Commercially-available wearable provides valid estimate of sleep stages (P3.6-042)

Objective: The purpose of this study was to determine accuracy of a commercially available device to estimate sleep stages. Background: Although many wearables purport to accurately distinguish between light and deep sleep, little information on the validity of using wearables in this manner is available. Design/Methods: Overnight recordings were made on 55 individuals wearing a Garmin wearable device (vivosmart 3) on the nondominant wrist. EEG data was simultaneously collected using a take home device (Sleep Profiler) that recorded three channel EEG for sleep staging. EEG data was scored by a Registered Polysomnographic Technologist using AASM guidelines. An automated algorithm to distinguish sleep stages (wake, light (N1 and N2), deep, and REM was developed using a neural network approach. Results: Of the 55 participants, 31% (17) were female and 69% were (38) male. (Age 35.5 +/− 8.7 years old; BMI 26.3 +/− 6.4) Per epoch accuracy of 69.7% was achieved, with a Cohen’s kappa of 0.54 +/− 0.12. A sleep sensitivity of 95.8% and a wake specificity of 73.4% was obtained. Conclusions: This study demonstrates that a wearable device employing optical PPG and accelerometry signals is a valid method to estimate sleep stages in a cohort of young adults. Disclosure: Dr. Stevens has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Jazz Pharmaceuticals and Inspire. Dr. Stevens has received research support from Garmin. Dr. Siengsukon has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Evidence in Motion and PT Management Support Systems.