Actigraphy is not a reliable method for measuring sleep patterns in neonates
Aim Polysomnography is the gold standard for studying sleep, but it is complex to use, and this can be problematic in clinically unstable preterm infants. We evaluated the reliability of actigraphy and polysomnography in detecting sleep–wake patterns in newborn infants. Methods A prospective, monoce...
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Veröffentlicht in: | Acta Paediatrica 2015-11, Vol.104 (11), p.e478-e482 |
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creator | Rioualen, Stéphane Roué, Jean-Michel Lefranc, Jérémie Gouillou, Maëlenn Nowak, Emmanuel Alavi, Zarrin Dubourg, Morgane Sizun, Jacques |
description | Aim
Polysomnography is the gold standard for studying sleep, but it is complex to use, and this can be problematic in clinically unstable preterm infants. We evaluated the reliability of actigraphy and polysomnography in detecting sleep–wake patterns in newborn infants.
Methods
A prospective, monocentric study was conducted that measured the sleep patterns of 48 infants: 24 late preterm neonates born at 34–36 weeks of gestational age and 24 term neonates. We used both polysomnography and the Actiwatch Mini during a three‐hour period and then compared the results from the two methods.
Results
The baseline measurements for the preterm and terms groups were as follows: gestational age (34.5 weeks and 39.2 weeks), birthweight (2368 g and 3393 g) and age (6.4 days and 0.72 days). With the Actiwatch Mini, sensitivity for the late preterm and full‐term infants was 78% and 87% for the leg actigraph and 78% and 93% for the arm actigraph. For specificity, the respective figures were 42% and 31% for the leg and 34% and 20% for the arm.
Conclusion
Actigraphy using the Actiwatch Mini was not a reliable method for measuring sleep patterns in healthy late preterm and term neonates a few days after birth. |
doi_str_mv | 10.1111/apa.13088 |
format | Article |
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Polysomnography is the gold standard for studying sleep, but it is complex to use, and this can be problematic in clinically unstable preterm infants. We evaluated the reliability of actigraphy and polysomnography in detecting sleep–wake patterns in newborn infants.
Methods
A prospective, monocentric study was conducted that measured the sleep patterns of 48 infants: 24 late preterm neonates born at 34–36 weeks of gestational age and 24 term neonates. We used both polysomnography and the Actiwatch Mini during a three‐hour period and then compared the results from the two methods.
Results
The baseline measurements for the preterm and terms groups were as follows: gestational age (34.5 weeks and 39.2 weeks), birthweight (2368 g and 3393 g) and age (6.4 days and 0.72 days). With the Actiwatch Mini, sensitivity for the late preterm and full‐term infants was 78% and 87% for the leg actigraph and 78% and 93% for the arm actigraph. For specificity, the respective figures were 42% and 31% for the leg and 34% and 20% for the arm.
Conclusion
Actigraphy using the Actiwatch Mini was not a reliable method for measuring sleep patterns in healthy late preterm and term neonates a few days after birth.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.13088</identifier><identifier>PMID: 26081297</identifier><language>eng</language><publisher>Norway: Blackwell Publishing Ltd</publisher><subject>Actigraphy ; Female ; Gestational Age ; Human health and pathology ; Humans ; Infant, Newborn ; Infant, Premature ; Life Sciences ; Male ; Newborn infant ; Pediatrics ; Polysomnography ; Preterm infant ; Prospective Studies ; Reproducibility of Results ; Sleep ; Sleep - physiology ; Wakefulness - physiology</subject><ispartof>Acta Paediatrica, 2015-11, Vol.104 (11), p.e478-e482</ispartof><rights>2015 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2015 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2015 Foundation Acta Pædiatrica</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4108-d95d3ad926dbbce4323a45326259f79e84506389ec1dbe4c41fde173229864e53</citedby><cites>FETCH-LOGICAL-c4108-d95d3ad926dbbce4323a45326259f79e84506389ec1dbe4c41fde173229864e53</cites><orcidid>0000-0001-6350-0289</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.13088$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.13088$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26081297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-brest.fr/hal-01276092$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Rioualen, Stéphane</creatorcontrib><creatorcontrib>Roué, Jean-Michel</creatorcontrib><creatorcontrib>Lefranc, Jérémie</creatorcontrib><creatorcontrib>Gouillou, Maëlenn</creatorcontrib><creatorcontrib>Nowak, Emmanuel</creatorcontrib><creatorcontrib>Alavi, Zarrin</creatorcontrib><creatorcontrib>Dubourg, Morgane</creatorcontrib><creatorcontrib>Sizun, Jacques</creatorcontrib><title>Actigraphy is not a reliable method for measuring sleep patterns in neonates</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
Polysomnography is the gold standard for studying sleep, but it is complex to use, and this can be problematic in clinically unstable preterm infants. We evaluated the reliability of actigraphy and polysomnography in detecting sleep–wake patterns in newborn infants.
Methods
A prospective, monocentric study was conducted that measured the sleep patterns of 48 infants: 24 late preterm neonates born at 34–36 weeks of gestational age and 24 term neonates. We used both polysomnography and the Actiwatch Mini during a three‐hour period and then compared the results from the two methods.
Results
The baseline measurements for the preterm and terms groups were as follows: gestational age (34.5 weeks and 39.2 weeks), birthweight (2368 g and 3393 g) and age (6.4 days and 0.72 days). With the Actiwatch Mini, sensitivity for the late preterm and full‐term infants was 78% and 87% for the leg actigraph and 78% and 93% for the arm actigraph. For specificity, the respective figures were 42% and 31% for the leg and 34% and 20% for the arm.
Conclusion
Actigraphy using the Actiwatch Mini was not a reliable method for measuring sleep patterns in healthy late preterm and term neonates a few days after birth.</description><subject>Actigraphy</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Newborn infant</subject><subject>Pediatrics</subject><subject>Polysomnography</subject><subject>Preterm infant</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Wakefulness - physiology</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhS0EokNhwQsgS2xgkdb_P8uooh2kKbAoArGxnOSm45JJUjsB5m14Fp4MD9MOEhLe2Lr6zrnHOgg9p-SE5nPqR39COTHmAVpQJWnBGNMP0YIYwgvJJD9CT1K6IYRxK9RjdMQUMZRZvUCXZT2F6-jH9RaHhPthwh5H6IKvOsAbmNZDg9sh5qdPcwz9NU4dwIhHP00Q-4RD_-tnD0PvJ0hP0aPWdwme3d3H6OP5m6uzZbF6f_H2rFwVtaDEFI2VDfeNZaqpqhoEZ9wLyZli0rbaghGSKG4s1LSpQGRR2wDVnDFrlADJj9Hrve_ad26MYePj1g0-uGW5crsZoUwrYtk3mtlXe3aMw-0MaXKbkGroOp9Tz8lRzbQ1Vgib0Zf_oDfDHPv8kx0llWCWir_L6zikFKE9JKDE7fpwuQ_3p4_MvrhznKsNNAfyvoAMnO6B76GD7f-dXPmhvLcs9oqQJvhxUPj41SnNtXSf3l24JSVXX_T5Z3fJfwOBHaGg</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Rioualen, Stéphane</creator><creator>Roué, Jean-Michel</creator><creator>Lefranc, Jérémie</creator><creator>Gouillou, Maëlenn</creator><creator>Nowak, Emmanuel</creator><creator>Alavi, Zarrin</creator><creator>Dubourg, Morgane</creator><creator>Sizun, Jacques</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><general>Wiley</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-6350-0289</orcidid></search><sort><creationdate>201511</creationdate><title>Actigraphy is not a reliable method for measuring sleep patterns in neonates</title><author>Rioualen, Stéphane ; Roué, Jean-Michel ; Lefranc, Jérémie ; Gouillou, Maëlenn ; Nowak, Emmanuel ; Alavi, Zarrin ; Dubourg, Morgane ; Sizun, Jacques</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4108-d95d3ad926dbbce4323a45326259f79e84506389ec1dbe4c41fde173229864e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Actigraphy</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Newborn infant</topic><topic>Pediatrics</topic><topic>Polysomnography</topic><topic>Preterm infant</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Wakefulness - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rioualen, Stéphane</creatorcontrib><creatorcontrib>Roué, Jean-Michel</creatorcontrib><creatorcontrib>Lefranc, Jérémie</creatorcontrib><creatorcontrib>Gouillou, Maëlenn</creatorcontrib><creatorcontrib>Nowak, Emmanuel</creatorcontrib><creatorcontrib>Alavi, Zarrin</creatorcontrib><creatorcontrib>Dubourg, Morgane</creatorcontrib><creatorcontrib>Sizun, Jacques</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rioualen, Stéphane</au><au>Roué, Jean-Michel</au><au>Lefranc, Jérémie</au><au>Gouillou, Maëlenn</au><au>Nowak, Emmanuel</au><au>Alavi, Zarrin</au><au>Dubourg, Morgane</au><au>Sizun, Jacques</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Actigraphy is not a reliable method for measuring sleep patterns in neonates</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2015-11</date><risdate>2015</risdate><volume>104</volume><issue>11</issue><spage>e478</spage><epage>e482</epage><pages>e478-e482</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
Polysomnography is the gold standard for studying sleep, but it is complex to use, and this can be problematic in clinically unstable preterm infants. We evaluated the reliability of actigraphy and polysomnography in detecting sleep–wake patterns in newborn infants.
Methods
A prospective, monocentric study was conducted that measured the sleep patterns of 48 infants: 24 late preterm neonates born at 34–36 weeks of gestational age and 24 term neonates. We used both polysomnography and the Actiwatch Mini during a three‐hour period and then compared the results from the two methods.
Results
The baseline measurements for the preterm and terms groups were as follows: gestational age (34.5 weeks and 39.2 weeks), birthweight (2368 g and 3393 g) and age (6.4 days and 0.72 days). With the Actiwatch Mini, sensitivity for the late preterm and full‐term infants was 78% and 87% for the leg actigraph and 78% and 93% for the arm actigraph. For specificity, the respective figures were 42% and 31% for the leg and 34% and 20% for the arm.
Conclusion
Actigraphy using the Actiwatch Mini was not a reliable method for measuring sleep patterns in healthy late preterm and term neonates a few days after birth.</abstract><cop>Norway</cop><pub>Blackwell Publishing Ltd</pub><pmid>26081297</pmid><doi>10.1111/apa.13088</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-6350-0289</orcidid></addata></record> |
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subjects | Actigraphy Female Gestational Age Human health and pathology Humans Infant, Newborn Infant, Premature Life Sciences Male Newborn infant Pediatrics Polysomnography Preterm infant Prospective Studies Reproducibility of Results Sleep Sleep - physiology Wakefulness - physiology |
title | Actigraphy is not a reliable method for measuring sleep patterns in neonates |
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