September 9th, 2024

Apple Watch sleep apnea detection likely uses peripheral arterial tone (PAT)

The upcoming Apple Watch will feature sleep apnea detection using heart rate, blood oxygen levels, and snoring, employing algorithms based on peripheral arterial tone and cardiovascular signals for assessment.

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Apple Watch sleep apnea detection likely uses peripheral arterial tone (PAT)

The upcoming Apple Watch will feature sleep apnea detection capabilities, building on research conducted in 2017 that utilized deep neural networks for this purpose. Sleep apnea, characterized by interruptions in breathing during sleep, can lead to decreased blood oxygen levels and is often undiagnosed, affecting around 80% of those with the condition. Traditional sleep apnea tests monitor multiple physiological signals, but the Apple Watch will primarily rely on three: heart rate, blood oxygen saturation, and snoring. It employs two key techniques for detection: peripheral arterial tone (PAT) and cardiovascular signals. PAT measures variations in arterial volume linked to the autonomic nervous system, which responds to apnea events by altering heart rate and arterial tension. The FDA has previously approved devices using PAT for sleep apnea testing, paving the way for consumer wearables to adopt similar algorithms. The apnea-hypopnea index (AHI) quantifies the severity of sleep apnea, with different ranges indicating low to high severity. The ability to detect sleep apnea through the Apple Watch could significantly impact public health, as undiagnosed cases lead to substantial healthcare costs. Users alerted to potential sleep apnea should consult a healthcare professional for further evaluation and possible at-home testing.

- The Apple Watch will utilize advanced algorithms to detect sleep apnea.

- Sleep apnea is often undiagnosed, affecting millions and leading to high healthcare costs.

- Detection methods include peripheral arterial tone and cardiovascular signals.

- The apnea-hypopnea index (AHI) is used to assess the severity of sleep apnea.

- Users should seek medical advice if alerted to potential sleep apnea by their device.

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AI: What people are saying
The comments on the upcoming Apple Watch's sleep apnea detection feature reveal a mix of skepticism and hope regarding its accuracy and accessibility.
  • Many users express concerns about the accuracy of sleep apnea detection without a pulse oximeter.
  • There is a desire for more accessible and affordable sleep apnea solutions, with suggestions for consumer-friendly devices.
  • Some commenters highlight the potential for increased awareness and detection of sleep apnea through the Apple Watch.
  • Questions arise about the regulatory status and approval of the new feature.
  • Users share personal experiences with sleep apnea testing, indicating a need for reliable diagnostics.
Link Icon 13 comments
By @lysace - 7 months
The gatekeeping in the CPAP field is so insane.

1. Yes, we should regulate manufacturers intensely.

2. No, we shouldn't regulate to whom companies should be allowed to sell them. The defaults are good enough for most. Provide an easy to use control for max pressure and people will figure it out. Perhaps a knob?

I claim: During the past decade, the risk of being maltreated by a personally set-up CPAP unit has been far, far smaller than the risk of not being treated at all. (Ways to access these menus have been been shared online for 10+ years, many use them.)

I wonder how many premature deaths happen every year because of this - including secondary victims from traffic accidents.

These things should be $500 mass-market consumer units that you pick up at Target, Walmart, etc.

By @runjake - 7 months
I'm not an qualified expert, but I spend a lot of time reading about and using this stuff and I'm extremely skeptical sleep apnea detection is very accurate without the pulse oximeter functionality.

But gosh, I hope this is accurate across the Watch's wide user base.

I wouldn't say it's likely, but I do wonder if the pulse oximeter is being used surreptitiously. In any case, if you could use the pulse oximeter, this functionality would immediately become much more powerful.

By @abtinf - 7 months
I’ve always wished I could put Apple Watch into a “constant oxygen monitor mode” for sleep. That seems to be the obvious way to assess sleep apnea.

Anyone know why that isn’t the method?

By @tootie - 7 months
I wouldn't put a ton of stock into this, but it could still be useful. The WatchPAT device is purpose-built for this test and includes a full fingertip oximeter and while it's FDA-approved, it's still not very accurate. It's also a notoriously tricky condition to diagnose and can't really be done just by looking at numbers. I think there's value in the test being accessible to so many more people, it will likely have a positive outcome on detection and treatment, but I would not expect you to push a button and get a confirmed diagnosis.
By @eh_why_not - 7 months
>Undiagnosed sleep apnea affects more than 23.5 million people in the US alone, leading to $150B of wasted medical spend every year.

What do they mean by "wasted medical spend" here?

(1) Patients incorrectly spending money on a misdiagnosis, or (2) apnea solution providers not making money off people when they could?

By @cromka - 7 months
Considering they use accelerometer for it, nothing really stops them from adding this feature to all Apple Watches, potentially even the Series 1, right?

Reserving it to Series 10 and 9 really exposes their lack of hardware innovation. I mean, we were talking about them measuring glucose levels for years and this is what we get as a new flagship feature?

By @dave333 - 7 months
Amazing that you can get much the same functionality in a off brand $30 watch these days - at least monitors sleep and blood oxygen - although it explicitly does not do medical diagnosis. Still every senior should have one for many reasons.
By @pjohri - 7 months
I used a PAT device that showed mild apnea.

I then used an at home sleep study that came back negative.

By @GaggiX - 7 months
The new Apple Watch 10 has an 18-hour battery life, so if you use it while you sleep, you won't have much left.

I have no idea how some people can charge their smartwatch 1 or more times a day.

By @jrockway - 7 months
This is a neat feature. I read Reddit and r/applewatch shows up in my feed a lot. 99% of the questions are "do I have sleep apnea?" At least the watch can give them my cut-n-paste response "you should talk to your doctor about a sleep study" now.
By @hartator - 7 months
Is it released or they are waiting for fda approval?

Little unclear on macrumors.

By @breck - 7 months
If you're interested in this, I'd recommend reading the 1870 [public domain] book "Shut Your Mouth and Save your Life".

Internet Archive has it: https://archive.org/details/b28114450

Also look into "mouth taping".