CE  Vol.6 No.5 , April 2015
Evaluating Sleeping and Waking States of Infants: Consistency of Actigraph and Observational Data
Abstract: The objective was to evaluate sleeping and waking states of infants <6 months old. The design of study was comparing video-recorded and actigraphic data. Participants were thirteen healthy 3- to 5-month-old infants. At their homes, subjects wore an ankle actigraph for 1 h and were videotaped simultaneously. We performed per-minute analysis of video data using the method for observing newborns developed by Brazelton. Video and actigraphic data were compared each minute. The total concordance rate was 93.5%. Sleep/wake identification by actigraphy and visual observation correspond closely for infants.
Cite this paper: Ikeda, R. and Fukai, K. (2015) Evaluating Sleeping and Waking States of Infants: Consistency of Actigraph and Observational Data. Creative Education, 6, 536-539. doi: 10.4236/ce.2015.65053.

[1]   Ball, H. L., Ward-Platt, M. P., Heslop, E., Leech, S. J., & Brown, K. A. (2006). Randomised Trial of Infant Sleep Location on the Postnatal Ward. Archives of Disease in Childhood, 91, 1005-1010.

[2]   Brazelton, T. B. (1961). Psychophysiologic Reactions in the Neonate: I. The Value of Observation of the Neonate. Journal of Pediatrics, 58, 508-512.

[3]   Chokroverty, S. (2009). Sleep and Neurodegenerative Diseases. Seminars in Neurology, 29, 446-467.

[4]   Cole, R. J., Kripke, D. F., Gruen, W., Mullaney, D. J., & Gillin, J. C. (1992). Automatic Sleep/Wake Identification from Wrist Activity. Sleep, 15, 461-469.

[5]   Dennis, C. L., & Ross, L. (2005). Relationships among Infant Sleep Patterns, Maternal Fatigue, and Development of Depressive Symptomatology. Birth, 32, 187-193.

[6]   Doering, J. (2013). Theoretical Contributions to a Program of Research Promoting Postpartum Health. Applied Nursing Research, 26, 96-98.

[7]   Gay, C. L., Lee, K. A., & Lee, S. Y. (2004). Sleep Patterns and Fatigue in New Mothers and Fathers. Biological Research for Nursing, 5, 311-318.

[8]   Hiscock, H., & Jordan, B. (2004). Problem Crying in Infancy. Medical Journal of Australia, 181, 507-512.

[9]   Lee, S. Y., & Lee, K. A. (2007). Early Postpartum Sleep and Fatigue for Mothers after Cesarean Delivery Compared with Vaginal Delivery: An Exploratory Study. The Journal of Perinatal & Neonatal Nursing, 21, 109-113.

[10]   McIntosh, C. G., Tonkin, S. L., & Gunn, A. J. (2009). What Is the Mechanism of Sudden Infant Deaths Associated with Co-Sleeping? New Zealand Medical Journal, 122, 69-75.

[11]   McKenna, J. J., & McDade, T. (2005). Why Babies Should Never Sleep Alone: A Review of the Co-Sleeping Controversy in Relation to SIDS, Bedsharing and Breast Feeding. Paediatric Respiratory Reviews, 6, 134-152.

[12]   McKenna, J. J., Ball, H. L., & Gettler, L. T. (2007). Mother-Infant Cosleeping, Breastfeeding and Sudden Infant Death Syndrome: What Biological Anthropology Has Discovered about Normal Infant Sleep and Pediatric Sleep Medicine. American Journal of Physical Anthropology, 45, 133-161.

[13]   Morgenthaler, T. I., Lee-Chiong, T., Alessi, C., Friedman, L., Aurora, R. N., Boehlecke, B. et al. (2007). Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders. An American Academy of Sleep Medicine Report. Sleep, 30, 1445-1459.

[14]   Rajna, P., & Szomszéd, A. (2009). Actigraphy: A Valuable Diagnostic Tool or a Luxury Investigation? (Neuropsychiatric Aspects). Ideggyogyaszati Szemle, 62, 308-316.

[15]   Sadeh, A., Alster, J., Urbach, D., & Lavie, P. (1989). Actigraphy Based Automatic Bedtime Sleep-Wake Scoring: Validity and Clinical Applications. Journal of Ambulatory Monitoring, 2, 209-216.

[16]   So, K., Buckley, P., Adamson, T. M., & Horne, R. S. (2005). Actigraphy Correctly Predicts Sleep Behavior in Infants Who Are Younger Than Six Months, When Compared with Polysomnography. Pediatric Research, 58, 761-765.

[17]   Stanley, N. (2003). Actigraphy in Human Psychopharmacology: A Review. Human Psychopharmacology: Clinical and Experimental, 18, 39-49.

[18]   Stremler, R., Hodnett, E., Kenton, L., Lee, K., Weiss, S., Weston, J., & Willan, A. (2013). Effect of Behavioural-Educational Intervention on Sleep for Primiparous Women and Their Infants in Early Postpartum: Multisite Randomised Controlled Trial. British Medical Journal, 346, f1164.