[手表式睡眠监测仪（Actiwatch）与多导睡眠图睡眠参数的比较及相关性分析]

[Comparison and correlation analysis of sleep parameters between watch-type sleep monitor (Actiwatch) and polysomnography].

作者信息

Huo Y, Zhou B, He H Y, Zhao L, Zhang X L, Li J, Zuo Y H, Zheng Y, Ren Z H, Han F, Zhang J

机构信息

Department of Neurology, Peking University People's Hospital, Beijing 100044, China.

Department of Pulmonology, Peking University People's Hospital, Beijing 100044, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2021 Oct 18;53(5):942-945. doi: 10.19723/j.issn.1671-167X.2021.05.022.

DOI:10.19723/j.issn.1671-167X.2021.05.022

PMID:34650299

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8517689/

Abstract

OBJECTIVE

With the rapid development of sleep medicine, there are various methods for detecting sleep diseases. This study compared the correlation between the lightweight watch-type sleep monitor (Actiwatch) and the "gold standard" polysomnography (PSG) in the Chinese population, in order to provide a basis for clinical application.

METHODS

From August 2018 to December 2019, 121 subjects who simultaneously performed sleep breathing monitoring (PSG) and wearing a watch-type sleep monitor (Actiwatch) in the Sleep Center of Peking University People's Hospital were enrolled. All subjects received PSG and Actiwatch at the same time, and filled out the sleep diary next morning. Monitoring indicators were collected for linear correlation analysis and paired test to compare the differences.

RESULTS

Under low sensitivity conditions, the correlation coefficient of total sleep time (TST) between PSG and Actiwatch was 0.53 ( < 0.05). Paired test analysis showed that there was no significant difference between the TSTs of Actiwatch and PSG (=-0.890, =0.36). According to age stratification, the smaller the age, the stronger the correlation between the TSTs of Actiwatch and PSG, and the coefficient could be up to 0.92 ( < 0.05). Paired test showed that there was no significant difference between them =-1.057, =0.35). According to the stratification by diagnosis, the correlation coefficient between the TSTs of Actiwatch and PSG in normal PSG group could be as high as 0.79 ( < 0.05), the results of paired test showed that there was no significant difference between the TSTs of Actiwatch and PSG in normal PSG group (=-0.784, =0.44).

CONCLUSION

As a wearable home recorder, when the analysis parameters of Actiwatch were set as low sensitivity, PSG and Actiwatch had the highest TST correlation. The younger the age, the stronger correlation between the TSTs of Actiwatch and PSG. The PSG and Actiwatch subjects with normal PSG presentation had a higher TST correlation.

摘要

目的

随着睡眠医学的快速发展，检测睡眠疾病的方法多种多样。本研究比较了轻便型手表式睡眠监测仪（Actiwatch）与“金标准”多导睡眠图（PSG）在中国人群中的相关性，以便为临床应用提供依据。

方法

2018年8月至2019年12月，纳入121名在北京大学人民医院睡眠中心同时进行睡眠呼吸监测（PSG）并佩戴手表式睡眠监测仪（Actiwatch）的受试者。所有受试者同时接受PSG和Actiwatch监测，并于次日早晨填写睡眠日记。收集监测指标进行线性相关分析和配对检验以比较差异。

结果

在低灵敏度条件下，PSG与Actiwatch的总睡眠时间（TST）相关系数为0.53（<0.05）。配对检验分析显示，Actiwatch与PSG的TST之间无显著差异（=-0.890，=0.36）。按年龄分层，年龄越小，Actiwatch与PSG的TST之间的相关性越强，系数可达0.92（<0.05）。配对检验显示两者之间无显著差异（=-1.057，=0.35）。按诊断分层，正常PSG组Actiwatch与PSG的TST之间的相关系数高达0.79（<0.05），配对检验结果显示正常PSG组Actiwatch与PSG的TST之间无显著差异（=-0.784，=0.44）。