Health
Experts Urge Caution as Sleep Trackers Gain Popularity
Millions of people around the world rely on wearable devices and phone apps to monitor their sleep, but experts caution that these tools do not measure slumber directly. Instead, devices such as smartwatches, rings, and other sensors infer sleep patterns by tracking heart rate and movement, raising questions about the accuracy of the data they provide.
The US market for sleep-tracking devices generated approximately $5 billion in 2023 and is expected to double by 2030, according to Grand View Research. As their popularity grows, specialists stress the importance of understanding what the technology can and cannot tell users.
Daniel Forger, a University of Michigan math professor who studies sleep wearables, explained that most devices rely on similar algorithms to estimate sleep stages. “The algorithms have become highly accurate for determining when someone is asleep,” he said, adding that they are less precise at distinguishing non-REM from REM sleep. “If you want to know definitively how much of each stage you’re having, in-lab studies remain the gold standard.”
Neurologist Chantale Branson of Morehouse School of Medicine said many patients arrive with detailed sleep scores from their devices, sometimes fixating on minor variations in REM sleep. She warned that the numbers should be viewed as trend indicators rather than definitive measures of sleep health. Branson recommends focusing on good sleep habits, such as establishing a relaxing bedtime routine, avoiding screens, and maintaining a comfortable environment. Patients with sleep concerns should consult a clinician before investing in wearable devices.
Forger, however, sees value in the trackers for all users, saying they can help people monitor their biological clocks and fine-tune routines. “Even if you’re getting enough hours of sleep, sleeping at the wrong times can reduce efficiency,” he said.
Some users report practical benefits. Kate Stoye, a middle school teacher in Atlanta, said her Oura Ring helped her identify patterns affecting her sleep. She noticed alcohol consumption and late-night meals negatively impacted her rest, prompting lifestyle adjustments.
Yet, overreliance on sleep trackers can also create stress. Advertising professional Mai Barreneche said she became “obsessed” with nightly scores, a condition researchers call orthosomnia. After a vacation without her device, she chose not to resume wearing it, while maintaining healthier sleep habits independently. Branson noted that anxiety over scores is a recurring issue, particularly when users compare results with friends.
Looking ahead, Forger believes the potential of sleep wearables is underestimated. Emerging research suggests that devices could detect infections before symptoms appear and monitor sleep changes linked to depression or other health risks. He said such technology could be particularly valuable in low-resource areas where access to medical care is limited.
“As understanding sleep rhythms improves, wearables could become a key tool for enhancing health and well-being,” Forger said.
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