Mobile Sleep Stage Analysis Using Multichannel Wearable Devices Integrated with Stretchable Transparent Electrodes

The prevalence of sleep disorders in the aging population and the importance of sleep quality for health have emphasized the need for accurate and accessible sleep monitoring solutions. Polysomnography (PSG) remains the clinical gold standard for diagnosing sleep disorders; however, its discomfort and inconvenience limit its accessibility. To address these issues, a wearable device (WD) integrated with stretchable transparent electrodes (STEs) is developed in this study for multisignal sleep monitoring and artificial intelligence (AI)-driven sleep staging. Utilizing conductive and flexible STEs, the WD records multiple biological signals (electroencephalogram [EEG], electrooculogram [EOG], electromyogram [EMG], photoplethysmography, and motion data) with high precision and low noise, comparable to PSG (<4 μVRMS). It achieves a 73.2% accuracy and a macro F1 score of 0.72 in sleep staging using an AI model trained on multisignal inputs. Notably, accuracy marginally improves when using only the EEG, EOG, and EMG channels, which may simplify future device designs. This WD offers a compact, multisignal solution for at-home sleep monitoring, with the potential for use as an evaluation tool for personalized sleep therapies.