1209 Effect Of Wearables On Sleep In Healthy Individuals: A Randomized Cross-over Trial And Validation Study

Abstract

Introduction: To determine whether a wearable sleep‐tracker improves perceived sleep quality in healthy subjects. To test whether wearables reliably measure sleep quantity and quality compared to polysomnography. Methods: A single‐center randomized cross‐over trial of community‐based participants without medical conditions or sleep disorders. Wearable device (WHOOP, Inc.) that provided feedback regarding sleep information to the participant for 1‐week and maintaining sleep logs versus 1‐week of maintaining sleep logs alone. Self‐reported daily sleep behaviors were documented in sleep logs. Polysomnography was performed on one night when wearing the wearable. PROMIS Sleep disturbance sleep scale was measured at baseline, 7, and 14 days of study participation. Results: In 32 participants (21 women; 23.8 + 5 years), wearables improved nighttime sleep quality (PROMIS sleep disturbance; B= ‐1.69; 95% Confidence Interval ‐3.11, ‐0.27; P=0.021) after adjusting for age, sex, baseline, and order effect. There was a small increase in self‐reported daytime naps when wearing the device (B = 3.2; SE 1.4; P=0.023) but total daily sleep remained unchanged (P=0.43). The wearable had low bias (2.5 minutes) and low precision (5.6 minutes) errors for measuring sleep duration and measured dream sleep and slow wave sleep accurately (Intraclass coefficient 0.74 + 0.28 and 0.85 + 0.15, respectively). Bias and precision error for heart rate (bias ‐0.17%; precision 1.5%) and respiratory rate (bias 1.8%' precision 6.7%) were very low when compared to that measured by electrocardiogram and inductance plethysmography during polysomnography. Conclusion: In healthy people, wearables can improve sleep quality and accurately measure sleep and cardiorespiratory variables.