Metrics from Wearable Devices as Candidate Predictors of Antibody Response Following Vaccination against COVID-19: Data from the Second TemPredict Study
Ashley E. Mason,
Patrick Kasl,
Wendy Hartogensis,
Joseph L. Natale,
Stephan Dilchert,
Subhasis Dasgupta,
Shweta Purawat,
Anoushka Chowdhary,
Claudine Anglo,
Danou Veasna,
Leena S. Pandya,
Lindsey M. Fox,
Karena Y. Puldon,
Jenifer G. Prather,
Amarnath Gupta,
Ilkay Altintas,
Benjamin L. Smarr,
Frederick M. Hecht
Affiliations
Ashley E. Mason
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Patrick Kasl
Halıcıoğlu Data Science Institute, University of California San Diego, San Diego, CA 92093, USA
Wendy Hartogensis
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Joseph L. Natale
Halıcıoğlu Data Science Institute, University of California San Diego, San Diego, CA 92093, USA
Stephan Dilchert
Department of Management, Zicklin School of Business, Baruch College, The City University of New York, New York, NY 10010, USA
Subhasis Dasgupta
San Diego Supercomputer Center, University of California San Diego, San Diego, CA 92093, USA
Shweta Purawat
San Diego Supercomputer Center, University of California San Diego, San Diego, CA 92093, USA
Anoushka Chowdhary
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Claudine Anglo
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Danou Veasna
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Leena S. Pandya
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Lindsey M. Fox
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Karena Y. Puldon
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Jenifer G. Prather
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
Amarnath Gupta
Halıcıoğlu Data Science Institute, University of California San Diego, San Diego, CA 92093, USA
Ilkay Altintas
Halıcıoğlu Data Science Institute, University of California San Diego, San Diego, CA 92093, USA
Benjamin L. Smarr
Halıcıoğlu Data Science Institute, University of California San Diego, San Diego, CA 92093, USA
Frederick M. Hecht
Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA 94115, USA
There is significant variability in neutralizing antibody responses (which correlate with immune protection) after COVID-19 vaccination, but only limited information is available about predictors of these responses. We investigated whether device-generated summaries of physiological metrics collected by a wearable device correlated with post-vaccination levels of antibodies to the SARS-CoV-2 receptor-binding domain (RBD), the target of neutralizing antibodies generated by existing COVID-19 vaccines. One thousand, one hundred and seventy-nine participants wore an off-the-shelf wearable device (Oura Ring), reported dates of COVID-19 vaccinations, and completed testing for antibodies to the SARS-CoV-2 RBD during the U.S. COVID-19 vaccination rollout. We found that on the night immediately following the second mRNA injection (Moderna-NIAID and Pfizer-BioNTech) increases in dermal temperature deviation and resting heart rate, and decreases in heart rate variability (a measure of sympathetic nervous system activation) and deep sleep were each statistically significantly correlated with greater RBD antibody responses. These associations were stronger in models using metrics adjusted for the pre-vaccination baseline period. Greater temperature deviation emerged as the strongest independent predictor of greater RBD antibody responses in multivariable models. In contrast to data on certain other vaccines, we did not find clear associations between increased sleep surrounding vaccination and antibody responses.
