To
compare
the
accuracy
of
automatic
sleep
staging
based
on
heart
rate
variability
measured
from
photoplethysmography
(PPG)
combined
with
body
movements
an
accelerometer,
polysomnography
(PSG)
and
actigraphy.
Using
wrist-worn
PPG
to
analyze
accelerometer
measure
movements,
stages
statistics
were
automatically
computed
overnight
recordings.
Sleep–wake,
4-class
(wake/N1
+
N2/N3/REM)
3-class
(wake/NREM/REM)
classifiers
trained
135
simultaneously
recorded
PSG
recordings
101
healthy
participants
validated
80
51
middle-aged
adults.
Epoch-by-epoch
agreement
compared
actigraphy
for
a
subset
validation
set.
The
sleep–wake
classifier
obtained
epoch-by-epoch
Cohen’s
κ
between
0.55
±
0.14,
sensitivity
wake
58.2
17.3%,
91.5
5.1%.
significantly
higher
than
(0.40
0.15
45.5
19.3%,
respectively).
achieved
0.46
72.9
8.3%,
classifier,
0.42
0.12
59.3
8.5%.
moderate
and,
in
particular,
good
terms
suggest
that
this
technique
is
promising
long-term
monitoring,
although
more
evidence
needed
understand
whether
it
can
complement
clinical
practice.
It
also
offers
improvement
sleep/wake
detection
over
individuals,
must
be
confirmed
larger,
population.
The
well-established
negative
health
outcomes
of
sleep
deprivation,
and
the
suggestion
that
availability
electricity
may
enable
later
bed
times
without
compensating
extension
in
morning,
have
stimulated
interest
studying
communities
whose
pattern
resemble
a
pre-industrial
state.
Here,
we
describe
activity
two
neighbouring
communities,
one
urban
(Milange)
rural
(Tengua),
region
Mozambique
where
urbanisation
is
an
ongoing
process.
differ
amount
timing
daily
light
exposure,
with
bedtimes
(≈1
h)
associated
more
evening
less
daytime
exposure
seen
town
Milange.
In
contrast
to
previous
reports
comparing
electricity,
duration
did
not
between
Milange
(7.28
Tengua
(7.23
h).
Notably,
calculated
quality
was
significantly
poorer
than
Milange,
poor
number
attributes
characteristic
areas,
including
intense
physical
labour
comfortable
sleeping
arrangements.
Thus,
whilst
our
data
support
hypothesis
access
delays
timing,
higher
population
also
suggests
some
aspects
industrialisation
are
beneficial
sleep.
Experimental & Molecular Medicine,
Год журнала:
2015,
Номер
47(3), С. e148 - e148
Опубликована: Март 13, 2015
Disturbances
in
the
sleep–wake
cycle
and
circadian
rhythms
are
common
symptoms
of
Alzheimer
Disease
(AD),
they
have
generally
been
considered
as
late
consequences
neurodegenerative
processes.
Recent
evidence
demonstrates
that
disruption
often
occur
early
course
disease
may
even
precede
development
cognitive
symptoms.
Furthermore,
appears
to
regulate
levels
pathogenic
amyloid-beta
peptide
brain,
manipulating
sleep
can
influence
AD-related
pathology
mouse
models
via
multiple
mechanisms.
Finally,
clock
system,
which
controls
other
diurnal
oscillations
mice
humans,
also
a
role
process.
In
this
review,
we
examine
current
literature
related
mechanisms
by
might
impact
AD
pathogenesis,
discuss
potential
therapeutic
strategies
targeting
these
systems
for
prevention
AD.
The
onset
progression
Alzheimer's
be
associated
with
disturbance
before
appear.
is
condition
primarily
affects
older
people,
leading
dementia.
Disturbed
patterns
problems
rhythms,
physiological
processes
follow
natural
24-hour
cycle,
disease.
David
Holtzman
co-workers
at
Washington
University
School
Medicine,
USA,
reviewed
research
suggesting
actually
stages
exacerbate
team
highlighted
linking
cycles
regulation
certain
Alzheimer-related
peptides
brains,
together
studies
connecting
rhythms.
Therapies
could
therefore
help
fight
against
future.
Frontiers in Aging Neuroscience,
Год журнала:
2015,
Номер
7
Опубликована: Сен. 7, 2015
Sleep
quality
decreases
with
aging
and
thus
sleep
complaints
are
prevalent
in
older
adults,
particularly
for
those
cognitive
impairment
dementia.
For
emerging
evidence
suggests
poor
increases
risk
of
developing
Given
the
population
–
impending
economic
burden
associated
increasing
numbers
dementia
patients
there
is
pressing
need
to
improve
among
adults.
As
such,
research
efforts
have
increased
focus
on
investigating
association
between
age-related
changes
decline
a
complex
construct
evaluate
empirically,
yet
Pittsburg
Quality
Index
(PSQI)
commonly
used
studies
as
their
only
measure
quality.
Furthermore,
PSQI
may
not
be
best
due
its
reliance
capacity
reflect
past
month.
Further
study
needed
determine
PSQI's
validity
Thus,
current
examined
78
community
dwelling
adults
55+
predictive
objective
(as
measured
by
actigraphy).
We
compared
two
subjective
measures
Consensus
Diary
(CSD)
actigraphy
(MotionWatch
8;
camntech).
Our
results
suggest
perceived
quite
different
from
reality,
at
least
55+.
Importantly,
we
show
this
difference
unrelated
age,
gender,
education,
or
status
(assessed
using
standard
screens).
Previous
shown
valuable
tool
assessing
quality;
however,
our
findings
indicate
should
substitute
actigraphy,
vice
versa.
Hence,
conclude
practice
include
both
when
examining
(i.e.,
PSQI,
CSD,
Medicine & Science in Sports & Exercise,
Год журнала:
2019,
Номер
51(7), С. 1538 - 1557
Опубликована: Фев. 19, 2019
:
The
accurate
assessment
of
sleep
is
critical
to
better
understand
and
evaluate
its
role
in
health
disease.
boom
wearable
technology
part
the
digital
revolution
producing
many
novel,
highly
sophisticated
relatively
inexpensive
consumer
devices
collecting
data
from
multiple
sensors
claiming
extract
information
about
users'
behaviors,
including
sleep.
These
are
now
able
capture
different
biosignals
for
determining,
example,
HR
variability,
skin
conductance,
temperature,
addition
activity.
They
perform
24/7,
generating
overwhelmingly
large
sets
(big
data),
with
potential
offering
an
unprecedented
window
on
health.
Unfortunately,
little
guidance
exists
within
outside
scientific
community
their
use,
leading
confusion
controversy
validity
application.
current
state-of-the-art
review
aims
highlight
validation
utility
sleep-trackers
clinical
practice
research.
Guidelines
a
standardized
device
performance
deemed
necessary,
several
factors
(proprietary
algorithms,
malfunction,
firmware
updates)
need
be
considered
before
using
these
research
protocols.
Ultimately,
holds
promise
advancing
understanding
health;
however,
careful
path
forward
needs
navigated,
benefits
pitfalls
this
as
applied
medicine.
SLEEP,
Год журнала:
2015,
Номер
38(9), С. 1353 - 1359
Опубликована: Авг. 31, 2015
Short
sleep
duration
and
poor
continuity
have
been
implicated
in
the
susceptibility
to
infectious
illness.
However,
prior
research
has
relied
on
subjective
measures
of
sleep,
which
are
subject
recall
bias.
The
aim
this
study
was
determine
whether
measured
behaviorally
using
wrist
actigraphy,
predicted
cold
incidence
following
experimental
viral
exposure.A
total
164
healthy
men
women
(age
range,
18
55
y)
volunteered
for
study.
Wrist
actigraphy
diaries
assessed
over
7
consecutive
days.
Participants
were
then
quarantined
administered
nasal
drops
containing
rhinovirus,
monitored
5
days
development
a
clinical
(defined
by
infection
presence
objective
signs
illness).
Logistic
regression
analysis
revealed
that
actigraphy-
shorter
associated
with
an
increased
likelihood
cold.
Specifically,
those
sleeping
<
h
(odds
ratio
[OR]
=
4.50,
95%
confidence
interval
[CI],
1.08-18.69)
or
between
6
(OR
4.24,
CI,
1.08-16.71)
at
greater
risk
developing
compared
>
per
night;
6.01
no
1.66;
CI
0.40-6.95).
This
association
independent
prechallenge
antibody
levels,
demographics,
season
year,
body
mass
index,
psychological
variables,
health
practices.
Sleep
fragmentation
unrelated
susceptibility.
Other
variables
obtained
diary
not
strong
predictors
susceptibility.Shorter
duration,
exposure,
common
Physiological Reviews,
Год журнала:
2020,
Номер
101(3), С. 995 - 1046
Опубликована: Авг. 13, 2020
While
insomnia
is
the
second
most
common
mental
disorder,
progress
in
our
understanding
of
underlying
neurobiological
mechanisms
has
been
limited.
The
present
review
addresses
definition
and
prevalence
explores
its
subjective
objective
characteristics
across
24-hour
day.
Subsequently,
extensively
how
vulnerability
to
develop
affected
by
genetic
variants,
early
life
stress,
major
events,
brain
structure
function.
Further
supported
clear
health
risks
conveyed
insomnia,
integrated
findings
suggest
that
could
rather
be
found
circuits
regulating
emotion
arousal
than
involved
circadian
homeostatic
sleep
regulation.
Finally,
a
testable
model
presented.
proposes
people
with
locus
coeruleus
more
sensitive
to-or
receives
input
from-the
salience
network
related
circuits,
even
during
rapid
eye
movement
sleep,
when
it
should
normally
sound
asleep.
This
may
ignite
downward
spiral
insufficient
overnight
adaptation
distress,
resulting
accumulating
hyperarousal,
which,
turn,
impedes
restful
moreover
increases
risk
other
adversity.
Sensitized
are
likely
subjectively
experienced
as
"sleeping
one
open".
proposed
opens
up
possibility
for
novel
intervention
studies
animal
studies,
thus
accelerating
ignition
neuroscience
which
direly
needed
better
treatment.
Journal of Medical Internet Research,
Год журнала:
2019,
Номер
21(11), С. e16273 - e16273
Опубликована: Окт. 17, 2019
Wearable
sleep
monitors
are
of
high
interest
to
consumers
and
researchers
because
their
ability
provide
estimation
patterns
in
free-living
conditions
a
cost-efficient
way.We
conducted
systematic
review
publications
reporting
on
the
performance
wristband
Fitbit
models
assessing
parameters
stages.In
adherence
with
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
(PRISMA)
statement,
we
comprehensively
searched
Cumulative
Index
Nursing
Allied
Health
Literature
(CINAHL),
Cochrane,
Embase,
MEDLINE,
PubMed,
PsycINFO,
Web
Science
databases
using
keyword
identify
relevant
meeting
predefined
inclusion
exclusion
criteria.The
search
yielded
3085
candidate
articles.
After
eliminating
duplicates
compliance
criteria,
22
articles
qualified
review,
8
providing
quantitative
data
meta-analysis.
In
reference
polysomnography
(PSG),
nonsleep-staging
tended
overestimate
total
time
(TST;
range
from
approximately
7
67
mins;
effect
size=-0.51,
P<.001;
heterogenicity:
I2=8.8%,
P=.36)
efficiency
(SE;
2%
15%;
size=-0.74,
I2=24.0%,
P=.25),
underestimate
wake
after
onset
(WASO;
6
44
size=0.60,
I2=0%,
P=.92)
there
was
no
significant
difference
latency
(SOL;
P=.37;
P=.92).
PSG,
correctly
identified
epochs
accuracy
values
between
0.81
0.91,
sensitivity
0.87
0.99,
specificity
0.10
0.52.
Recent-generation
that
collectively
utilize
heart
rate
variability
body
movement
assess
stages
performed
better
than
early-generation
ones
only
movement.
Sleep-staging
models,
comparison
showed
measured
WASO
(P=.25;
P=.92),
TST
(P=.29;
P=.98),
SE
(P=.19)
but
they
underestimated
SOL
(P=.03;
P=.66).
higher
(0.95-0.96)
(0.58-0.69)
detecting
those
reported
literature
regular
wrist
actigraphy.Sleep-staging
promising
performance,
especially
differentiating
sleep.
However,
although
these
convenient
economical
means
obtain
gross
estimates
spent
stages,
limited
not
substitute
PSG.
Consumer
sleep-tracking
devices
are
widely
used
and
becoming
more
technologically
advanced,
creating
strong
interest
from
researchers
clinicians
for
their
possible
use
as
alternatives
to
standard
actigraphy.
We,
therefore,
tested
the
performance
of
many
latest
consumer
devices,
alongside
actigraphy,
versus
gold-standard
sleep
assessment
technique,
polysomnography
(PSG).In
total,
34
healthy
young
adults
(22
women;
28.1
±
3.9
years,
mean
SD)
were
on
three
consecutive
nights
(including
a
disrupted
condition)
in
laboratory
with
PSG,
along
actigraphy
(Philips
Respironics
Actiwatch
2)
subset
devices.
Altogether,
four
wearable
(Fatigue
Science
Readiband,
Fitbit
Alta
HR,
Garmin
Fenix
5S,
Vivosmart
3)
nonwearable
(EarlySense
Live,
ResMed
S+,
SleepScore
Max)
tested.
Sleep/wake
summary
epoch-by-epoch
agreement
measures
compared
PSG.Most
EarlySense
performed
well
or
better
than
sleep/wake
measures,
while
worse.
Overall,
sensitivity
was
high
(all
≥0.93),
specificity
low-to-medium
(0.18-0.54),
stage
comparisons
mixed,
tended
perform
worse
poorer/disrupted
sleep.Consumer
exhibited
detecting
sleep,
most
equivalent
(or
than)
wake.
Device
assessments
inconsistent.
Findings
indicate
that
newer
demonstrate
promising
tracking
Devices
should
be
different
populations
settings
further
examine
wider
validity
utility.
Sensors,
Год журнала:
2016,
Номер
16(5), С. 646 - 646
Опубликована: Май 5, 2016
Polysomnography
(PSG)
is
the
"gold
standard"
for
monitoring
sleep.
Alternatives
to
PSG
are
of
interest
clinical,
research,
and
personal
use.
Wrist-worn
actigraph
devices
have
been
utilized
in
research
settings
measures
sleep
over
two
decades.
Whether
from
commercially
available
similarly
valid
unknown.
We
sought
determine
validity
five
wearable
devices:
Basis
Health
Tracker,
Misfit
Shine,
Fitbit
Flex,
Withings
Pulse
O2,
a
research-based
actigraph,
Actiwatch
Spectrum.
used
Wilcoxon
Signed
Rank
tests
assess
differences
between
relative
correlational
analysis
strength
relationship.
Data
loss
was
greatest
Misfit.
For
all
devices,
we
found
no
difference
strong
correlation
total
time
with
PSG.
Sleep
efficiency
differed
Withings,
Misfit,
Fitbit,
Basis,
while
mean
values
did
not
differ
that
Only
(time
asleep/time
bed)
correlated
PSG,
yet
this
weak.
Light
(nREM1
+
nREM2)
devices.
Measures
Deep
(SWS
REM)
Basis.
These
results
reveal
current
strengths
limitations
estimates
produced
by
health
point
need
future
development.