Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions

This study evaluated the agreement between MotionWatch8 actigraphy and polysomnography (PSG) in measuring sleep parameters among menopausal women under controlled 30 °C laboratory conditions. Sixteen peri- and post-menopausal women (age: 51.4 ± 4.2 years, BMI: 26.0 ± 3.1 kg/m<sup>2</sup>...

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Main Authors: Xinzhu Li, Mark Halaki, Chin Moi Chow
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/25/10/3040
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author Xinzhu Li
Mark Halaki
Chin Moi Chow
author_facet Xinzhu Li
Mark Halaki
Chin Moi Chow
author_sort Xinzhu Li
collection DOAJ
description This study evaluated the agreement between MotionWatch8 actigraphy and polysomnography (PSG) in measuring sleep parameters among menopausal women under controlled 30 °C laboratory conditions. Sixteen peri- and post-menopausal women (age: 51.4 ± 4.2 years, BMI: 26.0 ± 3.1 kg/m<sup>2</sup>) contributed 59 nights of simultaneous recordings, with parameters analyzed using Bland–Altman plots, linear mixed model analysis, and epoch-by-epoch comparisons. Results showed MotionWatch8 significantly overestimated total sleep time by 18.6 min and sleep efficiency by 3.5%, while underestimating sleep onset latency by 11.2 min and wake after sleep onset by 9.1 min compared to PSG. Significant proportional errors were observed, particularly for participants with prolonged sleep onset latency, high wake after sleep onset, and lower sleep efficiency. Epoch-by-epoch analysis revealed high sensitivity for sleep detection (94.8%) but low specificity for wake detection (33.1%), with 87.3% overall accuracy. These findings demonstrate that MotionWatch8 may be less reliable for individuals with more extreme sleep characteristics, such as insomnia, as measurement accuracy declines with increasing severity of sleep disturbances, highlighting the need for caution when using this device for detailed sleep assessments in clinical populations with sleep disturbances.
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spelling doaj-art-9d7dbf2e22c04454bb331e241163a3212025-08-20T03:12:15ZengMDPI AGSensors1424-82202025-05-012510304010.3390/s25103040Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm ConditionsXinzhu Li0Mark Halaki1Chin Moi Chow2Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2050, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2050, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2050, AustraliaThis study evaluated the agreement between MotionWatch8 actigraphy and polysomnography (PSG) in measuring sleep parameters among menopausal women under controlled 30 °C laboratory conditions. Sixteen peri- and post-menopausal women (age: 51.4 ± 4.2 years, BMI: 26.0 ± 3.1 kg/m<sup>2</sup>) contributed 59 nights of simultaneous recordings, with parameters analyzed using Bland–Altman plots, linear mixed model analysis, and epoch-by-epoch comparisons. Results showed MotionWatch8 significantly overestimated total sleep time by 18.6 min and sleep efficiency by 3.5%, while underestimating sleep onset latency by 11.2 min and wake after sleep onset by 9.1 min compared to PSG. Significant proportional errors were observed, particularly for participants with prolonged sleep onset latency, high wake after sleep onset, and lower sleep efficiency. Epoch-by-epoch analysis revealed high sensitivity for sleep detection (94.8%) but low specificity for wake detection (33.1%), with 87.3% overall accuracy. These findings demonstrate that MotionWatch8 may be less reliable for individuals with more extreme sleep characteristics, such as insomnia, as measurement accuracy declines with increasing severity of sleep disturbances, highlighting the need for caution when using this device for detailed sleep assessments in clinical populations with sleep disturbances.https://www.mdpi.com/1424-8220/25/10/3040validationPSGpolysomnographyactigraphysleepmenopause
spellingShingle Xinzhu Li
Mark Halaki
Chin Moi Chow
Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
Sensors
validation
PSG
polysomnography
actigraphy
sleep
menopause
title Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
title_full Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
title_fullStr Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
title_full_unstemmed Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
title_short Validation of MotionWatch8 Actigraphy Against Polysomnography in Menopausal Women Under Warm Conditions
title_sort validation of motionwatch8 actigraphy against polysomnography in menopausal women under warm conditions
topic validation
PSG
polysomnography
actigraphy
sleep
menopause
url https://www.mdpi.com/1424-8220/25/10/3040
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