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Systematic Review: Digital Biomarkers of Fatigue in Chronic Diseases

Lookup NU author(s): Mx Nana AboagyeORCiD, Dr Chloe HinchliffeORCiD, Professor Fai Ng, Dr Silvia Del DinORCiD, Dr Ken BakerORCiD, Professor Mark BakerORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

This systematic review explores the relationship between digital biomarkers, measured using wearable devices, and fatigue in patients with chronic diseases. Studies included in this review focused on individuals with diseases or conditions in 13 broad categories: multiple sclerosis (MS); rheumatoid arthritis (RA); chronic obstructive pulmonary disease (COPD); long COVID; cancer; chronic fatigue syndrome (CFS); pulmonary sarcoidosis; Parkinson’s disease; chronic stroke; chronic inflammatory rheumatic disease (CIRD); Inflammatory Bowel Diseases (IBD), Primary Sjogren’s Syndrome (PSS), and Systemic Lupus Erythematosus (SLE). The review synthesizes findings on the correlation between objective digital biomarkers and self-reported fatigue, highlighting the potential for disease-specific digital biomarkers to inform personalized fatigue management. The results suggest that reduced physical activity, increased sedentary behavior and autonomic dysfunction are associated with fatigue levels across multiple disease conditions included in this review, though the strength of this association and the specific biomarkers involved vary across diseases.


Publication metadata

Author(s): Aboagye NY, Hinchliffe C, Ng WF, Del Din S, Baker KF, Baker MR

Publication type: Article

Publication status: Published

Journal: npj Digital Medicine

Year: 2025

Volume: 8

Online publication date: 08/10/2025

Acceptance date: 06/08/2025

Date deposited: 14/10/2025

ISSN (electronic): 2398-6352

Publisher: Nature Publishing Group

URL: https://doi.org/10.1038/s41746-025-01939-x

DOI: 10.1038/s41746-025-01939-x

Data Access Statement: No datasets were generated or analysed during the current study


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Funding

Funder referenceFunder name
EP/W031590/1
EP/X036146/1
EP/X031012/1
EPSRC
Health Research Board Ireland (grant reference: CRFC-2021-005)
National Institute for Health and Care Research (NIHR)
Newcastle Biomedical Research Centre (BRC)
NIHR/Welcome Trust Clinical Research Facility (CRF)

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