PMID- 31154154 OWN - NLM STAT- MEDLINE DCOM- 20200505 LR - 20210109 IS - 1532-2955 (Electronic) IS - 1087-0792 (Print) IS - 1087-0792 (Linking) VI - 46 DP - 2019 Aug TI - Agreement between actigraphic and polysomnographic measures of sleep in adults with and without chronic conditions: A systematic review and meta-analysis. PG - 151-160 LID - S1087-0792(19)30019-X [pii] LID - 10.1016/j.smrv.2019.05.001 [doi] AB - Wrist actigraphy (ACT) may overestimate sleep and underestimate wake, and the agreement may be lower in people with chronic conditions who often have poor sleep and low activity levels. The purpose of this systematic review is to compare the agreement between ACT and polysomnographic (PSG) measures of sleep in adults without chronic conditions and sleep complaints (healthy) and with chronic conditions. We conducted a systematic review and meta-analysis using PRISMA guidelines. We searched PubMed, OVIDEMBASE, OVIDMEDLINE, OVIDPsycINFO, CENTRAL, CINAHL, ClinicalTrials.gov, International Clinical Trials Registry, and Open Grey. We included 96 studies with a total of 4134 participants, of whom 762 (18.4) were healthy adults and 724 (17.5%) were adults with chronic conditions. Among adults with chronic conditions, ACT overestimated TST, compared to PSG [M = 22.42 min (CI 95%: 11.92, 32.91 min)] and SE [M = 5.21% (CI 95%: 1.41%-9.00%)]. ACT underestimated SOL [M = -7.70 min (CI 95%: -15.22, -0.18 min)], and WASO [M = -10.90 min (CI 95%: -26.01, 4.22 min)]. These differences were consistently larger between ACT and PSG sleep measures compared to healthy adults. Research is needed to better understand factors that influence the agreement between ACT and PSG among people with chronic conditions. CI - Copyright (c) 2019 Elsevier Ltd. All rights reserved. FAU - Conley, Samantha AU - Conley S AD - Yale School of Nursing, USA. Electronic address: samantha.conley@yale.edu. FAU - Knies, Andrea AU - Knies A AD - Yale School of Medicine, USA. FAU - Batten, Janene AU - Batten J AD - Yale University Reference Librarian, USA. FAU - Ash, Garrett AU - Ash G AD - Yale School of Nursing, USA. FAU - Miner, Brienne AU - Miner B AD - Yale School of Medicine, USA. FAU - Hwang, Youri AU - Hwang Y AD - Yale School of Nursing, USA. FAU - Jeon, Sangchoon AU - Jeon S AD - Yale School of Nursing, USA. FAU - Redeker, Nancy S AU - Redeker NS AD - Yale School of Nursing, USA. LA - eng GR - R01 NR016191/NR/NINR NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - T32 AG019134/AG/NIA NIH HHS/United States GR - T32 NR008346/NR/NINR NIH HHS/United States GR - K24 HL132093/HL/NHLBI NIH HHS/United States GR - P30 AG021342/AG/NIA NIH HHS/United States PT - Journal Article PT - Meta-Analysis PT - Research Support, N.I.H., Extramural PT - Systematic Review DEP - 20190513 PL - England TA - Sleep Med Rev JT - Sleep medicine reviews JID - 9804678 SB - IM MH - Actigraphy/*instrumentation MH - Adult MH - *Chronic Disease MH - Humans MH - Polysomnography/*instrumentation MH - Sleep/*physiology PMC - PMC6594867 MID - NIHMS1529582 OTO - NOTNLM OT - Actigraphy OT - Chronic conditions OT - Healthy adults OT - Meta-analysis OT - Polysomnography OT - Sleep efficiency OT - Sleep onset latency OT - Systematic review OT - Total sleep time OT - Wake after sleep onset COIS- Conflicts of Interest: None EDAT- 2019/06/04 06:00 MHDA- 2020/05/06 06:00 PMCR- 2020/08/01 CRDT- 2019/06/03 06:00 PHST- 2019/02/01 00:00 [received] PHST- 2019/04/18 00:00 [revised] PHST- 2019/05/07 00:00 [accepted] PHST- 2019/06/04 06:00 [pubmed] PHST- 2020/05/06 06:00 [medline] PHST- 2019/06/03 06:00 [entrez] PHST- 2020/08/01 00:00 [pmc-release] AID - S1087-0792(19)30019-X [pii] AID - 10.1016/j.smrv.2019.05.001 [doi] PST - ppublish SO - Sleep Med Rev. 2019 Aug;46:151-160. doi: 10.1016/j.smrv.2019.05.001. Epub 2019 May 13.