The use of non-invasive, body-worn electronic devices, such as rings, watches, or headbands, equipped with sensors to continuously monitor and estimate various physiological parameters during sleep. These devices typically track heart rate, heart rate variability (HRV), actigraphy (movement), and sometimes skin temperature, using proprietary algorithms to infer sleep stages, duration, and quality. In hormonal health, this data offers valuable longitudinal insights into the patient’s circadian rhythm and the restorative aspects of sleep, which are closely tied to the neuroendocrine axis.
Origin
Wearable technology emerged from the convergence of miniaturized sensor technology and mobile computing in the early 21st century. The concept of “sleep tracking” evolved from clinical polysomnography (PSG) to consumer-grade monitoring. The term is descriptive of the technology and its function in monitoring the body’s rest cycles.
Mechanism
Wearable sleep tracking primarily operates by using an accelerometer for actigraphy to differentiate between periods of movement and stillness, correlating stillness with sleep. More advanced devices utilize photoplethysmography (PPG) to measure heart rate, which, combined with movement data, is used to estimate the time spent in light, deep (SWS), and REM sleep stages. This non-invasive mechanism provides clinicians with a practical, long-term proxy for assessing sleep quality and its impact on hormonal health markers like cortisol and growth hormone secretion.
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