PMID- 28612268
OWN - NLM
STAT- MEDLINE
DCOM- 20190115
LR  - 20190115
IS  - 1522-1709 (Electronic)
IS  - 1520-9512 (Linking)
VI  - 21
IP  - 4
DP  - 2017 Dec
TI  - Discordant sleep parameters among actigraphy, polysomnography, and perceived 
      sleep in patients with sleep-disordered breathing in comparison with patients 
      with chronic insomnia disorder.
PG  - 837-843
LID - 10.1007/s11325-017-1514-5 [doi]
AB  - PURPOSE: Although the clinical usefulness of actigraphy (ACT) in chronic insomnia 
      disorder (CID) is extensively investigated, the evaluation on the utility of ACT 
      in sleep-disordered breathing (SDB) is limited and the report of comparison with 
      perceived sleep by patients and polysomnography (PSG) is scarce. METHODS: 
      Thirty-six patients with SDB and 30 with CID underwent PSG and ACT, and they 
      reported perceived sleep time and latency simultaneously. Sleep parameters (total 
      sleep time [TST], sleep onset latency [SOL], sleep efficiency, and wakefulness 
      after sleep onset [WASO]) were compared. Agreement among parameters was assessed 
      with intraclass correlation coefficient (ICC) and 95% confidence interval. 
      RESULTS: ACT overestimated TST and underestimated SOL and WASO relative to PSG in 
      both groups. Perceived sleep was commonly undervalued relative to PSG or ACT. In 
      post hoc analyses, perceived sleep was significantly shorter and SOL 
      significantly longer compared to PSG and ACT in both groups. Perception of sleep 
      time by PSG was significantly higher than perception by ACT. In the CID group, 
      all sleep parameters were significantly correlated between ACT and PSG 
      (ICC = 0.627-0.813). In the SDB group, only TST was significantly correlated 
      (ICC = 0.804). CONCLUSION: ACT is useful to monitor sleep and sleep quality in 
      patients with CID. In patients with SDB, TST by ACT is reliable. However, ACT is 
      insufficient to assess sleep quality due to its low agreement with PSG. 
      Significantly lower sleep perception relative to PSG and ACT should be considered 
      in the treatment of sleep disorders.
FAU - Choi, Su Jung
AU  - Choi SJ
AD  - Department of Nursing, Department of Clinical Nursing Science, Graduate School of 
      Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University, Seoul, 
      South Korea.
AD  - Department of Neurology, Neuroscience Center, Samsung Biomedical Research 
      Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 
      Irwon-ro, Samsung Medical Center, Annex 3rd F, #7, Gangnam-gu, Seoul, 06351, 
      South Korea.
FAU - Kang, Miri
AU  - Kang M
AD  - Department of Neurology, Busan Paik Hospital, Inje University College of 
      Medicine, Busan, South Korea.
FAU - Sung, Min Je
AU  - Sung MJ
AD  - Department of Neurology, Neuroscience Center, Samsung Biomedical Research 
      Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 
      Irwon-ro, Samsung Medical Center, Annex 3rd F, #7, Gangnam-gu, Seoul, 06351, 
      South Korea.
FAU - Joo, Eun Yeon
AU  - Joo EY
AD  - Department of Neurology, Neuroscience Center, Samsung Biomedical Research 
      Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 
      Irwon-ro, Samsung Medical Center, Annex 3rd F, #7, Gangnam-gu, Seoul, 06351, 
      South Korea. ejoo@skku.edu.
AD  - Department of Health Sciences and Technology, SAIHST, Sungkyunkwan University, 
      Seoul, South Korea. ejoo@skku.edu.
LA  - eng
GR  - 2014 R1A1A3049510/Basic Science Research Program through the National Research 
      Foundation of Korea/
GR  - #SMO1162071/Samsung Biomedical Research Institute grant/
PT  - Comparative Study
PT  - Journal Article
DEP - 20170614
PL  - Germany
TA  - Sleep Breath
JT  - Sleep & breathing = Schlaf & Atmung
JID - 9804161
SB  - IM
MH  - *Actigraphy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Polysomnography
MH  - Sleep/*physiology
MH  - Sleep Apnea Syndromes/*physiopathology
MH  - Sleep Initiation and Maintenance Disorders/*physiopathology
OTO - NOTNLM
OT  - Actigraphy
OT  - Insomnia
OT  - Polysomnography
OT  - Sleep-disordered breathing
OT  - Total sleep time
EDAT- 2017/06/15 06:00
MHDA- 2019/01/16 06:00
CRDT- 2017/06/15 06:00
PHST- 2017/03/09 00:00 [received]
PHST- 2017/05/22 00:00 [accepted]
PHST- 2017/05/10 00:00 [revised]
PHST- 2017/06/15 06:00 [pubmed]
PHST- 2019/01/16 06:00 [medline]
PHST- 2017/06/15 06:00 [entrez]
AID - 10.1007/s11325-017-1514-5 [pii]
AID - 10.1007/s11325-017-1514-5 [doi]
PST - ppublish
SO  - Sleep Breath. 2017 Dec;21(4):837-843. doi: 10.1007/s11325-017-1514-5. Epub 2017 
      Jun 14.