Validez de la pulsera de cuantificación Fitbit Flex® en la valoración del sueño.(Validity of Fitbit Flex® consumer device on the sleep evaluation).
DOI:
https://doi.org/10.12800/ccd.v15i43.1397Palabras clave:
validación, monitores de actividad, calidad del sueño, eficiencia del sueño.Resumen
Este estudio piloto busca evaluar la validez de las mediciones de los indicadores de calidad del sueño en la Fitbit Flex® en su modo Normal (FF), un dispositivo comercial que permite la medición la actividad diaria y el sueño en el día a día, comparándolos registros con los del Actigraph GR3X®, (considerado el Gold Standard en la evaluación de la calidad del sueño mediante actigrafía. Para lo anterior, se ha contado con sesenta y siete personas sin trastornos del sueño que portaron de noche simultáneamente durante una semana los monitores FF y el AGT3X, ambos en la muñeca. Los resultados obtenidos muestran que, a pesar de la existencia de diferencias significativas entre los dos instrumentos de medida, la alta correlación e ICC sugieren que el dispositivo comercial FF puede ser una herramienta útil para valorar la calidad del sueño, aunque los valores obtenidos no pueden ser considerados intercambiables con los registros de AGT3X.
===
This pilot study pretends to evaluate the accuracy of Fitbit Flex®, a consumer device for diary register, for the evaluation of sleep quality, compared to Actigraph GR3X, one of the most recommended actigraphs for sleep evaluation. To achieve this, sixty seven subjects without sleep disorders used simultaneously both monitors, Fitbit Flex® and Actigraph GT3X®, during one week nights. Even the significative differences between both monitors, de high correlation values and the ICC suggest that Fitbit Flex commercial device could be a useful instrument for the sleep quality evaluation, assuming that this result can not be considered interchangeable with Actigraph GR3X.
Citas
Ancoli-Israel, S., Cole, R., Alessi, C., Chambers, M., Moorcroft, W., & Pollak, C. P. (2003). The role of actigraphy in the study of sleep and circadian rhythms. Sleep, 26(3), 342–392. http://dx.doi.org/10.1093/ sleep/26.3.342
Baroni, A., Bruzzese, J-M, Di Bartolo, C.A., Shatkin, J.P. (2016) Fitbit Flex: an unreliable device for longitudinal sleep measures in a non-clinical population. Sleep Breath 20(2), 853–854. http://doi. org/10.1007/s11325-015-1271-2
Berger, A., Wielgus, K. K., Young-McCaughan, S., Fischer, P., Farr, L., & Lee, K. A. (2008). Methodological challenges when using actigraphy in research. Journal of Pain Symptom Manage, 36(2), 191–199. http://doi.org/10.1016/j.jpainsymman.2007.10.008.META-AN
Berntsen S, Hageberg R, Aandstad A, Mowinckel P, Anderssen SA, Carlsen KH, Andersen LB. (2010) Validity of physical activity monitors in adults participating in free-living activities. British Journal of Sports Medicine, 44(9), 657–664. http://doi.org/ 10.1136/ bjsm.2008.048868
Bland, J. M., & Altman, D. G. (1986). Statistical methods for assesing agreement between two methods of clinical measurement. The Lancet, 307–310.
Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996). Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults. Biological Psychiatry, 39(6), 411–418. http://doi. org/10.1016/0006-3223(95)00188-3
Bonnet, M. H., & Arand, D. L. (1995). We are chronically sleep deprived. Sleep, 18(10), 908–911. http://doi.org/10.3758/BF03333140 Bonnet, M. H., & Arand, D. L. (2003). Insomnia, metabolic rate and sleep restoration. Journal of Internal Medicine, 254(1), 23–31. http://doi. org/10.1046/j.1365-2796.2003.01176.x
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A New Instrument Psychiatric Practice and Research. Methods, 193–213.
Calabró, M., Lee, J.-M., Saint-Maurice, P. F., Yoo, H., & Welk, G. J. (2014). Validity of physical activity monitors for assessing lower intensity activity in adults. The International Journal of Behavioral Nutrition and Physical Activity, 11(1), 119. http://doi.org/10.1186/s12966-014-0119-7
Cellini N, Buman MP, McDevitt EA, Ricker AA, Mednick SC. (2013) Direct comparition of two actigraphy Devices with polysomnographically recorded naps in healthy young adults. Chronobiology International. 30(5): 691-8. http://doi.org/10.3109/07420528.201 3.782312
Chaput, J.-P., Després, J.-P., Bouchard, C., & Tremblay, A. (2007). Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the Quebec family study. Obesity. Silver Spring Medicine, 15(1), 253–261. http://doi.org/10.1038/oby.2007.512
Cicchetti, D.V. (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4) 284-290. http://dx.doi.org/ 10.1037/1040-3590.6.4.284
Cohen, J. (1992) A power primer. Psychological Bulletin, 112(1), 155-159. https://www.ncbi.nlm.nih.gov/pubmed/19565683
Davenne, D. (2009). Sleep of athletes – problems and possible solutions. Biological Rhythm Research, 40(1), 45–52. http://doi.org/10.1080/ 09291010802067023
Engle-Friedman, M. (2014). The effects of sleep loss on capacity and effort. Sleep Science, 7(4), 213–224. http://doi.org/10.1016/j.slsci.2014.11.0010
Fullagar, H. H. K., Skorski, S., Duffield, R., Hammes, D., Coutts, A. J., & Meyer, T. (2015). Sleep and Athletic Performance: The Effects of Sleep Loss on Exercise Performance, and Physiological and Cognitive Responses to Exercise. Sports Medicine, 45(2), 161–186. http://doi. org/10.1007/s40279-014-0260-0
Garcia-Mas, A., Aguado, F. J., Cuartero, J., Calabria, E., Jiménez, R., & Pérez, P. (2003). Sueño, descanso y rendimiento en jóvenes deportistas de competición. Revista de Psicología del Deporte, 12, 181–195.
Gusmer, R. J., Bosch, T. a., Watkins, a. N., Ostrem, J. D., & Dengel, D. R. (2014). Comparison of FitBit® Ultra to ActiGraphTM GT1M for Assessment of Physical Activity in Young Adults During Treadmill Walking. The Open Sports Medicine Journal, 8(1), 11–15. http://doi. org/10.2174/1874387001408010011
Grandner, M. A. (2017). Sleep and obesity risk in adults: possible mechanisms; contextual factors ; and implications for research , intervention , and policy. Sleep Health: Journal of the National Sleep Foundation, 3(5), 393-400 http://doi.org/10.1016/j.sleh.2017.07.014
Halson, S. L. (2014). Sleep in Elite Athletes and Nutritional Interventions to Enhance Sleep. Sports Medicine, 44(S1), 13–23. http://doi. org/10.1007/s40279-014-0147-0
Hargens, T. a., Kaleth, A. S., Edwards, E. S., & Butner, K. L. (2013). Association between sleep disorders, obesity, and exercise: A review. Nature and Science of Sleep, 5, 27–35. http://doi.org/10.2147/NSS.S34838
Hopkins, WG. (2000) Measures of reliability in sports medicine and science. Sports Medicine 30(1), 1-15.
Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36. http://doi. org/10.1016/j.smrv.2014.10.001
Jiménez-Correa, U., Haro, R., González-Robles, R. O., & VelázquezMoctezuma, J. (2011). How is the Epworth Sleepiness Scale related with subjective sleep quality and polysomnographic features in patients with sleep-disordered breathing? Sleep and Breathing, 15(3), 513–518. http://doi.org/10.1007/s11325-010-0372-1
Kang, S. G., Kang, J. M., Ko, K. P., Park, S. C., Mariani, S., & Weng, J. (2017). Validity of a commercial wearable sleep tracker in adult insomnia disorder patients and good sleepers. Journal of Psychosomatic Research, 97, 38–44. http://doi.org/10.1016/j.jpsychores.2017.03.009
Kim, D. Y., Jung, Y. S., Park, R. W., & Joo, N. S. (2014). Different location of triaxial accelerometer and different energy expenditures. Yonsei Medical Journal, 55(4), 1145–1151. http://doi.org/10.3349/ ymj.2014.55.4.1145
Knuston, K., & Van Cauter, E. (2008). Associations between sleep loss and increased risk of obesity and diabetes. Annals of New York Academy of Sciences, 1129(1), 287–304. http://doi.org/10.1196/annals.1417.033.Associations
Kushida, C. a., Chang, a., Gadkary, C., Guilleminault, C., Carrillo, O., & Dement, W. C. (2001). Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients. Sleep Medicine, 2(5), 389–396. http://doi.org/10.1016/S1389- 9457(00)00098-8
Leatherwood, W. E., & Dragoo, J. L. (2013). Effect of airline travel on performance: a review of the literature. British Journal of Sports Medicine, 47(9), 561–567. http://doi.org/10.1136/bjsports-2012-091449
Lee, J. M., Kim, Y., & Welk, G. J. (2014). Validity of consumer-based physical activity monitors. Medicine and Science in Sports and Exercise, 46(9), 1840–1848. http://doi.org/10.1249/MSS.0000000000000287
Lillehei, A. S., Halcón, L. L., Savik, K., & Reis, R. (2015). Effect of Inhaled Lavender and Sleep Hygiene on Self-Reported Sleep Issues: A Randomized Controlled Trial. The Journal of Alternative and Complementary Medicine, 21(7), 430–438. http://doi.org/10.1089/acm.2014.0327
Littner, M., Kushida, C. a, Anderson, W. M., Bailey, D., Berry, R. B., Davila, D. G., Johnson, S. F. (2003). Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: an update for 2002. Sleep, 26(3), 337–341. http://dx.doi.org/10.1093/ sleep/26.3.337
Mammen G, Gardiner S, Senthinathan A, McClemont L, Stone M, Faulkner G. (2012) Is this bit fit? Measuring the quality of the fitbit stepcounter. Health & Fitness Journal of Canada, 5(4),30-9. https://doi. org/10.14288/hfjc.v5i4.144
Reliability of Sleep Measures from Four Personal Health Monitoring Devices Compared to Research-Based Actigraphy and Polysomnography. Sensors, 16(5), 646. http://doi.org/10.3390/s16050646
Meltzer LJ, Hiruma LS, Avis K, Montgomery-Downs H, Valentin J. (2015). Comparison of a commercial accelerometer with polysomnography and actigraphy in children and adolescents. Sleep, 38(8), 1323- 1330. http://doi.org/10.5665/sleep.4918
Meltzer, L. J., Montgomery-Downs, H. E., Insana, S. P., & Walsh, C. M. (2012). Use of actigraphy for assessment in pediatric sleep research. Sleep medicine reviews, 16(5), 463-475. http://doi.org/10.1016/j. smrv.2011.10.002
Paavonen, E. J., Fjällberg, M., Steenari, M.-R., & Aronen, E. T. (2002). Actigraph placement and sleep estimation in children. Sleep, 25(2), 235– 237. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/ 11902433
Parish, J. M. (2009). Sleep-related problems in common medical conditions. Chest, 135(2), 563–572. http://doi.org/10.1378/chest.08-0934
Rae, D. E., Chin, T., Dikgomo, K., Hill, L., Mckune, A. J., Kohn, T. A., & Roden, L. C. (2017). One night of partial sleep deprivation impairs recovery from a single exercise training session. European Journal of Applied Physiology, 117(4), 699-712. http://doi.org/10.1007/s00421- 017-3565-5.
Ruiz Pacheco, C. (2007). Revisión de los diversos métodos de evaluación del trastorno de insomnio. Anales de Psicología, 23(1), 109–117. http://doi.org/10.6018/23131
Sadeh, A., & Acebo, C. (2002). The role of actigraphy in sleep medicine. Sleep Medicine Reviews, 6(2), 113–124. http://doi.org/10.1053/ smrv.2001.0182
Samuels, C., James, L., Lawson, D., & Meeuwisse, W. (2015). The Athlete Sleep Screening Questionnaire : a new tool for assessing and managing sleep in elite athletes. British Journal of Sport Medicine 50(7), 418-422 http://doi.org/10.1136/bjsports-2014-094332
Shapiro, C. M., Catterall, J., Warren, P., Oswald, I., Trinder, J., Paxton, S., & East, B. W. (1987). Lean body mass and non-rapid eye movement sleep. British Medical Journal (Clinical Research Ed.), 294(6563), 22.
Takacs, J., Pollock, C. L., Guenther, J. R., Bahar, M., Napier, C., & Hunt, M. A. (2014). Validation of the Fitbit One activity monitor device during treadmill walking. Journal of Science and Medicine in Sport, 17(5), 496–500. http://doi.org/10.1016/j.jsams.2013.10.241
Tanita Corporation - Japan. (2002). Body Composition Analyzer BC-418 Instruction Manual. Thompson WR. Worldwide survey of fitness trends for 2016: 10th Anniversary Edition. (2015) ACSM’s Health Fitness Journal. 19(6),9-18.
Toon, E., Davey, M. J., Hollis, S. L., Nixon, G. M., Horne, R. S. C., & Biggs, S. N. (2016). Comparison of commercial wrist-based and smartphone accelerometers, actigraphy, and PSG in a clinical cohort of children and adolescents. Journal of Clinical Sleep Medicine, 12(3), 343–350. http://doi.org/10.5664/jcsm.5580
Waterhouse, J., Edwards, B., Nevill, a, Atkinson, G., Reilly, T., Davies, P., & Godfrey, R. (2000). Do subjective symptoms predict our perception of jet-lag? Ergonomics, 43(10), 1514–27. http://doi. org/10.1080/001401300750003943
Wang, J. (2015) A Wearable Sensor (Fitbit One) and Text-Messaging to Promote Physical Activity and Particapnts’ Level of Engagement (A Randomized Controlled Feasibility Trial). PhD Proposal. University of California.
Welk, G. J., Blair, S. N., Wood, K., Jones, S., & Thompson, R. W. (2000). A comparative evaluation of three accelerometry-based physical activity monitors. Medicine Science Sports Exercise, 32(9), S489–S497. http:// doi.org/10.1097/00005768-200009001-00008
Wirth, M. D., Hébert, J. R., Hand, G. A., Youngstedt, S. D., Hurley MS, T. G., Shook, R. P., Blair, S. N. (2015). Association between actigraphic sleep metrics and body composition. Annals of Epidemiology, 25(10), 773-778. http://doi.org/10.1016/j.annepidem.2015.05.001
Youngstedt, S. D. (2005). Effects of exercise on sleep. Clinics in Sports Medicine, 24(2), 355–365. http://doi.org/10.1016/j.csm.2004.12.003
Zambotti, M. de, Claudatos, S., Inkelis, S., Colrain, I. M., & Baker, F. C. (2015). Barriers to clinical trial enrollment in racial and ethnic minority patients with cancer. Chronobiology International, 32(7), 1024– 1028. http://doi.org/10.3109/07420528.2015.1054395
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Los autores que publican en esta revista están de acuerdo con los siguientes términos:- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación del trabajo al igual que licenciado bajo una Creative Commons Attribution License que permite a otros compartir el trabajo con un reconocimiento de la autoría del trabajo y la publicación inicial en esta revista.
