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Table 4 Comparison of PSG and Actigraph GT3x measured sleep outcomes using different algorithms and at each site

From: Validation of actigraphy sleep metrics in children aged 8 to 16 years: considerations for device type, placement and algorithms

Sleep variable

Device

Placement

Algorithm

Mean (SD mins)

Mean difference (95% CI) from PSGa

Sleep onset (hh:mm)

PSG

n = 114

 

21:38 (58)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

21:26 (61)

-12 (-20, -4)

  

Sadeh 1

21:23 (54)

-15 (-20, -10)

  

Sadeh 2

20:39 (112)

-59 (-79, -39)

  

Cole-Kripke 1

21:31 (53)

-7 (-12, -2)

  

Cole-Kripke 2

21:20 (51)

-18 (-23, -14)

  

Cole-Kripke 3

19:10 (153)

-149 (-179, -119)

  

Tudor-Locke 1

19:49 (127)

-109 (-132, -87)

  

Tudor-Locke 2

19:47 (49)

-112 (-124, -100)

  

Tudor-Locke 3

20:48 (97)

-50 (-67, -34)

  

Tudor-Locke 4

20:24 (64)

-74 (-85, -63)

  

HDCZA

21:33 (75)

-6 (-15, 4)

PSG

n = 119

 

21:37 (57)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

21:39 (57)

2 (-3, 7)

  

Sadeh 1

21:33 (54)

-4 (-8, 1)

  

Sadeh 2

21:22 (120)

-15 (-37, 6)

  

Cole-Kripke 1

21:46 (60)

8 (3, 13)

  

Cole-Kripke 2

21:31 (53)

-6 (-12, -1)

  

Cole-Kripke 3

21:05 (114)

-32 (-52, -11)

  

Tudor-Locke 1

21:01 (112)

-37 (-57, -16)

  

Tudor-Locke 2

21:07 (57)

-30 (-38, -22)

  

Tudor-Locke 3

21:37 (121)

-20 (-42, 2)

  

Tudor-Locke 4

21:24 (58)

-13 (-18, -8)

  

HDCZA

21:33 (58)

-4 (-8, -1)

Sleep offset (hh:mm)

PSG

n = 114

 

6:44 (90)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

7:00 (63)

16 (1, 31)

  

Sadeh 1

6:58 (57)

14 (1, 28)

  

Sadeh 2

7:36 (86)

53 (34, 71)

  

Cole-Kripke 1

6:57 (56)

13 (0, 27)

  

Cole-Kripke 2

6:59 (56)

15 (1, 29)

  

Cole-Kripke 3

8:17 (92)

93 (73, 114)

  

Tudor-Locke 1

8:03 (88)

79 (60, 98)

  

Tudor-Locke 2

7:58 (83)

74 (56, 93)

  

Tudor-Locke 3

7:34 (83)

51 (33, 68)

  

Tudor-Locke 4

7:29 (76)

46 (29, 62)

  

HDCZA

6:33 (141)

-11 (-40, 18)

PSG

n = 119

 

6:43 (91)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

6:53 (62)

9 (-5, 24)

  

Sadeh 1

6:52 (61)

9 (-4, 22)

  

Sadeh 2

6:37 (93)

-6 (-26, 14)

  

Cole-Kripke 1

6:53 (60)

10 (-4, 23)

  

Cole-Kripke 2

6:55 (61)

12 (-1, 26)

  

Cole-Kripke 3

6:56 (92)

12 (-8, 33)

  

Tudor-Locke 1

7:00 (89)

16 (-4, 36)

  

Tudor-Locke 2

7:04 (62)

21 (6, 36)

  

Tudor-Locke 3

6:55 (79)

12 (-6, 29)

  

Tudor-Locke 4

6:56 (63)

12 (-4, 28)

  

HDCZA

7:00 (95)

16 (-2, 35)

Sleep period time (min)

PSG

n = 114

 

545 (92)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

573 (75)

28 (13, 43)

  

Sadeh 1

575 (61)

29 (15, 44)

  

Sadeh 2

658 (142)

113 (84, 142)

  

Cole-Kripke 1

566 (59)

20 (6, 35)

  

Cole-Kripke 2

579 (60)

34 (20, 47)

  

Cole-Kripke 3

788 (201)

243 (203, 283)

  

Tudor-Locke 1

734 (174)

189 (156, 222)

  

Tudor-Locke 2

732 (90)

187 (167, 207)

  

Tudor-Locke 3

647 (121)

102 (78, 126)

  

Tudor-Locke 4

666 (87)

121 (102, 140)

  

HDCZA

553 (104)

8 (-15, 31)

PSG

n = 119

 

546 (93)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

553 (66)

7 (-7, 21)

  

Sadeh 1

559 (66)

13 (-1, 26)

  

Sadeh 2

556 (151)

10 (-22, 42)

  

Cole-Kripke 1

548 (60)

1 (-12, 15)

  

Cole-Kripke 2

565 (66)

19 (6, 31)

  

Cole-Kripke 3

591 (137)

45 (17, 73)

  

Tudor-Locke 1

600 (136)

54 (27, 81)

  

Tudor-Locke 2

598 (67)

52 (36, 68)

  

Tudor-Locke 3

579 (145)

33 (2, 63)

  

Tudor-Locke 4

572 (66)

26 (10, 43)

  

HDCZA

567 (92)

21 (2, 40)

Total sleep time (min)

PSG

n = 114

 

518 (89)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

532 (73)

14 (-1, 29)

  

Sadeh 1

557 (59)

39 (25, 54)

  

Sadeh 2

623 (118)

105 (80, 130)

  

Cole-Kripke 1

527 (60)

9 (-6, 24)

  

Cole-Kripke 2

571 (59)

53 (39, 67)

  

Cole-Kripke 3

734 (158)

216 (183, 248)

  

Tudor-Locke 1

701 (148)

183 (154, 212)

  

Tudor-Locke 2

695 (86)

177 (157, 196)

  

Tudor-Locke 3

619 (109)

101 (78, 123)

  

Tudor-Locke 4

628 (81)

110 (92, 128)

  

HDCZA

495 (102)

-23 (-45, -2)

PSG

n = 119

 

519 (89)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

502 (61)

-16 (-30, -2)

  

Sadeh 1

496 (58)

-22 (-36, -9)

  

Sadeh 2

490 (105)

-29 (-53, -4)

  

Cole-Kripke 1

418 (55)

-101 (-117, -84)

  

Cole-Kripke 2

523 (61)

5 (-8, 18)

  

Cole-Kripke 3

540 (97)

21 (-1, 43)

  

Tudor-Locke 1

550 (96)

32 (11, 53)

  

Tudor-Locke 2

549 (60)

31 (15, 46)

  

Tudor-Locke 3

514 (102)

-5 (-28, 19)

  

Tudor-Locke 4

514 (60)

-5 (-20, 11)

  

HDCZA

486 (91)

-33 (-51, -15)

WASO (min)

PSG

n = 114

 

74 (126)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

41 (18)

-33 (-56, -9)

  

Sadeh 1

17 (17)

-56 (-79, -34)

  

Sadeh 2

35 (37)

-39 (-63, -15)

  

Cole-Kripke 1

39 (29)

-35 (-58, -13)

  

Cole-Kripke 2

8 (8)

-66 (-89, -43)

  

Cole-Kripke 3

55 (56)

-19 (-45, 7)

  

Tudor-Locke 1

34 (34)

-40 (-64, -16)

  

Tudor-Locke 2

37 (18)

-36 (-60, -13)

  

Tudor-Locke 3

29 (24)

-45 (-69, -22)

  

Tudor-Locke 4

38 (21)

-36 (-59, -13)

  

HDCZA

58 (47)

-16 (-42, 10)

PSG

n = 119

 

71 (120)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

51 (20)

-20 (-42, 2)

  

Sadeh 1

63 (31)

-8 (-30, 13)

  

Sadeh 2

66 (65)

-5 (-30, 20)

  

Cole-Kripke 1

130 (50)

58 (36, 81)

  

Cole-Kripke 2

42 (25)

-30 (-51, -8)

  

Cole-Kripke 3

51 (55)

-20 (-44, 4)

  

Tudor-Locke 1

50 (53)

-22 (-45, 2)

  

Tudor-Locke 2

49 (28)

-22 (-44, -1)

  

Tudor-Locke 3

65 (59)

-6 (-31, 18)

  

Tudor-Locke 4

58 (24)

-13 (-34, 8)

  

HDCZA

81 (60)

10 (-14, 35)

Sleep efficiencySPT (%)

PSG

n = 114

 

95.0 (4.1)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

92.8 (3.1)

-2.2 (-3.1, -1.4)

  

Sadeh 1

97.0 (2.8)

2.0 (1.2, 2.7)

  

Sadeh 2

95.1 (3.5)

0.0 (-0.8, 0.9)

  

Cole-Kripke 1

93.2 (5.0)

-1.8 (-2.8, -0.8)

  

Cole-Kripke 2

98.6 (1.4)

3.6 (2.9, 4.3)

  

Cole-Kripke 3

93.9 (4.6)

-1.1 (-2.2, -0.1)

  

Tudor-Locke 1

95.9 (2.6)

0.8 (0.0, 1.7)

  

Tudor-Locke 2

94.9 (2.4)

-0.1 (-1.0, 0.8)

  

Tudor-Locke 3

95.8 (2.8)

0.7 (-0.1, 1.6)

  

Tudor-Locke 4

94.4 (3.0)

-0.6 (-1.5, 0.3)

  

HDCZA

89.5 (8.6)

-5.5 (-7.2, -3.7)

PSG

n = 119

 

94.9 (4.1)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

90.8 (3.3)

-4.2 (-5.0, -3.4)

  

Sadeh 1

88.9 (5.1)

-6.0 (-7.0, -5.1)

  

Sadeh 2

88.8 (5.9)

-6.1 (-7.2, -5.0)

  

Cole-Kripke 1

76.6 (8.3)

-18.4 (-19.9, -16.8)

  

Cole-Kripke 2

92.7 (4.0)

-2.2 (-3.1, -1.3)

  

Cole-Kripke 3

92.0 (5.1)

-2.9 (-3.9, -1.9)

  

Tudor-Locke 1

92.4 (4.8)

-2.5 (-3.5, -1.6)

  

Tudor-Locke 2

91.9 (4.1)

-3.0 (-3.8, -2.1)

  

Tudor-Locke 3

89.6 (5.4)

-5.4 (-6.3, -4.4)

  

Tudor-Locke 4

89.9 (3.9)

-5.1 (-5.9, -4.3)

  

HDCZA

85.9 (10.3)

-9.1 (-11.1, -7.1)

Sleep efficiencyTIB (%)

PSG

n = 114

 

89.1 (12.5)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

91.6 (9.8)

2.5 (-0.1, 5.0)

  

Sadeh 1

95.9 (4.6)

6.8 (4.4, 9.2)

  

Sadeh 2

95.1 (3.5)

5.9 (3.6, 9.3)

  

Cole-Kripke 1

90.7 (6.4)

1.6 (-0.9, 4.1)

  

Cole-Kripke 2

98.2 (3.0)

9.1 (6.7, 11.4)

  

Cole-Kripke 3

93.9 (4.6)

4.8 (2.3, 7.2)

  

Tudor-Locke 1

95.9 (2.6)

6.7 (4.3, 9.2)

  

Tudor-Locke 2

94.9 (2.4)

5.8 (3.4, 8.2)

  

Tudor-Locke 3

95.8 (2.8)

6.6 (4.3, 9.0)

  

Tudor-Locke 4

94.4 (3.0)

5.3 (2.9, 7.7)

  

HDCZA

NA

NA

PSG

n = 119

 

89.2 (12.5)

 

Actigraph GT3x

Wrist (n = 119)

Count-scaled

86.5 (7.8)

-2.8 (-5.1, -0.4)

  

Sadeh 1

85.5 (7.4)

-3.7 (-6.0, -1.5)

  

Sadeh 2

88.8 (5.9)

-0.4 (-2.8, 2.0)

  

Cole-Kripke 1

72.2 (9.3)

-17.0 (-19.7, -14.3)

  

Cole-Kripke 2

90.0 (6.6)

0.8 (-1.3, 2.9)

  

Cole-Kripke 3

92.0 (5.1)

2.8 (0.4, 5.1)

  

Tudor-Locke 1

92.4 (4.8)

3.2 (0.8, 5.5)

  

Tudor-Locke 2

91.9 (4.1)

2.7 (0.4, 5.1)

  

Tudor-Locke 3

89.6 (5.4)

0.4 (-2.0, 2.7)

  

Tudor-Locke 4

89.9 (3.9)

0.6 (-1.6, 2.9)

  

HDCZA

NA

NA

Night wakings (frequency)

PSG

n = 114

 

25.8 (8.3)

Reference

Actigraph GT3x

Hip (n = 114)

Count-scaled

0.4 (0.6)

-25.4 (-27.0, -23.9)

  

Sadeh 1

0.2 (0.5)

-25.6 (-27.2, -24.1)

  

Sadeh 2

10.4 (6.7)

-15.5 (-17.2, -13.7)

  

Cole-Kripke 1

13.5 (7.8)

-12.3 (-14.0, -10.5)

  

Cole-Kripke 2

0.0 (0.2)

-25.8 (-27.3, -24.2)

  

Cole-Kripke 3

13.2 (8.1)

-12.6 (-14.7, -10.6)

  

Tudor-Locke 1

10.9 (7.0)

-14.9 (-16.7, -13.1)

  

Tudor-Locke 2

11.0 (4.5)

-14.8 (-16.4, -13.2)

  

Tudor-Locke 3

11.4 (7.7)

-14.4 (-16.1, -12.6)

  

Tudor-Locke 4

12.6 (7.0)

-13.2 (-14.9, -11.4)

  

HDCZA

17.1 (5.7)

-8.7 (-10.2, -7.2)

PSG

n = 119

 

26.3 (8.4)

Reference

Actigraph GT3x

Wrist (n = 119)

Count-scaled

0.7 (0.8)

-25.6 (-27.1, -24.1)

  

Sadeh 1

1.0 (1.1)

-25.3 (-26.7, -23.8)

  

Sadeh 2

20.4 (7.5)

-5.9 (-7.4, -4.3)

  

Cole-Kripke 1

25.1 (7.2)

-1.2 (-2.8, 0.4)

  

Cole-Kripke 2

0.3 (0.6)

-26.0 (-27.5, -24.5)

  

Cole-Kripke 3

17.9 (8.5)

-8.4 (-10.1, -6.7)

  

Tudor-Locke 1

19.2 (9.3)

-7.1 (-8.9, -5.4)

  

Tudor-Locke 2

20.1 (8.6)

-6.2 (-7.8, -4.6)

  

Tudor-Locke 3

24.7 (10.0)

-1.6 (-3.5, -0.2)

  

Tudor-Locke 4

25.1 (9.0)

-1.2 (-2.8, 0.4)

  

HDCZA

20.6 (6.2)

-5.7 (-7.1, -4.2)

  1. NA not available
  2. aBolded differences refer to those whether actigraphy was not significantly different (P > 0.05) to PSG, and thus provide a good estimate for that sleep measure