We have located links that may give you full text access.
Journal Article
Research Support, N.I.H., Extramural
Concordance of polysomnographic and actigraphic measurement of sleep and wake in older women with insomnia.
Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine 2013 March 16
STUDY OBJECTIVES: The objective of this secondary analysis was to evaluate concurrent validity of actigraphy and polysomnography (PSG) in older women with insomnia.
METHODS: Concurrent validity of actigraphy and PSG was examined through (1) comparison of sleep outcomes from each recording method; (2) calculation of sensitivity, specificity, accuracy, and predictive values from epoch-by-epoch data; and (3) statistical and graphical exploration of the relationship between sleep disturbance severity and concordance of actigraphy and PSG. Subjects were 16 community-dwelling older women (mean age 69.4 ± 8.1) with insomnia who underwent 8 nights of concurrent actigraphy and PSG.
RESULTS: Sleep efficiency reflected much greater sleep disturbance on PSG (66.9%) than actigraphy (84.4%). Based on generalized linear models, the parameter estimates for agreement between actigraphy and PSG were statistically significant (p < 0.05) for total sleep time and sleep latency, verged on significance for WASO (p = 0.052), but was not significant for sleep efficiency (p = 0.20). Epoch-by-epoch analysis showed high sensitivity (96.1%), low specificity (36.4%), and modest values on agreement (75.4%) and predictive values of sleep (74.7%) and wake (80.2%). Generalized linear models showed that overall accuracy of actigraphy declined as sleep efficiency declined (unstandardized Beta = 0.741, p < 0.001). Based on this model, sleep efficiency of 73% was the point at which accuracy declined below an acceptable accuracy value of 80%.
CONCLUSIONS: Actigraphy offers a relatively inexpensive and unobtrusive method for measuring sleep, but it appears to underestimate sleep disturbance, particularly at sleep efficiency levels below 73%, in older women with insomnia.
METHODS: Concurrent validity of actigraphy and PSG was examined through (1) comparison of sleep outcomes from each recording method; (2) calculation of sensitivity, specificity, accuracy, and predictive values from epoch-by-epoch data; and (3) statistical and graphical exploration of the relationship between sleep disturbance severity and concordance of actigraphy and PSG. Subjects were 16 community-dwelling older women (mean age 69.4 ± 8.1) with insomnia who underwent 8 nights of concurrent actigraphy and PSG.
RESULTS: Sleep efficiency reflected much greater sleep disturbance on PSG (66.9%) than actigraphy (84.4%). Based on generalized linear models, the parameter estimates for agreement between actigraphy and PSG were statistically significant (p < 0.05) for total sleep time and sleep latency, verged on significance for WASO (p = 0.052), but was not significant for sleep efficiency (p = 0.20). Epoch-by-epoch analysis showed high sensitivity (96.1%), low specificity (36.4%), and modest values on agreement (75.4%) and predictive values of sleep (74.7%) and wake (80.2%). Generalized linear models showed that overall accuracy of actigraphy declined as sleep efficiency declined (unstandardized Beta = 0.741, p < 0.001). Based on this model, sleep efficiency of 73% was the point at which accuracy declined below an acceptable accuracy value of 80%.
CONCLUSIONS: Actigraphy offers a relatively inexpensive and unobtrusive method for measuring sleep, but it appears to underestimate sleep disturbance, particularly at sleep efficiency levels below 73%, in older women with insomnia.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app