Clinical Applications of Mobile Health Wearable–Based Sleep Monitoring: Systematic Review
Background
Sleep disorders are a major public health issue. Nearly 1 in 2 people experience sleep disturbances during their lifetime, with a potential harmful impact on well-being and physical and mental health.
Objective
The aim of this study was to better understand the clinical applications of wearable-based sleep monitoring; therefore, we conducted a review of the literature, including feasibility studies and clinical trials on this topic.
Methods
We searched PubMed, PsycINFO, ScienceDirect, the Cochrane Library, Scopus, and the Web of Science through June 2019. We created the list of keywords based on 2 domains: wearables and sleep. The primary selection criterion was the reporting of clinical trials using wearable devices for sleep recording in adults.
Results
The initial search identified 645 articles; 19 articles meeting the inclusion criteria were included in the final analysis. In all, 4 categories of the selected articles appeared. Of the 19 studies in this review, 58 % (11/19) were comparison studies with the gold standard, 21% (4/19) were feasibility studies, 15% (3/19) were population comparison studies, and 5% (1/19) assessed the impact of sleep disorders in the clinic. The samples were heterogeneous in size, ranging from 1 to 15,839 patients. Our review shows that mobile-health (mHealth) wearable–based sleep monitoring is feasible. However, we identified some major limitations to the reliability of wearable-based monitoring methods compared with polysomnography.
Conclusions
This review showed that wearables provide acceptable sleep monitoring but with poor reliability. However, wearable mHealth devices appear to be promising tools for ecological monitoring.
Top-30
Journals
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JMIR mHealth and uHealth
8 publications, 6.61%
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JMIR Formative Research
6 publications, 4.96%
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Journal of Medical Internet Research
5 publications, 4.13%
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Sensors
3 publications, 2.48%
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JMIR Medical Informatics
2 publications, 1.65%
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JMIR Mental Health
2 publications, 1.65%
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Digital Biomarkers
2 publications, 1.65%
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Electronics (Switzerland)
2 publications, 1.65%
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Biosensors
2 publications, 1.65%
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Sleep
2 publications, 1.65%
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Nature and Science of Sleep
2 publications, 1.65%
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Proceedings of the National Academy of Sciences of the United States of America
2 publications, 1.65%
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American Journal of Respiratory and Critical Care Medicine
1 publication, 0.83%
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ERJ Open Research
1 publication, 0.83%
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Journal of Neuromuscular Diseases
1 publication, 0.83%
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Micromachines
1 publication, 0.83%
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International Journal of Environmental Research and Public Health
1 publication, 0.83%
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Nanomaterials
1 publication, 0.83%
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Frontiers in Public Health
1 publication, 0.83%
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Frontiers in Systems Biology
1 publication, 0.83%
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Diabetologia
1 publication, 0.83%
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Brain Research
1 publication, 0.83%
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Arabian Journal for Science and Engineering
1 publication, 0.83%
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Journal of Medical Systems
1 publication, 0.83%
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Eye
1 publication, 0.83%
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Sensors and Actuators, A: Physical
1 publication, 0.83%
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Journal of Biomedical Informatics
1 publication, 0.83%
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Applied Ontology
1 publication, 0.83%
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iScience
1 publication, 0.83%
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Publishers
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JMIR Publications
32 publications, 26.45%
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MDPI
15 publications, 12.4%
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Springer Nature
13 publications, 10.74%
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Elsevier
12 publications, 9.92%
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Institute of Electrical and Electronics Engineers (IEEE)
8 publications, 6.61%
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Wiley
6 publications, 4.96%
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Taylor & Francis
4 publications, 3.31%
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Cold Spring Harbor Laboratory
4 publications, 3.31%
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S. Karger AG
3 publications, 2.48%
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Frontiers Media S.A.
3 publications, 2.48%
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American Chemical Society (ACS)
2 publications, 1.65%
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Oxford University Press
2 publications, 1.65%
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Proceedings of the National Academy of Sciences (PNAS)
2 publications, 1.65%
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American Thoracic Society
1 publication, 0.83%
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European Respiratory Society (ERS)
1 publication, 0.83%
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IOS Press
1 publication, 0.83%
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SAGE
1 publication, 0.83%
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American Association for the Advancement of Science (AAAS)
1 publication, 0.83%
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The American Academy of Sleep Medicine
1 publication, 0.83%
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Hindawi Limited
1 publication, 0.83%
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Federacao Latino-Americana de Sociedades do Sono
1 publication, 0.83%
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The Royal Society
1 publication, 0.83%
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IOP Publishing
1 publication, 0.83%
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Public Library of Science (PLoS)
1 publication, 0.83%
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Oriental Scientific Publishing Company
1 publication, 0.83%
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IGI Global
1 publication, 0.83%
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35
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- We do not take into account publications without a DOI.
- Statistics recalculated weekly.