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Original Article | Open Access

A Deep Neural Network Based on Two‐Stage Training for Estimating Heart Rate Variability From Camera Videos

Lan Lan1 Jin Yin2,3Haohan Zhang4Hua Jiang5Rui Qin6Xia Zhao7Yu Zhang8Yilong Wang9( )Jiajun Qiu2,3( )
Information Management and Data Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
Med‐X Center for Informatics, Sichuan University, Chengdu, China
West China Hospital, Sichuan University, Chengdu, China
Department of Rehabilitation Medicine, Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, China
Research and Development Department, Zhenshu Xiangcheng (Chengdu) Technology Co. Ltd., Chengdu, China
Guanghua School of Management, Peking University, Beijing, China
School of Management, Zhengzhou College of Finance and Economics, Zhengzhou, China
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China

Lan Lan and Jin Yin contributed equally to this work.

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Abstract

Background

Studies have shown that heart rate variability (HRV) is a predictor of the prognosis of cardiovascular diseases. Contact heartbeat monitoring equipment is widely used, especially in hospitals, and benefits from the rapidity and accuracy of the detection of physiological health indicators. However, long‐term contact with equipment has many adverse effects. The purpose of this study was to improve the accuracy of HRV detection via noncontact equipment, thus enabling HRV to be assessed in various scenarios.

Methods

A novel deep learning approach was proposed for measuring heartbeats through camera videos. First, we performed facial segmentation and divided the face into 16 grid cells with different light balance scores. After the trend is filtered by the Hamming window, a transformer‐based neural network is used to further filter the signal. Finally, heart rate (HR) and HRV are estimated.

Results

We used 1 million synthetic data points for pretraining and a public dataset in combination with a dataset that we constructed for task training. The final results were obtained on a test dataset that we constructed. The accuracy for HR with a low light balance score (0.867–0.983) was greater than that with a high score (0.667–0.750). Our method had higher accuracy in estimating HR than traditional filtering methods (0.167–0.417) and state‐of‐the‐art neural network filtering methods (0.783–0.917) did. The root mean square error of the HRV from the time domain was the lowest, and the correlation index score was the highest for the HRV from the frequency domain estimated by our method compared with those estimated by two neural networks.

Conclusions

Light balance, large sample training, and two‐stage training can improve the accuracy of HRV estimation.

Graphical Abstract

Heart Rate Variability Estimation from Camera Videos

References

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Health Care Science
Pages 74-84

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Cite this article:
Lan L, Yin J, Zhang H, et al. A Deep Neural Network Based on Two‐Stage Training for Estimating Heart Rate Variability From Camera Videos. Health Care Science, 2026, 5(1): 74-84. https://doi.org/10.1002/hcs2.70047

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Received: 27 April 2025
Revised: 09 June 2025
Accepted: 11 June 2025
Published: 01 February 2026
© 2026 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.