Toward Foundation Model for Multivariate Wearable Sensing of Physiological Signals
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Abstract (arXiv)
Time-series foundation models excel at tasks like forecasting across diverse data types by leveraging informative waveform representations. Wearable sensing data, however, pose unique challenges due to their variability in patterns and frequency bands, especially for healthcare-related outcomes. The main obstacle lies in crafting generalizable representations that adapt efficiently across heterogeneous sensing configurations and applications. To address this, we propose NormWear, the first multi-modal and ubiquitous foundation model designed to extract generalized and informative representations from wearable sensing data. Specifically, we design a channel-aware attention mechanism with a shared special liaison [CLS] token to detect signal patterns in both intra-sensor and inter-sensors. This helps the model to extract more meaningful information considering both time series themselves and the relationships between input sensors. This helps the model to be widely compatible with various sensors settings. NormWear is pretrained on a diverse set of physiological signals, including PPG, ECG, EEG, GSR, and IMU, from various public datasets. Our model shows exceptional generalizability across 11 public wearable sensing datasets, spanning 18 applications in mental health, body state inference, vital sign estimation, and disease risk evaluation. It consistently outperforms competitive baselines under zero-shot, partial-shot, and full-shot settings, indicating broad applicability in real-world health applications.
Key facts. Cited by 29 papers in the map (data through 7 Oct 2026). Builds on 34 of its 88 references that are in the map. First posted on arXiv 12 Dec 2024.
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34 of 88 references.
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- 2023Large-scale Training of Foundation Models for Wearable Biosignalscited by 89
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Citing papers per year: 2025: 6; 2026: 23.
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- 2025ZARA: Training-Free Motion Time-Series Reasoning via Evidence-Grounded LLM Agentscited by 13
- 2026sleep2vec: Unified Cross-Modal Alignment for Heterogeneous Nocturnal Biosignalscited by 3
- 2026Learning Transferable Sensor Models via Language-Informed Pretrainingcited by 3
- 2026Wearable Foundation Models Should Go Beyond Static Encoderscited by 3
- 2026Sonata: A Hybrid World Model for Inertial Kinematics under Clinical Data Scarcitycited by 2
- 2025SlotFM: A Motion Foundation Model with Slot Attention for Diverse Downstream Taskscited by 1
- 2025Wav2Arrest 2.0: Long-Horizon Cardiac Arrest Prediction with Time-to-Event Modeling, Identity-Invariance, and Pseudo-Lab Alignmentcited by 1
- 2025BioX-Bridge: Model Bridging for Unsupervised Cross-Modal Knowledge Transfer across Biosignalscited by 1
- 2026A Systematic Evaluation of Sample-Level Tokenization Strategies for MEG Foundation Modelscited by 1
- 2026A foundation model for electrodermal activity datacited by 1
- 2026Biosignal Fingerprinting: A Cross-Modal PPG-ECG Foundation Modelcited by 1
- 2026AnyMo: Geometry-Aware Setup-Agnostic Modeling of Human Motion in the Wildcited by 1
17 more
- 2026LLM Agents for Time-Series: A Surveycited by 1
- 2025Generalist vs Specialist Time Series Foundation Models: Investigating Potential Emergent Behaviors in Assessing Human Health Using PPG Signalscited by 0
- 2025DeepFeature: LLM-Empowered Context-aware Feature Generation for Wearable Biosignalscited by 0
- 2026EduGage: A Multimodal Dataset and Benchmark for Sensor-Based Momentary Assessment of Engagement in Self-Guided Video Learningcited by 0
- 2026CogAdapt: Adapting Clinical ECG Foundation Models for Wearable Cognitive Load Assessmentcited by 0
- 2026VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Datacited by 0
- 2026Physical activities enable scalable foundation modelling for broad-spectrum health predictioncited by 0
- 2026SpO2 Predictor-Guided Stage-Wise Time-Frequency Reconstruction of Low-Quality Dual-Wavelength PPG for Oxygen Saturation Estimationcited by 0
- 2026Zero-Shot Heart Rate Variability Forecasting from Consumer Wearables Using Time Series Foundation Modelscited by 0
- 2026Foundation models for movement data: Are they ready for prime-time?cited by 0
- 2026Physiological World Models for Human State Transitionscited by 0
- 2026BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensingcited by 0
- 2026SOTER: A Generative Time-Series Foundation Model for Wearable Human Physiological Signalscited by 0
- 2026Large language models in medical time series analysiscited by 0
- 2026PPG-LM: A Photoplethysmography-Language Model with Multi-Level Clinical Alignmentcited by 0
- 2026EdgeCraft: Automated Model Crafting for Edge IoTcited by 0
- 2026Lapras: Latent Reasoning for Time Series Language Modelscited by 0
- 2026Lapras: Latent Reasoning for Time Series Language Models8 Oct 2026
- 2026EdgeCraft: Automated Model Crafting for Edge IoT28 Sep 2026
- 2026PPG-LM: A Photoplethysmography-Language Model with Multi-Level Clinical Alignment27 Sep 2026
- 2026SOTER: A Generative Time-Series Foundation Model for Wearable Human Physiological Signals15 Sep 2026
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing27 Aug 2026
- 2026LLM Agents for Time-Series: A Survey26 Aug 2026
- 2026Physiological World Models for Human State Transitions15 Aug 2026
- 2026Foundation models for movement data: Are they ready for prime-time?13 Aug 2026
- 2026Zero-Shot Heart Rate Variability Forecasting from Consumer Wearables Using Time Series Foundation Models22 Jul 2026
- 2026SpO2 Predictor-Guided Stage-Wise Time-Frequency Reconstruction of Low-Quality Dual-Wavelength PPG for Oxygen Saturation Estimation9 Jul 2026
- 2026Physical activities enable scalable foundation modelling for broad-spectrum health prediction8 Jul 2026
17 more
- 2026VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data28 May 2026
- 2026CogAdapt: Adapting Clinical ECG Foundation Models for Wearable Cognitive Load Assessment21 May 2026
- 2026AnyMo: Geometry-Aware Setup-Agnostic Modeling of Human Motion in the Wild21 May 2026
- 2026Biosignal Fingerprinting: A Cross-Modal PPG-ECG Foundation Model10 May 2026
- 2026EduGage: A Multimodal Dataset and Benchmark for Sensor-Based Momentary Assessment of Engagement in Self-Guided Video Learning2 May 2026
- 2026Sonata: A Hybrid World Model for Inertial Kinematics under Clinical Data Scarcity20 Apr 2026
- 2026Wearable Foundation Models Should Go Beyond Static Encoders20 Mar 2026
- 2026Learning Transferable Sensor Models via Language-Informed Pretraining12 Mar 2026
- 2026A foundation model for electrodermal activity data20 Feb 2026
- 2026A Systematic Evaluation of Sample-Level Tokenization Strategies for MEG Foundation Models18 Feb 2026
- 2026sleep2vec: Unified Cross-Modal Alignment for Heterogeneous Nocturnal Biosignals14 Feb 2026
- 2025DeepFeature: LLM-Empowered Context-aware Feature Generation for Wearable Biosignals9 Dec 2025
- 2025Generalist vs Specialist Time Series Foundation Models: Investigating Potential Emergent Behaviors in Assessing Human Health Using PPG Signals16 Oct 2025
- 2025BioX-Bridge: Model Bridging for Unsupervised Cross-Modal Knowledge Transfer across Biosignals2 Oct 2025
- 2025Wav2Arrest 2.0: Long-Horizon Cardiac Arrest Prediction with Time-to-Event Modeling, Identity-Invariance, and Pseudo-Lab Alignment25 Sep 2025
- 2025SlotFM: A Motion Foundation Model with Slot Attention for Diverse Downstream Tasks25 Sep 2025
- 2025ZARA: Training-Free Motion Time-Series Reasoning via Evidence-Grounded LLM Agents6 Aug 2025
- 2026LLM Agents for Time-Series: A Surveycited by 1
- 2026BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensingcited by 0
- 2026BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing27 Aug 2026
- 2026LLM Agents for Time-Series: A Survey26 Aug 2026
- 2026sleep2vec: Unified Cross-Modal Alignment for Heterogeneous Nocturnal Biosignalscited by 3
- 2026Learning Transferable Sensor Models via Language-Informed Pretrainingcited by 3
- 2026Wearable Foundation Models Should Go Beyond Static Encoderscited by 3
- 2025SlotFM: A Motion Foundation Model with Slot Attention for Diverse Downstream Taskscited by 1
- 2025Wav2Arrest 2.0: Long-Horizon Cardiac Arrest Prediction with Time-to-Event Modeling, Identity-Invariance, and Pseudo-Lab Alignmentcited by 1
- 2025BioX-Bridge: Model Bridging for Unsupervised Cross-Modal Knowledge Transfer across Biosignalscited by 1
- 2026A Systematic Evaluation of Sample-Level Tokenization Strategies for MEG Foundation Modelscited by 1
- 2026A foundation model for electrodermal activity datacited by 1
- 2026Biosignal Fingerprinting: A Cross-Modal PPG-ECG Foundation Modelcited by 1
- 2026AnyMo: Geometry-Aware Setup-Agnostic Modeling of Human Motion in the Wildcited by 1
- 2025Generalist vs Specialist Time Series Foundation Models: Investigating Potential Emergent Behaviors in Assessing Human Health Using PPG Signalscited by 0
- 2025DeepFeature: LLM-Empowered Context-aware Feature Generation for Wearable Biosignalscited by 0
12 most cited of 24 All 24 (JSON)
- 2026Lapras: Latent Reasoning for Time Series Language Models8 Oct 2026
- 2026EdgeCraft: Automated Model Crafting for Edge IoT28 Sep 2026
- 2026PPG-LM: A Photoplethysmography-Language Model with Multi-Level Clinical Alignment27 Sep 2026
- 2026SOTER: A Generative Time-Series Foundation Model for Wearable Human Physiological Signals15 Sep 2026
- 2026Large language models in medical time series analysis7 Sep 2026
- 2026Foundation models for movement data: Are they ready for prime-time?13 Aug 2026
- 2026Zero-Shot Heart Rate Variability Forecasting from Consumer Wearables Using Time Series Foundation Models22 Jul 2026
- 2026SpO2 Predictor-Guided Stage-Wise Time-Frequency Reconstruction of Low-Quality Dual-Wavelength PPG for Oxygen Saturation Estimation9 Jul 2026
- 2026Physical activities enable scalable foundation modelling for broad-spectrum health prediction8 Jul 2026
- 2026VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data28 May 2026
- 2026CogAdapt: Adapting Clinical ECG Foundation Models for Wearable Cognitive Load Assessment21 May 2026
- 2026AnyMo: Geometry-Aware Setup-Agnostic Modeling of Human Motion in the Wild21 May 2026
12 newest of 24 All 24 (JSON)