Back

The menstrual cycle through the lens of a wearable device: insights into physiology, sleep, and cycle variability

Gonzalez, A.; O'Day, J. J.; Kim, J.; Jasinski, S.; Holmes, K.; Delp, S. L.; Hicks, J. L.

2025-09-17 physiology
10.1101/2025.09.11.675620 bioRxiv
Show abstract

Women on average have 450 menstrual cycles in a lifetime, but we lack a characterization of physiological biometrics across the cycle and lifespan. We analyzed 1.2 million days of data from 2,596 women who logged 42,759 menstrual cycles and wore a device that collected sleep and biometric data including resting heart rate (RHR), heart rate variability, respiratory rate, skin temperature, and blood oxygen saturation level. We generated novel quantifications of daily biometrics across ages and cycle lengths, finding that cycle length is strongly associated with how much cardiorespiratory metrics vary across the cycle. We observed greater cycle variability for participants who slept 6 versus 8 hours. A within-participant natural experiment showed that decreased sleep resulted in biometric changes regardless of cycle phase (e.g., RHR increased 1.2% with a 10% decrease in weekly sleep duration). These results lay a foundation to better understand and optimize female health and performance.

Published in npj Digital Medicine (predicted rank #2) · training set

Matching journals

The top 5 journals account for 50% of the predicted probability mass.

50% of probability mass above

"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.