Can a Smartwatch Detect Sleep Apnea with AI Assistance?

Can a smartwatch really detect sleep apnea? As wearable technology is evolving, it is a common question that comes to everyone’s mind. We already know that smartwatches can track our heart rate, sleep cycle, and oxygen levels, but can they be able to monitor a complex problem such as sleep apnea? In this article, we will look at how smartwatches monitor your sleep, how they fare in relation to conventional methods, and whether they provide practical solutions for people who worry about sleep apnea. Let’s get to the meat of the matter.

What is Sleep Apnea and Can a Smartwatch Detect Sleep Apnea?

Smartwatches generally do not directly detect sleep apnea but instead, monitor sleep patterns and provide data. Sleep apnea is a condition when someone’s breath repeatedly stops and starts during sleep, resulting in bad sleep and associated health risks like high blood pressure, heart disease, and stroke. But early detection and treatment are crucial. If you ignore this, then you may face long-term effects on overall health and well-being.

The Science Behind Sleep Apnea Detection in Wearable Technology

Here’s a step-by-step breakdown of how a smartwatch can detect sleep apnea and the science behind it:

  • Heart Rate Monitoring: Heart rate monitoring in smartwatches is possible because of optical sensors. Sleep apnea can cause irregular heart rates during sleep that may point toward breathing disruptions.
  • Oxygen Saturation (SpO2) Sensors: Many smartwatches are equipped with sensors that measure blood oxygen levels. A decrease in the amount of oxygen in the blood when a person is asleep is one of the main symptoms of sleep apnea, as breathing interruptions reduce oxygen intake.
  • Movement Tracking: Accelerometers are used in smartwatches to track every sleep activity. On the other hand, sleep apnea can cause restlessness and sudden movements due to waking up briefly to breathe.
  • Respiratory Rate: Some wearables determine the rhythm of breathing using heart rate fluctuations or chest movements. It can detect pauses or irregularities in breathing, which are common in sleep apnea.
  • Sleep Cycle Analysis: smartwatches provide information on sleep stages (light, deep, REM) as well as disruptions in the sleep cycle, which may indicate disrupted sleep consistent with sleep apnea.
  • Data Integration: By using existing data such as heart rate, oxygen levels, and movement patterns, smartwatches are capable of detecting signs of sleep apnea over time.

Sleep Apnea Detection on Smartwatches Vs. CPAP Data?

Smartwatches rely on sensors to detect sleep apnea. However, CPAP equipment is more effective because it examines the subject’s breathing and airflow patterns. Smartwatches are easy to use, but the CPAP data for sleep apnea are more accurate.

Smartwatch Sleep Tracking Apps: Which Ones Are Best for Sleep Apnea Detection?

These are just a few of the many great sleep-tracking apps available for smartwatches. The best app for you will depend on your specific needs and preferences. I have listed the apps that I have already used personally.

1. Sleep Cycle:

This application (Sleep Cycle) utilizes your smartphone’s microphone to identify sleep stages and gently rouses you during your lightest sleep phase. It also offers comprehensive sleep analysis and tailored suggestions.

2. Sleep as Android:

Sleep as Android is a feature-rich sleep app. It tracks sleep, detects snoring, and provides various alarm sounds. The app includes a sleep recording function to help identify potential sleep disturbances.

3. Samsung Health:

If you own a Samsung smartwatch, Samsung Health is an excellent option for sleep tracking on Samsung smartwatches. It monitors sleep duration, heart rate, and sleep stages while offering personalized insights and recommendations.

4. SleepWatch:

This application (SleepWatch) is developed for the Apple Watch and relies on the watch’s built-in sensors to monitor active sleep. It provides detailed sleep analysis, including sleep stages, heart rate, and sleep disturbances.

5. SleepScore:

SleepScore integrates sleep monitoring with individual counseling to assist you in enhancing the quality of your sleep. It employs a mix of the data from your smartwatch and a sleep evaluation form.

Factors That Affect Sleep Apnea Detection in Smartwatch

  1. Sensor Accuracy: The sensor quality (e.g., heart rate sensor, SpO2 sensor, etc.) influences data accuracy and causes false positives or missed detection.
  2. Battery Life: If the battery is running low during sleep, it may lead to ineffective and incomplete data collection, which reduces the ability to monitor sleep effectively. 
  3. Placement on Wrist: The wrist position of the smartwatch affects the capability of the device to sense motion and measure heart rate; therefore, it affects the accuracy of detection.
  4. Movement & Body Position: Smartwatch breathing pattern monitoring can be disrupted by excessive movement or changing sleep positions.
  5. Skin Tone and Hair: The interesting thing is that skin tone can influence the accuracy of optical sensors used in smartwatches to measure oxygen saturation (SpO2). This is attributed to the properties of light in relation to different skin pigments.
  6. Algorithm Limitations: It is possible that the algorithms available in smartwatches might not be advanced enough to differentiate sleep apnea from other sleep disorders or even sleep disturbances.
  7. Sleep Environment: Several environmental factors, such as noise, temperature, or room light, may also interfere with the quality of sleep and the detection of sleep apnea symptoms.
  8. User Health Conditions: Other health conditions, such as arrhythmias or skin conditions, may affect the smartwatch’s ability to accurately track sleep and detect sleep apnea.
  9. Data Interpretation: Other health conditions, like arrhythmias or skin conditions, could impact the smartwatch’s capability to accurately monitor sleep and identify sleep apnea.

Best Smartwatches for Sleep Apnea Detection: AI Innovations

In October 2024, two notable smartwatches are set to feature AI capabilities for detecting sleep apnea:

Apple Watch Series 10

  • Detection Features: The upcoming Apple Watch Series 10 will make use of artificial intelligence capabilities to monitor various metrics, including snoring, heart rate, breathing rate, and sleeping habits, in order to detect the symptoms of sleep apnea. If it detects symptoms, users will be warned and advised to see a medical practitioner.
  • FDA Status: The feature is expected to obtain FDA authorization soon and will be accessible in more than 150 nations, including the United States.

Samsung Galaxy Watch

  • Detection Features: Samsung’s Galaxy Watch will incorporate a sleep apnea detection feature that tracks breathing disruptions while sleeping. This function is intended for adults 22 years and older and requires users to monitor their sleep for over four hours within a designated timeframe.
  • FDA Authorization: This feature obtained FDA De Novo authorization in February 2024 and is expected to be available in the United States by the third quarter of 2024.

How to Read Sleep Apnea Data in Smartwatch?

When you want to read sleep apnea data from the smartwatch, it is essential to focus on heart rate variability, oxygen saturation (SpO2) levels, and sleep cycles. Also pay attention to drops in oxygen, breath irregularities, or frequent wake-ups. Check out the signs of sleeping apnea in the data collected, but consult a doctor for a diagnosis.

Sleep Apnea vs. Snoring

Sleep apnea and snoring are related but different. Snoring is caused by vibrations in the throat due to airflow resistance. On the other hand, sleep apnea is when you face repeated breathing pauses. While snoring is typically harmless, untreated sleep apnea can result in significant health risks, including heart disease and fatigue.

How to Improve Sleep Apnea Detection Accuracy in a Smartwatch

Here are some important tips to improve sleep apnea detection accuracy in a smartwatch:

  1. Ensure Proper Fit: Just make sure the smartwatch is snug but comfortable on your wrist, as a poor fit can interfere with sensor readings.
  2. Keep Sensors Clean: You need to regularly clean the sensors to avoid debris or oils blocking accurate readings.
  3. Wear Consistently: Try to wear the smartwatch consistently every night to build a reliable data pattern for better detection over time.
  4. Enable All Relevant Features: You need to make sure features like SpO2, heart rate monitoring, and sleep tracking are enabled, as they contribute to more accurate detection.
  5. Calibrate the Device: Follow the manufacturer’s instructions to calibrate the sensors if needed. This will help give you personalized results
  6. Update Software: Try to keep your smartwatch and its apps up to date to ensure you’re using the latest algorithms for detection.
  7. Track Your Sleep Environment: Maintaining a consistent sleep environment to get accurate results is essential to reduce disruptions that could interfere with the smartwatch’s readings.
  8. Monitor Health Changes: Just share any unusual health changes with your doctor, as these can affect the accuracy of the data collected by the smartwatch.
  9. Use Complementary Devices: You need to confirm by combining smartwatch data with other sleep tools (like CPAP or sleep studies) for more comprehensive sleep apnea detection.
  10. Review Data Regularly: Regularly review your sleep data on the companion app to track trends and identify patterns that may indicate sleep apnea.

Pros and Cons of Using a Smartwatch for Sleep Apnea Detection

Here are the pros and cons of using a smartwatch for sleep apnea detection:

Pros:

  • Convenience: It is easy to wear and use nightly without a complex setup.
  • Continuous Monitoring: You can track sleep patterns, heart rate, and oxygen levels over time.
  • Early Detection: This can provide early indications of potential sleep apnea symptoms.
  • Cost-Effective: It is much cheaper than full medical sleep studies or CPAP machines.
  • Lifestyle Integration: It tracks other health metrics, offering a broader view of your overall well-being.

Cons:

  • Limited Accuracy: It is not as precise as medical-grade equipment like CPAP devices or sleep studies.
  • Sensor Limitations: there are some factors like wrist position, skin tone, and movement that can affect data accuracy.
  • No Direct Diagnosis: Smartwatches can indicate potential issues but don’t diagnose directly sleep apnea you can just estimate by getting sleep apnea symptoms; a doctor’s evaluation is still required.
  • Data Interpretation: It requires users to interpret the data themselves, which can lead to confusion or incorrect assumptions.
  • Battery Life: When you monitor symptoms at night it drains the battery that can interpret the monitoring.

What to Do After a Sleep Apnea Alert From Your Smartwatch

After receiving an alert notification from the smartwatch, if the results show repeated signs of breathing issues, reach out to a medical professional. They may suggest a sleep study or further tests to confirm sleep apnea. Do not try to diagnose yourself and make alternative plans to improve sleep without any lifestyle modifications. 

Conclusion

To sum it all up, although smartwatches efficiently and early detect sleep apnea symptoms, they cannot replace professional medical care. After going through the statistics, you should go for an in-depth evaluation from a healthcare professional. Wearable technology is evolving for the better, but for now, it remains an effective early intervention monitoring device. It is your health, so you can manage it, but it is advisable to involve a specialist.

Leave a Comment