ACTIVITY-BASED ASSESSMENT OF SLEEP-WAKE PATTERNS DURING THE 1ST YEAR OF LIFE
ACTIVITY-BASED ASSESSMENT OF SLEEP-WAKE PATTERNS DURING THE 1ST YEAR OF LIFE
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DOI：
10.1016/0163-6383(95)90021-7
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发表时间：
1995-07-01
影响因子：
2.1
通讯作者：
CARSKADON, MA
中科院分区：
文献类型：
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作者：
SADEH, A;ACEBO, C;CARSKADON, MA
本研究的目的是检验基于活动的监测（活动记录仪）在一岁生命中评估睡眠-觉醒模式的有效性。由训练有素的观察员直接观察41名婴儿的睡眠-觉醒状态测定。在观察过程中，通过附着在婴儿脚踝上的活动记录仪获得的伴随活动数据逐分钟进行匹配，并开发了一种评分算法来自动识别睡眠-觉醒状态。总体而言，活动数据自动评分算法与观察者睡眠-觉醒评分的符合率达到95.3%。在不同年龄段，安静睡眠和活跃睡眠的区分达到了54%到87%的一致性。在几个衍生的睡眠-觉醒测量中发现了显著的夜间稳定性，而在其他测量中发现了高变异性。结论是，活动描记术在生命的第一年提供了有效的睡眠-觉醒测量。
The aim of this study was to examine the validity of activity-based monitoring (actigraphy) for the assessment of sleep-wake patterns during the Ist year of life. Forty-one infants were directly observed for sleep-wake state determination by trained observers. Concomitant activity data obtained by actigraphs attached to the infants' ankles during the observation were matched on a minute-by-minute basis, and a scoring algorithm was developed for automatic identification of sleep-wake states. Overall, the automatic scoring algorithm for activity data reached 95.3% agreement rate with the observers' sleep-wake scoring. Distinction of quiet and active sleep reached agreement rates ranging from 54% to 87% at different ages. Significant night-to-night stability was found for several derived sleep-wake measures, and high variability was noted for other measures. It is concluded that actigraphy provides valid sleep-wake measures during the 1st year of life.