Abstract
Wrist actigraphy is based on the premise that little movement occurs during sleep, but that activity increases when awake. Wrist actigraphy has the advantages of being cost efficient and allowing the recording of sleep in the natural environment. In addition, it can record continuous behavior for 24 h a day, 7 days a week. Although actigraphy is not a replacement for electroencephalography or polysomnography, there are times when it provides clear advantages for data collection.
Actigraphy is particularly useful for studying individuals who cannot tolerate sleeping in a laboratory, for example small children and older adults. It may provide a more accurate estimate of typical sleep duration by providing an opportunity for patients to adhere more closely to their habitual sleep environments. Actigraphy is also becoming an important tool in follow-up studies, and for examining efficacy in clinical outcomes. It has some value in the assessment of sleep disorders, although it may not help in distinguishing between different sleep disorders.
Newer scoring algorithms have great accuracy in determining the variables that are most important in insomnia – that is, they have improved ability to detect wake versus sleep, sleep latency, awakenings during the night, and total sleep time. Actigraphy is superior to a subject’s self-reported sleep logs, particularly in detecting brief arousals during the night. It can also be used for the evaluation and clinical diagnosis of circadian rhythm disorders. The ability to detect movement holds promise for the identification of sleep disorders characterized by frequent movements, such as periodic limb movements during sleep, sleep apnea, or rapid eye movement sleep behavior disorders.
Traditionally, the actigraphs are placed on the non-dominant hand, and the data collected is displayed on a computer and examined for activity/inactivity and analyzed for wake/sleep cycles. This chapter will review the development of actigraphy, the major areas where it can be used, tips for its successful use, and its limitations.
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References
Alessi CA (1995) Psychotropic medications in incontinent nursing home residents: association with sleep and bed mobility. J Am Geriatr Soc 43(7):788
Alessi CA, Schnelle JF, MacRae PG, Ouslander JG, Al-Samarrai N, Simmons SF et al (1995) Does physical activity improve sleep in impaired nursing home residents? J Am Geriatr Soc 43(10):1098–1102
Ancoli-Israel S (2003) The role of actigraphy in the study of sleep and circadian rhythms. American Academy of Sleep Medicine review paper. Sleep 26(3):342
Baker A, Simpson S, Dawson D (1997) Sleep disruption and mood changes associated with menopause. J Psychosom Res 43(4):359–369
Berger AM, Wielgus KK, Young-McCaughan S, Fischer P, Farr L, Lee KA (2008) Methodological challenges when using actigraphy in research. J Pain Symptom Manage 36(2):191–199
Blackwell T (2005) Actigraphy scoring reliability in the study of osteoporotic fractures. Sleep 28(12):1599
Broughton R (1996) Home assessment of sleep disorders by portable monitoring. J Clin Neurophysiol 13(4):272
Chen KY, Bassett DRJ (2005) The technology of accelerometry-based activity monitors: current and future. Med Sci Sport Exerc 37(11):S490–S500
Cole RJ, Kripke DF, Mullaney DJ, Gruen W, Gillin JC (1992) Technical note automatic sleep/wake identification from wrist activity. Sleep 15(5):461
Cortese S (2009) Sleep in children with attention-deficit/hyperactivity disorder: meta-analysis of subjective and objective studies. J Am Acad Child Adolesc Psychiatry 48(9):894
El Baz M (1998) Evaluation of actiwatch actimeter vs polysomnography in 29 patients with obstructive sleep apnea syndrome. J Sleep Res 7(Suppl 2):75
Fetveit A, Bjorvatn B (2005) Bright-light treatment reduces actigraphic-measured daytime sleep in nursing home patients with dementia: a pilot study. Am J Geriatr Psychiatry 13(5):420–423
Giannotti F (2006) An open-label study of controlled-release melatonin in treatment of sleep disorders in children with autism. J Autism Dev Disord 36(6):741
Glod CA (1997) Increased nocturnal activity and impaired sleep maintenance in abused children. J Am Acad Child Adolesc Psychiatry 36(9):1236
Gnidovec B (2002) Actigraphic assessment of sleep-wake rhythm during the first 6 months of life. Clin Neurophysiol 113(11):1815
Hauri PJ, Wisbey J (1992) Wrist actigraphy in insomnia. Sleep 15(4):293–301
Hindmarch I (2000) A naturalistic investigation of the effects of day-long consumption of tea, coffee and water on alertness, sleep onset and sleep quality. Psychopharmacology 149(3):203
Insana SP, Gozal D, Montgomery-Downs HE (2010) Invalidity of one actigraphy brand for identifying sleep and wake among infants. Sleep Med 11(2):191–196
Jean-Louis G, von Gizycki H, Zizi F, Spielman A, Hauri P, Taub H (1997) The actigraph data analysis software: I. A novel approach to scoring and interpreting sleep-wake activity. Percept Mot Skills 85(1):207–216
Jean-Louis G, Mendlowicz MV, von Gizycki H, Zizi F, Nunes J (1999) Assessment of physical activity and sleep by actigraphy: examination of gender differences. J Womens Health Gend Based Med 8(8):1113
Jean-Louis G, Zizi F, von Gizycki H, Hauri P (1999) Actigraphic assessment of sleep in insomnia: application of the Actigraph Data Analysis Software (ADAS). Physiol Behav 65(4–5):659–663
Jean-Louis G, Kripke DF, Ancoli-Israel S, Klauber MR, Sepulveda RS (2000) Sleep duration, illumination, and activity patterns in a population sample: effects of gender and ethnicity. Biol Psychiatry 47(10):921–927
Kain ZN (2002) Sleeping characteristics of children undergoing outpatient elective surgery. Anesthesiology 97(5):1093
Kain ZN (2003) Sleeping characteristics of adults undergoing outpatient elective surgery: a cohort study* 1. J Clin Anesth 15(7):505
Kushida CA, Chang A, Gadkary C, Guilleminault C, Carrillo O, Dement WC (2001) Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients. Sleep Med 2(5):389–396
Kripke DF (1978) Wrist actigraphic measures of sleep and rhythms* 1. Electroencephalogr clin neurophysiol Evoked potential 44(5):674
Lichstein KL (2006) Actigraphy validation with insomnia. Sleep 29(2):232
Littner M (2003) Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: an update for 2002. Sleep 26(3):337
Montgomery-Downs HE, Crabtree VM, Gozal D (2005) Actigraphic recordings in quantification of periodic leg movements during sleep in children. Sleep Med 6:325–332
Mullaney DJ, Kripke DF, Messin S (1980) Wrist-actigraphic estimation of sleep time. Sleep 3(1):83–92
Natale V (2009) Actigraphy in the assessment of Insomnia: a quantitative approach. Sleep 32(6):767
Ohayon MM (2004) Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 27(7):1255
Pankhurst FP, Horne JA (1994) The influence of bed partners on movement during sleep. Sleep 17(4):308–315
Powell SM, Jones DI, Rowlands AV (2003) Technical variability of the RT3 accelerometer. Med Sci Sport Exerc 35(10):1773–1778
Reyner LA, Horne JA, Reyner A (1995) Gender- and age-related differences in sleep determined by home-recorded sleep logs and actimetry from 400 adults. Sleep 18(2):127–134
Sadeh A (1995) Sleep and psychological characteristics of children on a psychiatric inpatient unit. J Am Acad Child Adolesc Psychiatry 34(6):813
Sadeh A (2010) The role and validity of actigraphy in sleep medicine: an update. Sleep Med Rev 15(4):259–267
Sadeh A, Hauri PJ, Kripke DF, Lavie P (1995) The role of actigraphy in the evaluation of sleep disorders. Sleep 18(4):288–302
Sanchez-Ortuno MM, Edinger J, Means MK, Almirall D (2010) Home is where sleep is: an ecological approach to test the validity of actigraphy for the assessment of insomnia. J Clin Sleep Mid 6:21–29
Sharpley AL (1988) Evaluation of first night effect using ambulatory monitoring and automatic sleep stage analysis. Sleep 11(3):273
Shilo L, Sabbah H, Hadari R, Kovatz S, Weinberg U, Dolev S et al (2002) The effects of coffee consumption on sleep and melatonin secretion. Sleep Med 3(3):271–273
Sitnick SL (2008) The use of actigraphy to study sleep disorders in preschoolers: some concerns about detection of nighttime awakenings. Sleep 31(3):395
So K (2005) Actigraphy correctly predicts sleep behavior in infants who are younger than six months, when compared with polysomnography. Pediatr Res 58(4):761
Somnomedics K, Germany. Somnowatch manule. From http://www.s-med.co.uk/PDF-s/sow_eng.aspx. Accessed 10 Mar 2010
Spira AP (2009) Anxiety symptoms and objectively measured sleep quality in older women. Am J Geriatr Psychiatry 17(2):136
Stone KL, Ancoli-Israel S, Blackwell T, Ensrud KE, Cauley JA, Redline S et al (2008) Actigraphy-measured sleep characteristics and risk of falls in older women. Arch Intern Med 168(16):1768–1775
Teicher MH (1995) Actigraphy and motion analysis: new tools for psychiatry. Harv Rev Psychiatry 3(1):18
Tu YC, Wang P-C (2010) Test a theoretical model of the stress process in female dementia family caregivers with positive aspects of caregiving, coping style and sleep. Paper presented at Taiwan Association of Clinical Psychology Annual Conference, Taipei, 27 Mar 2010
Tworoger SS, Davis S, Vitiello MV, Lentz MJ, McTiernan A (2005) Factors associated with objective (actigraphic) and subjective sleep quality in young adult women. J Psychosom Res 59(1):11–19
Vanhelst J, Zunquin G, Theunynck D, Mikulovic J, Bui-Xuan G, Beghin L (2009) Equivalence of accelerometer data for walking and running: treadmill versus on land. J Sports Sci 27(7):669–675
Vallieres A, Morin C (2003) Actigraphy in the assessment of insomnia. Sleep 26(7):902
Webster JB, Kripke DF, Messin S, Mullaney DJ, Wyborney G (1982) An activity-based sleep monitor system for ambulatory use. Sleep 5(4):389–399
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Wang, PC. (2012). Screening Instruments of Sleep Disorders: Actigraphy. In: Chiang, RY., Kang, SC. (eds) Introduction to Modern Sleep Technology. Intelligent Systems, Control and Automation: Science and Engineering, vol 64. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5470-6_3
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DOI: https://doi.org/10.1007/978-94-007-5470-6_3
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