Circadian Rhythm
Conditions
Brief summary
This will be a single-center, prospective observational study designed to evaluate the feasibility and accuracy of a new wearable device for non-invasive continuous monitoring of physiological signals to derive circadian rhythm. Melatonin sampling will be included for comparison against wearable-derived measures
Interventions
This is a new wearable device for non-invasive continuous monitoring of physiological signals to derive circadian rhythm
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥18 years at screening. * Able and willing to provide written informed consent. * Belonging to one of three strata: (a) healthy controls without diagnosed sleep disorder, (b) patients with physician-diagnosed OSA, or (c) patients with physician-diagnosed insomnia (based on DSM-5/AASM criteria and ISI ≥15) * Capable of using a smartphone for app-based data syncing. * Willing to comply with study visits, wearable use, and saliva sampling.
Exclusion criteria
* • Dermatologic conditions preventing wearable use. * Significant psychiatric or neurologic illness that may impair compliance. * Shift work or trans-meridian travel within 2 weeks prior. * Currently pregnant * Use of medications known to significantly alter circadian rhythm (e.g., exogenous melatonin, beta-blockers).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of estimating circadian phase with the myCircadian wearable device. Correlation | 48 hours | Circadian phase estimated by the myCircadian wearable device (expressed as clock time of circadian phase in hours) will be compared with circadian phase determined by salivary melatonin sampling, defined as dim-light melatonin onset (DLMO; first salivary melatonin concentration ≥3 pg/mL and ≥2 standard deviations above baseline, expressed in clock time). The strength of agreement between the two measures will be assessed using Pearson correlation coefficient (r). |