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Pediatric motor activity during sleep as measured by actigraphy
Lisa J Meltzer1, Michelle Short2, Genery D Booster1
1Department of Pediatrics, National Jewish Health, Denver, CO.
Insights
This study provides actigraphy reference values for motor activity during sleep in children and adolescents. Boys exhibited higher sleep activity, with age-related differences noted but no consistent pattern observed.
Area of Science:
- Pediatric Sleep Science
- Biomedical Engineering
- Chronobiology
Background:
- Actigraphy is a valuable tool for assessing sleep patterns in pediatric populations.
- Establishing normative data is crucial for interpreting individual actigraphy results in children and adolescents.
- Previous research has lacked comprehensive reference values for motor activity during sleep in this age group.
Purpose of the Study:
- To establish actigraphic reference values for motor activity during sleep in healthy children and adolescents aged 8-17 years.
- To provide normative data for percent sleep, mean activity count, and restlessness.
- To explore sex and age-related differences in sleep motor activity.
Main Methods:
- Utilized actigraphy data from 671 healthy children and adolescents (ages 8-17) from the US and Australia.
- Participants wore actigraphs for at least five nights and completed sleep diaries.
- Calculated reference values for percent sleep, mean activity count, and activity index, analyzing sex and age group differences.
Main Results:
- Provided reference values and percentiles for sleep motor activity by age group and sex.
- Identified that boys generally exhibit higher motor activity during sleep compared to girls.
- Observed age-related differences in sleep activity, though patterns varied across outcome measures.
Conclusions:
- This study offers the first comprehensive reference values for actigraphy-based motor activity during sleep in a large pediatric sample.
- The provided reference tables and percentiles serve as a valuable resource for clinicians and researchers using actigraphy in pediatric sleep assessments.
- Findings highlight the importance of considering sex and age when interpreting actigraphy data in children and adolescents.
Study Objectives:
Provide actigraphic reference values for motor activity during sleep for children and adolescents ages 8-17 years.
Methods:
Participants were 671 healthy community-dwelling children and adolescents (52% female, mean age 13.5 + 2.4 years) from the United States (64%) and Australia (36%). All participants wore an Ambulatory-Monitoring Inc. (AMI, Ardsley, NY) actigraph on their nondominant wrist for ≥5 nights and completed daily sleep diaries. Actigraphy data were scored with standard methods and a validated algorithm. Reference values were calculated for three outcome variables: percent sleep (sleep minutes/sleep period), mean activity count (average activity count over the sleep period), and restlessness measured by the activity index (% of epochs in sleep period > 0). Between-group differences were examined for sex and age group. In addition, changes to activity level across the sleep period were explored.
Results:
All participants had a minimum of three scorable nights of data, with 95% having at least five scorable nights. Reference values are presented by age group and sex, and reference percentiles are provided. Boys were found to have more activity in sleep across the three outcome variables. Age differences were also found for the three outcomes, but a consistent pattern was not detected across variables.
Conclusions:
This study is the first to examine motor activity from actigraphy in a large sample of healthy community-dwelling children and adolescents. Reference tables and percentiles, as well as sample actigrams highlighting different outcomes, are provided for clinicians and researchers who utilize actigraphy in pediatric populations.
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