The Meaning of Sleep Quality: A Survey of Available Technologies

Sleep is an important part of the human daily routine. Restoring sleep is strongly related to a better physical, cognitive, and psychological well-being. By contrast, poor or disordered sleep leads to possible impairments of cognitive and psychological functioning and to a worsened general physical health. In this context, understanding changes in sleep quality becomes a research imperative that leads to the need for the definition of what restoring or quality sleep means. This understanding of what “sleep quality” means requires a cross-domain investigation. It arises the need for a comprehensive study that offers a complete taxonomy of sleep monitoring systems, with a focus on sleep quality, and that gives useful insights about which combination of metrics, signals, and sleep variables is the best in relation to different categories of users. The proposed study is focused on systematically categorizing the methods and approaches for sleep quality understanding, with an emphasis on technological approaches, including wearable, on-bed, and actigraphy devices. It offers a systematic review for researchers who are interested in sleep quality identification tasks, and highlights strengths and weaknesses of state-of-the-art metrics and solutions in order to suggest the best choice for new potential research challenges in the field. Another important outcome of the proposed work is the study of the impact on the identified signal metrics and solutions of the different target user populations with their specific user requirements.

[1]  E. Kahn,et al.  THE SLEEP CHARACTERISTICS OF THE NORMAL AGED MALE , 1969, The Journal of nervous and mental disease.

[2]  E. Wolpert A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. , 1969 .

[3]  W C Dement,et al.  Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. , 1976, The American journal of psychiatry.

[4]  D. White,et al.  Respiration during sleep in normal man. , 1982, Thorax.

[5]  D J Kupfer,et al.  Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study. , 1982, JAMA.

[6]  Daniel J Buysse,et al.  The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research , 1989, Psychiatry Research.

[7]  P. Hauri,et al.  Wrist actigraphy in insomnia. , 1992, Sleep.

[8]  T H Monk,et al.  The Pittsburgh Sleep Diary , 1994, Journal of sleep research.

[9]  M. Chambers,et al.  Actigraphy and insomnia: a closer look. Part 1. , 1994, Sleep.

[10]  H. Kamphuisen,et al.  Subjective sleep characteristics of 1,485 males and females aged 50-93: effects of sex and age, and factors related to self-evaluated quality of sleep. , 1996, The journals of gerontology. Series A, Biological sciences and medical sciences.

[11]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[12]  J. Pilcher,et al.  Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. , 1997, Journal of psychosomatic research.

[13]  C. Leonard,et al.  The effect of fatigue, sleep deprivation and onerous working hours on the physical and mental wellbeing of pre-registration house officers , 1998, Irish journal of medical science.

[14]  T. Paparrigopoulos,et al.  Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. , 2000, Journal of psychosomatic research.

[15]  S. Himanen,et al.  Limitations of Rechtschaffen and Kales. , 2000, Sleep medicine reviews.

[16]  B. Saletu,et al.  Sleep and quality of life in the Austrian population , 2000, Acta neurologica Scandinavica.

[17]  Julie C Price,et al.  Towards a neurobiology of dysfunctional arousal in depression: the relationship between beta EEG power and regional cerebral glucose metabolism during NREM sleep , 2000, Psychiatry Research: Neuroimaging.

[18]  Neville J. King,et al.  Wellbeing of mothers with children exhibiting sleep disturbance , 2001 .

[19]  D. Giles,et al.  Beta/Gamma EEG activity in patients with primary and secondary insomnia and good sleeper controls. , 2001, Sleep.

[20]  C. Guilleminault,et al.  Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients. , 2001, Sleep medicine.

[21]  K. Junghanns,et al.  Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. , 2002, Journal of psychosomatic research.

[22]  Gahan Fallone,et al.  Sleepiness in children and adolescents: clinical implications. , 2002, Sleep medicine reviews.

[23]  A. Krystal,et al.  NREM sleep EEG frequency spectral correlates of sleep complaints in primary insomnia subtypes. , 2002, Sleep.

[24]  Max Hirshkowitz,et al.  Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: an update for 2002. , 2003, Sleep.

[25]  A. Aubert,et al.  Heart Rate Variability in Athletes , 2003, Sports medicine.

[26]  C. Pollak,et al.  The role of actigraphy in the study of sleep and circadian rhythms. , 2003, Sleep.

[27]  M. Carskadon,et al.  Understanding adolescents' sleep patterns and school performance: a critical appraisal. , 2003, Sleep medicine reviews.

[28]  S. Ancoli-Israel,et al.  Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. , 2004, Journal of psychosomatic research.

[29]  Daming Wei,et al.  Real-Time Monitoring of Respiration Rhythm and Pulse Rate During Sleep , 2006, IEEE Transactions on Biomedical Engineering.

[30]  D. Kripke,et al.  Faculty Publications Physical Activity and Public Health Criterion Validity of the Pittsburgh Sleep Quality Index: Investigation in a Non-clinical Sample Publication Info Criterion Validity of the Pittsburgh Sleep Quality Index: Investigation in a Non-clinical Sample , 2022 .

[31]  U. Rajendra Acharya,et al.  Heart rate variability: a review , 2006, Medical and Biological Engineering and Computing.

[32]  Sonia Ancoli-Israel,et al.  Recommendations for a standard research assessment of insomnia. , 2006, Sleep.

[33]  M. Ferrara,et al.  Sleep loss, learning capacity and academic performance. , 2006, Sleep medicine reviews.

[34]  L. McCorry Physiology of the autonomic nervous system. , 2007, American journal of pharmaceutical education.

[35]  A. Chesson,et al.  The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology, and Techinical Specifications , 2007 .

[36]  E. V. van Someren,et al.  Improving actigraphic sleep estimates in insomnia and dementia: how many nights? , 2007, Journal of sleep research.

[37]  D. Schacter,et al.  The cognitive neuroscience of constructive memory: remembering the past and imagining the future , 2007, Philosophical Transactions of the Royal Society B: Biological Sciences.

[38]  A. Chesson,et al.  Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. , 2007, Sleep.

[39]  Michael Gradisar,et al.  Intensive Sleep Retraining treatment for chronic primary insomnia: a preliminary investigation , 2007, Journal of sleep research.

[40]  Sonia Ancoli-Israel,et al.  Sleep in the elderly: normal variations and common sleep disorders. , 2008, Harvard review of psychiatry.

[41]  A. Harvey,et al.  The subjective meaning of sleep quality: a comparison of individuals with and without insomnia. , 2008, Sleep.

[42]  A. Krystal,et al.  Measuring sleep quality. , 2008, Sleep medicine.

[43]  Wei Wang,et al.  Comparison of subjective and objective assessments of sleep in healthy older subjects without sleep complaints , 2009, Journal of sleep research.

[44]  S. Kuna,et al.  Essentials of Polysomnography: A Training Guide and Reference for Sleep Technicians , 2009 .

[45]  Maria Pia Villa,et al.  Visual scoring of sleep: A comparison between the Rechtschaffen and Kales criteria and the American Academy of Sleep Medicine criteria in a pediatric population with obstructive sleep apnea syndrome , 2010, Clinical Neurophysiology.

[46]  F. Oort,et al.  Chronic sleep reduction in adolescents , 2012 .

[47]  Matteo Matteucci,et al.  Sleep Staging Based on Signals Acquired Through Bed Sensor , 2010, IEEE Transactions on Information Technology in Biomedicine.

[48]  A. Sadeh The role and validity of actigraphy in sleep medicine: an update. , 2011, Sleep medicine reviews.

[49]  Roumen Kirov,et al.  Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions , 2011, International journal of general medicine.

[50]  David Gozal,et al.  Sleep assessments in healthy school‐aged children using actigraphy: concordance with polysomnography , 2011, Journal of sleep research.

[51]  R. Giallo,et al.  Fatigue, wellbeing and parenting in mothers of infants and toddlers with sleep problems , 2011 .

[52]  Daniel J Buysse,et al.  The consensus sleep diary: standardizing prospective sleep self-monitoring. , 2012, Sleep.

[53]  J. Lekkala,et al.  Film-Type Sensor Materials PVDF and EMFi in Measurement of Cardiorespiratory Signals— A Review , 2012, IEEE Sensors Journal.

[54]  Diane Sorenson,et al.  Polysomnographic evaluation of sleep quality and quantitative variables in women as a function of mood, reproductive status, and age , 2012, Dialogues in clinical neuroscience.

[55]  Jodie Harris,et al.  A randomized controlled trial of intensive sleep retraining (ISR): a brief conditioning treatment for chronic insomnia. , 2012, Sleep.

[56]  Roman Rosipal,et al.  In search of objective components for sleep quality indexing in normal sleep☆ , 2013, Biological Psychology.

[57]  T Penzel,et al.  A review of signals used in sleep analysis , 2014, Physiological measurement.

[58]  Wan-Hua Lin,et al.  Comparison of Heart Rate Variability from PPG with That from ECG , 2014 .

[59]  Teresa Liu-Ambrose,et al.  Buying time: a rationale for examining the use of circadian rhythm and sleep interventions to delay progression of mild cognitive impairment to Alzheimer’s disease , 2014, Front. Aging Neurosci..

[60]  Shu Chen Yang,et al.  Validation of Actiwatch for Assessment of Sleep-wake States in Preterm Infants , 2014 .

[61]  J. Best,et al.  Measuring sleep quality in older adults: a comparison using subjective and objective methods , 2015, Front. Aging Neurosci..

[62]  Steffen Leonhardt,et al.  Improvement of Force-Sensor-Based Heart Rate Estimation Using Multichannel Data Fusion , 2015, IEEE Journal of Biomedical and Health Informatics.

[63]  Laure Peter-Derex,et al.  Sleep and Alzheimer's disease. , 2015, Sleep medicine reviews.

[64]  Kouhyar Tavakolian,et al.  Ballistocardiography and Seismocardiography: A Review of Recent Advances , 2015, IEEE Journal of Biomedical and Health Informatics.

[65]  Balaji Goparaju,et al.  Consumer sleep monitors: is there a baby in the bathwater? , 2015, Nature and science of sleep.

[66]  Massimiliano de Zambotti,et al.  Evaluation of a consumer fitness-tracking device to assess sleep in adults , 2015, Chronobiology international.

[67]  C. Sargent,et al.  Sleep/wake behaviours of elite athletes from individual and team sports , 2015, European journal of sport science.

[68]  Job G. Godino,et al.  Measures of sleep and cardiac functioning during sleep using a multi-sensory commercially-available wristband in adolescents , 2016, Physiology & Behavior.

[69]  Vivek Jain,et al.  Respiratory rate variability in sleeping adults without obstructive sleep apnea , 2016, Physiological reports.

[70]  Hyun-Sung An,et al.  How accurate are the wrist-based heart rate monitors during walking and running activities? Are they accurate enough? , 2016, BMJ Open Sport & Exercise Medicine.

[71]  T Y Abay,et al.  Comparison of NIRS, laser Doppler flowmetry, photoplethysmography, and pulse oximetry during vascular occlusion challenges. , 2016, Physiological measurement.

[72]  Andrew Krystal,et al.  National Sleep Foundation's sleep quality recommendations: first report☆ , 2017, Sleep health.

[73]  Hiroaki Toyama,et al.  Influences of environmental noise level and respiration rate on the accuracy of acoustic respiration rate monitoring , 2018, Journal of Clinical Monitoring and Computing.

[74]  I. Colrain,et al.  The Sleep of the Ring: Comparison of the ŌURA Sleep Tracker Against Polysomnography , 2019, Behavioral sleep medicine.

[75]  Jennifer A. Haythornthwaite,et al.  1071 AMOUNT OF SLOW WAVE SLEEP IS ASSOCIATED WITH THE DISCREPANCIES BETWEEN OBJECTIVE AND SUBJECTIVE SLEEP MEASURES , 2017 .

[76]  Kathrin U. Müller,et al.  Sleep habits, academic performance, and the adolescent brain structure , 2017, Scientific Reports.

[77]  Omar Cauli,et al.  A survey on sleep assessment methods , 2018, PeerJ.

[78]  John P. Sullivan,et al.  A Critical Review of Consumer Wearables, Mobile Applications, and Equipment for Providing Biofeedback, Monitoring Stress, and Sleep in Physically Active Populations , 2018, Front. Physiol..

[79]  Georges Kaddoum,et al.  Unobtrusive Sleep Monitoring Using Cardiac, Breathing and Movements Activities: An Exhaustive Review , 2018, IEEE Access.