arXiv subjects

Rongrong Zhong

Publications and source records attributed to Rongrong Zhong.

4 recordsLinked to original sources

arXiv2026

Longitudinal wearable monitoring and polygenic risk for incident major depressive disorder in the All of Us Research Program

Major depressive disorder (MDD) risk reflects both stable inherited liability and dynamic behavioral patterns, yet these dimensions are rarely examined together using long-term objective data in real-world settings. Here, we integrated genomic, electronic health record (EHR), and longitudinal Fitbit wearable data from 3,030 adults of genetically inferred European ancestry in the All of Us Research Program, 284 of whom developed EHR-recorded incident MDD after a 180-day baseline period. Time-varying Cox models examined associations of MDD polygenic risk scores (PRS), monthly wearable-derived physical activity and sleep features, and interactions between wearable features and MDD PRS with incident MDD. Higher MDD PRS, lower daily steps, lower light and vigorous physical activity, lower sleep efficiency, and greater sleep duration variability were associated with higher risk of EHR-recorded incident MDD. The associations of sedentary time and sleep duration variability with incident MDD differed across MDD PRS levels, with stronger risk associations among participants with higher MDD PRS. PRS-stratified hazard ratio curves further indicated that comparable estimated risk corresponded to more favorable behavioral levels (such as higher daily step counts and more stable sleep) among participants with higher MDD PRS than among those with lower MDD PRS. Sequentially integrating MDD PRS, baseline wearable features, monthly wearable features, and selected interactions between wearable features and MDD PRS increased model discrimination, with the C-index increasing from 0.637 to 0.705. These findings support the complementary value of inherited liability and longitudinal real-world behavioral monitoring for incident MDD risk characterization and may inform future work on genetically informed digital phenotyping for personalized risk monitoring and prevention.

stat.AP↗

arXiv2026

Preoperative Decline and Postoperative Recovery of Wearable-Derived Physical Activity Over a Four-Year Perioperative Period in Total Knee and Hip Arthroplasty: Evidence from the All of Us Research Program

Total knee arthroplasty (TKA) and total hip arthroplasty (THA) improve symptoms in end-stage osteoarthritis, yet long-term objective characterization of perioperative physical activity trajectories remains limited. We conducted a longitudinal observational study within the All of Us Research Program dataset, linking electronic health records with continuous Fitbit-derived step count data over a four-year perioperative window (two years before and two years after arthroplasty). Piecewise linear mixed-effects models characterized preoperative declines and postoperative recovery trajectories, and time-to-recovery was evaluated using Kaplan-Meier curves and Cox proportional hazards models under remote and immediate preoperative physical activity baseline definitions. Among 238 participants (147 TKA; 91 THA), both procedures exhibited progressive preoperative decline with distinct procedure-specific patterns and staged postoperative recovery: rapid improvement during weeks 1-6, decelerating gains through weeks 7-19/20, and subsequent stabilization through week 104. Recovery to remote and immediate baselines differed in timing (median 22 vs 13 weeks) and associated predictors. Higher immediate preoperative activity was associated with greater likelihood of recovery to habitual activity levels, underscoring the relevance of preoperative functional reserve and surgical timing. These findings demonstrate the potential of long-term wearable monitoring to refine assessment of functional outcomes, guide recovery expectations, and support perioperative management.

stat.AP↗

arXiv2026

Physical Activity Trajectories Preceding Incident Major Depressive Disorder Diagnosis Using Consumer Wearable Devices in the All of Us Research Program: Case-Control Study

Low physical activity is a known risk factor for major depressive disorder (MDD), but changes in activity before a first clinical diagnosis remain unclear, especially using long-term objective measurements. This study characterized trajectories of wearable-measured physical activity during the year preceding incident MDD diagnosis. We conducted a retrospective nested case-control study using linked electronic health record and Fitbit data from the All of Us Research Program. Adults with at least 6 months of valid wearable data in the year before diagnosis were eligible. Incident MDD cases were matched to controls on age, sex, body mass index, and index time (up to four controls per case). Daily step counts and moderate-to-vigorous physical activity (MVPA) were aggregated into monthly averages. Linear mixed-effects models compared trajectories from 12 months before diagnosis to diagnosis. Within cases, contrasts identified when activity first significantly deviated from levels 12 months prior. The cohort included 4,104 participants (829 cases and 3,275 controls; 81.7% women; median age 48.4 years). Compared with controls, cases showed consistently lower activity and significant downward trajectories in both step counts and MVPA during the year before diagnosis (P < 0.001). Significant declines appeared about 4 months before diagnosis for step counts and 5 months for MVPA. Exploratory analyses suggested subgroup differences, including steeper declines in men, greater intensity reductions at older ages, and persistently low activity among individuals with obesity. Sustained within-person declines in physical activity emerged months before incident MDD diagnosis. Longitudinal wearable monitoring may provide early signals to support risk stratification and earlier intervention.

stat.AP↗

arXiv2022

Metadata Caching in Presto: Towards Fast Data Processing

Presto is an open-source distributed SQL query engine for OLAP, aiming for "SQL on everything". Since open-sourced in 2013, Presto has been consistently gaining popularity in large-scale data analytics and attracting adoption from a wide range of enterprises. From the development and operation of Presto, we witnessed a significant amount of CPU consumption on parsing column-oriented data files in Presto worker nodes. This blocks some companies, including Meta, from increasing analytical data volumes. In this paper, we present a metadata caching layer, built on top of the Alluxio SDK cache and incorporated in each Presto worker node, to cache the intermediate results in file parsing. The metadata cache provides two caching methods: caching the decompressed metadata bytes from raw data files and caching the deserialized metadata objects. Our evaluation of the TPC-DS benchmark on Presto demonstrates that when the cache is warm, the first method can reduce the query's CPU consumption by 10%-20%, whereas the second method can minimize the CPU usage by 20%-40%.

cs.DB↗