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Updated: Jun 23, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
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Published on: January 26, 2019

Methods for home-based self-applied polysomnography: the Multicenter AIDS Cohort Study.

Naresh M Punjabi1, Todd Brown2, R Nisha Aurora3

  • 1Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami, Miller School of Medicine, Coral Gables, FL, USA.

Sleep Advances : a Journal of the Sleep Research Society
|May 23, 2022
PubMed
Summary
This summary is machine-generated.

Home polysomnography is a feasible and cost-effective method for assessing sleep disorders in community cohorts, including those with human immunodeficiency virus (HIV). This approach offers a practical alternative to in-lab studies for collecting vital sleep data.

Keywords:
epidemiologyhome testinginstrumentation

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Area of Science:

  • Sleep Medicine
  • Infectious Diseases
  • Biomedical Engineering

Background:

  • Sleep disorders are common in individuals with human immunodeficiency virus (HIV) and other chronic conditions.
  • Assessing sleep quality and breathing disorders is crucial for managing overall health in these populations.

Purpose of the Study:

  • To establish methods for assessing sleep quality and breathing-related disorders using self-applied home polysomnography.
  • To evaluate the feasibility of home polysomnography in a community-based cohort, including individuals with and without HIV.

Main Methods:

  • A total of 960 participants from the Multicenter AIDS Cohort Study (MACS) underwent self-applied polysomnography using the Nox A1 recorder.
  • Data collected included electroencephalogram (EEG), electrooculograms, electromyogram, respiratory inductance plethysmography, pulse oximetry, and electrocardiogram.
  • Studies were centrally scored for sleep stages and disordered breathing events.

Main Results:

  • Successful home polysomnography was achieved in 851 (88.6%) of participants.
  • Signal quality was rated as good or excellent in 95.2% of successful studies.
  • Factors associated with unsuccessful studies included Black race, current smoking, and cocaine use.

Conclusions:

  • Home polysomnography is a feasible method for collecting sleep data in a community cohort.
  • This approach provides a cost-effective alternative to in-lab polysomnography, reducing patient burden.
  • The described methods support broader research into sleep disorders in diverse populations.