Validation of actigraphy in middle childhood

Lisa J. Meltzer, Petrina Wong, Sarah N. Biggs, Joel Traylor, Ji Young Kim, Rakesh Bhattacharjee, Indra Narang, Carole L. Marcus

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Study Objectives: Few studies have examined the validity of actigraphy in school-Aged children. The objective of this study was to examine the validity of a commonly used actigraph compared to polysomnography (PSG) in a sample of children age 5 to 12 y born prematurely, sleeping in their natural home environment. Methods: 148 children born preterm (85 boys and 63 girls), ages 5-12 y (mean = 9.3 y, standard deviation = 2.0) wore the Philips Respironics Actiwatch-2 for 1 night concurrently with comprehensive, ambulatory PSG in the child's home. Sleep outcome variables were sleep onset latency, total sleep time (TST), and sleep efficiency. Epoch-by-epoch comparisons were used to determine sensitivity, specificity, and accuracy. Secondary analyses examined differences between children with no sleep issues, obstructive sleep apnea syndrome, and periodic limb movements in sleep (PLMS). Results: Actigraphy significantly underestimated TST (30 min) and sleep efficiency (5%). Actigraphy underestimated or overestimated sleep onset latency by at least 10 min for a third of the children. Sensitivity and accuracy were good at 0.88 and 0.84, respectively, whereas specificity was lower at 0.46. Differences between actigraphy and PSG for TST and sleep efficiency were greatest for children with PLMS. Conclusions: This study adds to the small existing literature demonstrating the validity of actigraphy in middle childhood. Although actigraphy shows good sensitivity (ability to detect sleep), specificity (ability to detect wake) is poor in this age group. Further, the results highlight the importance of considering whether a child has PLMS when interpreting actigraphic data, as well as the difficulties in accurately capturing sleep onset latency with actigraphy.

Original languageEnglish
Pages (from-to)1219-1224
Number of pages6
JournalSleep
Volume39
Issue number6
DOIs
Publication statusPublished - 1 Jun 2016

Keywords

  • Accelerometer
  • Actigraphy
  • Children
  • Polysomnography
  • Sensitivity
  • Specificity
  • Validation

Cite this

Meltzer, L. J., Wong, P., Biggs, S. N., Traylor, J., Kim, J. Y., Bhattacharjee, R., ... Marcus, C. L. (2016). Validation of actigraphy in middle childhood. Sleep, 39(6), 1219-1224. https://doi.org/10.5665/sleep.5836
Meltzer, Lisa J. ; Wong, Petrina ; Biggs, Sarah N. ; Traylor, Joel ; Kim, Ji Young ; Bhattacharjee, Rakesh ; Narang, Indra ; Marcus, Carole L. / Validation of actigraphy in middle childhood. In: Sleep. 2016 ; Vol. 39, No. 6. pp. 1219-1224.
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abstract = "Study Objectives: Few studies have examined the validity of actigraphy in school-Aged children. The objective of this study was to examine the validity of a commonly used actigraph compared to polysomnography (PSG) in a sample of children age 5 to 12 y born prematurely, sleeping in their natural home environment. Methods: 148 children born preterm (85 boys and 63 girls), ages 5-12 y (mean = 9.3 y, standard deviation = 2.0) wore the Philips Respironics Actiwatch-2 for 1 night concurrently with comprehensive, ambulatory PSG in the child's home. Sleep outcome variables were sleep onset latency, total sleep time (TST), and sleep efficiency. Epoch-by-epoch comparisons were used to determine sensitivity, specificity, and accuracy. Secondary analyses examined differences between children with no sleep issues, obstructive sleep apnea syndrome, and periodic limb movements in sleep (PLMS). Results: Actigraphy significantly underestimated TST (30 min) and sleep efficiency (5{\%}). Actigraphy underestimated or overestimated sleep onset latency by at least 10 min for a third of the children. Sensitivity and accuracy were good at 0.88 and 0.84, respectively, whereas specificity was lower at 0.46. Differences between actigraphy and PSG for TST and sleep efficiency were greatest for children with PLMS. Conclusions: This study adds to the small existing literature demonstrating the validity of actigraphy in middle childhood. Although actigraphy shows good sensitivity (ability to detect sleep), specificity (ability to detect wake) is poor in this age group. Further, the results highlight the importance of considering whether a child has PLMS when interpreting actigraphic data, as well as the difficulties in accurately capturing sleep onset latency with actigraphy.",
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Meltzer, LJ, Wong, P, Biggs, SN, Traylor, J, Kim, JY, Bhattacharjee, R, Narang, I & Marcus, CL 2016, 'Validation of actigraphy in middle childhood' Sleep, vol. 39, no. 6, pp. 1219-1224. https://doi.org/10.5665/sleep.5836

Validation of actigraphy in middle childhood. / Meltzer, Lisa J.; Wong, Petrina; Biggs, Sarah N.; Traylor, Joel; Kim, Ji Young; Bhattacharjee, Rakesh; Narang, Indra; Marcus, Carole L.

In: Sleep, Vol. 39, No. 6, 01.06.2016, p. 1219-1224.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Biggs, Sarah N.

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AU - Kim, Ji Young

AU - Bhattacharjee, Rakesh

AU - Narang, Indra

AU - Marcus, Carole L.

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Meltzer LJ, Wong P, Biggs SN, Traylor J, Kim JY, Bhattacharjee R et al. Validation of actigraphy in middle childhood. Sleep. 2016 Jun 1;39(6):1219-1224. https://doi.org/10.5665/sleep.5836