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<p>Endometriosis is a common, chronic condition associated with debilitating pain, fatigue, and heterogeneous symptom presentation. In this exploratory study, 68 participants with confirmed endometriosis were monitored for up to three 4–6-week smartwatch cycles. We collected daily self-reports of pain and fatigue as well as retrospective questionnaires assessing quality of life, and we extracted daily measures of physical activity (PA), sleep, and diurnal rhythms from wrist-worn actigraphy data. We found that daily PA was strongly negatively correlated with self-reported fatigue (repeated measures correlations <InlineEquation ID="IEq1"> <InlineMediaObject> <ImageObject Color="BlackWhite" FileRef="41746_2025_1629_Article_IEq1.gif" Format="GIF" Height="15" Rendition="HTML" Resolution="72" Type="Linedraw" Width="71" /> </InlineMediaObject> <EquationSource Format="TEX">\(R &lt; -0.3\)</EquationSource> <EquationSource Format="MATHML"><math> <mrow> <mi>R</mi> <mo>&lt;</mo> <mo>−</mo> <mn>0.3</mn> </mrow> </math></EquationSource> </InlineEquation>) and that participants with more severe or variable symptom trajectories displayed lower levels of PA, greater sleep disturbance, and more disrupted sleep and activity rhythms (Spearman’s <InlineEquation ID="IEq2"> <InlineMediaObject> <ImageObject Color="BlackWhite" FileRef="41746_2025_1629_Article_IEq2.gif" Format="GIF" Height="19" Rendition="HTML" Resolution="72" Type="Linedraw" Width="68" /> </InlineMediaObject> <EquationSource Format="TEX">\({|R|} &gt; 0.3\)</EquationSource> <EquationSource Format="MATHML"><math> <mrow> <mi mathvariant="italic">|R|</mi> <mo>&gt;</mo> <mn>0.3</mn> </mrow> </math></EquationSource> </InlineEquation>). Lastly, we found evidence of sleep and PA changes following surgery for endometriosis that reflected change in self-reported symptoms. Collectively, our findings suggest that passive data collection using wrist-worn wearables in endometriosis could facilitate individualized objective insights into symptom trajectories.</p>

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Insights into endometriosis symptom trajectories and assessment of surgical intervention outcomes using longitudinal actigraphy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月2日

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  • Katherine Edgley,
  • Philippa T. K. Saunders,
  • Lucy H. R. Whitaker,
  • Andrew W. Horne,
  • Athanasios Tsanas

摘要

Endometriosis is a common, chronic condition associated with debilitating pain, fatigue, and heterogeneous symptom presentation. In this exploratory study, 68 participants with confirmed endometriosis were monitored for up to three 4–6-week smartwatch cycles. We collected daily self-reports of pain and fatigue as well as retrospective questionnaires assessing quality of life, and we extracted daily measures of physical activity (PA), sleep, and diurnal rhythms from wrist-worn actigraphy data. We found that daily PA was strongly negatively correlated with self-reported fatigue (repeated measures correlations \(R < -0.3\) R < − 0.3 ) and that participants with more severe or variable symptom trajectories displayed lower levels of PA, greater sleep disturbance, and more disrupted sleep and activity rhythms (Spearman’s \({|R|} > 0.3\) |R| > 0.3 ). Lastly, we found evidence of sleep and PA changes following surgery for endometriosis that reflected change in self-reported symptoms. Collectively, our findings suggest that passive data collection using wrist-worn wearables in endometriosis could facilitate individualized objective insights into symptom trajectories.