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A Review on Deep Learning for Quality of Life Assessment Through the Use of Wearable Data

Author: Skaramagkas, Vasileios; Kyprakis, Ioannis; Karanasiou, Georgia; Fotiadis, Dimitrios; Tsiknakis, Manolis
Publisher: Zenodo
DOI: 10.1109/ojemb.2025.3526457
Source: https://zenodo.org/records/17279868/files/A_Review_on_Deep_Learning_for_Quality_of_Life_Assessment_Through_the_Use_of_Wearable_Data.pdf
Eme ging Topics
A Re iew on Deep Lea ning o Quali y o
Li e Assessmen Th ough he Use o
Wea able Da a
Vasileios Ska amagkas , Ioannis Kyp akis, S uden Membe , IEEE, Geo gia S. Ka anasiou ,
Dimi is I. Fo iadis , Fellow, IEEE, and Manolis Tsiknakis , Membe , IEEE
Abs ac —Quali y o Li e (QoL) assessmen has e ol ed
o e ime, encompassing di e se aspec s o human exis-
ence beyond jus heal h. This pape p esen s a comp e-
hensi e e iew o he in eg a ion o Deep Lea ning (DL)
echniques in QoL assessmen , ocusing on he analysis
o wea able da a. QoL, as de ined by he Wo ld Heal h O -
ganisa ion, encompasses physical, men al, and social well-
being, making i a mul i ace ed concep . T adi ional QoL
assessmen me hods, o en elian on subjec i e epo s
o in o mal ques ioning, ace challenges in quan i ica ion
and s anda diza ion. To add ess hese challenges, DL, a
b anch o machine lea ning inspi ed by he human b ain,
has eme ged as a p omising ool. DL models can ana-
lyze as and complex da ase s, including pa ien - epo ed
ou comes, medical images, and physiological signals, en-
abling a deepe unde s anding o ac o s in luencing an
indi idual’s QoL. No ably, wea able senso y de ices ha e
gained p ominence, o e ing eal- ime da a on i al signs
and enabling emo e heal hca e moni o ing. This e iew
c i ically examines DL’s ole in QoL assessmen h ough he
use o wea able da a, wi h pa icula emphasis on he sub-
domains o physical and psychological well-being. By syn-
hesizing cu en esea ch and iden i ying knowledge gaps,
Recei ed 1 Oc obe 2024; e ised 26 No embe 2024 and 2 Janua y
2025; accep ed 2 Janua y 2025. Da e o publica ion 14 Janua y 2025;
da e o cu en e sion 24 Janua y 2025. This wo k was suppo ed by
he EU Ho izon 2020 p ojec CARDIOCARE unde G an Ag eemen
945175. The e iew o his a icle was a anged by Edi o Paolo Bona o.
(Co esponding au ho : Vasileios Ska amagkas.)
Vasileios Ska amagkas and Manolis Tsiknakis a e wi h he Biomed-
ical In o ma ics and eHeal h Labo a o y, Depa men o Elec ical and
Compu e Enginee ing, Hellenic Medi e anean Uni e si y, 71410 He -
aklion, G eece, and also wi h he Ins i u e o Compu e Science, Foun-
da ion o Resea ch and Technology Hellas (FORTH), 70013 He aklion,
G eece (e-mail: ska amag@ics. o h.g ).
Ioannis Kyp akis is wi h he Biomedical In o ma ics and eHeal h Lab-
o a o y, Depa men o Elec ical and Compu e Enginee ing, Hellenic
Medi e anean Uni e si y, 71410 He aklion, G eece, also wi h he In-
s i u e o Compu e Science, Founda ion o Resea ch and Technology
Hellas (FORTH), 70013 He aklion, G eece, and also wi h he Depa -
men o Science e Techniques, Uni e si y o Bu gundy, 21000 Dijon,
F ance.
Geo gia S. Ka anasiou and Dimi is I. Fo iadis a e wi h he Uni o
Medical Technology In elligen In o ma ion Sys ems, Uni e si y o Ioan-
nina, 45110 Ioannina, G eece, and also wi h he Biomedical Resea ch
Ins i u e, FORTH, 45110 Ioannina, G eece.
This a icle has supplemen a y downloadable ma e ial a ailable a
h ps://doi.o g/10.1109/OJEMB.2025.3526457, p o ided by he au ho s.
Digi al Objec Iden i ie 10.1109/OJEMB.2025.3526457
his e iew p o ides aluable insigh s o esea che s, clin-
icians, and policymake s aiming o enhance QoL assess-
men wi h DL. Ul ima ely, he pape con ibu es o he adop-
ion o ad anced echnologies o imp o e he well-being
and QoL o indi iduals om di e se backg ounds.
Index Te ms—Deep lea ning, heal hca e, machine lea n-
ing, quali y o li e, wea able da a.
Impac S a emen —This e iew highligh s he ans o -
ma i e po en ial o deep lea ning echniques and wea able
echnology in assessing physical and psychological as-
pec s o Quali y o Li e, enabling mo e pe sonalized and
accu a e heal hca e in e en ions.
I. INTRODUCTION
THE no ion o Quali y o Li e (QoL) has been examined
om mul iple pe spec i es, esul ing in he ecogni ion ha
heal h- ela ed QoL and o al QoL a e equen ly synonymous.
The Wo ld Heal h O ganisa ion (WHO) cha ac e ises heal h as a
holis ic condi ion o physical, men al, and social well-being, un-
de sco ing i s impo ance in imp o ing quali y o li e. In addi ion
o heal h, QoL includes employmen capaci y, social suppo ,
and he physical en i onmen [1]. Resea che s ha e sugges ed
ha QoL can be examined om se e al pe spec i es, such as
psychological, economic, and medical, hence complica ing i s
de ini ion and assessmen [2].
Con en ional app oaches o e alua ing QoL ha e depended
on in o mal enqui ies by heal hca e p o essionals, which may
be subjec i e and a iable. Two p incipal me hodologies o sys-
ema ic assessmen ha e a isen: (1) alida ed pa ien - epo ed
ou comes (PROs) ins umen s ha ga he subjec i e da a [3];
and (2) objec i e da a acquisi ion ia echnologies ha eco d
physiological signals and beha iou s [3]. In esponse o he
necessi y o a ho ough Quali y o Li e e alua ion ool, he
WHO c ea ed he WHOQOL assessmen ins umen , which
includes many domains such as physical heal h, men al well-
being, ela ionships, and en i onmen al ac o s [4] (Fig. 1).
Recen ly, a pa adigm change in QoL assessmen has occu ed
wi h he inco po a ion o Deep Lea ning (DL) app oaches,
which u ilise complica ed da ase s o imp o e comp ehension
o QoL domains [6]. This inno a ion acili a es he analysis
o many da a sou ces, such as PROs, medical imaging, and
© 2025 The Au ho s. This wo k is licensed unde a C ea i e Commons A ibu ion 4.0 License. Fo mo e in o ma ion, see h ps://c ea i ecommons.o g/licenses/by/4.0/
VOLUME 6, 2025 261
262 IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY, VOL. 6, 2025
Fig. 1. WHOQOL ins umen domains and subdomains [5].
physiological signals, yielding enhanced insigh s in o he de-
e minan s o quali y o li e [7]. Wea able echnologies ha e
signi ican ly al e ed he landscape by p o iding con inuous,
eal- ime da a on i al signs and o he heal h pa ame e s, hus
imp o ing he p ecision o quali y o li e assessmen s [8],[9].
This e iew examines he unc ion o deep lea ning app oaches
in e alua ing he physical and psychological heal h subdomains
o QoL, emphasising he p og ess and p ospec i e applica ions
o wea able echnology in his eme ging and c i ical heal hca e
sec o [10].
II. PHYSICAL HEALTH ASSESSMENT
The main enance o physical heal h is an essen ial aspec
ha con ibu es signi ican ly o an indi idual’s holis ic well-
being. I comp ises a b oad spec um o ac o s pe aining o
he physiological unc ioning and o e all wel a e o he human
body [11]. One o hese ac o s, Human Ac i i y Recogni ion
(HAR), has p og essed ma kedly due o he eme gence o DL,
u ilising wea able senso da a o p ecisely ca ego ise ac i i ies o
daily li ing (ADL) such as walking, jogging, and d i ing. Con-
olu ional Neu al Ne wo ks (CNN) ha e exhibi ed ema kable
e icacy in ex ac ing spa ial cha ac e is ics om senso da a,
as e idenced by Dua e al. [12], whe e a CNN-GRU hyb id
a ained an accu acy o 96.00% ac oss se e al da ase s. Long
Sho -Te m Memo y (LSTM) ne wo ks, in ended o sequen ial
da a, ha e p o en e ec i e, wi h Kuncan e al. [13] a aining
98.42% accu acy u ilising Mo i Pa e ns. Hyb id models such
as CNN-LSTM [14] enhance pe o mance, achie ing accu acy
le els o up o 99.00% on pa icula da ase s. Recen ly, a en-
ion mechanisms and ans o me s ha e imp o ed he accu acy
o HAR, as demons a ed in Sa ka e al. [15] and Di go a
Lup ako a e al. [16], whe e ans o me -based models a ained
o e 99.00% accu acy by e ec i ely cap u ing empo al de-
pendencies in senso da a. Ne e heless, nume ous esea ch,
including hose employing benchma k da ase s like UCI-HAR,
a e cons ained by es ic ed sample numbe s and insu icien
a ie y, which aises issues o e hei gene alisabili y ac oss
popula ions wi h a ying demog aphics o ac i i y pa e ns.
These cons ain s may impede he model’s e icacy in a ied
eal-wo ld en i onmen s. Fu he mo e, da ase s equen ly inad-
equa ely ep esen he inhe en di e si y o human beha iou s,
leading o models ha a e ailo ed o ce ain, o en idealised
ci cums ances ins ead o he unp edic able na u e o eal-wo ld
si ua ions.
Mo eo e , medica ion adhe ence, an essen ial elemen o
e ec i e he apy, has signi ican ly imp o ed wi h DL algo-
i hms and wea able da a, p o iding eal- ime eedback and
accu acy in moni o ing. Odhiambo e al. [17] used a Deep Neu al
Ne wo k (DNN) wi h accele ome e da a om sma wa ches
o iden i y in olun a y mo emen s associa ed wi h medicine,
a aining a p ecision o 96.50%. CNNs ha e been e ec i ely
u ilised, as demons a ed by Lee e al. [18], who employed
a came a image senso combined wi h wea able de ices o
moni o medicine adhe ence, achie ing an accu acy o 92.70%.
CNN-based app oaches o moni o ing ch onic diseases and
glucose le els ha e shown encou aging ou comes [19]. Pe as
e al. [20] employed LSTM ne wo ks, ecognised o hei capa-
bili y in empo al da a p ocessing, o iden i y audio e en s om
inhale s, achie ing accu acy a es as high as 94.00%, su passing
con en ional app oaches.
Ene gy and a igue (EF) a e essen ial measu es o an indi id-
ual’s heal h and p oduc i i y, wi h p ecise measu emen i al o
e alua ing o e all well-being. Recen s udies ha e in es iga ed
inno a i e echniques o iden i ying EF using wea able senso s
and deep lea ning models. Sha ma e al. [21] employed CNN
SKARAMAGKAS e al.: REVIEW ON DEEP LEARNING FOR QUALITY OF LIFE ASSESSMENT THROUGH THE USE OF WEARABLE DATA 263
o moni o w is mo ions and ecognise ea ing e en s wi h an
accu acy o 89.00%, whe eas Wang e al. [22] in eg a ed CNNs
wi h a en ion mechanisms o assess ea ing speed, achie ing a
minimal e o o 0.11. Ad ancemen s in men al a igue de ec ion
ha e been made by deep lea ning app oaches; Wu e al. [23] em-
ployed a Con ac i e Spa se Au o-encode o ca ego ise a igue
s a es om EEG da a, a aining an accu acy o 83.00%. Bai
e al. [24] u ilised a sel -a en ion LSTM model o a igue de-
ec ion using ECG and ac ig aphy da a, illus a ing he e icacy
o in eg a ing empo al and a en ion mechanisms. Addi ional
signi ican applica ions in ol e employing CNNs and BiLSTM
o he de ec ion o d i e sleepiness [25],[26] and u ilising HRV
signals om wea ables o assess d i e a igue [27], wi h hese
models a aining accu acy a es o up o 94.31%. No wi hs and-
ing hese de elopmen s, a ade-o exis s be ween he accu-
acy o high-pe o ming models, such as hyb id CNN-LSTM
a chi ec u es, and he easibili y o hei implemen a ion on
esou ce-limi ed wea able de ices. The compu a ional equi e-
men s o hese models, especially when managing ex ensi e
da ase s o eal- ime da a s eams, may hinde hei deploymen
on de ices wi h limi ed p ocessing capaci y o ba e y longe i y.
This equi es he in es iga ion o mo e compu a ionally e icien
algo i hms ha can sus ain high accu acy while emaining p ac-
ical o wea able de ices.
Mobili y is ano he essen ial aspec o public heal h, en-
compassing physical mobili y, ambula ion, and anspo a ion,
all o which enhance an indi idual’s QoL [28]. GPS-enabled
wea ables enable he assessmen o li e-space mobili y, which
is associa ed wi h social suppo and gai speed [29], whils
accele ome e s moni o eloci y and physical ac i i y [30].Nu-
me ous esea ch e o s u ilise wea able senso s o e alua e
all isk and mobili y challenges, especially among he olde
popula ion. Kulu ka e al. [31] a ained a 95.87% accu acy in
all de ec ion u ilising LSTM and IoT-based sys ems. In pa ien s
wi h Pa kinson’s Disease, eezing o gai (FOG) was accu a ely
p edic ed u ilising ans o me -based opologies combined wi h
BiLSTM, esul ing in ele a ed speci ici y and sensi i i y [32].
Pain pe cep ion is a mul i ace ed and subjec i e expe ience
ha p esen s di icul ies o objec i e assessmen [33]. Recen
b eak h oughs in wea able echnologies, including elec ode -
mal ac i i y (EDA) senso s and DL algo i hms, p o ide no el
me hods o pain quan i ica ion, hence imp o ing quali y o li e
e alua ions. Gkikas e al. [34] used mul i- ask lea ning (MTL)
neu al ne wo ks wi h ECG da a, enhancing he p ecision o pain
assessmen . Rojas e al. [35] employed unc ional nea -in a ed
spec oscopy and a BiLSTM model o a ain 90.60% accu acy
in e alua ing pain in non-communica i e pa ien s. Pou om an
e al. [36] enhanced pain in ensi y classi ica ion using a cus-
omised BiLSTM model, achie ing a 1-sco e o 0.81 and an
AUROC o 0.93 ac oss mul iple pain s a es. Hu e al. [37] p o ed
he e icacy o LSTM in ch onic pain iden i ica ion, a aining
p ecision and ecall a es o 97.20% ia balance and body sway
analysis. Wang e al. [38] in es iga ed p o ec i e beha iou
ecogni ion wi h laye ed LSTM me hodologies, achie ing an
ideal F1-sco e o 0.82. Fu he mo e, Yu e al. [39] employed
EEG signals o objec i ely assess pain, a aining classi ica ion
accu acy o 97.37%, ia CNN-based models.
Addi ionally, sleep is a i al physiological condi ion ma ked
by a ansien loss o consciousness and modi ied ce eb al ac i -
i y, se ing a undamen al unc ion in bo h physical and men al
well-being [40]. Eme ging wea able echnology and sophis i-
ca ed deep lea ning app oaches a e c ucial o p ecisely measu -
ing sleep, imp o ing pe sonal unde s anding o sleep pa e ns,
and aiding heal hca e p o essionals in de ec ing sleep p oblems
and e ining ea men s a egies. The Ne Heal h da ase [41],
which examined da a om 698 college s uden s, e ealed ha
CNN could p o icien ly e alua e sleep quali y, a aining a mean
absolu e e o (MAE) o oughly 0.04. Fu he mo e, Yildi im
e al. [42] p esen ed a 1D-CNN model ha au oma ed he
classi ica ion o sleep s ages u ilising polysomnog am (PSG)
da a, a aining accu acies anging om 91.00% o 98.06%.
Mousa i e al. [43] c ea ed SleepEEGNe , which employed
single-channel EEG da a o a ain an accu acy o 84.26% by
in eg a ing CNN and sequence- o-sequence models. In con as ,
Sup a ak e al. [44] me ged CNN and BiLSTM ne wo ks in
he DeepSleepNe model, achie ing an accu acy o 86.20%.
Fu he mo e, ac ig aphy senso s ha e shown e icacy in o e-
cas ing sleep e iciency, wi h CNN achie ing he bes accu acy o
97.30% [45]. LSTM models, as emphasised by Phan e al. [46],
success ully o ecas ed sleep quali y ia physical ac i i y da a,
a aining an accu acy o 61.00. Finally, Ma sumo i e al. [47]
u ilised a hyb id CNN-LSTM model wi h a ligh weigh EEG
senso , a aining an accu acy o 78.60%, equi alen o clinical
PSG sys ems.
Las ly, wo k capaci y, as de ined by he Ame ican College
o Spo s Medicine (ACSM), e e s o he maximum physical
wo k an indi idual can pe o m, assessed h ough powe ou pu
o endu ance and in luenced by ac o s like ca dio espi a o y
i ness and muscula s eng h [48]. T adi ional e alua ions ha e
elied hea ily on sel - epo ins umen s, which o en su e
om eliabili y issues due o biases and ecall p oblems [49].
The Wo k-abili y Suppo Scale (WSS) e ec i ely measu es
oca ional capabili y a e disabili y, co e ing physical, cog-
ni i e, and social domains [50]. O he assessmen s, such as
he Func ional Capaci y E alua ion (FCE) and he Wo k Abil-
i y Index (WAI), ocus on job-speci ic physical and cogni i e
equi emen s [51]. The Wo k Capaci y Tes (WCT), used by
o ganiza ions like he U.S. Fo es Se ice, assesses physical
capabili ies o demanding oles [52]. Wea able ac i i y acke s
can quan i y many wo k capaci y ac o s, making hem use ul o
physically demanding jobs. Howe e , like mobili y, we assume
ha he subse o wo k capaci y ha can be e alua ed using
DL using wea able senso da a is closely connec ed wi h ADL
e alua ion.
Fo a comp ehensi e summa y o s udies employing wea -
able de ices o physical heal h assessmen , including da ase s,
senso s, and me hodologies, we e e eade s o Table I in he
supplemen a y ma e ial.
III. PSYCHOLOGICAL HEALTH
The QoL o an indi idual is signi ican ly in luenced by
hei physiological heal h, encompassing a ious dimensions
such as eelings, sel -es eem, memo y, spi i uali y, and body
264 IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY, VOL. 6, 2025
image [53]. The impo ance o physiological heal h wi hin he
la ge amewo k o QoL becomes appa en when we conside
i s di ec in luence on many domains. One such domain, eelings,
encompassing bo h posi i e and nega i e s a es, a e undamen al
o well-being and QoL [54]. Recen ad ancemen s in wea able
echnology ha e signi ican ly imp o ed he abili y o iden i y
emo ions by moni o ing physiological signals such as hea
a e a iabili y, skin conduc ance, and acial exp essions [55].
Resea ch employing DL me hodologies has demons a ed his
po en ial; o ins ance, he eSEE-d da abase u ilises eye- acking
da a o emo ion es ima ion, achie ing an accu acy o up o
92.00% o posi i e alence [56]. Fu he mo e, sys ems in eg a -
ing senso s wi h deep lea ning models, such as a sma wa ch-
based adap i e sys em o mul i-senso y emo ion de ec ion,
ha e a ained an accu acy o 74.30% in iden i ying a ousal and
alence [57]. In addi ion, sel -supe ised lea ning has shown
obus ness o da a deg ada ion, achie ing 81.00% accu acy in
emo ion ecogni ion [58], while emo ion ecogni ion in olde
adul s using LSTM ne wo ks has eached accu acies o up
o 95.00% [59]. Mo eo e , hyb id CNN-LSTM models ha e
demons a ed e icacy wi h p ecision a es as high as 99.00%
[60]. La ge Language Models (LLMs) like GPT ha e been
u ilized o analyzing pa ien na a i es and emo ion es ima ion,
complemen ing senso -based me hods o psychological heal h
assessmen . Fo example, ecen s udies [61] ha e demons a ed
how hese models can p ocess uns uc u ed ex da a o de i e
insigh s in o emo ional well-being, he eby en iching he unde -
s anding o QoL dimensions.
Sel -es eem, which e e s o an indi idual’s sel -accep ance
and sel - ega d, is shaped by pe sonal and cul u al s anda ds
and hei pe cei ed compe ency in essen ial li e domains [62].
T adi ionally, sel -es eem e alua ions ha e elied on sel - epo
ins umen s such as he Rosenbe g Sel -Es eem Scale (RSE) and
he Single I em Sel -Es eem Scale (SISE) [63],[64]. Ins umen s
like he Mul idimensional Sel -Es eem In en o y (MSEI) and
he Con ingency o Sel -Wo h Scale (CSWs) ocus on spe-
ci ic dimensions o sel -es eem [65],[66]. Howe e , wea able
echnology p esen s inno a i e ye complex possibili ies o
measu ing sel -es eem. A no el me hod u ilising EEG da a and
CNN models has achie ed an accu acy exceeding 79.00% in
di e en ia ing be ween high and low sel -es eem [67]. Al hough
CNN-LSTM models demons a e g ea accu acy in emo ion
ecogni ion, hei lack o explainabili y hinde s heal hca e p ac-
i ione s om us ing and implemen ing hese me hods in p ac-
ice. The opaque na u e o deep lea ning models hinde s he in-
e p e abili y o ou comes, pa icula ly in sensi i e domains like
psychological heal h, whe e p ac i ione s equi e clea and com-
p ehensible insigh s o in o med decision-making. Explainable
AI (XAI) models a e necessa y o o e come hese conce ns and
enhance us in such echnologies o clinical applica ion.
Spi i uali y, which encompasses he acknowledgmen o a
highe o ce and he pu sui o meaning beyond senso y ex-
pe ience, poses unique challenges o echnological quan i ica-
ion [68]. Ins umen s such as he Spi i ual Well-Being Scale
(SWBS) [69], he Spi i ual Needs Ques ionnai e (SpNQ) [70],
and he Spi i uali y Ques ionnai e [71] a e commonly employed
o e alua e spi i ual well-being. Despi e he p omise o e ed
by wea able senso s and deep lea ning o quali y o li e as-
sessmen s, he subjec i e and con ex ual na u e o spi i uali y
p esen s conside able obs acles, as physical da a may inade-
qua ely ep esen spi i ual expe iences.
Thinking, comp ising undamen al men al p ocesses such as
pe cep ion, memo y, p oblem-sol ing, and decision-making, is
i al o nume ous aspec s o li e, including emo ional con ol
and communica ion. Recen ad ancemen s in DL ha e acili-
a ed he classi ica ion o cogni i e s a es h ough wea able de-
ices. Fo example, in eg a ing EEG da a wi h CNN models has
achie ed an accu acy o up o 96.70% in classi ying cogni i e
wo kload in d i e s [72]. Simila ly, DL app oaches employing
EEG and eye- acking da a ha e shown g ea accu acy (up o
97.00%) in iden i ying cogni i e e o and men al bu den [73].
These me hodologies, despi e acing obs acles, exhibi g ea
po en ial o enhancing cogni i e e alua ion and, consequen ly,
QoL.
Body image e e s o an indi idual’s cogni i e and emo ional
pe cep ions ega ding hei physique, encompassing elemen s
such as o m, size, and a ac i eness [74]. While wea able
de ices like sma wa ches and ac i i y acke s can ga he da a
on physical me ics such as blood p essu e and bodily mo e-
men s [75], hey a e limi ed in hei abili y o encapsula e he
in ica e, subjec i e aspec s o body image, including body ac-
cep ance and sel -pe cep ion [76]. A comp ehensi e e alua ion
o body image necessi a es an amalgama ion o objec i e me -
ics and sel - epo ed ins umen s, including he Body-Image
Accep ance and Ac ion Ques ionnai e [77] and he Body Image
Scale [78]. By in eg a ing hese di e se elemen s, we can gain
a mo e nuanced unde s anding o psychological heal h and i s
impac on o e all quali y o li e.
Fo a comp ehensi e summa y o s udies employing wea able
de ices o psychological heal h assessmen , we e e eade s o
Table II in he supplemen a y ma e ial.
IV. PUBLICLY AVAILABLE DATASETS
This sec ion discusses he s eng hs and weaknesses o
da ase s ela ed o QoL subdomains ha include wea able senso
da a and a e publicly accessible. Table Ihighligh s signi ican
a ia ion in pa icipan da a, wi h sample sizes anging om 4
(“OPPORTUNITY”) o 700 (“Ne Heal h”) and ages spanning 18
o 78 yea s, as seen in he “Sleep-EDF” da ase . Such di e si y
enhances he gene alizabili y o indings ac oss age coho s.
Gende dis ibu ion also a ies; o ins ance, “BioVid Hea Pain”
includes 43 emales and 44 males, while “MHEALTH” lacks
gende -speci ic da a. Demog aphic di e si y aids in unde s and-
ing how ac o s like age and gende in luence QoL assessmen s
h ough wea able da a [105].
The da ase s encompass a wide a ay o s imuli and ac i i ies,
demons a ing he adap abili y o wea able echnology in e al-
ua ing a ious ace s o daily li e. Fo ins ance, “Ex a-senso y”
assesses 51 beha io al ac i i ies, whe eas “MIT/BIH PSG”
concen a es on o e nigh sleep eco dings. Nume ous da ase s,
like “UCI-HAR,” “WISDM,” and “PAMAP,” ocus on ADL,
ende ing hem especially pe inen o quali y o li e e alua ions
in his subdomain. In con as , da ase s such as “MIT/BIH PSG”
SKARAMAGKAS e al.: REVIEW ON DEEP LEARNING FOR QUALITY OF LIFE ASSESSMENT THROUGH THE USE OF WEARABLE DATA 265
TABLE I
SUMMARY OF IDENTIFIED PUBLICLY AVAILABLE DATASETS CONTAINING WEARABLE DATA AND STIMULI RELATED TO QOLDOMAINS

266 IEEE OPEN JOURNAL OF ENGINEERING IN MEDICINE AND BIOLOGY, VOL. 6, 2025
and “Sleep-EDF” ocus on sleep- ela ed s imuli, co esponding
o he Ene gy and Fa igue, and Sleep (EF/Sleep) subdomains.
This a iabili y enables esea che s o cus omize hei inqui ies
o pa icula aspec s o QoL. Fu he mo e, he da ase s em-
ploy se e al wea able senso s, such as accele ome e s (ACC),
gy oscopes (GYRO), and elec oca diog ams (ECG), o assess
quali y o li e (QoL) ho oughly. The MHeal h da ase in eg a es
ACC, GYRO, hea a e (HR), and ECG da a, ende ing i
sui able o assessing ac i i ies o daily li ing (ADL) in QoL
esea ch. Likewise, EEG and EMG da a in “Sleep-EDFX” and
“MASS” a e cus omized o sleep- ela ed subdomains. The
emo ional aspec s o quali y o li e a e examined in da ase s such
as “eSEE-d” and “CASE,” which u ilize emo ion-inducing ilms
and eco d physiological signals like ECG and elec ode mal
ac i i y (EDA). The di e si y and ichness o wea able da a in
hese da ase s p o ide a de ailed examina ion o quali y o li e
ac oss many esea ch equi emen s.
V. CONCLUSION
In conclusion, in eg a ing DL wi h wea able echnology o e s
a p omising app oach o e alua ing QoL, excelling in domains
like physical and psychological well-being. Models like CNN
and LSTM p o ide accu a e insigh s in o daily ac i i ies, medi-
ca ion adhe ence, and men al s a es h ough eal- ime, objec i e
da a o en missed by sel - epo s. DL’s abili y o p ocess mul i-
modal senso da a enables comp ehensi e, dynamic, and pe son-
alized QoL assessmen s. Howe e , challenges emain ega ding
gene alizabili y, da a a iabili y, and p i acy. Limi ed da ase s
and demog aphic-speci ic s udies hinde b oade applicabili y,
while subjec i e aspec s like body image and spi i uali y pose
in eg a ion di icul ies. Real-wo ld deploymen aces hu dles
like noisy da a, ba e y cons ain s, and p i acy conce ns.
Looking ahead, inno a ions like explainable AI, ede a ed
lea ning, and edge compu ing p omise mo e anspa en , p i a e,
and eal- ime wea able da a p ocessing. In e disciplina y collab-
o a ion is essen ial o ad ancing DL-d i en QoL e alua ions,
pa ing he way o ans o ma i e impac s on heal hca e and
well-being.
CONFLICT OF INTEREST
The au ho s decla e no con lic o in e es .
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