Use of Actigraphy for the Evaluation of Sleep Disorders and Circadian Rhythm Sleep-Wake Disorders: An American Academy of Sleep Medicine Clinical Practice Guideline
- PMID: 29991437
- PMCID: PMC6040807
- DOI: 10.5664/jcsm.7230
Use of Actigraphy for the Evaluation of Sleep Disorders and Circadian Rhythm Sleep-Wake Disorders: An American Academy of Sleep Medicine Clinical Practice Guideline
Abstract
Introduction: The purpose of this guideline is to establish clinical practice recommendations for the use of actigraphy in adult and pediatric patients with suspected or diagnosed sleep disorders or circadian rhythm sleep-wake disorders.
Methods: The American Academy of Sleep Medicine (AASM) commissioned a task force of experts in sleep medicine to develop recommendations and assigned strengths based on a systematic review of the literature and an assessment of the evidence using the GRADE process. The task force provided a summary of the relevant literature and the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use considerations that support the recommendations. The AASM Board of Directors approved the final recommendations.
Recommendations: The following recommendations are intended as a guide for clinicians using actigraphy in evaluating patients with sleep disorders and circadian rhythm sleep-wake disorders, and only apply to the use of FDA-approved devices. Each recommendation statement is assigned a strength ("Strong" or "Conditional"). A "Strong" recommendation (ie, "We recommend…") is one that clinicians should follow under most circumstances. A "Conditional" recommendation (ie, "We suggest…") reflects a lower degree of certainty regarding the outcome and appropriateness of the patient-care strategy for all patients. The ultimate judgment regarding any specific care must be made by the treating clinician and the patient, taking into consideration the individual circumstances of the patient, available treatment options, and resources. We suggest that clinicians use actigraphy to estimate sleep parameters in adult patients with insomnia disorder. (Conditional). We suggest that clinicians use actigraphy in the assessment of pediatric patients with insomnia disorder. (Conditional). We suggest that clinicians use actigraphy in the assessment of adult patients with circadian rhythm sleep-wake disorder. (Conditional). We suggest that clinicians use actigraphy in the assessment of pediatric patients with circadian rhythm sleep-wake disorder. (Conditional). We suggest that clinicians use actigraphy integrated with home sleep apnea test devices to estimate total sleep time during recording (in the absence of alternative objective measurements of total sleep time) in adult patients suspected of sleep-disordered breathing. (Conditional). We suggest that clinicians use actigraphy to monitor total sleep time prior to testing with the Multiple Sleep Latency Test in adult and pediatric patients with suspected central disorders of hypersomnolence. (Conditional). We suggest that clinicians use actigraphy to estimate total sleep time in adult patients with suspected insufficient sleep syndrome. (Conditional). We recommend that clinicians not use actigraphy in place of electromyography for the diagnosis of periodic limb movement disorder in adult and pediatric patients. (Strong).
Keywords: actigraphy; circadian rhythm; clinical practice guideline; sleep disorder.
© 2018 American Academy of Sleep Medicine.
Similar articles
-
Use of Actigraphy for the Evaluation of Sleep Disorders and Circadian Rhythm Sleep-Wake Disorders: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment.J Clin Sleep Med. 2018 Jul 15;14(7):1209-1230. doi: 10.5664/jcsm.7228. J Clin Sleep Med. 2018. PMID: 29991438 Free PMC article.
-
Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline.J Clin Sleep Med. 2019 Feb 15;15(2):335-343. doi: 10.5664/jcsm.7640. J Clin Sleep Med. 2019. PMID: 30736887 Free PMC article.
-
Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline.J Clin Sleep Med. 2017 Feb 15;13(2):307-349. doi: 10.5664/jcsm.6470. J Clin Sleep Med. 2017. PMID: 27998379 Free PMC article.
-
Management of REM sleep behavior disorder: an American Academy of Sleep Medicine clinical practice guideline.J Clin Sleep Med. 2023 Apr 1;19(4):759-768. doi: 10.5664/jcsm.10424. J Clin Sleep Med. 2023. PMID: 36515157 Free PMC article. Review.
-
Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report.Sleep. 2007 Nov;30(11):1445-59. doi: 10.1093/sleep/30.11.1445. Sleep. 2007. PMID: 18041479 Free PMC article. Review.
Cited by
-
Circadian dysfunction and cardio-metabolic disorders in humans.Front Endocrinol (Lausanne). 2024 Apr 29;15:1328139. doi: 10.3389/fendo.2024.1328139. eCollection 2024. Front Endocrinol (Lausanne). 2024. PMID: 38742195 Free PMC article. Review.
-
Sleep duration, sleep efficiency, and amyloid β among cognitively healthy later-life adults: a systematic review and meta-analysis.BMC Geriatr. 2024 May 8;24(1):408. doi: 10.1186/s12877-024-05010-4. BMC Geriatr. 2024. PMID: 38714912 Free PMC article.
-
Does cognitive behavioral therapy improve sleep quality during pregnancy?Sleep Biol Rhythms. 2024 Feb 28;22(2):291-292. doi: 10.1007/s41105-024-00517-0. eCollection 2024 Apr. Sleep Biol Rhythms. 2024. PMID: 38524165 No abstract available.
-
Circadian Rhythms Characteristics of Nurses Providing Direct Patient Care: An Observational Study.Saf Health Work. 2024 Mar;15(1):102-109. doi: 10.1016/j.shaw.2023.12.002. Epub 2023 Dec 14. Saf Health Work. 2024. PMID: 38496283 Free PMC article.
-
Comparison of actigraphy with a sleep protocol maintained by professional caregivers and questionnaire-based parental judgment in children and adolescents with life-limiting conditions.BMC Palliat Care. 2024 Feb 23;23(1):52. doi: 10.1186/s12904-024-01394-7. BMC Palliat Care. 2024. PMID: 38395866 Free PMC article.
References
-
- 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(4):519–529. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical