Nocturnal finger skin temperature in menstrual cycle tracking: ambulatory pilot study using a wearable Oura ring

Background Body temperature is a common method in menstrual cycle phase tracking because of its biphasic form. In ambulatory studies, different skin temperatures have proven to follow a similar pattern. The aim of this pilot study was to assess the applicability of nocturnal finger skin temperature based on a wearable Oura ring to monitor menstrual cycle and predict menstruations and ovulations in real life. Methods Volunteer women (n = 22) wore the Oura ring, measured ovulation through urine tests, and kept diaries on menstruations at an average of 114.7 days (SD 20.6), of which oral temperature was measured immediately after wake-up at an average of 1.9 cycles (SD 1.2). Skin and oral temperatures were compared by assessing daily values using repeated measures correlation and phase mean values and differences between phases using dependent t-test. Developed algorithms using skin temperature were tested to predict the start of menstruation and ovulation. The performance of algorithms was assessed with sensitivity and positive predictive values (true positive defined with different windows around the reported day). Results Nocturnal skin temperatures and oral temperatures differed between follicular and luteal phases with higher temperatures in the luteal phase, with a difference of 0.30 °C (SD 0.12) for skin and 0.23 °C (SD 0.09) for oral temperature (p < 0.001). Correlation between skin and oral temperatures was found using daily temperatures (r = 0.563, p < 0.001) and differences between phases (r = 0.589, p = 0.004). Menstruations were detected with a sensitivity of 71.9–86.5% in window lengths of ±2 to ±4 days. Ovulations were detected with the best-performing algorithm with a sensitivity of 83.3% in fertile window from − 3 to + 2 days around the verified ovulation. Positive predictive values had similar percentages to those of sensitivities. The mean offset for estimations were 0.4 days (SD 1.8) for menstruations and 0.6 days (SD 1.5) for ovulations with the best-performing algorithm. Conclusions Nocturnal skin temperature based on wearable ring showed potential for menstrual cycle monitoring in real life conditions.

Using Thermodynamic Degradation Approach to Quantify Human Stress Response

The present study provides a thermodynamic degradation approach to model human stress response. Finger skin temperature was used as an indicator of stress response to a stressor (or stressful event) followed by a recovery. The entropy change (ΔS) is calculated using heat transfer (δQ) from the peripheral skin and finger skin temperature (Tf). It was hypothesized that the human stress response, as evidenced by finger skin temperature change, is a quasi-static process. The entropy approach is demonstrated using data from a medical school experimental study. The finger skin temperature was measured under three conditions (relaxation, stressor task, and recovery) during the physiological test profile. The entropy change (ΔS) is postulated as entropy damage (ΔSD), which is a metric for measuring the aging or system degradation. The aging-ratio, Aaging-ratio, that is, the ratio of entropy change due to stressor to that of recovery, is presented for both male and female subjects. The statistical t-tests demonstrate statistical significance in human stress response to stressor and recovery states within and between male and female subjects. This novel approach could be valuable to medical researchers, particularly in the field of occupational health to evaluate human exposure to stressful environments.

Development of a Virtual Arm Wrestling System for Force Display Communication Analysis

The virtual arm wrestling system prototype we propose for force display communication analysis uses a 5-DOF force display system with 4 air cylinders and a force sensor we developed for virtual human affect display and interaction based on nonverbal human behavior and physiological measurement in arm wrestling. We evaluated the relationship between force display and a physiological index of peripheral finger skin temperature associated with circulation dynamics responding to forced action. We confirmed the system's effectiveness in analyzing force display communication.

Do chronic primary insomniacs have impaired heat loss when attempting sleep?

For good sleepers, distal skin temperatures (e.g., hands and feet) have been shown to increase when sleep is attempted. This process is said to reflect the body’s action to lose heat from the core via the periphery. However, little is known regarding whether the same process occurs for insomniacs. It would be expected that insomniacs would have restricted heat loss due to anxiety when attempting sleep. The present study compared the finger skin temperature changes when sleep was attempted for 11 chronic primary insomniacs [mean age = 40.0 years (SD 13.3)] and 8 good sleepers [mean age = 38.6 years (SD 13.2)] in a 26-h constant routine protocol with the inclusion of multiple-sleep latency tests. Contrary to predictions, insomniacs demonstrated increases in finger skin temperature when attempting sleep that were significantly greater than those in good sleepers ( P = 0.001), even though there was no significant differences in baseline finger temperature ( P = 0.25). These significant increases occurred despite insomniacs reporting significantly greater sleep anticipatory anxiety ( P < 0.0008). Interestingly, the core body temperature mesor of insomniacs (37.0 ± 0.2°C) was significantly higher than good sleepers (36.8 ± 0.2°C; P = 0.03). Whether insomniacs could have impaired heat loss that is masked by elevated heat production is discussed.