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Table 5 Comparison of PSG and Axivity 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)

Mean difference (95% CI) from PSGa

Sleep onset (hh:mm)

PSG

(n = 116)

 

21:41 (58)

Reference

Axivity

Thigh (n = 116)

Count-scaled

21:28 (63)

-14 (-22, -5)

  

Sadeh 1

21:34 (62)

-8 (-14, -1)

  

Sadeh 2

20:57 (102)

-44 (-62, -27)

  

Cole-Kripke 1

21:31 (52)

-10 (-15, -5)

  

Cole-Kripke 2

21:23 (54)

-18 (-22, -14)

  

Cole-Kripke 3

20:17 (115)

-84 (-104, -64)

  

Tudor-Locke 1

20:40 (100)

-61 (-78, -45)

  

Tudor-Locke 2

20:15 (59)

-86 (-99, -73)

  

Tudor-Locke 3

21:07 (100)

-34 (-51, -17)

  

Tudor-Locke 4

20:50 (62)

-52 (-62, -42)

  

Van Hees

21:09 (101)

-33 (-48, -18)

PSG

n = 115

 

21:43 (58)

Reference

Axivity

Back (n = 115)

Count-scaled

21:22 (54)

-20 (-28, -13)

  

Sadeh 1

21:28 (58)

-15 (-20, -9)

  

Sadeh 2

20:29 (104)

-73 (-92, -55)

  

Cole-Kripke 1

21:28 (52)

-15 (-19, -10)

  

Cole-Kripke 2

21:25 (56)

-18 (-22, -13)

  

Cole-Kripke 3

19:19 (142)

-144 (-172, -116)

  

Tudor-Locke 1

19:51 (136)

-112 (-137, -86)

  

Tudor-Locke 2

19:52 (59)

-111 (-125, -97)

  

Tudor-Locke 3

20:45 (102)

-57 (-75, -40)

  

Tudor-Locke 4

20:21 (67)

-79 (-91, -67)

  

Van Hees

21:26 (101)

-21 (-37, -5)

PSG

n = 125

 

21:39 (57)

Reference

Axivity

Wrist (n = 125)

Count-scaled

21:32 (63)

-6 (-14, 2)

  

Sadeh 1

21:40 (65)

2 (-6, 10)

  

Sadeh 2

21:13 (96)

-25 (-39, -10)

  

Cole-Kripke 1

21:39 (61)

1 (-5, 7)

  

Cole-Kripke 2

21:30 (56)

-9 (-14, -3)

  

Cole-Kripke 3

20:56 (94)

-43 (-57, -28)

  

Tudor-Locke 1

21:05 (95)

-34 (-48, -20)

  

Tudor-Locke 2

20:54 (60)

-44 (-53, -35)

  

Tudor-Locke 3

21:30 (100)

-9 (-24, 6)

  

Tudor-Locke 4

21:12 (66)

-27 (-34, -20)

  

Van Hees

21:01 (113)

-38 (-54, -21)

Sleep offset (hh:mm)

PSG

n = 116

 

6:40 (92)

Reference

Axivity

Thigh (n = 116)

Count-scaled

6:42 (65)

2 (-12, 17)

  

Sadeh 1

6:44 (59)

5 (-9, 18)

  

Sadeh 2

6:58 (98)

18 (-4, 40)

  

Cole-Kripke 1

6:40 (65)

0 (-14, 14)

  

Cole-Kripke 2

6:49 (57)

9 (-4, 23)

  

Cole-Kripke 3

7:26 (98)

47 (23, 70)

  

Tudor-Locke 1

7:14 (99)

35 (12, 57)

  

Tudor-Locke 2

7:12 (87)

32 (11, 53)

  

Tudor-Locke 3

6:54 (98)

14 (-8, 36)

  

Tudor-Locke 4

6:45 (73)

6 (-13, 24)

  

Van Hees

6:35 (120)

-4 (-29, 21)

PSG

n = 115

 

6:42 (95)

Reference

Axivity

Back (n = 115)

Count-scaled

6:47 (69)

5 (-10, 20)

  

Sadeh 1

6:49 (61)

7 (-7, 21)

  

Sadeh 2

7:34 (107)

52 (28, 76)

  

Cole-Kripke 1

6:49 (62)

8 (-6, 22)

  

Cole-Kripke 2

6:55 (61)

14 (0, 27)

  

Cole-Kripke 3

8:01 (128)

79 (51, 106)

  

Tudor-Locke 1

7:57 (106)

75 (51, 99)

  

Tudor-Locke 2

7:41 (93)

59 (38, 80)

  

Tudor-Locke 3

7:22 (107)

41 (17, 64)

  

Tudor-Locke 4

7:11 (88)

29 (9, 49)

  

Van Hees

6:34 (108)

-8 (-32, 17)

PSG

n = 125

 

6:40 (92)

Reference

Axivity

Wrist (n = 125)

Count-scaled

6:35 (70)

-5 (-19, 10)

  

Sadeh 1

6:39 (62)

-1 (-15, 12)

  

Sadeh 2

6:22 (103)

-18 (-39, 4)

  

Cole-Kripke 1

6:31 (73)

-9 (-23, 6)

  

Cole-Kripke 2

6:41 (61)

1 (-12, 15)

  

Cole-Kripke 3

6:47 (97)

7 (-14, 28)

  

Tudor-Locke 1

6:40 (96)

0 (-21, 21)

  

Tudor-Locke 2

6:31 (71)

-9 (-24, 7)

  

Tudor-Locke 3

6:07 (116)

-33 (-57, -9)

  

Tudor-Locke 4

6:19 (73)

-21 (-39, -4)

  

Van Hees

6:21 (143)

-19 (-47, 8)

Sleep period time (min)

PSG

n = 116

 

538 (95)

Reference

Axivity

Thigh (n = 116)

Count-scaled

555 (78)

16 (-1, 33)

  

Sadeh 1

550 (69)

12 (-2, 26)

  

Sadeh 2

602 (130)

64 (34, 93)

  

Cole-Kripke 1

549 (69)

10 (-4, 25)

  

Cole-Kripke 2

566 (63)

27 (13, 41)

  

Cole-Kripke 3

670 (139)

132 (100, 163)

  

Tudor-Locke 1

657 (115)

97 (70, 124)

  

Tudor-Locke 2

658 (107)

119 (95, 144)

  

Tudor-Locke 3

588 (128)

49 (20, 78)

  

Tudor-Locke 4

597 (88)

58 (37, 79)

  

Van Hees

567 (86)

28 (8, 49)

PSG

n = 115

 

539 (97)

Reference

Axivity

Back (n = 115)

Count-scaled

564 (77)

25 (10, 41)

  

Sadeh 1

561 (68)

22 (7, 37)

  

Sadeh 2

665 (153)

126 (93, 160)

  

Cole-Kripke 1

562 (67)

23 (8, 37)

  

Cole-Kripke 2

570 (63)

31 (18, 45)

  

Cole-Kripke 3

763 (187)

224 (185, 263)

  

Tudor-Locke 1

727 (172)

188 (150, 225)

  

Tudor-Locke 2

710 (117)

171 (146, 196)

  

Tudor-Locke 3

638 (146)

99 (67, 131)

  

Tudor-Locke 4

648 (109)

109 (87, 132)

  

Van Hees

553 (90)

14 (-8, 35)

PSG

n = 125

 

541 (95)

Reference

Axivity

Wrist (n = 125)

Count-scaled

543 (81)

1 (-13, 16)

  

Sadeh 1

538 (78)

-3 (-18, 12)

  

Sadeh 2

549 (113)

8 (-16, 32)

  

Cole-Kripke 1

532 (72)

-10 (-24, 5)

  

Cole-Kripke 2

551 (71)

10 (-3, 23)

  

Cole-Kripke 3

592 (109)

51 (27, 74)

  

Tudor-Locke 1

576 (104)

35 (12, 58)

  

Tudor-Locke 2

578 (74)

37 (20, 53)

  

Tudor-Locke 3

519 (122)

-23 (-49, 4)

  

Tudor-Locke 4

548 (72)

7 (-10, 24)

  

Van Hees

560 (95)

18 (-2, 39)

Total sleep time (mins)

PSG

n = 116

 

511 (93)

Reference

Axivity

Thigh (n = 116)

Count-scaled

507 (76)

-4 (-21, 13)

  

Sadeh 1

518 (72)

7 (-9, 23)

  

Sadeh 2

564 (105)

53 (28, 78)

  

Cole-Kripke 1

480 (71)

-31 (-48, -14)

  

Cole-Kripke 2

545 (65)

36 (21, 51)

  

Cole-Kripke 3

633 (116)

122 (95, 149)

  

Tudor-Locke 1

610 (103)

99 (75, 124)

  

Tudor-Locke 2

619 (100)

109 (86, 132)

  

Tudor-Locke 3

554 (104)

43 (18, 68)

  

Tudor-Locke 4

556 (83)

45 (25, 66)

  

Van Hees

498 (72)

-12 (-30, 6)

PSG

n = 115

 

511 (94)

Reference

Axivity

Back (n = 115)

Count-scaled

533 (76)

22 (6, 37)

  

Sadeh 1

546 (69)

35 (20, 50)

  

Sadeh 2

634 (129)

123 (94, 151)

  

Cole-Kripke 1

529 (68)

18 (2, 33)

  

Cole-Kripke 2

560 (64)

49 (35, 63)

  

Cole-Kripke 3

716 (160)

205 (171, 239)

  

Tudor-Locke 1

693 (149)

182 (149, 215)

  

Tudor-Locke 2

675 (112)

164 (140, 189)

  

Tudor-Locke 3

614 (126)

103 (75, 132)

  

Tudor-Locke 4

618 (101)

107 (85, 129)

  

Van Hees

498 (80)

-13 (-31, 6)

PSG

n = 125

 

514 (92)

Reference

Axivity

Wrist (n = 125)

Count-scaled

491 (80)

-22 (-38, -6)

  

Sadeh 1

472 (77)

-41 (-58, -25)

  

Sadeh 2

491 (100)

-22 (-44, 0)

  

Cole-Kripke 1

404 (66)

-110 (-127, -92)

  

Cole-Kripke 2

506 (73)

-8 (-23, 7)

  

Cole-Kripke 3

547 (97)

33 (11, 55)

  

Tudor-Locke 1

535 (93)

21 (0, 43)

  

Tudor-Locke 2

531 (72)

17 (1, 33)

  

Tudor-Locke 3

691 (111)

-45 (-70, -20)

  

Tudor-Locke 4

489 (70)

-24 (-41, -7)

  

Van Hees

492 (78)

-22 (-39, -5)

WASO (min)

PSG

n = 116

 

74 (125)

Reference

Axivity

Thigh (n = 116)

Count-scaled

48 (22)

-26 (-49, -3)

  

Sadeh 1

33 (29)

-41 (-65, -18)

  

Sadeh 2

38 (40)

-36 (-59, -13)

  

Cole-Kripke 1

69 (46)

-6 (-29, 18)

  

Cole-Kripke 2

19 (22)

-55 (-78, -32)

  

Cole-Kripke 3

37 (37)

-37 (-60, -13)

  

Tudor-Locke 1

26 (22)

-49 (-71, -26)

  

Tudor-Locke 2

38 (21)

-36 (-59, -13)

  

Tudor-Locke 3

34 (40)

-40 (-64, -17)

  

Tudor-Locke 4

41 (25)

-33 (-56, -11)

  

Van Hees

69 (37)

-5 (-29, 18)

PSG

n = 115

 

76 (126)

Reference

Axivity

Back (n = 115)

Count-scaled

32 (16)

-45 (-68, -21)

  

Sadeh 1

15 (18)

-62 (-84, -39)

  

Sadeh 2

32 (41)

-44 (-69, -20)

  

Cole-Kripke 1

33 (32)

-44 (-67, -21)

  

Cole-Kripke 2

10 (13)

-66 (-90, -43)

  

Cole-Kripke 3

47 (48)

-30 (-55, -4)

  

Tudor-Locke 1

33 (38)

-43 (-68, -18)

  

Tudor-Locke 2

35 (20)

-42 (-65, -18)

  

Tudor-Locke 3

24 (31)

-31 (-76, -30)

  

Tudor-Locke 4

30 (20)

-46 (-70, -23)

  

Van Hees

54 (27)

-22 (-46, 2)

PSG

n = 125

 

71 (119)

Reference

Axivity

Wrist (n = 125)

Count-scaled

51 (28)

-19 (-41, 2)

  

Sadeh 1

66 (43)

-5 (-26, 17)

  

Sadeh 2

58 (29)

-13 (-34, 9)

  

Cole-Kripke 1

128 (48)

57 (36, 79)

  

Cole-Kripke 2

46 (39)

-25 (-46, -3)

  

Cole-Kripke 3

45 (26)

-25 (-46, -4)

  

Tudor-Locke 1

42 (26)

-29 (-50, -8)

  

Tudor-Locke 2

47 (24)

-23 (-44, -3)

  

Tudor-Locke 3

50 (24)

-20 (-42, 1)

  

Tudor-Locke 4

59 (25)

-12 (-32, 8)

  

Van Hees

68 (39)

-3 (-24, 19)

Sleep efficiencySPT (%)

PSG

n = 116

 

94.8 (4.3)

Reference

Axivity

Thigh (n = 116)

Count-scaled

91.3 (3.8)

-3.5 (-4.4, -2.6)

  

Sadeh 1

94.0 (5.6)

-0.8 (-2.0, 0.5)

  

Sadeh 2

94.0 (4.1)

-0.8 (-1.8, 0.2)

  

Cole-Kripke 1

87.6 (7.8)

-7.2 (-8.7, -5.7)

  

Cole-Kripke 2

96.7 (3.9)

1.9 (0.9, 2.9)

  

Cole-Kripke 3

94.8 (4.0)

0.0 (-1.0, 1.0)

  

Tudor-Locke 1

96.2 (2.7)

1.4 (0.5, 2.3)

  

Tudor-Locke 2

94.3 (3.1)

-0.6 (-1.4, 0.3)

  

Tudor-Locke 3

94.6 (4.1)

-0.2 (-1.2, 0.7)

  

Tudor-Locke 4

93.2 (4.1)

-1.6 (-2.5, -0.6)

  

Van Hees

88.2 (5.1)

-6.6 (-7.7, -5.6)

PSG

n = 115

 

94.8 (4.3)

Reference

Axivity

Back (n = 115)

Count-scaled

94.3 (2.9)

-0.5 (-1.3, 0.4)

  

Sadeh 1

97.3 (3.2)

2.6 (1.7, 3.4)

  

Sadeh 2

95.6 (4.2)

0.9 (-0.1, 1.8)

  

Cole-Kripke 1

94.3 (5.5)

-0.5 (-1.7, 0.6)

  

Cole-Kripke 2

98.2 (2.2)

3.5 (2.6, 4.3)

  

Cole-Kripke 3

94.4 (4.6)

-0.4 (-1.4, 0.6)

  

Tudor-Locke 1

95.8 (3.7)

1.1 (0.1, 2.0)

  

Tudor-Locke 2

95.1 (2.7)

0.3 (-0.5, 1.2)

  

Tudor-Locke 3

96.6 (3.1)

1.9 (1.0, 2.7)

  

Tudor-Locke 4

95.5 (2.9)

0.7 (-0.2, 1.5)

  

Van Hees

90.3 (4.3)

-4.5 (-5.5, -3.5)

PSG

n = 125

 

94.8 (4.2)

Reference

Axivity

Wrist (n = 125)

Count-scaled

90.5 (5.5)

-4.3 (-5.4, -3.2)

  

Sadeh 1

87.8 (8.0)

-7.0 (-8.5, -5.5)

  

Sadeh 2

89.5 (4.3)

-5.3 (-6.2, -4.4)

  

Cole-Kripke 1

76.1 (8.3)

-18.8 (-20.3, -17.2)

  

Cole-Kripke 2

91.8 (7.3)

-3.1 (-4.5, -1.6)

  

Cole-Kripke 3

92.5 (3.6)

-2.4 (-3.2, -1.5)

  

Tudor-Locke 1

92.9 (3.6)

-1.9 (-2.7, -1.0)

  

Tudor-Locke 2

91.8 (4.0)

-3.0 (-3.9, -2.1)

  

Tudor-Locke 3

90.3 (3.9)

-4.5 (-5.3, -3.7)

  

Tudor-Locke 4

89.3 (4.5)

-5.6 (-6.5, -4.6)

  

Van Hees

88.1 (5.2)

-6.7 (-7.7, -5.7)

Sleep efficiencyTIB (%)

PSG

n = 116

 

88.8 (9.6)

 

Axivity

Thigh (n = 116)

Count-scaled

88.2 (9.6)

-0.5 (-3.4, 2.3)

  

Sadeh 1

90.1 (8.7)

1.4 (-1.3, 4.0)

  

Sadeh 2

94.0 (4.1)

5.3 (2.9, 7.6)

  

Cole-Kripke 1

83.6 (9.3)

-5.2 (-8.0, -2.4)

  

Cole-Kripke 2

95.1 (5.2)

6.4 (3.9, 8.9)

  

Cole-Kripke 3

94.8 (4.0)

6.1 (3.7, 8.4)

  

Tudor-Locke 1

96.2 (2.7)

7.4 (5.1, 9.8)

  

Tudor-Locke 2

94.3 (3.1)

5.5 (3.1, 7.9)

  

Tudor-Locke 3

94.6 (4.1)

5.8 (3.5, 8.2)

  

Tudor-Locke 4

93.2 (4.1)

4.5 (2.1, 6.8)

  

Van Hees

NA

NA

PSG

n = 115

 

88.8 (12.7)

 

Axivity

Back (n = 115)

Count-scaled

92.7 (9.1)

3.9 (1.3, 6.5)

  

Sadeh 1

95.0 (6.5)

6.2 (3.5, 8.8)

  

Sadeh 2

95.6 (4.2)

6.9 (4.5, 9.2)

  

Cole-Kripke 1

92.0 (6.5)

3.2 (0.6, 5.8)

  

Cole-Kripke 2

97.5 (4.2)

8.7 (6.3, 11.1)

  

Cole-Kripke 3

94.3 (4.6)

5.6 (3.1, 8.1)

  

Tudor-Locke 1

95.8 (3.7)

7.1 (4.7, 9.4)

  

Tudor-Locke 2

95.1 (2.7)

6.3 (3.9, 8.8)

  

Tudor-Locke 3

96.6 (3.1)

7.9 (5.5, 10.2)

  

Tudor-Locke 4

95.5 (2.9)

6.7 (4.3, 9.1)

  

Van Hees

NA

NA

PSG

n = 125

 

88.8 (12.4)

 

Axivity

Wrist (n = 125)

Count-scaled

85.0 (10.2)

-3.9 (-6.5, -1.2)

  

Sadeh 1

81.7 (10.5)

-7.1 (-9.9, -4.3)

  

Sadeh 2

89.5 (4.3)

0.7 (-1.6, 2.9)

  

Cole-Kripke 1

70.1 (10.4)

-18.7 (-21.5, -15.9)

  

Cole-Kripke 2

87.5 (9.1)

-1.3 (-3.9, 1.3)

  

Cole-Kripke 3

92.5 (3.6)

3.6 (1.4, 5.9)

  

Tudor-Locke 1

92.9 (3.6)

4.1 (1.9, 6.3)

  

Tudor-Locke 2

91.8 (4.0)

3.0 (0.8, 5.2)

  

Tudor-Locke 3

90.3 (3.9)

1.5 (-0.7, 3.7)

  

Tudor-Locke 4

89.3 (4.5)

0.4 (-1.8, 2.7)

  

Van Hees

NA

NA

Night wakings (frequency)

PSG

n = 116

 

26.0 (8.3)

Reference

Axivity

Thigh (n = 116)

Count-scaled

0.6 (0.9)

-25.4 (-26.9, -23.9)

  

Sadeh 1

0.3 (0.6)

-25.7 (-27.2, -24.2)

  

Sadeh 2

14.0 (7.9)

-12.0 (-13.9, -10.1)

  

Cole-Kripke 1

20.0 (8.1)

-6.0 (-7.8, -4.2)

  

Cole-Kripke 2

0.2 (0.5)

-25.9 (-27.4, -24.4)

  

Cole-Kripke 3

11.1 (7.6)

-15.0 (-16.9, -13.0)

  

Tudor-Locke 1

9.3 (6.4)

-16.7 (-18.5, -14.9)

  

Tudor-Locke 2

10.9 (6.1)

-15.1 (-16.8, -13.4)

  

Tudor-Locke 3

13.3 (7.8)

-12.7 (-14.6, -10.8)

  

Tudor-Locke 4

14.3 (7.4)

-11.7 (-13.4, -10.0)

  

Van Hees

19.1 (4.9)

-6.9 (-8.4, -5.5)

PSG

n = 115

 

26.1 (8.4)

Reference

Axivity

Back (n = 115)

Count-scaled

0.2 (0.5)

-25.9 (-27.4, -24.3)

  

Sadeh 1

0.1 (0.3)

-26.0 (-27.6, 24.5)

  

Sadeh 2

8.4 (5.6)

-17.7 (-19.3, -16.1)

  

Cole-Kripke 1

10.6 (6.5)

-15.5 (-17.1, -14.0)

  

Cole-Kripke 2

0.1 (0.3)

-26.1 (-27.6, -24.5)

  

Cole-Kripke 3

10.6 (6.5)

-15.5 (-17.6, -13.4)

  

Tudor-Locke 1

8.8 (5.7)

-17.3 (-19.3, -15.3)

  

Tudor-Locke 2

8.8 (4.2)

-17.3 (-19.0, -15.6)

  

Tudor-Locke 3

7.4 (5.2)

-18.7 (-20.4, -17.1)

  

Tudor-Locke 4

8.4 (5.0)

-17.7 (-19.3, -16.2)

  

Van Hees

17.5 (4.8)

-8.7 (-10.2, -7.2)

PSG

n = 125

 

26.0 (8.1)

Reference

Axivity

Wrist (n = 125)

Count-scaled

0.6 (0.8)

-25.4 (-26.8, -24.0)

  

Sadeh 1

0.9 (0.9)

-25.1 (-26.5, -23.7)

  

Sadeh 2

20.4 (6.9)

-5.6 (-7.1, -4.1)

  

Cole-Kripke 1

24.8 (7.2)

-1.2 (-2.8, 0.5)

  

Cole-Kripke 2

0.3 (0.6)

-25.7 (-27.1, -24.3)

  

Cole-Kripke 3

17.7 (7.1)

-8.3 (-9.8, -6.8)

  

Tudor-Locke 1

17.0 (7.2)

-9.0 (-10.5, -7.5)

  

Tudor-Locke 2

18.1 (7.4)

-7.9 (-9.4, -6.4)

  

Tudor-Locke 3

18.7 (6.5)

-7.3 (-8.8, -5.7)

  

Tudor-Locke 4

20.8 (6.9)

-5.3 (-6.7, -3.8)

  

Van Hees

19.8 (5.5)

-6.2 (-7.6, -4.9)

  1. 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