model is capable of grounding various physiological and behavioral time-series data and making meaningful inferences on numerous health tasks for both clinical and wellness contexts. Using data from wearable and medical sensor recordings, we evaluate these capabilities on the tasks of cardiac signal analysis, physical activity recognition, metabolic calculation (e.g., calories burned), and estimation of stress reports and mental health screeners.

SimPer: Simple Self-Supervised Learning of Periodic Targets

From human physiology to environmental evolution, important processes in nature often exhibit meaningful and strong periodic or quasi-periodic changes. Due to their inherent label scarcity, learning useful representations for periodic tasks with limited or no supervision is of great benefit. Yet, existing self-supervised learning (SSL) methods overlook the intrinsic periodicity in data, and fail to learn representations that capture periodic or frequency attributes. In this paper, we present SimPer, a simple contrastive SSL regime for learning periodic information in data. To exploit the periodic inductive bias, SimPer introduces customized augmentations, feature similarity measures, and a generalized contrastive loss for learning efficient and robust periodic representations. Extensive experiments on common real-world tasks in human behavior analysis, environmental sensing, and healthcare domains verify the superior performance of SimPer compared to state-of-the-art SSL methods, highlighting its intriguing properties including better data efficiency, robustness to spurious correlations, and generalization to distribution shifts. Code and data are available at: https://github.com/YyzHarry/SimPer.