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Sleep and Sleep Assessment Technologies

  • Steven M. Koenig
  • David Mack
  • Majd Alwan
Chapter
Part of the Aging Medicine book series (AGME)

Keywords

Obstructive Sleep Apnea Sleep Apnea Sleep Disorder Excessive Daytime Sleepiness Multiple Sleep Latency Test 
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.

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References

  1. 1.
    Summary of Findings of the 2005 Sleep in America Poll. National Sleep Foundation, 2005. (Accessed December 11, 2006, at http://www.sleepfoundation.org/_content/hottopics/2005_summary_of_findings.pdf)Google Scholar
  2. 2.
    National Sleep Disorders Research Plan. National Institutes of Health (NIH), 2003. (Accessed December 11, 2006, at http://www.nhlbi.nih.gov/health/prof/sleep/res_plan/sleep-rplan.pdf).Google Scholar
  3. 3.
    Snoring and Sleep Disorder Statistics. 2003. (Accessed December 11, 2006, at http://www.snorenet.com/education_statistics.htm).Google Scholar
  4. 4.
    Who gets obstructive sleep apnea? National Institutes of Health (NIH). (Accessed December 11, 2006, at http://www.nhlbi.nih.gov/health/dci/Diseases/SleepApnea/SleepApnea_WhoIsAtRisk.html).Google Scholar
  5. 5.
    Kushida CA, Littner MR, Morgenthaler T, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep 2005;28(4):499–521.PubMedGoogle Scholar
  6. 6.
    Executive Summary of the 2003 Sleep in America Poll. National Sleep Foundation, 2003. (Accessed December 11, 2006, at http://www.sleepfoundation.org/_content/hottopics/2003SleepPollExecSumm.pdf).Google Scholar
  7. 7.
    ABCs of ZZZZ - When you can’t sleep. National Sleep Foundation. (Accessed December 11, 2006, at http://www.sleepfoundation.org/sleeplibrary/index.php?secid=&id=53.)Google Scholar
  8. 8.
    Quan SF, et al. The Sleep Heart Health Study: design, rationale, and methods. Sleep 1997;20(12):1077–85.PubMedGoogle Scholar
  9. 9.
    Sleep Heart Health Study Manual of Operations. Sleep Heart Health Study Research Group. 1996. (Accessed at http://wwww.jhsph.edu/shhs)Google Scholar
  10. 10.
    Redline S, et al. Methods for obtaining and analyzing unattended polysomnography data for a multicenter study. Sleep Heart Health Research Group. Sleep 1998;21(7):759–67.PubMedGoogle Scholar
  11. 11.
    Nieto FJ, et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA 2000;283(14):1829–36.PubMedCrossRefGoogle Scholar
  12. 12.
    Shahar E, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 2001;163(1):19–25.PubMedGoogle Scholar
  13. 13.
    Mehra R, et al. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Am J Respir Crit Care Med 2006;173(8):910–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Punjabi NM, et al. Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol 2004;160(6):521–30.PubMedCrossRefGoogle Scholar
  15. 15.
    Gottlieb DJ, et al. Does snoring predict sleepiness independently of apnea and hypopnea frequency? Am J Respir Crit Care Med 2000;162(4 Pt 1):1512–7.PubMedGoogle Scholar
  16. 16.
    Baldwin CM, et al. The association of sleep-disordered breathing and sleep symptoms with quality of life in the Sleep Heart Health Study. Sleep 2001;24(1):96–105.PubMedGoogle Scholar
  17. 17.
    Young T, et al. Predictors of sleep-disordered breathing in community-dwelling adults: the Sleep Heart Health Study. Arch Intern Med 2002;162(8):893–900.PubMedCrossRefGoogle Scholar
  18. 18.
    Walsleben JA, et al. Sleep and reported daytime sleepiness in normal subjects: the Sleep Heart Health Study. Sleep 2004;27(2):293–8.PubMedGoogle Scholar
  19. 19.
    Aserinsky E, Kleitman N. Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science 1953;118(3062):273–4.PubMedCrossRefGoogle Scholar
  20. 20.
    Dement W, Kleitman N. Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. Electroencephalogr Clin Neurophysiol Suppl 1957;9(4):673–90.CrossRefGoogle Scholar
  21. 21.
    Gastaut H, Tassinari CA, Duron B. [Polygraphic study of diurnal and nocturnal (hypnic and respiratory) episodal manifestations of Pickwick syndrome]. Rev Neurol (Paris) 1965;112(6):568–79.Google Scholar
  22. 22.
    Jung R, Kuhlo W. Neurophysiological studies of abnormal night sleep and the Pickwickian syndrome. Prog Brain Res 1965;18:140–59.PubMedCrossRefGoogle Scholar
  23. 23.
    Dement W. History of sleep physiology and medicine. In: Kryger M, Roth, T., Dement, W., eds. Principles and Practice of Sleep Medicine, 4th ed. Philadelphia: Saunders; 2005:1–12.Google Scholar
  24. 24.
    Rechtschaffen A, Kales, A. (eds.). A manual of standardized terminology: techniques and scoring system for sleep stages of human subjects. Los Angeles: UCLA Brain Information/Brain Research Institute; 1968.Google Scholar
  25. 25.
    Kapur VK, et al. Rates of sensor loss in unattended home polysomnography: the influence of age, gender, obesity, and sleep-disordered breathing. Sleep 2000;23(5):682–8.PubMedGoogle Scholar
  26. 26.
    Whitney CW, et al. Reliability of scoring respiratory disturbance indices and sleep staging. Sleep 1998;21(7):749–57.PubMedGoogle Scholar
  27. 27.
    Centers for Medicare & Medicaid Services. (Accessed January 29, 2007, at www.cms.hhs.gov).Google Scholar
  28. 28.
    Hirshkowitz M, Kryger, M. Monitoring techniques for evaluating suspected sleep-disordered breathing. In: Kryger M, Roth, T, Dement, W, eds. Principles and Practice of Sleep Medicine, 4th ed. Philadelphia: Saunders; 2005:1378–1393.Google Scholar
  29. 29.
    Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22(5):667–89.Google Scholar
  30. 30.
    Carskadon MA, et al. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 1986;9(4):519–24.PubMedGoogle Scholar
  31. 31.
    Haponik EF, et al. Evaluation of sleep-disordered breathing. Is polysomnography necessary? Am J Med 1984;77(4):671–7.PubMedCrossRefGoogle Scholar
  32. 32.
    Arias A, et al. Diagnostic yield of daytime nap polysomnography. Am Rev Respir Dis 1992;145:A724.Google Scholar
  33. 33.
    Chesson AL, Jr., et al. The indications for polysomnography and related procedures. Sleep 1997;20(6):423–87.PubMedGoogle Scholar
  34. 34.
    Ferber R, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 1994;17(4):378–92.PubMedGoogle Scholar
  35. 35.
    Portier F, et al. Evaluation of home versus laboratory polysomnography in the diagnosis of sleep apnea syndrome. Am J Respir Crit Care Med 2000;162(3 Pt 1):814–8.PubMedGoogle Scholar
  36. 36.
    Fry JM, et al. Full polysomnography in the home. Sleep 1998;21(6):635–42.PubMedGoogle Scholar
  37. 37.
    Flemons WW, et al. Home diagnosis of sleep apnea: a systematic review of the literature. An evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society. Chest 2003;124(4):1543–79.PubMedCrossRefGoogle Scholar
  38. 38.
    Iber C, et al. Single night studies in obstructive sleep apnea. Sleep 1991;14(5):383–5.PubMedGoogle Scholar
  39. 39.
    Sadeh A, et al. The role of actigraphy in the evaluation of sleep disorders. Sleep 1995;18(4):288–302.PubMedGoogle Scholar
  40. 40.
    Tryon WW. >Activity Measurement in Psychology and Medicine. New York: Plenum Press; 1991.Google Scholar
  41. 41.
    Kupfer DJ, et al. Psychomotor activity in affective states. Arch Gen Psychiatry 1974;30(6):765–8.PubMedGoogle Scholar
  42. 42.
    McPartland R, Kupfer, D, Foster, F. The movement-activated recording monitor: third generation motor-activity monitoring system. Behav Res Methods Instrum 1976;8:357–60.Google Scholar
  43. 43.
    Colburn TR, et al. An ambulatory activity monitor with solid state memory. ISA Trans 1976;15(2):149–54.PubMedGoogle Scholar
  44. 44.
    Ancoli-Israel S. Actigraphy. In: Kryger M, Roth, T, Dement, W, eds. Principles and Practice of Sleep Medicine, 3rd ed. Philadelphia: W. B. Saunders Company; 2000:1295–301.Google Scholar
  45. 45.
    Redmond D, Hegge, FW. Observations on the design and specification of a wrist-worn human activity monitoring system. Behav Res Methods Instr Comput 1985;17:659–69.Google Scholar
  46. 46.
    Borbély AA. Long-term recording of the rest-activity cycle in man. In: Zbinden G, Cuomo, V, Racagni, G, et al., eds. Application of Behavioral Pharmacology in Toxicology. New York: Raven Press; 1983:39–44.Google Scholar
  47. 47.
    Borbély AA. New techniques for the analysis of the human sleep-wake cycle. Brain Dev 1986;8:482–8.PubMedGoogle Scholar
  48. 48.
    Ancoli-Israel S, et al. The role of actigraphy in the study of sleep and circadian rhythms. Sleep 2003;26(3):342–92.PubMedGoogle Scholar
  49. 49.
    Starr I, Noordergraaf A. Ballistocardiography in Cardiovascular Research; Physical Aspects of the Circulation in Health and Disease. Amsterdam: North-Holland Pub. Co.; 1967.Google Scholar
  50. 50.
    Stead EA, Jr. An appreciation of Isaac Starr. N Engl J Med 1979;300(16):930–1.PubMedCrossRefGoogle Scholar
  51. 51.
    Polo O. Partial upper airway obstruction during sleep. Studies with the static charge-sensitive bed (SCSB). Acta Physiol Scand Suppl 1992;606:1–118.PubMedGoogle Scholar
  52. 52.
    Harrison WK, Talbot SA. Two new forms of ultra-low frequency ballistocardiograph. Bibl Cardiol 1967(19):13–8.PubMedGoogle Scholar
  53. 53.
    Nyboer J, Reid KA, Gessert W. A servo counterforce ballistocardiograph. An aperiodic air-bearing system. Bibl Cardiol 1967(19):26–32.PubMedGoogle Scholar
  54. 54.
    Tolles WE. Computer search for ballistocardiographic indices of cardiovascular disease. Bibl Cardiol 1967(19):126–35.PubMedGoogle Scholar
  55. 55.
    Scarborough WR, Podolak E, Whitlock MB. Magnetic tape recording of ballistocardiograms and other physiologic variables from subjects with and without cardiovascular “disease”. Bibl Cardiol 1967(19):72–98.PubMedGoogle Scholar
  56. 56.
    Trefny Z, Wagner J. A quantitative ballistocardiograph. Bibl Cardiol 1967(19):19–25.PubMedGoogle Scholar
  57. 57.
    Goedhard WJ. Ballistocardiography: past, present and future. Bibl Cardiol 1979(37):27–45.PubMedGoogle Scholar
  58. 58.
    Iber C, et al. Polysomnography performed in the unattended home versus the attended laboratory setting–Sleep Heart Health Study methodology. Sleep 2004;27(3):536–40.PubMedGoogle Scholar
  59. 59.
    Quan SF, et al. Short-term variablility of respiration and sleep during unattended nonlaboratory polysomnogaphy–the Sleep Heart Health Study. Sleep 2002;25(8):843–9.PubMedGoogle Scholar
  60. 60.
    Su S, et al. A comparison of polysomnography and a portable home sleep study in the diagnosis of obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg 2004;131:844–50.PubMedCrossRefGoogle Scholar
  61. 61.
    Collop NA. Portable monitoring for diagnosing obstructive sleep apnea: not yet ready for primetime. Chest 2004;125(3):809–11.PubMedCrossRefGoogle Scholar
  62. 62.
    Liesching TN, et al. Evaluation of the accuracy of SNAP technology sleep sonography in detecting obstructive sleep apnea in adults compared to standard polysomnography. Chest 2004;125(3):886–91.PubMedCrossRefGoogle Scholar
  63. 63.
    Verse T, et al. Validation of the POLY-MESAM seven-channel ambulatory recording unit. Chest 2000;117(6):1613–8.PubMedCrossRefGoogle Scholar
  64. 64.
    Epstein LJ, Dorlac GR. Cost-effectiveness analysis of nocturnal oximetry as a method of screening for sleep apnea-hypopnea syndrome. Chest 1998;113(1):97–103.PubMedGoogle Scholar
  65. 65.
    Hussain SF, Fleetham JA. Overnight home oximetry: Can it identify patients with obstructive sleep apnea-hypopnea who have minimal daytime sleepiness? Respir Med 2003;97(5):537–40.PubMedCrossRefGoogle Scholar
  66. 66.
    Chiner E, et al. Nocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: A method to reduce the number of polysomnographies? Thorax 1999;54(11):968–71.PubMedCrossRefGoogle Scholar
  67. 67.
    Issa FG, et al. Digital monitoring of sleep-disordered breathing using snoring sound and arterial oxygen saturation. Am Rev Respir Dis 1993;148(4 Pt 1):1023–9.PubMedGoogle Scholar
  68. 68.
    AMI: Physiological Actigraph monitoring of ambulatory subjects for sleep, psychiatric and movement disorders via Actigraphy. Ambulatory Monitoring, Inc. (Accessed December 11, 2006, at www.ambulatory-monitoring.com)Google Scholar
  69. 69.
    Mini Mitter: Actigraphs and Biotelemetric Physiological Monitors for Humans and Animals. Mini Mitter. (Accessed December 11, 2006, at www.minimitter.com)Google Scholar
  70. 70.
    Benson K, et al. The measurement of sleep by actigraphy: direct comparison of 2 commercially available actigraphs in a nonclinical population. Sleep 2004;27(5):986–9.PubMedGoogle Scholar
  71. 71.
    Alihanka J, Vaahtoranta K. A static charge sensitive bed. A new method for recording body movements during sleep. Electroencephalogr Clin Neurophysiol 1979;46(6):731–4.PubMedCrossRefGoogle Scholar
  72. 72.
    Alihanka J, Vaahtoranta K, Saarikivi I. A new method for long-term monitoring of the ballistocardiogram, heart rate, and respiration. Am J Physiol 1981;240(5):R384–92.PubMedGoogle Scholar
  73. 73.
    Erkinjuntti M, et al. Use of the SCSB method for monitoring of respiration, body movements and ballistocardiogram in infants. Early Hum Dev 1984;9(2):119–26.PubMedCrossRefGoogle Scholar
  74. 74.
    Jansen BH, Shankar K. Sleep staging with movement-related signals. Int J Biomed Comput 1993;32(3–4):289–97.PubMedCrossRefGoogle Scholar
  75. 75.
    Penzel T, et al. MESAM: a heart rate and snoring recorder for detection of obstructive sleep apnea. Sleep 1990;13(2):175–82.PubMedGoogle Scholar
  76. 76.
    Penzel T, et al. A device for ambulatory heart rate, oxygen saturation and snoring recording. In: Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBS); 1991; pp. 1616–7.Google Scholar
  77. 77.
    Esnaola S, et al. Diagnostic accuracy of a portable recording device (MESAM IV) in suspected obstructive sleep apnoea. Eur Respir J 1996;9(12):2597–605.PubMedCrossRefGoogle Scholar
  78. 78.
    van der Loos HFM, et al. Unobtrusive Vital Signs Monitoring from a Multisensor Bed Sheet. In: RESNA 2001, Reno, NV; June 22–26, 2001, p. 218–220.Google Scholar
  79. 79.
    SleepSmart. Spark Works Engineering. (Accessed 2003, at www.spark-works.com)Google Scholar
  80. 80.
    van der Loos HFM, Ullrich, N, Kobayashi, H. Development of sensate and robotic bed technologies for vital signs monitoring and sleep quality improvement. Autonomous Robots 2003;15:67–79.CrossRefGoogle Scholar
  81. 81.
    Watch PAT 100. Itamar Medical Ltd. (Accessed December 11, 2006, at http://www.itamar-medical.com/objects/WatchPat100F.pdf).Google Scholar
  82. 82.
    Itamar Medical Information: Watch PAT 100. Itamar Medical Ltd. (Accessed December 11, 2006, at http://www.itamar-medical.com/content.asp?id=31).Google Scholar
  83. 83.
    Ayas NT, et al. Assessment of a wrist-worn device in the detection of obstructive sleep apnea. Sleep Med 2003;4(5):435–42.PubMedCrossRefGoogle Scholar
  84. 84.
    Herscovici S, et al. Picking REM from the Finger–Further Improvement of the Algorithm Using an Advanced Predicting Function. In: SLEEP 2006; Salt Lake City, UT; 2006;29: p. A343.Google Scholar
  85. 85.
    Apnea Risk Evaluation System (ARES). Advanced Brain Monitoring, Inc. (Accessed December 11, 2006, at http://www.b-alert.com/ARES.html).Google Scholar
  86. 86.
    Westbrook PR, et al. Description and validation of the apnea risk evaluation system: a novel method to diagnose sleep apnea-hypopnea in the home. Chest 2005;128(4):2166–75.PubMedCrossRefGoogle Scholar
  87. 87.
    Ayappa I, et al. Validation of a Self-applied Unattended Monitor for Sleep Disordered Breathing (SDB). In: SLEEP 2006; Salt Lake City, UT; 2006; 29: p. A343–44.Google Scholar
  88. 88.
    BodyMedia Body Monitoring System. BodyMedia, Inc. (Accessed December 11, 2006, at http://www.bodymedia.com/pdf/brochure_bms.pdf).Google Scholar
  89. 89.
    Germain A, Buysse, DJ, Kupfer, DJ. Preliminary Validation of New Device for Studying Sleep. In: SLEEP 2006; Salt Lake City, UT; 2006. p. A351.Google Scholar
  90. 90.
    Tactile Force Sensors. Tactex Controls, Inc. (Accessed December 11, 2006, at www.tactex.com).Google Scholar
  91. 91.
    Chee Y, Han J, Youn J, Park K. Air mattress sensor system with balancing tube for unconstrained measurement of respiration and heart beat movements. Physiol Meas 2005;26(4):413–22.PubMedCrossRefGoogle Scholar
  92. 92.
    Chow P, et al. Respiratory monitoring using an air-mattress system. Physiol Meas 2000;21(3):345–54.PubMedCrossRefGoogle Scholar
  93. 93.
    Watanabe K, et al. Noninvasive measurement of heartbeat, respiration, snoring and body movements of a subject in bed via a pneumatic method. IEEE Trans Biomed Eng 2005;52(12):2100–7.PubMedCrossRefGoogle Scholar
  94. 94.
    Watanabe T, Watanabe K. Noncontact method for sleep stage estimation. IEEE Trans Biomed Eng 2004;51(10):1735–48.PubMedCrossRefGoogle Scholar
  95. 95.
    Mack DC, et al. Non-invasive analysis of physiological signals (NAPS): a low cost passive monitor for sleep quality and related applications. In: Carillion Biomedical Institute Steps to Success Conference; 2002 October; Roanoke, VA: Carillion Biomedical Institute; 2002.Google Scholar
  96. 96.
    Mack DC, et al. Non-invasive analysis of physiological signals (NAPS): a vibration sensor that passively detects heart and respiration as a part of a sensor suite for medical monitoring. In: Summer Bioengineering Conference; 2003 June 25–29; Key Biscayne, FL; 2003.Google Scholar
  97. 97.
    Mack DC, et al. A passive and portable system for monitoring heart rate and detecting sleep apnea and arousals: preliminary validation. In: Distributed Diagnosis and Home Healthcare (D2H2); Conference 2006 April 2–4; Arlington, VA: IEEE; 2006.Google Scholar
  98. 98.
    Alwan M, et al. Impact of monitoring technology in assisted living: outcome pilot. IEEE Trans Inf Technol Biomed 2006;10(1):192–8.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press 2008

Authors and Affiliations

  • Steven M. Koenig
    • 1
  • David Mack
  • Majd Alwan
  1. 1.The Department of Internal Medicine, Division of Pulmonary & Critical CareUniversity of Virginia Health SystemCharlottesville

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