首个跨疾病纵向多指标运动监测模型,提升慢性病进展预测精度。
DeMMO: Longitudinal and Cross-Disease Modelling of Digital Mobility Outcomes via Multi-Task Learning

- 构建可解释的多任务学习框架,自动挖掘跨病种、跨指标关联关系。
- 在四类独立队列的Mobilise-D数据上,整体预测性能优于8个基线模型。
- 识别出稳定可靠的运动模式,适用于长期慢病管理与临床验证。
基于可穿戴设备提取的数字运动表型(DMOs)能刻画日常活动中的运动状态,是监测疾病进展的有力工具。然而,现有研究多聚焦单一疾病或单次随访。本文首次系统建模并分析了多种运动受限疾病间的纵向多变量DMO。提出DeMMO框架,通过纵向系数矩阵表示每种疾病-指标组合,并结合时间正则化与稳定、访问特异性特征选择。其核心创新在于无需配对受试者即可自动学习跨疾病、跨指标的符号化关联关系。在新发布的大型多中心Mobilise-D数据集上评估,该数据包含四个互不重叠的队列,分别代表不同运动受限疾病,每个队列贡献一个或多个临床测量结果。相比八个强结构化纵向和深度回归基线,DeMMO在整体预测性能上表现最优,多数个体指标也显著超越基线。稳定性选择进一步识别出可靠的时间动态模式,可用于后续临床验证与疾病监测。代码已开源:https://github.com/menghui-zhou/DeMMO。
原文摘要 · Abstract (English)
Digital mobility outcomes (DMOs) derived from wearable sensors characterise mobility in daily life and offer a promising means of monitoring disease progression. However, existing DMO studies have typically focused on either a single disease or a single visit. To the best of our knowledge, this is the first study to systematically model and analyse longitudinal multivariate DMOs across diverse mobility-limiting diseases. Specifically, we propose DeMMO, an interpretable framework for longitudinal, multi-disease, and multi-outcome learning. DeMMO represents each disease--outcome objective using a longitudinal DMO coefficient matrix and combines temporal regularisation with stable and visit-specific feature selection. Its central technical contribution is an automatic cross-disease and cross-outcome relation-learning mechanism that infers signed relations directly from these longitudinal mappings, thereby enabling selective information sharing across cohorts without requiring paired participants. We evaluate DeMMO on the recently released, large-scale, multicentre Mobilise-D dataset, which comprises four participant-disjoint cohorts representing distinct mobility-limiting diseases, with each cohort contributing one or more clinical measurement outcomes. Compared with eight strong structural longitudinal and deep-regression baselines, DeMMO achieves the best overall predictive performance and outperforms the baselines for most individual outcomes. Stability selection further identifies reliable longitudinal DMO patterns that can inform subsequent clinical validation and disease monitoring. The implementation code is available at https://github.com/menghui-zhou/DeMMO.
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