Evidence map›Paper›PMID 40303381›Full record

ArticleSleep advances : a journal of the Sleep Research Society2025

A performance validation of six commercial wrist-worn wearable sleep-tracking devices for sleep stage scoring compared to polysomnography.

An-Marie Schyvens, Brent Peters, Nina Catharina Van Oost, Jean-Marie Aerts, Federica Masci, An Neven, Hélène Dirix, Geert Wets, Veerle Ross, Johan Verbraecken

Registry-linked trialAbstract read
In one paragraph

Article in Sleep advances : a journal of the Sleep Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07377968 (Efficacy of Wearable Device to Promote CPAP Adherence in Patients With Obstructive Sleep Apnea), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07377968 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Wearable Device to Promote CPAP Adherence in Patients With Obstructive Sleep Apnea (OSA); A Randomized Controlled Trial

TypeinterventionalSponsorRamathibodi HospitalRan2026 to 2026Enrolled80ConditionsObstructive Sleep Apnea (OSA)Armsgarmin vivoactive 5 with self-monitoring data, Garmin vivoactive 5 without self-monitoring data
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
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  13. Observational
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  17. Review
  18. Sleep Quality in Shift-Working Nurses: Subjective and Objective Evaluation.International journal of environmental research and public health · 2025
    Observational
  19. Article
  20. Sensors in Multiple Sclerosis.Current neurology and neuroscience reports · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

An-Marie SchyvensLaboratory of Experimental Medicine and Pediatrics, University of Antwerp, Wilrijk, Belgium.ORCID https://orcid.org/0000-0001-6030-475X
Brent PetersUHasselt - Hasselt University, Transportation Research Institute (IMOB), Hasselt, Belgium.
Nina Catharina Van OostDepartment of Biosystems, KU Leuven, Leuven, Belgium.
Jean-Marie AertsDepartment of Biosystems, KU Leuven, Leuven, Belgium.
Federica MasciDepartment of Biosystems, KU Leuven, Leuven, Belgium.
An NevenUHasselt - Hasselt University, Transportation Research Institute (IMOB), Hasselt, Belgium.
Hélène DirixUHasselt - Hasselt University, Transportation Research Institute (IMOB), Hasselt, Belgium.
Geert WetsUHasselt - Hasselt University, Transportation Research Institute (IMOB), Hasselt, Belgium.
Veerle RossUHasselt - Hasselt University, Transportation Research Institute (IMOB), Hasselt, Belgium.
Johan VerbraeckenLaboratory of Experimental Medicine and Pediatrics, University of Antwerp, Wilrijk, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study Objectives: The aim of this study is to assess the performance of six different consumer wearable sleep-tracking devices, namely the Fitbit Charge 5, Fitbit Sense, Withings Scanwatch, Garmin Vivosmart 4, Whoop 4.0, and the Apple Watch Series 8, for detecting sleep parameters compared to the gold standard, polysomnography (PSG). Methods: Sixty-two adults (52 males and 10 females, mean age ± Results: The results indicate that most wearables displayed significant differences with PSG for total sleep time, sleep efficiency, wake after sleep onset, and light sleep (LS). Nevertheless, all wearables demonstrated a higher percentage of correctly identified epochs for deep sleep and rapid eye movement sleep compared to wake (W) and LS. All devices detected >90% of sleep epochs (ie, sensitivity), but showed lower specificity (29.39%-52.15%). The Cohen's kappa coefficients of the wearable devices ranged from 0.21 to 0.53, indicating fair to moderate agreement with PSG. Conclusions: Our results indicate that all devices can benefit from further improvement for multistate categorization. However, the devices with higher Cohen's kappa coefficients, such as the Fitbit Sense (κ = 0.42), Fitbit Charge 5 (κ = 0.41), and Apple Watch Series 8 (κ = 0.53), could be effectively used to track prolonged and significant changes in sleep architecture.

Indexed as

assessment of sleepperformancepolysomnographysleepvalidationwearable device

Identifiers

PMID40303381
PMCPMC12038347

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.