Advertisement

Actigraphy

  • Hawley E. Montgomery-DownsEmail author
  • Lisa J. Meltzer
Chapter
Part of the Respiratory Medicine book series (RM)

Abstract

An actigraph is a small wristwatch-like device that collects data about movement and velocity as the participant follows their normal routine. Typically worn around the nondominant wrist by adolescents and older children, and around an ankle by infants and toddlers, the actigraph’s accelerometer can be used to identify periods of sleep and wake from the absence or presence, respectively, of detectable body movement. These data are stored in the actigraph until they are downloaded through an interface in the lab, clinic, or field, and analyzed using algorithms programmed in the computer software. The purpose of this chapter is to review the validity and use of actigraphy as a sleep assessment tool in pediatric sleep medicine and research, factors that need to be considered when deciding to use actigraphy for clinical or research purposes, issues specific to utilization of actigraphy in clinical populations, and future directions of actigraphy within pediatric sleep research.

Keywords

Excessive Daytime Sleepiness Total Sleep Time Sleep Pattern Sleep Diary Current Procedural Terminology Code 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Meltzer LJ, Montgomery-Downs HE, Insana SP, Walsh CM. Use of actigraphy for assessment in pediatric sleep research. Sleep Med Rev. 2012 Mar 15. [Epub ahead of print].Google Scholar
  2. 2.
    Sadeh A, Acebo C. The role of actigraphy in sleep medicine. Sleep Med Rev. 2002;6:113–24.PubMedCrossRefGoogle Scholar
  3. 3.
    Verhulst SL, Schrauwen N, De Backer WA, Desager KN. First night effect for polysomnographic data in children and adolescents with suspected sleep disordered breathing. Arch Dis Child. 2006;91:233–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Morgenthaler T, Alessi C, Friedman L, et al. Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Sleep. 2007;30:519–29.PubMedGoogle Scholar
  5. 5.
    Glod CA, Teicher MH, Hartman CR, Harakal T. Increased nocturnal activity and impaired sleep maintenance in abused children. J Am Acad Child Adolescent Psychiatry. 1997;36:1236–43.CrossRefGoogle Scholar
  6. 6.
    Sadeh A, Hauri PJ, Kripke DF, Lavie P. The role of actigraphy in the evaluation of sleep disorders. Sleep. 1995;18:288–302.PubMedGoogle Scholar
  7. 7.
    Teicher MH. Actigraphy and motion analysis: new tools for psychiatry. Harvard Rev Psychiatry. 1995;3:18–35.CrossRefGoogle Scholar
  8. 8.
    Teicher MH, Glod CA, Harper D, et al. Locomotor activity in depressed children and adolescents: I. Circadian dysregulation. J Am Acad Child Adolescent Psychiatry. 1993;32:760–9.CrossRefGoogle Scholar
  9. 9.
    Acebo C, LeBourgeois MK. Actigraphy. Respir Care Clin N Am. 2006;12:23–30.PubMedGoogle Scholar
  10. 10.
    Altman DG, Bland JM. Measurement in medicine: the analysis of method comparison studies. Statistician. 1983;32:307–17.CrossRefGoogle Scholar
  11. 11.
    Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310.Google Scholar
  12. 12.
    Insana SP, Gozal D, Montgomery-Downs HE. Invalidity of one actigraphy brand for identifying sleep and wake among infants. Sleep Med. 2010;11: 191–6.PubMedCrossRefGoogle Scholar
  13. 13.
    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;31:395–401.PubMedGoogle Scholar
  14. 14.
    Werner H, Molinari L, Guyer C, Jenni OG. Agreement rates between actigraphy, diary, and questionnaire for children’s sleep patterns. Arch Padiatr Adolesc Med. 2008;162:350–8.CrossRefGoogle Scholar
  15. 15.
    Meltzer LJ, Walsh CM, Davis K, et al. Comparison of two new actigraphs with polysomnography in children and adolescents. Sleep. 2009;32:A67.Google Scholar
  16. 16.
    O’Brien LM, Ivanenko A, Crabtree VM, et al. Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatr Res. 2003;54(2): 237–43.PubMedCrossRefGoogle Scholar
  17. 17.
    Sack RL, Pires ML, Brandes RW, deJongh E. Actigraphic detection of periodic leg movements: a validation study. Sleep Abstr Suppl. 2001;24:A405.Google Scholar
  18. 18.
    Montgomery-Downs HE, Crabtree VM, Gozal D. Actigraphic recordings in quantification of periodic leg movements during sleep in children. Sleep Med. 2005;6:325–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Souders MC, Mason TB, Valladares O, et al. Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep. 2009;32:1566–78.PubMedGoogle Scholar
  20. 20.
    Acebo C, Sadeh A, Seifer R, et al. Estimating sleep patterns with activity monitoring in children and adolescents: how many nights are necessary for reliable measures? Sleep. 1999;22:95–103.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Department of Psychology—Behavioral NeuroscienceWest Virginia UniversityMorgantownUSA
  2. 2.Department of PediatricsNational Jewish HealthDenverUSA

Personalised recommendations