Advertisement

Actigraphy

  • Allison L. Wainer
  • Lisa J. Meltzer
Chapter

Abstract

There is a growing evidence base supporting the use of actigraphy to estimate sleep-wake patterns in children with neurodevelopmental disabilities. Using activity levels, actigraphy provides a more objective estimate of sleep-wake patterns compared to parental- or self-report. Additionally, it is a more feasible and acceptable approach for measuring sleep and wakefulness over extended periods of time in children with neurodevelopmental disabilities in their natural sleeping environments. This chapter will begin with an overview of actigraphy and offer guidelines for the use of this approach in practice. Next, research utilizing actigraphy with children with neurodevelopmental disabilities and special considerations for this particular population will be reviewed. Finally, suggestions for future directions, recommendations, and conclusions related to the use of actigraphy with children with neurodevelopmental disabilities will be offered. A case example will be presented to highlight the potential role of actigraphy for understanding sleep-wake patterns in children with neurodevelopmental disabilities.

Keywords

Accelerometer Actigraphy Attention-deficit/hyperactivity disorder Autism spectrum disorder Children Insomnia Neurodevelopmental disabilities Pediatric Sleep Wake 

References

  1. 1.
    Krakowiak P, Goodlin-Jones B, Hertz-Picciotto I, Croen L, Hansen R. Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: a population-based study. J Sleep Res. 2008;17(2):197–206.CrossRefGoogle Scholar
  2. 2.
    Robinson AM, Richdale AL. Sleep problems in children with an intellectual disability: parental perceptions of sleep problems, and views of treatment effectiveness. Child Care Health Dev. 2004;30(2):139–50.CrossRefGoogle Scholar
  3. 3.
    Meltzer LJ, Montgomery-Downs HE, Insana SP, Walsh CM. Use of actigraphy for assessment in pediatric sleep research. Sleep Med Rev. 2012;16:463–75.CrossRefGoogle Scholar
  4. 4.
    American Academy of Sleep Medicine. International classification of sleep disorders (ICD-3). 3rd ed. Darien: American Academy of Sleep Medicine; 2014.Google Scholar
  5. 5.
    Ancoli-Israel S, Martin JL, Blackwell T, Buenaver L, Liu L, Meltzer LJ, et al. The SBSM guide to actigraphy monitoring: clinical and research applications. Behav Sleep Med. 2015;13(1):S4–S38.CrossRefGoogle Scholar
  6. 6.
    Meltzer LJ, Walsh CM, Traylor J, Westin AML. Direct comparison of two new actigraphs and polysomnography in children and adolescents. Sleep. 2012;35(1):159–66.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Richdale AL, Schreck KA. Sleep problems in autism spectrum disorders: prevalence, nature, & possible biopsychosocial aetiologies. Sleep Med Rev. 2009;13:408–11.CrossRefGoogle Scholar
  8. 8.
    Wiggs L, Stores G. Sleep patterns and sleep disorders in children with autistic spectrum disorders: insights using parent report and actigraphy. Dev Med Child Neurol. 2004;46:372–80.CrossRefGoogle Scholar
  9. 9.
    De Crescenzo F, Licchelli S, Ciabattini M, Menghini D, Armando M, Alfieri P, et al. The use of actigraphy in the monitoring of sleep and activity in ADHD: a meta-analysis. Sleep Med Rev. 2015;26:9–20.CrossRefGoogle Scholar
  10. 10.
    Goodlin-Jones BI, Tang K, Liu J, Anders TF. Sleep patterns in preschool-age children with autism, developmental delay, and typical development. J Am Acad Child Adolesc Psychiatry. 2008;47(8):930–8.CrossRefGoogle Scholar
  11. 11.
    Goldman SE, Surdyka K, Cuevas R, Adkins K, Wang L, Malow BA. Defining the sleep phenotype in children with autism. Dev Neuropsychol. 2009;34(5):560–73.CrossRefGoogle Scholar
  12. 12.
    Sitnick SL, Goodlin-Jones BL, Anders TF. The use of actigraphy to study sleep disorders in preschoolers: some concerns about detection of nighttime awakenings. Sleep. 2008;31(3):395–401.CrossRefGoogle Scholar
  13. 13.
    Hodge D, Parnell AMN, Hoffman CD, Sweeney DP. Methods for assessing sleep in children with autism spectrum disorder: a review. Res Autism Spectr Disord. 2012;6:1337–44.CrossRefGoogle Scholar
  14. 14.
    Adkins KW, Goldman SE, Fawkes D, Surdyka K, Wang L, Song Y, et al. A pilot study of shoulder placement for actigraphy in children. Behav Sleep Med. 2012;10:138–47.CrossRefGoogle Scholar
  15. 15.
    Fawkes DB, Malow BA, Weiss SK, Reynolds AM, Loh A, Adkins KW, et al. Conducting actigraphy research in children with neurodevelopmental disorders-a practical approach. Behav Sleep Med. 2014;12:1–16.CrossRefGoogle Scholar
  16. 16.
    Meltzer LJ, Hiruma LS, Avis K, Montgomery-Downs H, Valentin J. Comparison of a commercial accelerometer with polysomnography and actigraphy in children and adolescents. Sleep. 2015;38(8):1323–30.CrossRefGoogle Scholar
  17. 17.
    de Zambotti M, Baker FC, Colrain IM. Validation of sleep-tracking technology compared with polysomnography in adolescents. Sleep. 2015;38(9):1461–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Allison L. Wainer
    • 1
  • Lisa J. Meltzer
    • 2
  1. 1.Department of PsychiatryRush University Medical CenterChicagoUSA
  2. 2.Department of PediatricsNational Jewish HealthDenverUSA

Personalised recommendations