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Updated: Feb 7, 2026

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Published on: November 11, 2022
Mamba-based deep learning approach for sleep staging on a wireless multimodal wearable system without
Andrew H Zhang1,2,3, Alex He-Mo1,2, Richard Fei Yin1,2
1Department of Computer Science, University of Toronto, Toronto, ON, Canada.
A Mamba-based deep learning model accurately stages sleep using the ANNE One wearable system, offering a non-EEG alternative for sleep analysis in clinical settings.
Area of Science:
- Artificial Intelligence
- Biomedical Engineering
- Sleep Medicine
Background:
- Wearable technology offers a non-intrusive method for collecting physiological data relevant to sleep staging.
- Traditional polysomnography (PSG) requires specialized equipment and a clinical setting, limiting widespread sleep analysis.
- Developing accurate sleep staging algorithms for wearable sensors is crucial for remote and accessible sleep monitoring.
Purpose of the Study:
- To evaluate a Mamba-based deep learning model for sleep staging using data from the ANNE One wearable system.
- To assess the performance of the model across different sleep stage classifications (3, 4, and 5 classes).
- To determine the feasibility of using non-EEG wearable data for clinical sleep analysis.
Main Methods:
- Wearable sensor data (ECG, accelerometry, temperature, PPG) were collected from 357 adults concurrently with PSG.
- A Mamba-based recurrent neural network architecture was trained on the wearable sensor data, using manually scored PSG as ground truth.
- Ensembling techniques were applied to model variants to enhance performance.
Main Results:
- The ensembled Mamba model achieved a 3-class balanced accuracy of 84.02% and a Cohen's kappa of 72.89%.
- For 4-class sleep staging, the model reached a balanced accuracy of 75.30% and an F1 score of 74.10%.
- Performance varied with more granular sleep stage classifications, indicating potential for further model refinement.
Conclusions:
- The Mamba-based deep learning model effectively infers major sleep stages from the ANNE One wearable system.
- This approach provides a viable, non-EEG alternative for sleep staging in adults within a clinical sleep lab setting.
- The findings support the application of this wearable technology and AI model for broader sleep health monitoring.
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