Agreement between actigraphic and polysomnographic measures of sleep in adults with and without chronic conditions: A systematic review and meta-analysis

Conley, Samantha; Knies, Andrea K.; Batten, Janene; Ash, Garrett I.; Miner, Brienne; Hwang, Youri; Jeon, Sangchoon; Redeker, Nancy S.

doi:10.1016/j.smrv.2019.05.001

Cited by 97 publications

(80 citation statements)

References 51 publications

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“…Third, there were some notable differences between WatchPAT data and PSG; namely, difference in sleep times and oximetry. Sleep time differences were similar to those reported from other actigraphy technology [23], and are of unclear clinical significance, particularly as they did not seem to impact respiratory event indices substantially. Oximetry technology has previously been shown to vary between devices [24].…”

Section: Discussionsupporting

confidence: 75%

Accuracy of WatchPAT for the Diagnosis of Obstructive Sleep Apnea in Patients with Chronic Obstructive Pulmonary Disease

Jen

Orr

et al. 2020

COPD: Journal of Chronic Obstructive Pulmonary Disease

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The coexistence of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA), termed the overlap syndrome (OVS), is associated with adverse outcomes that may be reversed with treatment. However, diagnosis is limited by the apparent need for in-laboratory polysomnography (PSG). WatchPAT is a portable diagnostic device that is validated for the diagnosis of OSA that might represent an attractive tool for the diagnosis of OVS. Subjects with established COPD were recruited from a general population. Subjects underwent PSG and simultaneous recording with WatchPAT. Pulmonary function testing and questionnaires were also performed. A total of 36 subjects were recruited and valid data was obtained on 33 (age 63 ± 7, BMI 28 ± 7, 61% male, FEV 1 56 ± 20% predicted). There was no significant difference in the apnea-hypopnea index (AHI) between PSG and WatchPAT (19 ± 20 versus 20 ± 15 events/h; mean difference 2(-2, 5) events/h; p ¼ 0.381). The AHI was not significantly different in rapid eye movement (REM) and non-rapid eye movement (NREM) determined by PSG versus REM and NREM determined by WatchPAT. WatchPAT slightly overestimated total and REM sleep time, and sleep efficiency. The sensitivity of WatchPAT at an AHI cutoff of !5, !15, and !30 events/h for corresponding PSG AHI cutoffs was 95.8, 92.3, and 88.9, respectively; specificity was 55, 65.0, and 95.8, respectively. WatchPAT is able to determine OSA reliably in patients with COPD. The availability of this additional diagnostic modality may lead to improved detection of OVS, which may in turn lead to improved outcomes for a group of COPD patients at high risk of poor outcomes.

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Section: Discussionsupporting

confidence: 75%

Accuracy of WatchPAT for the Diagnosis of Obstructive Sleep Apnea in Patients with Chronic Obstructive Pulmonary Disease

Jen

Orr

et al. 2020

COPD: Journal of Chronic Obstructive Pulmonary Disease

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“…Third, compared to the sleep characteristics measured by polysomnography, actigraphy tends to overestimate total sleep time and sleep efficiency and to underestimate sleep onset latency and wake after sleep onset in adults regardless of chronic physical health conditions. A recent meta-analysis of 96 studies in adults with and without chronic conditions (Conley et al, 2019) concluded that actigraphy significantly underestimated sleep onset latency compared to PSG in both healthy adults (by 8.1 min) and those with chronic conditions (by 7.7 min). In addition, we did not collect sleep diary data and the participants did not press the event marker button on the actigraph to identify the lights-off and lights-on times, which would have allowed us to generate a more accurate estimate of sleep onset latency and efficiency.…”

Section: Discussionmentioning

confidence: 99%

Associations of objectively measured sleep characteristics and incident hypertension among police officers: The role of obesity

Claudia

Bhandari

et al. 2020

Journal of Sleep Research

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Sleep is essential to maintaining good physical and mental health. The literature on sleep physiology shows that non-rapid and rapid eye movement alternate cyclically during sleep and that each stage is associated with distinct brain activities and physiological changes, such as blood pressure and heart rate fluctuation (Colten & Altevogt, 2006). Previous studies have suggested that sleep disorders (such as difficulty initiating and maintaining sleep)

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“…Wrist actigraphy is a valid measure of rest-activity rhythms and sleep characteristics, and discriminates sleep from wake (Conley et al, 2019; Smith et al, 2018). Data were collected in 30-second epochs.…”

Section: Methodsmentioning

confidence: 99%

The Feasibility of Measuring Sleep and Circadian Characteristics in Adults with Inflammatory Bowel Disease

et al. 2020

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Interest in sleep and circadian research in inflammatory bowel disease (IBD) (Crohn’s disease and ulcerative colitis) is growing; however, few studies have objectively measured sleep or circadian rhythms in people with these conditions. The purpose was to determine the feasibility of the use of wrist actigraphy, electronic sleep/activity diaries, and participant-collected saliva among adults with both active and inactive IBD. We conducted a 10-day feasibility study of adults aged 18 years to 60 years with IBD. We measured sleep and rest-activity rhythms with wrist actigraphy, self-reported sleep/activity using electronic diaries, and participant-collected saliva to compute salivary dim light melatonin onset. All 37 (100%) participants wore the wrist actigraphs, 91.8% (N = 34) participants completed at least 15 of the 18 electronic diaries, and 34 (91.9%) completed the saliva collection. It is feasible to use wrist actigraphy and electronic sleep/activity diaries in adult participants with inflammatory bowel disease.

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Agreement between actigraphic and polysomnographic measures of sleep in adults with and without chronic conditions: A systematic review and meta-analysis

Cited by 97 publications

References 51 publications

Accuracy of WatchPAT for the Diagnosis of Obstructive Sleep Apnea in Patients with Chronic Obstructive Pulmonary Disease

Accuracy of WatchPAT for the Diagnosis of Obstructive Sleep Apnea in Patients with Chronic Obstructive Pulmonary Disease

Associations of objectively measured sleep characteristics and incident hypertension among police officers: The role of obesity

The Feasibility of Measuring Sleep and Circadian Characteristics in Adults with Inflammatory Bowel Disease

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