Utrecht University, General Health Sciences, Physiotherapy Science, Utrecht, The Netherlands.
J Sleep Res. 2011 Mar;20(1 Pt 2):183-200. doi: 10.1111/j.1365-2869.2009.00814.x.
Sleep disturbance influences human health. To examine sleep patterns, it is advisable to utilize valid subjective and objective measures. Laboratory-based polysomnography (PSG) is deemed the gold standard to measure sleep objectively, but is impractical for long-term and home utilization (e.g. resource-demanding, difficult to use). Hence, alternative devices have been developed. This study aimed to review the literature systematically, providing an overview of available objective sleep measures in non-laboratory settings as an alternative to PSG. To identify relevant articles, a specific search strategy was run in EMBASE, PubMed, CINAHL, PsycInfo and Compendex (Engineering Village 2). In addition, reference lists of retrieved articles were screened and experts within this research field were contacted. Two researchers, using specified in/exclusion criteria, screened identified citations independently in three stages: on title, abstract and full text. Data from included articles were extracted and inserted into summarizing tables outlining the results. Of the 2217 electronically identified citations, 35 studies met the inclusion criteria. Additional searches revealed eight papers. Psychometric characteristics of nine different objective measures of sleep pattern alternatives to PSG [(bed) actigraphy, observation, bed sensors, eyelid movement- and non-invasive arm sensors, a sleep switch and a remote device] were evaluated. Actigraphy is used widely and has been validated in several populations. Alternative devices to measure sleep patterns are becoming available, but most remain at prototype stage and are validated insufficiently. Future research should concentrate on the development and further validation of non-invasive, inexpensive and user-friendly sleep measures for non-laboratory settings.
睡眠障碍会影响人类健康。为了检查睡眠模式，建议使用有效的主观和客观测量方法。基于实验室的多导睡眠图（PSG）被认为是客观测量睡眠的金标准，但不适合长期和家庭使用（例如资源需求高，使用困难）。因此，已经开发出替代设备。本研究旨在系统地综述文献，概述非实验室环境中可用的客观睡眠测量方法，作为 PSG 的替代方法。为了确定相关文章，在 EMBASE、PubMed、CINAHL、PsycInfo 和 Compendex（Engineering Village 2）中运行了特定的搜索策略。此外，还筛选了检索到的文章的参考文献，并联系了该研究领域的专家。两名研究人员使用指定的纳入/排除标准，独立在三个阶段（标题、摘要和全文）筛选确定的引用。将纳入文章的数据提取并插入到总结表中，概述结果。在 2217 条电子识别引用中，有 35 项研究符合纳入标准。进一步的搜索显示有 8 篇论文。评估了 PSG 替代方案的九种不同客观睡眠模式测量方法的心理测量特性[（床）计步器、观察、床传感器、眼睑运动和非侵入式手臂传感器、睡眠开关和远程设备]。计步器应用广泛，并已在多个人群中得到验证。用于测量睡眠模式的替代设备正在不断推出，但大多数仍处于原型阶段，验证不足。未来的研究应集中于开发和进一步验证非侵入性、廉价且用户友好的非实验室环境睡眠测量方法。
