Sleep Regularity Index
Phillips AJK, Clerx WM, O’Brien CS, et al. Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/wake timing.
Scientific Reports 2017;7:3216
- What it established
- A single index for how repeatable a sleep pattern is from one day to the next: the average concordance of sleep/wake state between all epoch pairs exactly 24 hours apart, rescaled so that 100 is perfectly regular and 0 is chance.
- What Beacon computes
- The index itself, computed over the supplied recording window using the same construction as published, with no substitution of a shorter window when the input is too short to support it. It is returned as a subject-scoped value: computed across a subject's consecutive recording days, attached to each of those nights with the same number, and never presented as a property of one night.
- Input required
- Epoch-level binary sleep/wake over multiple consecutive days. It is not computable from a single night: Beacon returns it as unavailable, with the reason, rather than a number derived from too little data.
Evidence
Cohort
Windred DP, et al., SLEEP 2024;47(1):zsad253. 60,977 UK Biobank participants, over 10 million hours of wrist accelerometry, mean 6.3-year follow-up, 1,859 deaths.
Mortality
Most-regular versus least-regular quintile: all-cause mortality HR 0.52 (95% CI 0.45–0.60) minimally adjusted, 0.70 (0.59–0.83) fully adjusted.
Versus duration
Sleep regularity outperformed sleep duration as a mortality predictor, and duration added no significant incremental variance once regularity was in the model.
Cardiometabolic
Lunsford-Avery et al., Sci Rep 2018;8:14158 (MESA, n=1,978, mean age 68.7): 10-year ASCVD risk partial r = −0.133, BMI r = −0.139, HbA1c partial r = −0.138.