Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007
Abstract
Background Actigraphy is increasingly used in sleep research and the clinical care of patients with sleep and circadian rhythm abnormalities. The following practice parameters update the previous practice parameters published in 2003 for the use of actigraphy in the study of sleep and circadian rhythms. Methods Based upon a systematic grading of evidence, members of the Standards of Practice Committee, including those with expertise in the use of actigraphy, developed these practice parameters as a guide to the appropriate use of actigraphy, both as a diagnostic tool in the evaluation of sleep disorders and as an outcome measure of treatment efficacy in clinical settings with appropriate patient populations. Recommendations Actigraphy provides an acceptably accurate estimate of sleep patterns in normal, healthy adult populations and inpatients suspected of certain sleep disorders. More specifically, actigraphy is indicated to assist in the evaluation of patients with advanced sleep phase syndrome (ASPS), delayed sleep phase syndrome (DSPS), and shift work disorder. Additionally, there is some evidence to support the use of actigraphy in the evaluation of patients suspected of jet lag disorder and non-24hr sleep/wake syndrome (including that associated with blindness). When polysomnography is not available, actigraphy is indicated to estimate total sleep time in patients with obstructive sleep apnea. In patients with insomnia and hypersomnia, there is evidence to support the u…
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Psychological and behavioral treatments are effective for adults of all ages, including older adults, and chronic hypnotic users.
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Psychological and behavioral interventions are effective in treating chronic primary and comorbid insomnia.
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Physical and mental status examination may provide important information regarding comorbid conditions and differential diagnosis.
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From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [6]
Cites
Atkins, D., Eccles, M., Flottorp, S., Guyatt, G. H., Henry, D., Hill, S., Liberati, A., O'Connell, D., Oxman, A. D., Phillips, B., et al. (2004) · BMC Health Services Research · doi:10.1186/1472-6963-4-38 · Cited by 1,235 · see citing works
Van der Heijden, K. B., Smits, M. G., Someren, E. J. W. V., & Boudewijn Gunning, W. (2005) · Chronobiology International · doi:10.1081/cbi-200062410 · Cited by 269 · see citing works
Circadian eating and sleeping patterns in the night eating syndrome
O'Reardon, J. P., Ringel, B. L., Dinges, D. F., Allison, K. C., Rogers, N. L., Martino, N. S., & Stunkard, A. J. (2004) · Obesity Research · doi:10.1038/oby.2004.222 · Cited by 223 · see citing works
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Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine, Epstein, L. J., Kristo, D., Strollo, P. J., Friedman, N., Malhotra, A., Patil, S. P., Ramar, K., Rogers, R., Schwab, R. J., et al. (2009) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27497 · Cited by 3,360 · see citing works
Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults
Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27286 · Cited by 1,943 · see citing works
The role and validity of actigraphy in sleep medicine: an update
Sadeh, A. (2011) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2010.10.001 · Cited by 1,415 · see citing works
Evolution of accelerometer methods for physical activity research
Troiano, R. P., McClain, J. J., Brychta, R. J., & Chen, K. Y. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093546 · Cited by 968 · see citing works
Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
Chen, X., Wang, R., Zee, P., Lutsey, P. L., Javaheri, S., Alcántara, C., Jackson, C. L., Williams, M. A., & Redline, S. (2015) · SLEEP · doi:10.5665/sleep.4732 · Cited by 922 · see citing works
Buysse, D. J., Yu, L., Moul, D. E., Germain, A., Stover, A., Dodds, N. E., Johnston, K. L., Shablesky-Cade, M. A., & Pilkonis, P. A. (2010) · Sleep · doi:10.1093/sleep/33.6.781 · Cited by 850 · see citing works
Circadian Rhythm Sleep Disorders: Part I, Basic Principles, Shift Work and Jet Lag Disorders
Sack, R. L., Auckley, D., Auger, R. R., Carskadon, M. A., Wright, K. P., Vitiello, M. V., & Zhdanova, I. V. (2007) · Sleep · doi:10.1093/sleep/30.11.1460 · Cited by 650 · see citing works
Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders
Morgenthaler, T. I., Lee-Chiong, T., Alessi, C., Friedman, L., Aurora, R. N., Boehlecke, B., Brown, T., Chesson, A. L., Kapur, V., Maganti, R., et al. (2007) · Sleep · doi:10.1093/sleep/30.11.1445 · Cited by 629 · see citing works
Self-citationWearable Sleep Technology in Clinical and Research Settings
DE ZAMBOTTI, M., CELLINI, N., GOLDSTONE, A., COLRAIN, I. M., & BAKER, F. C. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001947 · Cited by 564 · see citing works
Accuracy of Wristband Fitbit Models in Assessing Sleep: Systematic Review and Meta-Analysis
Haghayegh, S., Khoshnevis, S., Smolensky, M. H., Diller, K. R., & Castriotta, R. J. (2019) · Journal of Medical Internet Research · doi:10.2196/16273 · Cited by 446 · see citing works
Sleep deprivation in adolescents and adults: changes in affect
Talbot, L. S., McGlinchey, E. L., Kaplan, K. A., Dahl, R. E., & Harvey, A. G. (2010) · Emotion · doi:10.1037/a0020138 · Cited by 415 · see citing works
Sleep as a Potential Fundamental Contributor to Disparities in Cardiovascular Health
Jackson, C. L., Redline, S., & Emmons, K. M. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122838 · Cited by 388 · see citing works
Movement toward a novel activity monitoring device
Montgomery-Downs, H. E., Insana, S. P., & Bond, J. A. (2012) · Sleep and Breathing · doi:10.1007/s11325-011-0585-y · Cited by 301 · see citing works
Mantua, J., Gravel, N., & Spencer, R. (2016) · Sensors · doi:10.3390/s16050646 · Cited by 314 · see citing works
The assessment and management of insomnia: an update
Krystal, A. D., Prather, A. A., & Ashbrook, L. H. (2019) · World Psychiatry · doi:10.1002/wps.20674 · Cited by 256 · see citing works
Zinkhan, M., Berger, K., Hense, S., Nagel, M., Obst, A., Koch, B., Penzel, T., Fietze, I., Ahrens, W., Young, P., et al. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.04.015 · Cited by 232 · see citing works
Relationships among dietary nutrients and subjective sleep, objective sleep, and napping in women
Grandner, M. A., Kripke, D. F., Naidoo, N., & Langer, R. D. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.07.014 · Cited by 219 · see citing works
Recent advances in wearable sensors and portable electronics for sleep monitoring
Kwon, S., Kim, H., & Yeo, W.-H. (2021) · iScience · doi:10.1016/j.isci.2021.102461 · Cited by 209 · see citing works
van den Berg, J. F., Knvistingh Neven, A., Tulen, J. H. M., Hofman, A., Witteman, J. C. M., Miedema, H. M. E., & Tiemeier, H. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.57 · Cited by 193 · see citing works
Jackowska, M., Dockray, S., Hendrickx, H., & Steptoe, A. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3182359e77 · Cited by 188 · see citing works
Tang, N. K. Y., Lereya, S. T., Boulton, H., Miller, M. A., Wolke, D., & Cappuccio, F. P. (2015) · Sleep · doi:10.5665/sleep.5158 · Cited by 176 · see citing works
Fonseca, P., Weysen, T., Goelema, M. S., Møst, E. I. S., Radha, M., Lunsingh Scheurleer, C., van den Heuvel, L., & Aarts, R. M. (2017) · SLEEP · doi:10.1093/sleep/zsx097 · Cited by 148 · see citing works
Kristensson, K., Nygård, M., Bertini, G., & Bentivoglio, M. (2010) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2009.12.001 · Cited by 140 · see citing works
Assessment and treatment of insomnia in adult patients with alcohol use disorders
Brower, K. J. (2015) · Alcohol · doi:10.1016/j.alcohol.2014.12.003 · Cited by 134 · see citing works
Actigraphic features of bipolar disorder: A systematic review and meta-analysis
De Crescenzo, F., Economou, A., Sharpley, A. L., Gormez, A., & Quested, D. J. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.05.003 · Cited by 128 · see citing works
Johnson, D. A., Guo, N., Rueschman, M., Wang, R., Wilson, J. G., & Redline, S. (2018) · Sleep · doi:10.1093/sleep/zsy154 · Cited by 126 · see citing works
Sleep deprivation amplifies striatal activation to monetary reward
Mullin, B. C., Phillips, M. L., Siegle, G. J., Buysse, D. J., Forbes, E. E., & Franzen, P. L. (2013) · Psychological Medicine · doi:10.1017/s0033291712002875 · Cited by 120 · see citing works
Lengacher, C. A., Reich, R. R., Paterson, C. L., Jim, H. S., Ramesar, S., Alinat, C. B., Budhrani, P. H., Farias, J. R., Shelton, M. M., Moscoso, M. S., et al. (2015) · Psycho-Oncology · doi:10.1002/pon.3603 · Cited by 119 · see citing works
Sleep Tracking, Wearable Technology, and Opportunities for Research and Clinical Care
Shelgikar, A. V., Anderson, P. F., & Stephens, M. R. (2016) · Chest · doi:10.1016/j.chest.2016.04.016 · Cited by 104 · see citing works
Robertson, M. D., Russell-Jones, D., Umpleby, A. M., & Dijk, D.-J. (2013) · Metabolism · doi:10.1016/j.metabol.2012.07.016 · Cited by 100 · see citing works
Crew Schedules, Sleep Deprivation, and Aviation Performance
Caldwell, J. A. (2012) · Current Directions in Psychological Science · doi:10.1177/0963721411435842 · Cited by 85 · see citing works
Association Between Sleep Apnea and Blood Pressure Control Among Blacks: Jackson Heart Sleep Study
Johnson, D. A., Thomas, S. J., Abdalla, M., Guo, N., Yano, Y., Rueschman, M., Tanner, R. M., Mittleman, M. A., Calhoun, D. A., Wilson, J. G., et al. (2019) · Circulation · doi:10.1161/circulationaha.118.036675 · Cited by 81 · see citing works
Differences in sleep disturbance parameters between oncology outpatients and their family caregivers
Carney, S., Koetters, T., Cho, M., West, C., Paul, S. M., Dunn, L., Aouizerat, B. E., Dodd, M., Cooper, B., Lee, K., et al. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2010.30.9104 · Cited by 70 · see citing works
Garrett, K., Dhruva, A., Koetters, T., West, C., Paul, S. M., Dunn, L. B., Aouizerat, B. E., Cooper, B. A., Dodd, M., Lee, K., et al. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.11.010 · Cited by 63 · see citing works
Vezoli, J., Fifel, K., Leviel, V., Dehay, C., Kennedy, H., Cooper, H. M., Gronfier, C., & Procyk, E. (2011) · PLoS ONE · doi:10.1371/journal.pone.0023952 · Cited by 57 · see citing works
DEWALD, J. F., SHORT, M. A., GRADISAR, M., OORT, F. J., & MEIJER, A. M. (2012) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2012.00999.x · Cited by 47 · see citing works
Galland, B., Meredith-Jones, K., Gray, A., Sayers, R., Lawrence, J., Taylor, B., & Taylor, R. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2015.10.013 · Cited by 47 · see citing works
The use of actigraphy in the monitoring of methylphenidate versus placebo in ADHD: a meta-analysis
De Crescenzo, F., Armando, M., Mazzone, L., Ciliberto, M., Sciannamea, M., Figueroa, C., Janiri, L., Quested, D., & Vicari, S. (2014) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-013-0122-x · Cited by 48 · see citing works
O’Mahony, A. M., Garvey, J. F., & McNicholas, W. T. (2020) · Journal of Thoracic Disease · doi:10.21037/jtd-sleep-2020-003 · Cited by 45 · see citing works
Circadian rhythm sleep-wake phase disorders
Culnan, E., McCullough, L. M., & Wyatt, J. K. (2019) · Neurologic Clinics · doi:10.1016/j.ncl.2019.04.003 · Cited by 42 · see citing works
Sleep efficiency and nocturnal hemodynamic dipping in young, normotensive adults
Ross, A. J., Yang, H., Larson, R. A., & Carter, J. R. (2014) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00211.2014 · Cited by 39 · see citing works
Haghayegh, S., Khoshnevis, S., Smolensky, M. H., Diller, K. R., & Castriotta, R. J. (2019) · Chronobiology International · doi:10.1080/07420528.2019.1679826 · Cited by 38 · see citing works
Sleep disturbance in persistent allergic rhinitis measured using actigraphy
Rimmer, J., Downie, S., Bartlett, D. J., Gralton, J., & Salome, C. (2009) · Annals of Allergy, Asthma & Immunology · doi:10.1016/s1081-1206(10)60180-9 · Cited by 32 · see citing works
Bais, B., Kamperman, A. M., van der Zwaag, M. D., Dieleman, G. C., Harmsen van der Vliet-Torij, H. W., Bijma, H. H., Lieverse, R., Hoogendijk, W. J. G., & Lambregtse-van den Berg, M. P. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1092-2 · Cited by 28 · see citing works
Sleep and psychomotor vigilance in female shiftworkers
Ruggiero, J. S., Redeker, N. S., Fiedler, N., Avi-Itzhak, T., & Fischetti, N. (2012) · Biological Research For Nursing · doi:10.1177/1099800411408413 · Cited by 26 · see citing works
Sleep and Wake Classification Based on Heart Rate and Respiration Rate
Li, W., Yang, X. D., Dai, A. N., & Chen, K. (2018) · IOP Conference Series: Materials Science and Engineering · doi:10.1088/1757-899x/428/1/012017 · Cited by 12 · see citing works
Tonetti, L., Fábregas, S. E., Fabbri, M., Occhionero, M., Erbacci, A., Martoni, M., & Natale, V. (2013) · Biological Rhythm Research · doi:10.1080/09291016.2012.692252 · Cited by 7 · see citing works
- Authors
- Morgenthaler, T., Alessi, C., Friedman, L., Owens, J., Kapur, V., Boehlecke, B., Brown, T., Chesson, A., Coleman, J., Lee-Chiong, T., Pancer, J., & Swick, T. J.
- Affiliations
- Mayo Clinic (US)
- University of California, Los Angeles (US)
- Stanford Medicine (US)
- Rhode Island Hospital (US)
- University of Washington (US)
- University of North Carolina at Chapel Hill (US)
- Louisiana State University Health Sciences Center Shreveport (US)
- Owensboro Health (US)
- National Jewish Health (US)
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-04
- Volume
- 30
- Issue
- 4
- Pages
- 519-529
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2118370586
- Cited by
- 1,142
- References
- 3
- Citations by year
- 2026: 31 · 2025: 37 · 2024: 30 · 2023: 41 · 2022: 53 · 2021: 62 · 2020: 60 · 2019: 68 · 2018: 63 · 2017: 67 · 2016: 83 · 2015: 77 · 2014: 105 · 2013: 71 · 2012: 74
- FWCI
- 60.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Academy of Sleep Medicine
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- actigraphy, sleep disorders, circadian rhythm disorders, advanced sleep phase syndrome, delayed sleep phase syndrome, shift work disorder, obstructive sleep apnea, insomnia, hypersomnia, treatment outcome measures, older adults, children's sleep, sleep monitoring
- MeSH terms
- Circadian Rhythm, Humans, Motor Activity, Reference Standards, United States, Outcome Assessment, Health Care, Polysomnography, Sleep Disorders, Circadian Rhythm
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