1961 2021 2021 eng 349 363 15 3 12 article Springer Science and Business Media LLC 1 -- 2021-08-06 -- Sleep quality and duration as well as activity-rest-cycles at individual level are crucial for maintaining physical and mental health. Although several methods do exist to monitor these parameters, optimal approaches are still under consideration and technological development. Wrist actigraphy is a non-invasive electro-physical method validated in the field of chronobiology to record movements and to allow for monitoring human activity-rest-cycles. Based on the continuous recording of motor activity and light exposure, actigraphy provides valuable information about the quality and quantity of the sleep–wake rhythm and about the amount of motor activity at day and night that is highly relevant for predicting a potential disease and its targeted prevention as well as personalisation of medical services provided to individuals in suboptimal health conditions and patients. Being generally used in the field of sleep medicine, actigraphy demonstrates a great potential to be successfully implemented in primary, secondary and tertiary care, psychiatry, oncology, and intensive care, military and sports medicines as well as epidemiological monitoring of behavioural habits as well as well-being medical support, amongst others. EPMA Journal 1878-5077 10.1007/s13167-021-00250-5 true {"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T18:22:08Z","timestamp":1719598928104},"reference-count":111,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008131","name":"Rheinische Friedrich-Wilhelms-Universit\u00e4t Bonn","doi-asserted-by":"crossref"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["EPMA Journal"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n <jats:title>Abstract<\/jats:title>\n <jats:p>Sleep quality and duration as well as activity-rest-cycles at individual level are crucial for maintaining physical and mental health. Although several methods do exist to monitor these parameters, optimal approaches are still under consideration and technological development. Wrist actigraphy is a non-invasive electro-physical method validated in the field of chronobiology to record movements and to allow for monitoring human activity-rest-cycles. Based on the continuous recording of motor activity and light exposure, actigraphy provides valuable information about the quality and quantity of the sleep\u2013wake rhythm and about the amount of motor activity at day and night that is highly relevant for predicting a potential disease and its targeted prevention as well as personalisation of medical services provided to individuals in suboptimal health conditions and patients. Being generally used in the field of sleep medicine, actigraphy demonstrates a great potential to be successfully implemented in primary, secondary and tertiary care, psychiatry, oncology, and intensive care, military and sports medicines as well as epidemiological monitoring of behavioural habits as well as well-being medical support, amongst others.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Prediction of disease development and individual outcomes<\/jats:title>\n <jats:p>Activity-rest-cycles have been demonstrated to be an important predictor for many diseases including but not restricted to the development of metabolic, psychiatric and malignant pathologies. Moreover, activity-rest-cycles directly impact individual outcomes in corresponding patient cohorts.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Targeted prevention<\/jats:title>\n <jats:p>Data acquired by actigraphy are instrumental for the evidence-based targeted prevention by analysing individualised patient profiles including light exposure, sleep duration and quality, activity-rest-cycles, intensity and structure of motion pattern.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Personalised therapy<\/jats:title>\n <jats:p>Wrist actigraphic approach is increasingly used in clinical care. Personalised measurements of sedation\/agitation rhythms are useful for ICU patients, for evaluation of motor fatigue in oncologic patients, for an individual enhancement of performance in military and sport medicine. In the framework of personalised therapy intervention, patients can be encouraged to optimise their behavioural habits improving recovery and activity patterns. This opens excellent perspectives for the sleep-inducing medication and stimulants replacement as well as for increasing the role of participatory medicine by visualising and encouraging optimal behavioural patterns of the individual.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s13167-021-00250-5","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T04:02:55Z","timestamp":1628222575000},"page":"349-363","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Wrist actigraphic approach in primary, secondary and tertiary care based on the principles of predictive, preventive and personalised (3P) medicine"],"prefix":"10.1007","volume":"12","author":[{"given":"Jens","family":"Acker","sequence":"first","affiliation":[]},{"given":"Olga","family":"Golubnitschaja","sequence":"additional","affiliation":[]},{"given":"Antje","family":"B\u00fcttner-Teleaga","sequence":"additional","affiliation":[]},{"given":"Kneginja","family":"Richter","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"250_CR1","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1111\/jsr.12307","volume":"24","author":"SN Archer","year":"2015","unstructured":"Archer SN, Oster H. How sleep and wakefulness influence circadian rhythmicity: effects of insufficient and mistimed sleep on the animal and human transcriptome. J Sleep Res. 2015;24:476\u201393. https:\/\/doi.org\/10.1111\/jsr.12307.","journal-title":"J Sleep Res"},{"key":"250_CR2","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.smrv.2017.10.008","volume":"40","author":"SN Archer","year":"2018","unstructured":"Archer SN, Schmidt C, Vandewalle G, Dijk D-J. Phenotyping of PER3 variants reveals widespread effects on circadian preference, sleep regulation, and health. Sleep Med Rev. 2018;40:109\u201326. https:\/\/doi.org\/10.1016\/j.smrv.2017.10.008.","journal-title":"Sleep Med Rev"},{"key":"250_CR110","doi-asserted-by":"publisher","unstructured":"Blume C, Garbazza C, Spitschan M. Effects of light on human circadian rhythms, sleep and mood. Somnologie (Berl). 2019;23(3):147\u201356. https:\/\/doi.org\/10.1007\/s11818-019-00215-x.","DOI":"10.1007\/s11818-019-00215-x"},{"key":"250_CR111","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1249\/TJX.0000000000000061","volume":"3","author":"S Rosenbaum","year":"2018","unstructured":"Rosenbaum S, Hobson-Powell A, Davison K, Stanton R, Craft LL, Duncan M, et al. The role of sport, exercise, and physical activity in closing the life expectancy gap for people with mental illness: an international consensus statement by Exercise and Sports Science Australia, American College of Sports Medicine, British Association of Sport and Exercise Science, and Sport and Exercise Science New Zealand. Transl J Am Coll Sports Med. 2018;3:72\u20133. https:\/\/doi.org\/10.1249\/TJX.0000000000000061.","journal-title":"Transl J Am Coll Sports Med"}],"container-title":["EPMA Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13167-021-00250-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13167-021-00250-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13167-021-00250-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T22:36:38Z","timestamp":1630708598000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13167-021-00250-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,6]]},"references-count":111,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["250"],"URL":"http:\/\/dx.doi.org\/10.1007\/s13167-021-00250-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-617109\/v1","asserted-by":"object"}]},"ISSN":["1878-5077","1878-5085"],"issn-type":[{"value":"1878-5077","type":"print"},{"value":"1878-5085","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,6]]},"assertion":[{"value":"14 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable for the literature research. For analysing presented cases, the database of the Clinic for Sleep Medicine, Zurzach Care, Bad Zurzach, Switzerland has been used with the permission of the responsible ethical unit.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statement of human and animal rights"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}} journal-article https://creativecommons.org/licenses/by/4.0 crossref PersonAuthorFirstName_1,PersonAuthorLastName_1,PersonAuthorFirstName_2,PersonAuthorLastName_2,PersonAuthorFirstName_3,PersonAuthorLastName_3,PersonAuthorFirstName_4,PersonAuthorLastName_4,PublisherName,TitleMain_1,Language,TitleAbstract_1,TitleParent_1,PageNumber,PageFirst,PageLast,Issue,Volume,CompletedYear,IdentifierIssn,Enrichmentlocal_crossrefLicence Begutachtet/Reviewed doi-import Creative Commons - CC BY - Namensnennung 4.0 International Jens Acker Olga Golubnitschaja Antje Büttner-Teleaga Kneginja Richter Fakultät Sozialwissenschaften Gesundheit