Wearable Sleep Technology in Clinical and Research Settings
Wearable Sleep Technology in Clinical and Research Settings
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DOI：
10.1249/mss.0000000000001947
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发表时间：
2019-07-01
影响因子：
4.1
通讯作者：
Baker, Fiona C.
中科院分区：
文献类型：
--
作者：
De Zambotti, Massimiliano;Cellini, Nicola;Baker, Fiona C.
对睡眠的准确评估对于更好地了解和评估睡眠在健康和疾病中的作用至关重要。可穿戴技术的繁荣是数字健康革命的一部分，它正在产生许多新奇、高度复杂、相对便宜的消费设备，这些设备从多个传感器收集数据，并声称可以提取用户行为的信息，包括睡眠。这些设备现在能够捕获不同的生物信号，例如，除了活动外，还可以确定心率及其变异性、皮肤电导率和温度。它们全天候运行，产生了压倒性的大数据集(大数据)，有可能为用户的健康提供前所未有的窗口。不幸的是，科学睡眠社区内外对它们的使用几乎没有指导，导致了对它们的有效性和应用的困惑和争议。目前的最新审查旨在强调消费者可穿戴睡眠跟踪器在临床实践和研究中的使用、验证和实用。设备性能的标准化评估指南被认为是必要的，在将这些设备用于临床和睡眠研究协议之前，需要考虑几个关键因素(专利算法、设备故障、固件更新)。归根结底，可穿戴睡眠技术有望促进人们对睡眠健康的理解；然而，需要导航一条谨慎的前进道路，了解这项技术在睡眠研究和临床睡眠医学中应用的优势和缺陷。
The accurate assessment of sleep is critical to better understand and evaluate its role in health and disease. The boom in wearable technology is part of the digital health revolution and is producing many novel, highly sophisticated and relatively inexpensive consumer devices collecting data from multiple sensors and claiming to extract information about users' behaviors, including sleep. These devices are now able to capture different biosignals for determining, for example, HR and its variability, skin conductance, and temperature, in addition to activity. They perform 24/7, generating overwhelmingly large data sets (big data), with the potential of offering an unprecedented window on users' health. Unfortunately, little guidance exists within and outside the scientific sleep community for their use, leading to confusion and controversy about their validity and application. The current state-of-the-art review aims to highlight use, validation and utility of consumer wearable sleep-trackers in clinical practice and research. Guidelines for a standardized assessment of device performance is deemed necessary, and several critical factors (proprietary algorithms, device malfunction, firmware updates) need to be considered before using these devices in clinical and sleep research protocols. Ultimately, wearable sleep technology holds promise for advancing understanding of sleep health; however, a careful path forward needs to be navigated, understanding the benefits and pitfalls of this technology as applied in sleep research and clinical sleep medicine.