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Andrea Z. LaCroix

Publications and source records attributed to Andrea Z. LaCroix.

5 recordsLinked to original sources

MoCA: Multi-modal Cross-masked Autoencoder for Time Series in Digital Health

Wearable devices enable continuous multi-modal physiological and behavioral monitoring, yet analysis of these data streams faces fundamental challenges including the lack of gold-standard labels and incomplete sensor data. While self-supervised learning approaches have shown promise for addressing these issues, existing multi-modal extensions present opportunities to better leverage the rich temporal and cross-modal correlations inherent in simultaneously recorded wearable sensor data. We propose the Multi-modal Cross-masked Autoencoder (MoCA), a self-supervised learning framework that combines transformer architecture with masked autoencoder (MAE) methodology, using a principled cross-modality masking scheme that explicitly leverages correlation structures between sensor modalities. MoCA demonstrates strong performance boosts across reconstruction and downstream classification tasks on diverse benchmark datasets. We further establish theoretical guarantees by establishing a fundamental connection between multi-modal MAE loss and kernelized canonical correlation analysis through a Reproducing Kernel Hilbert Space framework, providing principled guidance for correlation-aware masking strategy design. Our approach offers a novel solution for leveraging unlabeled multi-modal wearable data while handling missing modalities, with broad applications across digital health domains.

stat.ML↗

Modeling Physical Activity Change as Smooth Transformations: Temporal and Amplitude Patterns Associated with Physical Function in Older Women

Purpose: To investigate whether longitudinal changes in timing and magnitude of PA are associated with physical function (PF) in older women. Methods: Women from OPACH study with accelerometry at baseline and WHISH study W1 and W2 were included. Minute-level PA counts were averaged and smoothed as diurnal PA curves. Consecutive-visit change was modeled within periods (baseline--W1 and W1--W2) as a Riemannian deformation from earlier to later curves, with two-dimensional initial momenta characterizing timing and magnitude shifts. Multivariate functional principal component analysis (MFPCA) summarized coupled timing-magnitude patterns, and principal component (PC) scores and deformation energy were derived for each participant-period. Linear mixed-effects models related these features to RAND-36 PF, adjusting for baseline PF and covariates. Results: Mean PA deformation in both periods showed downward shifts in PA magnitude and temporal redistribution after 10:00. Top 15 PCs explained at least 90% of variability in both periods. PC1 captured diurnal PA increase/decrease, explaining 22.4% of variability for baseline--W1 and 20.8% for W1--W2. Among participants with complete PF scores and baseline covariates (N=1,157), higher PC1 scores, reflecting relative increase/maintenance of PA across day, were positively associated with PF (P<0.0001). Deformation energy, a metric for overall diurnal pattern change between visits, showed a significant interaction with period for PF (P=0.003), with a larger positive association during W1--W2 than during baseline--W1. Conclusions: In older women, longitudinal changes in diurnal PA accumulation were associated with PF. Riemannian deformation analysis identified clinically interpretable markers of PA pattern change that may capture functional-aging information not represented by conventional PA summaries.

stat.AP↗

Analysis of the 24-Hour Activity Cycle: An illustration examining the association with cognitive function in the Adult Changes in Thought (ACT) Study

The 24-hour activity cycle (24HAC) is a new paradigm for studying activity behaviors in relation to health outcomes. This approach captures the interrelatedness of the daily time spent in physical activity (PA), sedentary behavior (SB), and sleep. We illustrate and compare the use of three popular approaches, namely isotemporal substitution model (ISM), compositional data analysis (CoDA), and latent profile analysis (LPA) for modeling outcome associations with the 24HAC. We apply these approaches to assess an association with a cognitive outcome, measured by CASI item response theory (IRT) score, in a cohort of 1034 older adults (mean [range] age = 77 [65-100]; 55.8% female; 90% White) who were part of the Adult Changes in Thought (ACT) Activity Monitoring (ACT-AM) sub-study. PA and SB were assessed with thigh-worn activPAL accelerometers for 7 days. We highlight differences in assumptions between the three approaches, discuss statistical challenges, and provide guidance on interpretation and selecting an appropriate approach. ISM is easiest to apply and interpret; however, the typical ISM model assumes a linear association. CoDA specifies a non-linear association through isometric logratio transformations that are more challenging to apply and interpret. LPA can classify individuals into groups with similar time-use patterns. Inference on associations of latent profiles with health outcomes need to account for the uncertainty of the LPA classifications which is often ignored. The selection of the most appropriate method should be guided by the scientific questions of interest and the applicability of each model's assumptions. The analytic results did not suggest that less time spent on SB and more in PA was associated with better cognitive function. Further research is needed into the health implications of the distinct 24HAC patterns identified in this cohort.

stat.AP↗

A Riemann Manifold Model Framework for Longitudinal Changes in Physical Activity Patterns

Physical activity (PA) is significantly associated with many health outcomes. The wide usage of wearable accelerometer-based activity trackers in recent years has provided a unique opportunity for in-depth research on PA and its relations with health outcomes and interventions. Past analysis of activity tracker data relies heavily on aggregating minute-level PA records into day-level summary statistics, in which important information of PA temporal/diurnal patterns is lost. In this paper we propose a novel functional data analysis approach based on Riemann manifolds for modeling PA and its longitudinal changes. We model smoothed minute-level PA of a day as one-dimensional Riemann manifolds and longitudinal changes in PA in different visits as deformations between manifolds. The variability in changes of PA among a cohort of subjects is characterized via variability in the deformation. Functional principal component analysis is further adopted to model the deformations and PC scores are used as a proxy in modeling the relation between changes in PA and health outcomes and/or interventions. We conduct comprehensive analyses on data from two clinical trials: Reach for Health (RfH) and Metabolism, Exercise and Nutrition at UCSD (MENU), focusing on the effect of interventions on longitudinal changes in PA patterns and how different modes of changes in PA influence weight loss, respectively. The proposed approach reveals unique modes of changes including overall enhanced PA, boosted morning PA, and shifts of active hours specific to each study cohort. The results bring new insights into the study of longitudinal changes in PA and health and have the potential to facilitate designing of effective health interventions and guidelines.

stat.AP↗

Sedentary Behavior Estimation with Hip-worn Accelerometer Data: Segmentation, Classification and Thresholding

Cohort studies are increasingly using accelerometers for physical activity and sedentary behavior estimation. These devices tend to be less error-prone than self-report, can capture activity throughout the day, and are economical. However, previous methods for estimating sedentary behavior based on hip-worn data are often invalid or suboptimal under free-living situations and subject-to-subject variation. In this paper, we propose a local Markov switching model that takes this situation into account, and introduce a general procedure for posture classification and sedentary behavior analysis that fits the model naturally. Our method features changepoint detection methods in time series and also a two stage classification step that labels data into 3 classes(sitting, standing, stepping). Through a rigorous training-testing paradigm, we showed that our approach achieves > 80% accuracy. In addition, our method is robust and easy to interpret.

cs.LG↗