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Updated: Jan 7, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
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Continuous Sleep Monitoring Using the Withings Sleep Mat to Assess Mean Disease Alleviation in OSA.

Praneet C Kaki1, Maya Childs2, Randy Calotti1

  • 1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

The Laryngoscope
|December 31, 2025
PubMed
Summary

Continuous home sleep monitoring with the Withings Sleep Mat (WSM) is feasible for assessing obstructive sleep apnea (OSA) treatment effectiveness. Mean Disease Alleviation (MDA) offers a comprehensive metric for personalized OSA therapy.

Keywords:
CPAPHGNSWithingsmean disease alleviationobstructive sleep apnea

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Area of Science:

  • Sleep Medicine
  • Medical Technology
  • Cardiorespiratory Sleep Medicine

Background:

  • Obstructive sleep apnea (OSA) management requires effective treatment monitoring.
  • Current assessment methods may not fully capture real-world treatment effectiveness.
  • Continuous home monitoring offers a potential solution for improved patient management.

Purpose of the Study:

  • To assess the feasibility of continuous sleep monitoring using the Withings Sleep Mat (WSM).
  • To evaluate Mean Disease Alleviation (MDA) as a metric for real-world treatment effectiveness in OSA patients.
  • To compare MDA between hypoglossal nerve stimulation (HGNS) and continuous positive airway pressure (CPAP) therapies.

Main Methods:

  • Prospective recruitment of patients undergoing CPAP or HGNS therapy.
  • Nightly sleep metrics, including AHI, were collected over 30- and 90-day periods using the WSM.
  • MDA was calculated as a composite measure integrating treatment efficacy and adjusted compliance.

Main Results:

  • The 90-day MDA was 36.05% for CPAP and 24.06% for HGNS (p=0.20).
  • Mean MDA was significantly higher for CPAP patients (81.72%) compared to HGNS patients (51.18%) (p=0.002).
  • HGNS patients exhibited more nightly awakenings and snoring episodes compared to CPAP patients.

Conclusions:

  • Continuous home monitoring with the WSM is feasible for assessing OSA treatment.
  • MDA provides a comprehensive measure of real-world OSA treatment effectiveness.
  • Findings support further evaluation of home-based monitoring and integrated metrics for personalized OSA management.