. 2023 Feb 2;12(3):1182.

doi: 10.3390/jcm12031182.

Impacts of COVID-19 Pandemic on Sleep Quality Evaluated by Wrist Actigraphy: A Systematic Review

Luiz Felipe Ferreira-Souza^{1

2}, Marize Julianelli-Peçanha³, Ana Carolina Coelho-Oliveira^{1

4}, Christianne Martins Corrêa da Silva Bahia⁵, Laisa Liane Paineiras-Domingos^{1

6

7}, Aline Reis-Silva^{1

2

6}, Márcia Cristina Moura-Fernandes^{1

4

6}, Luiza Carla Trindade-Gusmão^{1

2}, Redha Taiar⁸, Danubia da Cunha Sá-Caputo^{1

2

6}, Amandine Rapin⁹, Mario Bernardo-Filho¹

Affiliations

¹ Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes and Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, RJ, Brazil.
² Programa de Pós-Graduação em Saúde, Medicina Laboratorial e Tecnologia Forense, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, RJ, Brazil.
³ Coordenação Médica do Hospital Estadual da Mulher Heloneida Studart, São João de Meriti 25565-171, RJ, Brazil.
⁴ Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-900, RJ, Brazil.
⁵ Serviço de Neurologia, Setor de Distúrbios do Sono, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-031, RJ, Brazil.
⁶ Programa de Pós-Graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil.
⁷ Departamento de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, Salvador 40110-902, BA, Brazil.
⁸ MATériaux et Ingénierie Mécanique (MATIM), Université de Reims Champagne-Ardenne, 51100 Reims, France.
⁹ Faculté de Médecine, Université de Reims Champagne Ardennes, UR 3797 VieFra, 51097 Reims, France.

PMID: 36769830
PMCID: PMC9917512
DOI: 10.3390/jcm12031182

Impacts of COVID-19 Pandemic on Sleep Quality Evaluated by Wrist Actigraphy: A Systematic Review

Luiz Felipe Ferreira-Souza et al. J Clin Med. 2023.

. 2023 Feb 2;12(3):1182.

doi: 10.3390/jcm12031182.

Authors

Affiliations

¹ Laboratório de Vibrações Mecânicas e Práticas Integrativas-LAVIMPI, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes and Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, RJ, Brazil.
² Programa de Pós-Graduação em Saúde, Medicina Laboratorial e Tecnologia Forense, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, RJ, Brazil.
³ Coordenação Médica do Hospital Estadual da Mulher Heloneida Studart, São João de Meriti 25565-171, RJ, Brazil.
⁴ Programa de Pós-Graduação em Fisiopatologia Clínica e Experimental, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-900, RJ, Brazil.
⁵ Serviço de Neurologia, Setor de Distúrbios do Sono, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20550-031, RJ, Brazil.
⁶ Programa de Pós-Graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551-030, RJ, Brazil.
⁷ Departamento de Fisioterapia, Instituto de Ciências da Saúde, Universidade Federal da Bahia, Salvador 40110-902, BA, Brazil.
⁸ MATériaux et Ingénierie Mécanique (MATIM), Université de Reims Champagne-Ardenne, 51100 Reims, France.
⁹ Faculté de Médecine, Université de Reims Champagne Ardennes, UR 3797 VieFra, 51097 Reims, France.

PMID: 36769830
PMCID: PMC9917512
DOI: 10.3390/jcm12031182

Abstract

COVID-19 has probably contributed as a risk factor for sleep disturbance. Actigraphy has been used to evaluate sleep complaints in self-isolated populations and frontline doctors during the COVID-19 pandemic. This systematic review aims to summarize the impact of the COVID-19 pandemic on sleep through wrist actigraphy, estimating sleep latency, total sleep time, awakening-after-sleep onset, and sleep efficiency. Searches were conducted of observational studies on the PubMed, Embase, Scopus, Web of Science, and PEDro databases from 1 December 2019 to 31 December 2022. Ninety articles were found, and given the eligibility criteria, fifteen were selected. Six studies were classified by the National Health and Medical Research Council as evidence level IV, two studies as level III-3, and seven studies as level III-2. According to the ACROBAT-NRSI instrument, three studies were classified as having a "serious" risk of bias, two as having "critical" risk, four as having "moderate" risk, and six as having "low" risk. In the selected publications, various populations were evaluated via actigraphy during the COVID-19 pandemic, with reports of "poor" sleep quality. Actigraphy may be a relevant tool to assess individual day-night rhythms and provide recommendations under enduring pandemic conditions. Moreover, as actigraphy presents objective data for sleep evaluations, it is suggested that this method be used in similar pandemics and that actigraphy be included as part of the sleep hygiene strategy.

Keywords: COVID-19 pandemic; actigraphy; circadian rhythm; sleep; sleep schedules; social isolation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
Wrist actigraph (ActTrust-2) on the left hand and sleep score graph display showing captured objective parameter data.

**Figure 2**
PRISMA 2020 flowchart of bibliographic research and the various steps in the selection of the articles.

**Figure 3**
ACROBAT-NRSI risk of bias of the selected publications [30,36,38,55,56,57,58,59,60,61,62,63,64,65,66].

See this image and copyright information in PMC

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Impacts of COVID-19 Pandemic on Sleep Quality Evaluated by Wrist Actigraphy: A Systematic Review

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Impacts of COVID-19 Pandemic on Sleep Quality Evaluated by Wrist Actigraphy: A Systematic Review

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Conflict of interest statement

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