Actigraphy-Based Sleep/Wake Detection for Insomniacs

Xi Long1, Pedro Fonseca, Reinder Haakma, Ronald M. Aarts

  • 1Eindhoven University of Technology and Philips Research



Contributed Papers (Oral)


09:00 - 10:00 | Wed 10 May | Einstein Auditorium | WeAT1

Technical Session 1 – Monitoring Activity and Attention

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This paper presents an actigraphy-based approach for sleep/wake detection for insomniacs. Due to its relative unobtrusiveness, actigraphy is often used to estimate overnight sleep-wake patterns in clinical practice. However, its performance has been shown to be limited in subjects with sleep complaints such as insomniacs. Quantifying activity counts on 30-s epoch basis, as usually done in regular actigraphy, may lead to an underestimation of wake periods where the subject shows reduced body movements. We therefore propose a new actigraphic feature to characterize the "possibility" of epochs being asleep (or awake) before or after its nearest epoch with a very high activity levels. It is expected to correctly identify some wake epochs when they are very close to the high activity epochs, although they can be motionless. A data set containing 25 insomnia subjects and a linear discriminant classifier were used to test our approach in this study. Leave-one-subject-out cross validation results show that combining the new and the traditional actigraphic features led to a markedly improved performance in sleep/wake detection compared to that using the traditional feature only, with an increase in Cohen’s kappa from 0.49 to 0.55.

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