Journal of Clinical Sleep Medicine最新文献

{"title":"Seeing the random forest for the Zzz's: machine learning's new role in sleep science.","authors":"Dustin Anderson-Bell, Brian W Locke","doi":"10.5664/jcsm.11674","DOIUrl":"10.5664/jcsm.11674","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"747-748"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REM-related obstructive sleep apnea: is it still an enigma or do we even care?","authors":"Gautam Ganguly","doi":"10.5664/jcsm.11672","DOIUrl":"10.5664/jcsm.11672","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"749-750"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of 2 different wrist actigraphy devices in the adult population.","authors":"Mario Henríquez-Beltrán, Iván D Benítez, Ivan Juez-Garcia, Jordi de Batlle, Thalía Belmonte, Anna Galan Gonzalez, Matías Burgos, Rocio Sanhueza, Claudia Jeria, Daniel Solomons, Adriano D S Targa, Ferran Barbé, Gonzalo Labarca","doi":"10.5664/jcsm.11536","DOIUrl":"10.5664/jcsm.11536","url":null,"abstract":"<p><strong>Study objectives: </strong>Actigraphy devices are used in sleep medicine. The Actiwatch 2 (Philips Respironics) was an example of a frequently used device in this field. Nevertheless, the discontinuation of this device has led to an increased necessity for the implementation of other available actigraphy methods capable of providing objective information. The objective of this study was to assess the performance of the new ActTrust 2 compared to the Actiwatch 2 model.</p><p><strong>Methods: </strong>This observational prospective study included 9 participants (77.760 activity logs) who were monitored for 7 days using 2 actigraphy wrist devices (ActTrust 2 and Actiwatch 2) simultaneously. The following variables were evaluated: midline estimating statistic of rhythm, amplitude, and acrophase; intradaily variability; interdaily stability; relative amplitude; and the mean of 5 consecutive hours with the lowest activity and the 10 consecutive hours with the highest activity. Furthermore, total sleep time, time in bed, sleep efficiency, sleep onset latency, wake after sleep onset, and awakenings were also included.</p><p><strong>Results: </strong>Actigraphy models indicated statistically significant differences in activity levels. Regarding the analysis of circadian rest-activity rhythms, 10 consecutive hours with the highest activity, midline estimating statistic of rhythm, and amplitude also exhibited these differences. Furthermore, the analysis of sleep-wakefulness revealed significant differences in the sleep onset latency and the number of awakenings.</p><p><strong>Conclusions: </strong>The ActTrust 2 and Actiwatch 2 models showed equivalent results in measuring circadian rest-activity rhythm and sleep. However, caution is advised when interpreting parameters such as midline estimating statistic of rhythm, amplitude, sleep onset latency, awakenings, and 10 consecutive hours with the highest activity variables.</p><p><strong>Citation: </strong>Henríquez-Beltrán M, Benítez ID, Juez-Garcia I, et al. Evaluation of 2 different wrist actigraphy devices in the adult population. <i>J Clin Sleep Med.</i> 2025;21(5):805-812.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"805-812"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sleep health composite and chronotype among children and adolescents with type 1 diabetes compared to case-control peers without diabetes.","authors":"Necla İpar, Perran Boran, Hatice Ezgi Barış, Mahmut Caner Us, Burcu Aygün, Belma Haliloğlu, Arzu Baygül, Gül Yeşiltepe Mutlu, Abdullah Bereket, Şükrü Hatun","doi":"10.5664/jcsm.11558","DOIUrl":"10.5664/jcsm.11558","url":null,"abstract":"<p><strong>Study objectives: </strong>Our objectives were to compare sleep health composite dimensions and chronotype in children and adolescents with and without type 1 diabetes (T1D) and to explore the relationship between sleep and glycemic variability in T1D.</p><p><strong>Methods: </strong>The study comprised 84 participants with T1D aged between 6 to 18 years and age- and sex-matched controls. The sleep health composite was measured using actigraphy, sleep diaries, and self or parental reports. Sleep disturbance was evaluated using the DSM-5 Level 2 Sleep Disorders Scale Short Form. Chronotype was determined using the Children's Chronotype Questionnaire.</p><p><strong>Results: </strong>The median total sleep health composite score for both the T1D and control groups was 3.0 (3.0-4.0) (<i>P</i> = .485). Sleep quality was reported as good by 89.3% of participants with T1D and 96.4% of controls (<i>P</i> = .072). Objective data from actigraphy indicated poor sleep quality in 56% of participants with T1D and 59.5% of controls (<i>P</i> = .639). Additionally, 88% of participants with T1D and 84.5% of controls had inadequate total age-appropriate sleep duration (<i>P</i> = .501). Among participants with T1D, those with a stable glycemic variability (coefficient of variation < 36%) had an earlier midpoint sleep (<i>P</i> = .008).</p><p><strong>Conclusions: </strong>Our study indicates that there are no significant differences in the sleep health composite and chronotype between children and adolescents with and without T1D. Although most participants reported good sleep quality, objective assessments indicated poor sleep quality. These findings suggest that children and adolescents may overestimate their sleep quality.</p><p><strong>Clinical trial registration: </strong>Registry: ClinicalTrials.gov; Name: Sleep Patterns and Chronotype in Children With and Without Type 1 Diabetes; URL: https://clinicaltrials.gov/study/NCT06318611; Identifier: NCT06318611.</p><p><strong>Citation: </strong>İpar N, Boran P, Barış HE, et al. The sleep health composite and chronotype among children and adolescents with type 1 diabetes compared to case-control peers without diabetes. <i>J Clin Sleep Med.</i> 2025;21(5):825-834.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"825-834"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative insights: can wearable devices leverage intraoperative data to advance pediatric OSA diagnostics?","authors":"Eric Cheon, Keith J Kilner, Inbal Hazkani BenDror","doi":"10.5664/jcsm.11580","DOIUrl":"10.5664/jcsm.11580","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"945-946"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared underlying dynamics between sleep disorder and psychiatric disorder: proinflammatory state?","authors":"Menguhan Araz Altay","doi":"10.5664/jcsm.11588","DOIUrl":"10.5664/jcsm.11588","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"947"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OSA diagnosis in context: a comprehensive approach to evaluating novel diagnostic devices.","authors":"Jean-Benoit Martinot, Nhat-Nam Le-Dong","doi":"10.5664/jcsm.11578","DOIUrl":"10.5664/jcsm.11578","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"943-944"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The accuracy of WatchPAT in obese adolescents.","authors":"Giora Pillar","doi":"10.5664/jcsm.11590","DOIUrl":"10.5664/jcsm.11590","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"949-950"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical validation of a wireless patch-based polysomnography system.","authors":"Christian Viniol, Wolfgang Galetke, Holger Woehrle, Georg Nilius, Christoph Schöbel, Winfried Randerath, James Leiter, Sebastian Canisius, Hartmut Schneider","doi":"10.5664/jcsm.11524","DOIUrl":"10.5664/jcsm.11524","url":null,"abstract":"<p><strong>Study objectives: </strong>Onera Health has developed the first wireless, patch-based, type-II polysomnography (PSG) system, the Onera Sleep Test System, to allow studies to be performed unattended at the patient's home or in any bed at a medical facility. The goal of this multicenter study was to validate data collected from the patch-based PSG to a traditional PSG for sleep staging and apnea-hypopnea index.</p><p><strong>Methods: </strong>Simultaneous traditional PSG and patch-based PSG study data were obtained in a sleep laboratory from 206 participants with a suspected sleep disorder recruited from 7 clinical sites. Blinded, randomized scoring of the traditional PSG and patch-based PSG recordings was completed according to <i>The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications</i> (Version 2.6) criteria by 3 independent scorers.</p><p><strong>Results: </strong>Concordance correlation coefficients were high between the patch-based device and traditional PSG across essential sleep and respiratory variables-total sleep time (.87); wake (.84); non-rapid eye movement (REM) (.80); non-REM sleep stage 1 (N1) (.72); non-REM sleep stage 2 (N2) (.71); non-REM sleep stage 3 (N3) (.64); REM (.80); and apnea-hypopnea index (AHI) (.94). There was substantial agreement between epoch sleep staging scored on the patch-based device and traditional PSG (average Cohen's kappa of 0.62 ± 0.13 across all scorers).</p><p><strong>Conclusions: </strong>The patch-based type-II PSG had a similar performance on sleep staging and respiratory variables when compared to traditional PSG, thus making it possible to use the patch-based PSG for a routine PSG study. These results open the possibility of performing unattended PSG studies efficiently and accurately outside the sleep laboratory improving access to high quality sleep assessments for patients with sleep disorders.</p><p><strong>Clinical trial registration: </strong>Registry: ClinicalTrials.gov; Name: Validation Study of a Patch-based PSG System; URL: https://clinicaltrials.gov/study/NCT05310708; Identifier: NCT05310708.</p><p><strong>Citation: </strong>Viniol C, Galetke W, Woehrle H, et al. Clinical validation of a wireless patch-based polysomnography system. <i>J Clin Sleep Med</i>. 2025;21(5):813-823.</p>","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"813-823"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Images: Pharmacological treatment of pediatric insomnia: a successful trial of doxepin.","authors":"Xinhang Tu, Christine A Matarese, Robin Lloyd, Channing Sorensen, Scott T Schmidt, Julie M Baughn","doi":"10.5664/jcsm.11500","DOIUrl":"10.5664/jcsm.11500","url":null,"abstract":"","PeriodicalId":50233,"journal":{"name":"Journal of Clinical Sleep Medicine","volume":" ","pages":"955-958"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}