Sleep Tracking: How Technology Changes The Way We Recharge

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Have you noticed that many individuals struggle to get the quality sleep they truly need? Welcome to the fascinating world of sleep tracking, where technology meets your nightly slumber! In this article, we’ll delve into the captivating field of sleep monitoring, showing you how to unlock the secrets of your nighttime rest. Whether it’s through cutting-edge gadgets or simple techniques, we’ve got you covered. Are you ready to revolutionize your nights and boost your days? Let’s get started!

Understanding Sleep Tracking

Sleep tracking has become a hot topic in recent years, and for good reason. It’s not just about knowing how many hours you spend with your eyes closed; it’s about understanding the quality of your rest and how it impacts your overall health and well-being.

What is Sleep Tracking?

At its core, sleep tracking is the process of monitoring and analyzing your sleep patterns. It’s like having a personal sleep detective working through the night to uncover the mysteries of your slumber. This can involve tracking various aspects of your sleep, such as:

  • Duration of sleep
  • Sleep cycles and stages
  • Movement during sleep
  • Heart rate and breathing patterns
  • Environmental factors (like room temperature and noise levels)

The goal? To give you insights into your sleep quality and help you make improvements where needed.

A Brief History of Sleep Monitoring

Sleep monitoring isn’t a new concept. In fact, it’s been around in some form for centuries. Ancient civilizations used various methods to track sleep, often tied to spiritual or medical practices. However, modern sleep tracking as we know it began to take shape in the 20th century.

  • 1920s: The invention of the electroencephalogram (EEG) allowed scientists to study brain activity during sleep for the first time[1].
  • 1950s-60s: Researchers identified different sleep stages, including REM (Rapid Eye Movement) sleep[2].
  • 1970s-80s: The first sleep labs were established, allowing for more comprehensive sleep studies.
  • 2000s onwards: The rise of wearable technology and smartphones has made sleep tracking accessible to the average person.

The Importance of Sleep Stages and Cycles

When we talk about sleep, it’s not just one continuous state. Our sleep is actually composed of several stages that we cycle through multiple times each night. Understanding these stages is crucial for effective sleep tracking.

  1. Light Sleep (N1 and N2 stages): This is the initial stage of sleep where you’re easily awakened. It’s like dipping your toe into the sleep pool.
  2. Deep Sleep (N3 stage): Also known as slow-wave sleep, this is when your body does most of its physical recovery. It’s like the deep end of the sleep pool where the real magic happens.
  3. REM Sleep: This is when most dreaming occurs. Your brain is highly active during this stage, and it’s crucial for cognitive functions like memory consolidation and learning[3].

A typical sleep cycle lasts about 90-120 minutes, and we go through several of these cycles each night. The proportion of each sleep stage can vary throughout the night, with more deep sleep in the earlier cycles and more REM sleep in the later ones.

Benefits of Tracking Your Sleep Patterns

Now, you might be wondering, “Why should I bother tracking my sleep?” Well, there are several compelling reasons:

  1. Identify Sleep Issues: Sleep tracking can help you spot patterns or problems you might not be aware of, such as frequent wake-ups or not enough deep sleep.
  2. Improve Sleep Quality: By understanding your sleep patterns, you can make informed decisions about your sleep habits and environment to improve your overall sleep quality.
  3. Optimize Daytime Performance: Good sleep is crucial for cognitive function, mood, and physical performance. Tracking your sleep can help you optimize these areas of your life.
  4. Health Insights: Sleep patterns can be indicators of various health conditions. Regular tracking can help you spot potential issues early[4].
  5. Motivation for Better Sleep Habits: Sometimes, seeing the data in black and white can be the motivation you need to prioritize your sleep health.

Knowledge is a powerful tool, particularly regarding your health. By tracking your sleep, you gain valuable insights that empower you to manage your sleep patterns and enhance your overall wellness.

Popular Sleep Tracking Devices

Now that we understand the importance of sleep tracking, let’s explore some of the popular devices and tools available to help you become a sleep-tracking pro.

Wearable Fitness Trackers and Smartwatches

Wearable devices have revolutionized the world of personal health monitoring, and sleep tracking is no exception. Many popular fitness trackers and smartwatches now include sleep-tracking features.

Pros of wearable sleep trackers:

  • Convenience: You’re likely already wearing it during the day
  • Multifunctionality: Tracks other health metrics alongside sleep
  • Non-invasive: Doesn’t interfere with your sleep setup

Cons:

  • May not be as accurate as dedicated sleep trackers
  • Battery life can be an issue for some models
  • Comfort: Some people find wearing a device while sleeping uncomfortable

Popular options include the Fitbit, Apple Watch (with third-party apps), and Garmin. These devices typically use a combination of movement sensors and heart rate monitors to track your sleep[5].

Dedicated Sleep Tracking Devices

For those who want to take their sleep tracking to the next level, dedicated sleep tracking devices offer more comprehensive monitoring.

Types of dedicated sleep trackers:

  1. Bedside Devices: These sit on your nightstand and use radio waves or sonar technology to monitor your sleep.
  2. Under-Mattress Devices: Placed under your mattress, these devices track sleep through movement and sometimes heart rate and breathing. The Withings Sleep is a well-known option.
  3. Headband Devices: These provide the most detailed sleep data, including brain activity.

Dedicated devices often provide more detailed data and may be more accurate than wearables, but they can be more expensive and are single-purpose.

Smart Mattresses and Bed Sensors

For those who want sleep tracking without wearing or setting up additional devices, smart mattresses and bed sensors offer an interesting solution.

Smart Mattresses: These high-tech beds come with built-in sensors to track your sleep. Brands like Eight Sleep offer mattresses that not only track your sleep but can also adjust temperature and firmness based on your preferences and sleep patterns.

Bed Sensors: These are devices you can add to your existing mattress to turn it into a sleep tracker. The Withings Sleep mat, for example, slips under your mattress and tracks sleep cycles, heart rate, and even snoring.

The advantage of these solutions is that they’re completely non-invasive – you won’t even know they’re there. However, they can be expensive and may not be as portable as other options.

Smartphone Apps for Sleep Monitoring

If you’re not ready to invest in additional hardware, your smartphone can be a powerful sleep-tracking tool on its own.

Many apps use your phone’s built-in sensors to track movement and sound during the night. Some popular options include:

  • Sleep Cycle
  • SleepScore
  • Sleep as Android

These apps typically work by placing your phone on your mattress or nightstand. They use your phone’s accelerometer to detect movement and the microphone to monitor sounds like snoring.

Pros of smartphone apps:

  • Cost-effective (many are free or low-cost)
  • No additional hardware required
  • Often include features like smart alarms and sleep sounds

Cons:

  • May be less accurate than dedicated devices
  • Can drain your phone’s battery
  • Require your phone to be in or near your bed, which some sleep experts advise against

While smartphone apps can be a great starting point for sleep tracking, they may not provide as comprehensive or accurate data as dedicated devices.

The best sleep tracker for you depends on your individual needs, budget, and comfort preferences. It’s worth trying out different options to see what works best for your sleep-tracking journey.

Key Metrics in Sleep Tracking

Now that we’ve covered the various tools available for sleep tracking, let’s dive into what these devices actually measure. Understanding these key metrics will help you make sense of your sleep data and use it to improve your sleep quality.

Total Sleep Time and Sleep Efficiency

Total Sleep Time (TST): This is the total amount of time you spend asleep during the night. While individual sleep needs vary, most adults need between 7-9 hours of sleep per night[6].

Sleep Efficiency: This metric represents the percentage of time you spend actually sleeping while in bed. It’s calculated by dividing your total sleep time by the total time spent in bed. A sleep efficiency of 85% or higher is generally considered good.

For example, if you spend 8 hours in bed but only sleep for 7 hours, your sleep efficiency would be 87.5% (7 hours / 8 hours * 100).

Understanding these metrics can help you identify if you’re spending too much time in bed without actually sleeping, which could indicate issues with sleep quality or insomnia.

Sleep Stages

Most modern sleep trackers attempt to measure your sleep stages. As we discussed earlier, sleep is divided into several stages:

  1. Light Sleep (N1 and N2): This is the initial stage of sleep. You spend about 50-60% of your night in light sleep.
  2. Deep Sleep (N3): Also known as slow-wave sleep, this stage is crucial for physical recovery. Adults typically spend 15-25% of their sleep in this stage.
  3. REM Sleep: This is when most dreaming occurs and is important for cognitive functions. Adults usually spend about 20-25% of their sleep in REM[7].

Tracking these stages can give you insights into your sleep quality. For instance, consistently low amounts of deep sleep might explain why you’re feeling unrested even after a full night’s sleep.

Heart Rate and Breathing Patterns During Sleep

Many sleep trackers also monitor your heart rate and breathing patterns throughout the night.

Heart Rate: Your heart rate typically slows down during sleep, particularly during deep sleep stages. Tracking your nighttime heart rate can provide insights into your overall health and stress levels.

Heart Rate Variability (HRV): This measures the variation in time between your heartbeats. Higher HRV is generally associated with better sleep quality and overall health[8].

Breathing Rate: Some advanced trackers can monitor your breathing rate during sleep. Irregular breathing patterns might indicate sleep disorders like sleep apnea.

Movement and Restlessness Analysis

Sleep trackers use movement sensors (accelerometers) to detect how much you move during the night.

Restlessness: Frequent movement during sleep can indicate restlessness, which might be due to factors like stress, an uncomfortable sleep environment, or certain sleep disorders.

Sleep Position: Some trackers can even detect your sleep position (back, side, stomach). This can be useful if you’re trying to change your sleep position for health reasons, such as reducing snoring.

Understanding these metrics can help you paint a comprehensive picture of your sleep quality. However, it’s important to remember that consumer-grade sleep trackers, while useful, are not as accurate as professional sleep studies. They should be used as a general guide rather than a diagnostic tool.

In the next section, we’ll explore some non-device methods of sleep tracking, which can be used alongside or instead of tech-based solutions.

Non-Device Sleep Tracking Methods

While technology has given us many tools for sleep tracking, there are also non-device methods that can be just as valuable. These methods can be used on their own or in combination with tech-based tracking for a more comprehensive understanding of your sleep.

Sleep Journals and Manual Logging

One of the oldest and most straightforward methods of sleep tracking is keeping a sleep journal. This involves manually recording information about your sleep patterns and habits.

How to keep a sleep journal:

  1. Record your bedtime and wake time: Note down when you go to bed and when you wake up each day.
  2. Estimate how long it took you to fall asleep: This is known as sleep latency.
  3. Note any awakenings during the night: Include how long you were awake and why you woke up (if you know).
  4. Rate your sleep quality: Use a simple scale (e.g., 1-10) to rate how well you feel you slept.
  5. Record daytime factors: Note things like caffeine intake, exercise, stress levels, and any medications you took.
  6. Track your mood and energy levels: Note how you feel upon waking and throughout the day.

Benefits of sleep journaling:

  • Helps identify patterns and habits that affect your sleep
  • Increases awareness of your sleep behaviours
  • Can be more detailed than device tracking in terms of contextual information
  • No technology required

Drawbacks:

  • Requires consistent effort and discipline
  • Subjective and can be influenced by perception
  • Doesn’t provide objective data on sleep stages or physiological measures

Partner Observations and Feedback

If you share your bed with a partner, they can be a valuable source of information about your sleep habits.

What partners can observe:

  • Snoring or unusual breathing patterns
  • Restlessness or frequent movement
  • Sleep talking or walking
  • Teeth grinding

Partner observations can be particularly useful for identifying potential sleep disorders that you might not be aware of yourself, such as sleep apnea or periodic limb movement disorder.

However, partner observations are subjective and may not always be accurate. They should be considered alongside other tracking methods.

Professional Sleep Studies (Polysomnography)

For the most accurate and comprehensive sleep analysis, nothing beats a professional sleep study, also known as polysomnography.

What is polysomnography? Polysomnography is a comprehensive test used to diagnose sleep disorders. It records your brain waves, oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study[9].

When is a sleep study recommended? A doctor might recommend a sleep study if you’re experiencing symptoms of a sleep disorder, such as:

  • Chronic snoring
  • Gasping or choking during sleep
  • Excessive daytime sleepiness
  • Difficulty falling or staying asleep

Benefits of professional sleep studies:

  • The most accurate method of sleep tracking
  • Can diagnose sleep disorders
  • Monitored by sleep professionals

Drawbacks:

  • Expensive
  • Requires spending a night in a sleep lab
  • Not practical for ongoing tracking

While professional sleep studies provide the most accurate data, they’re typically used for diagnostic purposes rather than ongoing sleep tracking.

Environmental Factors Tracking

Your sleep environment plays a crucial role in your sleep quality. Tracking environmental factors can provide valuable insights into what helps or hinders your sleep.

Factors to track:

  1. Light levels: Use a light meter app or simply note the darkness level of your room.
  2. Noise levels: Apps can measure decibel levels, or you can subjectively rate noise disturbances.
  3. Temperature: Track room temperature and your temperature preference.
  4. Humidity: High or low humidity can affect sleep comfort.

How to track:

  • Use smart home devices that monitor environmental conditions
  • Keep a log alongside your sleep journal
  • Use smartphone apps that measure light and noise levels

Understanding how environmental factors affect your sleep can help you optimize your sleep environment for better rest.

The goal of any sleep tracking method is to gain insights that can help you improve your sleep quality. Often, a combination of methods – both tech-based and non-tech – can provide the most comprehensive picture of your sleep health.

Interpreting Your Sleep Data

Now that you’re tracking your sleep, whether through devices or manual methods, the next crucial step is understanding what all this data means. Interpreting your sleep data correctly can help you make informed decisions about your sleep habits and overall health.

Understanding Sleep Score Calculations

Many sleep tracking apps and devices provide a “sleep score” – a single number that attempts to summarize your overall sleep quality. While the exact calculation can vary between devices, sleep scores typically take into account factors such as:

  • Total sleep duration
  • Time spent in each sleep stage
  • Sleep efficiency
  • Nighttime awakenings
  • Heart rate and heart rate variability

Sleep scores are usually presented on a scale of 0-100, with higher scores indicating better sleep quality. Here’s a general guide:

  • 90-100: Excellent
  • 80-89: Good
  • 70-79: Fair
  • Below 70: Poor

However, it’s important to remember that sleep scores are simplified representations of complex data. They can be a useful quick reference, but shouldn’t be the only factor you consider when assessing your sleep quality.

Identifying Sleep Pattern Trends and Anomalies

One of the most valuable aspects of sleep tracking is the ability to identify patterns and trends over time. Here’s what to look for:

Consistent Patterns:

  • Regular bedtime and waketime
  • Consistent total sleep time
  • Stable proportions of sleep stages

Potential Red Flags:

  • Irregular sleep schedules
  • Frequent nighttime awakenings
  • Consistently low amounts of deep or REM sleep
  • Large variations in total sleep time

Remember, some variation is normal. Look for consistent trends rather than day-to-day fluctuations.

Recognizing Signs of Sleep Disorders

While consumer sleep trackers aren’t diagnostic tools, they can sometimes hint at potential sleep disorders. Here are some signs to watch for:

  1. Sleep Apnea: Frequent drops in oxygen levels, irregular breathing patterns, or excessive snoring.
  2. Insomnia: Difficulty falling asleep (long sleep latency) or staying asleep (frequent wake-ups).
  3. Restless Leg Syndrome: Frequent leg movements during sleep.
  4. Circadian Rhythm Disorders: Consistent difficulty falling asleep at desired times or waking up when needed.

If you consistently notice these patterns, it’s worth discussing them with a healthcare provider.

Using Data to Improve Sleep Hygiene

The ultimate goal of sleep tracking is to improve your sleep quality. Here’s how to use your data effectively:

  1. Identify Your Optimal Sleep Duration: Look for patterns between your total sleep time and how you feel the next day. This can help you determine your personal sleep needs.
  2. Optimize Your Sleep Schedule: If you notice you sleep better with a consistent schedule, try to maintain regular sleep and wake times, even on weekends.
  3. Improve Sleep Efficiency: If your sleep efficiency is low, consider spending less time in bed awake. Only go to bed when you’re truly sleepy.
  4. Experiment with Pre-Sleep Routines: Track how different evening activities (reading, meditation, screen time) affect your sleep quality.
  5. Monitor Environmental Factors: Use your data to optimize your sleep environment, adjusting factors like room temperature, noise levels, and light exposure.

Sleep is a personal journey, and what benefits one person may not suit another. Rely on your own experiences and insights to tailor your approach to improving your sleep.

While sleep tracking data can be incredibly useful, it’s important not to become overly fixated on the numbers. Some people may experience increased anxiety about their sleep, a phenomenon known as orthosomnia[10]. If you find sleep tracking is causing you stress, it might be worth taking a break or discussing your concerns with a healthcare provider.

In the next section, we’ll explore some specific tips for optimizing your sleep based on tracking insights.

Tips for Optimizing Your Sleep Based on Tracking

Now that you’re tracking your sleep and understanding the data, it’s time to put that knowledge into action. Here are some evidence-based strategies to improve your sleep quality based on common issues revealed by sleep tracking.

Establishing Consistent Sleep Schedules

If your sleep tracking reveals irregular sleep patterns, focusing on sleep consistency can be a game-changer.

Tips for consistent sleep schedules:

  1. Set a fixed wake time: Try to wake up at the same time every day, even on weekends. This helps regulate your body’s internal clock[11].
  2. Create a bedtime routine: Engage in relaxing activities before bed to signal to your body that it’s time to sleep. This could include reading, gentle stretching, or meditation.
  3. Use light exposure strategically: Get bright light exposure in the morning and limit light (especially blue light) in the evening to help regulate your circadian rhythm[12].
  4. Avoid long naps: If you need to nap, keep it short (20-30 minutes) and not too late in the day.

Creating an Ideal Sleep Environment

Your sleep environment can significantly impact your sleep quality. Use your tracking data to optimize your sleep space.

Environmental factors to consider:

  1. Temperature: Most people sleep best in a cool room, around 60-67°F (15-19°C)[13]. Experiment to find your ideal sleep temperature.
  2. Noise: If your tracker indicates frequent disturbances, consider using white noise or earplugs to mask disruptive sounds.
  3. Light: Make your bedroom as dark as possible. Use blackout curtains or a sleep mask if needed.
  4. Comfort: Invest in a comfortable mattress, pillows, and bedding. The right sleep surface can reduce tossing and turning.

Adjusting Pre-Bedtime Routines

Your activities in the hours before bed can significantly impact your sleep quality.

Pre-sleep dos and don’ts:

  1. Limit caffeine and alcohol: Both can disrupt sleep quality, even if they don’t prevent you from falling asleep[14].
  2. Exercise timing: While regular exercise improves sleep, intense workouts close to bedtime can be disruptive for some people. Experiment to find your ideal exercise timing.
  3. Screen time: The blue light from screens can interfere with melatonin production. Try to avoid screens for at least an hour before bed, or use blue light filtering apps or glasses[15].
  4. Relaxation techniques: If your tracker shows you’re taking a long time to fall asleep, try incorporating relaxation techniques like deep breathing, progressive muscle relaxation, or guided imagery into your bedtime routine.

Addressing Factors That Disrupt Sleep Quality

If your sleep tracking consistently shows disrupted sleep, consider these strategies:

  1. Manage stress: High-stress levels can lead to poor sleep quality. Consider stress-reduction techniques like mindfulness meditation or journaling.
  2. Review medications: Some medications can affect sleep. If you suspect this might be an issue, consult with your healthcare provider.
  3. Address snoring: If your tracker (or bed partner) indicates frequent snoring, consider lifestyle changes like weight loss or sleeping on your side. Persistent snoring might require medical attention.
  4. Optimize meal timing: Eating large meals close to bedtime can disrupt sleep. Try to finish your last big meal at least 2-3 hours before bed.
  5. Limit fluids before bed: If your tracker shows frequent nighttime awakenings, try limiting fluid intake in the evening to reduce nighttime bathroom trips.

Enhancing your sleep quality is usually a journey of experimentation. Utilize the insights from your sleep tracking to discover what suits you best, and don’t forget to be patient—developing new sleep routines may require some time before you see the benefits.

If you’ve consistently tried to improve your sleep using these methods and still struggle with poor sleep quality, it may be time to consult a healthcare provider or sleep specialist. They can provide more personalized advice and, if necessary, diagnose and treat any underlying sleep disorders.

In our final section, we’ll discuss some important limitations and considerations to keep in mind when using sleep-tracking tools.

Limitations and Considerations of Sleep Tracking

While sleep tracking can be an incredibly useful tool for improving your sleep health, it’s important to understand its limitations and approach it with a balanced perspective.

Accuracy Concerns with Consumer-Grade Devices

Consumer sleep tracking devices, while increasingly sophisticated, are not as accurate as professional sleep study equipment.

Key accuracy considerations:

  1. Sleep Stage Detection: Most consumer devices use movement and heart rate to estimate sleep stages, which is less accurate than the brain wave monitoring used in sleep labs[16].
  2. Overestimation of Sleep Time: Some trackers may interpret stillness as sleep, potentially overestimating your total sleep time.
  3. Individual Variations: Factors like age, health conditions, and medications can affect the accuracy of sleep-tracking algorithms.
  4. Lack of Standardization: Different devices and apps may use varying algorithms, making it difficult to compare results across platforms.

Despite these limitations, consumer sleep trackers can still provide valuable insights into your overall sleep patterns and trends over time.

Potential for Increased Sleep Anxiety

While sleep tracking can be motivating for many, for some people it can lead to increased anxiety about sleep, a phenomenon known as orthosomnia.

Signs of unhealthy fixation on sleep tracking:

  • Obsessively checking sleep data
  • Feeling anxious or upset about “poor” sleep scores
  • Making drastic lifestyle changes based solely on sleep data
  • Sleep quality affected by worry about tracking results

If you find that sleep tracking is causing you stress or anxiety, it may be helpful to take a break or discuss your concerns with a healthcare provider.

Privacy and Data Security Issues

As with any technology that collects personal data, it’s important to consider the privacy and security implications of sleep tracking.

Privacy considerations:

  1. Data Collection: Understand what data your device is collecting and how it’s being used.
  2. Consent: If you’re using a device that tracks sound or video, ensure you have the consent of anyone else who might be recorded.
  3. Data Sharing: Check the privacy policy to see if and how your data might be shared with third parties.
  4. Data Storage: Consider where your sleep data is stored (on the device, in the cloud) and how it’s protected.

Always read the privacy policy of any sleep-tracking app or device you use, and choose products from reputable companies with strong data protection practices.

Balancing Tracking with Intuitive Sleep Awareness

While sleep tracking can provide valuable data, it’s important not to lose touch with your body’s natural signals.

Tips for maintaining balance:

  1. Listen to Your Body: Pay attention to how you feel upon waking and throughout the day. This can be just as informative as device data.
  2. Use Tracking as a Tool, Not a Rule: Let sleep tracking inform your decisions, but don’t let it dictate your life.
  3. Take Breaks: Periodically take breaks from tracking to tune into your natural sleep patterns.
  4. Combine Methods: Use a mix of objective (device) and subjective (sleep diary) tracking for a more comprehensive view.

Keep in mind that the purpose of tracking your sleep is to enhance both your sleep quality and your overall health. If you ever find that it’s having the opposite effect, don’t hesitate to take a break and reevaluate your approach.

Sleep tracking can be a powerful tool for understanding and improving your sleep, but it’s important to approach it with an understanding of its limitations and potential drawbacks. Use it as one part of a holistic approach to sleep health, alongside good sleep hygiene practices and, when necessary, professional medical advice.

By combining the insights from sleep tracking with a mindful awareness of your body’s needs, you can work towards achieving the restful, rejuvenating sleep that’s so crucial for your overall health and well-being.

Conclusion

Sleep tracking can truly unveil the mysteries of our nighttime habits. By utilizing these innovative tools and methods, you’re actively investing in your health and overall wellness. It’s important to remember that the aim goes beyond merely gathering information; it’s about transforming that data into actionable changes that enhance your life. So, why not embark on the adventure of sleep tracking? You could discover a refreshed version of yourself! Wishing you peaceful nights filled with restorative sleep. What will be your first action tonight to begin your journey toward better sleep?

Reference

[1] Coenen, A., & Zayachkivska, O. (2013). Adolf Beck: A pioneer in electroencephalography in between Richard Caton and Hans Berger. Advances in cognitive psychology, 9(4), 216-221. https://doi.org/10.2478/v10053-008-0148-3

[2] Aserinsky, E., & Kleitman, N. (1953). Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science, 118(3062), 273-274. https://doi.org/10.1126/science.118.3062.273

[3] Walker, M. (2017). Why we sleep: Unlocking the power of sleep and dreams. Simon and Schuster.

[4] Grandner, M. A., & Malhotra, A. (2015). Sleep as a vital sign: why medical practitioners need to routinely ask their patients about sleep. Sleep Health, 1(1), 11-14. https://doi.org/10.1016/j.sleh.2014.12.011

[5] de Zambotti, M., Rosas, L., Colrain, I. M., & Baker, F. C. (2019). The sleep of the ring: comparison of the ŌURA sleep tracker against polysomnography. Behavioral sleep medicine, 17(2), 124-136. https://doi.org/10.1080/15402002.2017.1300587

[6] Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., … & Neubauer, D. N. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep health, 1(1), 40-43. https://doi.org/10.1016/j.sleh.2014.12.010

[7] Carskadon, M. A., & Dement, W. C. (2011). Normal human sleep: an overview. Principles and practice of sleep medicine, 5, 16-26.

[8] Tobaldini, E., Nobili, L., Strada, S., Casali, K. R., Braghiroli, A., & Montano, N. (2013). Heart rate variability in normal and pathological sleep. Frontiers in physiology, 4, 294. https://doi.org/10.3389/fphys.2013.00294

[9] Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(3), 479-504. https://doi.org/10.5664/jcsm.6506

[10] Baron, K. G., Abbott, S., Jao, N., Manalo, N., & Mullen, R. (2017). Orthosomnia: Are Some Patients Taking the Quantified Self Too Far?. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 13(2), 351-354. https://doi.org/10.5664/jcsm.6472

[11] Wright Jr, K. P., McHill, A. W., Birks, B. R., Griffin, B. R., Rusterholz, T., & Chinoy, E. D. (2013). Entrainment of the human circadian clock to the natural light-dark cycle. Current Biology, 23(16), 1554-1558. https://doi.org/10.1016/j.cub.2013.06.039

[12] Gooley, J. J., Chamberlain, K., Smith, K. A., Khalsa, S. B. S., Rajaratnam, S. M., Van Reen, E., … & Lockley, S. W. (2011). Exposure to room light before bedtime suppresses melatonin onset and shortens melatonin duration in humans. The Journal of Clinical Endocrinology & Metabolism, 96(3), E463-E472. https://doi.org/10.1210/jc.2010-2098

[13] Okamoto-Mizuno, K., & Mizuno, K. (2012). Effects of thermal environment on sleep and circadian rhythm. Journal of physiological anthropology, 31(1), 14. https://doi.org/10.1186/1880-6805-31-14

[14] Drake, C., Roehrs, T., Shambroom, J., & Roth, T. (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of clinical sleep medicine, 9(11), 1195-1200. https://doi.org/10.5664/jcsm.3170

[15] Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232-1237. https://doi.org/10.1073/pnas.1418490112

[16] Mantua, J., Gravel, N., & Spencer, R. (2016). Reliability of sleep measures from four personal health monitoring devices compared to research-based actigraphy and polysomnography. Sensors, 16(5), 646. https://doi.org/10.3390/s16050646

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