PMID- 17146691 OWN - NLM STAT- MEDLINE DCOM- 20070810 LR - 20191210 IS - 0140-0118 (Print) IS - 0140-0118 (Linking) VI - 45 IP - 1 DP - 2007 Jan TI - Non-constraining sleep/wake monitoring system using bed actigraphy. PG - 107-14 AB - This paper introduces a new method, bed actigraphy (BACT) for user-friendly sleep-wake monitoring. BACT provides a non-intrusive acquisition of activity data, and in particular does not require that sensors be attached to the subject's body. The system consists of four load-sensing cells supporting the bed, an A/D converter, and a microcontroller with appropriate software. The performance of BACT was compared to that of standard polysomnography (PSG) recordings and wrist-worn actigraphy (ACT). Ten normal volunteers underwent overnight PSG recordings and were examined simultaneously with BACT and ACT. An automatic scoring algorithm scored each 30-s epoch of the BACT recordings for either 'Wake' or 'Sleep.' A sleep specialist manually scored the PSG recordings, and the results were divided into 'Wake' and 'Sleep' categories. The three methods showed a significant correlation when compared with in the contingency test. The mean epoch-by-epoch agreements between the BACT and PSG, ACT and PSG, and BACT and ACT recordings were 95.2, 92.9, and 94.3%, respectively. The mean absolute differences in sleep percentage (SP) between them were 1.8 +/- 0.82, 3.4 +/- 1.45, and 1.9 +/- 1.16 %, respectively. BACT differentiation of the 'Wake' and 'Sleep' stages proved to be sufficiently robust, and its results were comparable to PSG analysis. This finding supports the experimental and clinical value of bed-activity monitoring during sleep. FAU - Choi, Byoung Hoon AU - Choi BH AD - Interdisciplinary Program in Medical and Biological Engineering, Seoul National University, Graduate School, Seoul, Republic of Korea. FAU - Seo, Jin Woo AU - Seo JW FAU - Choi, Jong Min AU - Choi JM FAU - Shin, Hong Bum AU - Shin HB FAU - Lee, Joo Young AU - Lee JY FAU - Jeong, Do Un AU - Jeong DU FAU - Park, Kwang Suk AU - Park KS LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20061205 PL - United States TA - Med Biol Eng Comput JT - Medical & biological engineering & computing JID - 7704869 SB - IM MH - Adult MH - Humans MH - Middle Aged MH - Monitoring, Physiologic/instrumentation/*methods MH - Movement MH - Polysomnography MH - Sensitivity and Specificity MH - *Signal Processing, Computer-Assisted MH - Sleep/*physiology MH - Sleep Stages MH - Sleep Wake Disorders/diagnosis MH - Software MH - Wakefulness/*physiology EDAT- 2006/12/06 09:00 MHDA- 2007/08/11 09:00 CRDT- 2006/12/06 09:00 PHST- 2006/04/11 00:00 [received] PHST- 2006/10/23 00:00 [accepted] PHST- 2006/12/06 09:00 [pubmed] PHST- 2007/08/11 09:00 [medline] PHST- 2006/12/06 09:00 [entrez] AID - 10.1007/s11517-006-0134-1 [doi] PST - ppublish SO - Med Biol Eng Comput. 2007 Jan;45(1):107-14. doi: 10.1007/s11517-006-0134-1. Epub 2006 Dec 5.