Background: Portable recording devices without electroencephalogram recordings are frequently used for diagnosis of sleep-disordered breathing. However, an exact measure of sleep is important, since the diagnosis is based on the average number of events per hour of sleep, the apnea/hypopnea index (AHI). Actimetry is a simplified method for distinguishing sleep and wakefulness by measurements of activity.
Objectives: In this study, recording with a portable recording device (Reggie) including an incorporated actimeter and polysomnography were done simultaneously in order to test the effect of the actimeter.
Methods: The study was performed at the sleep-related breathing disorder unit at the Ullevaal University Hospital, Oslo, Norway. Fifty-two consecutive patients referred to the hospital for diagnosis of sleep-disordered breathing were included.
Results: There is agreement between the AHI obtained from the polysomnography and the AHI obtained from the Reggie system. The estimated mean difference is 3.5, with an SD of 5.3 (r = 0.98). The sleep time calculated with the Reggie system is greater than the sleep time obtained by polysomnography, the mean difference being 46 min, SD 56 min (r = 0.45).
Conclusions: Sleep time calculations with the Reggie system overestimate the sleep time. Still, the AHIs obtained by the two systems show good agreement. There is a slight tendency for the Reggie system to provide an AHI which is too low. This difference is small, and in most cases, it will be of no clinical significance.
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