Surrogating Physician-recorded SCORE2 Risk Calculator Inputs by Using Auxiliary Data

Insel Gruppe AG, University Hospital Bern250 enrolled

Overview

The goal of the clinical trial is to assess whether the data collected from wearable devices can reduce the uncertainty in predicting the cardiovascular disease (CVD) risk in women aged 40-69 years in a situation where information about the blood pressure and blood lipids are unavailable. Participants will: * Complete a screening and baseline assessment, including blood sample collection and vital parameter measurement. * Wear a wearable device for one week. * Fill in a work and sleep journal. * Complete a last visit assessment.

Study Type

OBSERVATIONAL

Enrollment

250

Conditions

Cardiovascular Diseases Menopause

Eligibility

Sex: FEMALEMin age: 40 YearsMax age: 69 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Fluency in German (written and oral). * Ownership of a smartphone. * Signing the informed consent form. Exclusion Criteria: * Diagnosis of cardiovascular disease. * Diagnosis of diabetes mellitus. * Diagnosis of chronic kidney disease. * Diagnosis of familial hypercholesterolemia. * Incapable of providing informed consent. * Current employment at the Section Gynecological Endocrinology and Reproductive Medicine of the Department for Obstetrics and Gynecology at the Inselspital Bern or any other professional relation to one of the study project leaders / investigators. * Concurrent participation in a clinical intervention study. * Inability to comply with the study procedures for any reason, including language comprehension, psychiatric illness, general inability to get to the study site. * Participant's smartphone not compatible with Fitrockr. * Technical inability of participant's smartphone to connect to the smartwatch.

Outcomes

Primary Outcomes

Reduction in CVD Risk Prediction Uncertainty Using Wearable Data

Assessment of the reduction in prediction uncertainty of cardiovascular disease (CVD) risk in women aged 40-69 years when wearable-derived data (e.g., heart rate, daily step count) is used to replace missing physician-recorded inputs (e.g., blood pressure and lipid levels). The reduction will be quantified using the Continuous Ranked Probability Score (CRPS), whereby smaller CRPS values indicate improved performance. An improvement is considered substantial if introducing wearable data reduces CRPS by at least 5%.

Time frame: After 7-day wearable data collection period.

Secondary Outcomes

Identification of wearable data that improve cardiovascular disease risk prediction without clinical key inputs

Identifying specific data from wearable devices that most effectively reduce uncertainty in predicting CVD risk in the absence of information on blood pressure, blood lipids, and the presence or absence of metabolic syndrome. To achieve this, statistical and machine learning methods capable of handling irregularly samples time series of bio-signals recorded by the wearable devices will be applied.