The SBSM Guide to Actigraphy Monitoring: Clinical and Research Applications
The SBSM Guide to Actigraphy Monitoring: Clinical and Research Applications
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DOI：
10.1080/15402002.2015.1046356
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发表时间：
2015-07-17
影响因子：
3.1
通讯作者：
Taylor, Daniel J.
中科院分区：
文献类型：
--
作者：
Ancoli-Israel, Sonia;Martin, Jennifer L.;Taylor, Daniel J.
活动记录仪是一种紧凑、轻便、基于计算机化加速计的设备，近四十年来一直用于评估人类的睡眠和觉醒。 1 虽然多导睡眠图 (PSG) 仍然是记录睡眠的黄金标准，但腕部体动记录仪具有更易于使用、成本更低且笨重的优点。尽管当需要进行夜间睡眠研究时（例如，需要脑电图参数或怀疑需要 PSG 的睡眠障碍时），体动记录仪不应被视为 PSG 的替代品，但体动记录仪可以在患者的家庭睡眠环境中连续记录数天或数周的夜间和日间睡眠时间。因此，体动记录仪可以产生在睡眠实验室或便携式动态监测中无法在一个晚上捕获的信息。这些功能对于特定的患者群体尤其有利，例如疑似昼夜节律睡眠障碍或失眠主诉的患者、睡眠困难的儿科患者和老年人。体动记录仪还可用于客观评估临床干预措施的影响，例如失眠认知行为治疗 (CBT-I) 或时间表变化（例如调整轮班工作）。此外，体动记录仪可以在通过多次睡眠潜伏期测试 (MSLT) 量化白天嗜睡之前提供有关个人睡眠模式和睡眠持续时间的信息，以确保患者在 MSLT 之前一周的睡眠正常（即没有异常受限或延长）。虽然不适合诊断阻塞性睡眠呼吸暂停 (OSA) 和不宁腿综合征 (RLS) 等医学睡眠障碍，但体动记录仪也可用于可靠评估这些患者的其他睡眠参数；例如，一项研究发现，当睡眠呼吸障碍患者的主观数据与体动记录仪数据相结合时，总睡眠时间和睡眠效率与 PSG 没有差异。 2
Actigraphs are compact, lightweight, computerized accelerometer-based devices that have been used to evaluate sleep and wake in humans for nearly four decades. 1 While polysomnography (PSG) continues to be the gold standard for recording sleep, wrist actigraphy offers the advantages of being easier to use and less expensive and cumbersome. Although actigraphy should not be viewed as a substitute for PSG when an overnight sleep study is indicated (eg, when EEG parameters are needed or sleep disorders requiring PSG are suspected), actigraphy allows for extended continuous recording of both nocturnal and daytime sleep periods for days or weeks in the patient’s home sleep environment. Actigraphy can therefore yield information that is not captured during a single night in the sleep laboratory or via portable ambulatory monitoring. These features are particularly advantageous in select patient groups such as those with suspected circadian rhythm sleep disorders or insomnia complaints, in pediatric patients with sleep difficulties, and in older adults.Actigraphy can also be useful for objectively assessing the impact of clinical interventions such as cognitive behavioral treatment of insomnia (CBT-I) or changes in schedule, such as adjustment to shift work. In addition, actigraphy can provide information about an individual’s sleep patterns and sleep duration prior to quantifying daytime sleepiness with the multiple sleep latency test (MSLT) in order to ensure that the patient’s sleep was typical (ie, not unusually restricted or extended) during the week prior to the MSLT. While not indicated for the diagnosis of medically based sleep disorders such as obstructive sleep apnea (OSA) and restless legs syndrome (RLS), actigraphy can also be used to reliably assess other sleep parameters in these patients; for example, one study found that when subjective data were combined with actigraphy data in patients with sleep-disordered breathing, total sleep time and sleep efficiency did not differ from PSG. 2