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This research addresses a critical limitation in current sleep monitoring by demonstrating that demographic-stratified transfer learning significantly outperforms population-agnostic models. By fine-tuning convolutional recurrent networks for specific subgroups defined by gender, age, and OSA severity, the study achieves substantial improvements in classification accuracy across diverse clinical populations. The findings validate a more robust paradigm for personalized sleep assessment where model generalization is actively managed against inherent biological variations rather than ignored.
Demographic-Aware Transfer Learning for Sleep Stage Classification in Clinical Polysomnography
arXiv:2605.02245v2 Announce Type: replace Abstract: Automated sleep stage classification typically employs a single population-agnostic model, disregarding established demographic variations in sleep architecture. Sleep patterns, however, differ substantially across gender, age, and obstructive sleep apnea (OSA) severity, indicating that a onesize-fits all approach may be suboptimal for diverse clinical populations. In this paper, we propose a two stage training strategy based on demographic stratification and transfer learning framework. We first pretrains a convolutional recurrent model on the full population and then fine tunes it independently for demographic subgroups defined by gender, age, and Apnea-Hypopnea Index (AHI) severity according to the AASM clinical standard. Using the DREAMT dataset comprising 100 clinical subjects and 7 PSG channels, we evaluate 37 fine-tuned configurations across single-axis and two-way demographic combinations. Results demonstrate that 35 of the 37 fine-tuned models outperform the baseline, with Cohen's kappa improvements ranging from 0.9 to 12.9%. These findings indicate that stratified fine tuning tailored to specific patient demographics yields substantially more accurate sleep staging than a single generalized model, offering a practical and clinically grounded paradigm for personalized sleep assessment.
Abstract:Automated sleep stage classification typically employs a single population-agnostic model, disregarding established demographic variations in sleep architecture. Sleep patterns, however, differ substantially across gender, age, and obstructive sleep apnea (OSA) severity, indicating that a onesize-fits all approach may be suboptimal for diverse clinical populations. In this paper, we propose a two stage training strategy based on demographic stratification and transfer learning framework. We first pretrains a convolutional recurrent model on the full population and then fine tunes it independently for demographic subgroups defined by gender, age, and Apnea-Hypopnea Index (AHI) severity according to the AASM clinical standard. Using the DREAMT dataset comprising 100 clinical subjects and 7 PSG channels, we evaluate 37 fine-tuned configurations across single-axis and two-way demographic combinations. Results demonstrate that 35 of the 37 fine-tuned models outperform the baseline, with Cohen's kappa improvements ranging from 0.9 to 12.9%. These findings indicate that stratified fine tuning tailored to specific patient demographics yields substantially more accurate sleep staging than a single generalized model, offering a practical and clinically grounded paradigm for personalized sleep assessment.
Machine Learning (cs.LG)
arXiv:2605.02245 [cs.LG]
(or arXiv:2605.02245v2 [cs.LG] for this version)
https://doi.org/10.48550/arXiv.2605.02245 Focus to learn more arXiv-issued DOI via DataCite
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