And What to Do About It
Dr. Tara Youngblood
Breakthrough Performance Coach · Sleep · Mental Health · Flow State
I am going to say something that might sound strange coming from a woman who holds over fifty patents in sleep technology: your sleep tracker might be doing you more harm than good.
Not because the technology is bad. But because the way most people use it is backwards.
Consumer sleep trackers — Oura, Whoop, Apple Watch, Fitbit — use accelerometers and photoplethysmography (optical heart rate sensors) to estimate sleep. They are measuring movement and heart rate, then using algorithms to infer sleep stages.
The gold standard for sleep measurement is polysomnography (PSG), which uses EEG electrodes attached directly to your scalp to measure brain waves. The difference between what your wrist tracker measures and what a PSG measures is like the difference between looking at a house from the street and actually walking through every room.
A comprehensive review published in the journal Sleep found that consumer wearables are reasonably accurate for total sleep time (within about 20 minutes) but significantly less accurate for sleep staging. Deep sleep and REM estimates can be off by 30% or more on any given night.
If you are going to use a tracker, focus on trends, not nightly snapshots. Here is what is actually useful:
What is not useful: obsessing over last night's deep sleep percentage, comparing your REM to your friend's REM, or changing your entire routine because of one bad night's score.
The best sleep metric has no algorithm. It is how you feel when you wake up. Alert or groggy? Rested or drained? Your subjective experience is data too — and it is more accurate than you think.
Use your tracker as a compass, not a GPS. Let it show you the general direction — am I sleeping enough? Is my sleep timing consistent? Is my stress load increasing? — but do not let it dictate your emotional state every morning.
And if you find yourself anxious about your sleep score, take the tracker off for two weeks. I promise you will survive. And you might just sleep better.
Sources: de Zambotti, M. et al. "A Validation Study of Fitbit Charge 2" (2018), Journal of Medical Internet Research. Haghayegh, S. et al. "Accuracy of Wristband Fitbit Models" (2019), JMIR. Baron, K.G. et al. "Orthosomnia" (2017), Journal of Clinical Sleep Medicine.
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