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The Matt Walker Podcast

Ask Me Anything Part 17: Tracker Accuracy, 3 AM Wake ups, Sleep Onset & More

The Matt Walker Podcast

Dr. Matt Walker

Medicine, Science, Social Sciences, Health & Fitness

4.8995 Ratings

🗓️ 14 April 2025

⏱️ 65 minutes

🧾️ Download transcript

Summary

In this latest AMA episode, Matt and Dr. Eti Ben Simon tackle even more listener questions regarding any and all aspects of sleep. Today, they discuss sleep tracker accuracy, noting that while nightly data isn't perfect (~75-85% accurate), weekly trends are reliable. Feeling exhausted despite good tracker metrics? Potential causes include fragmented sleep, circadian issues, undiagnosed disorders (like apnea), or tracker-induced anxiety (orthosomnia). Matt and Eti stress consulting a specialis...

Transcript

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0:00.0

Hi there, it's Matt here and welcome back to the podcast and welcome back to another of our AMA episodes.

0:11.6

Ask Me Anything episodes. Let's really ask the two of us episode because it's myself and I am joined

0:19.5

as I always am by the brilliant mind of Dr. Etty Ben-Simon.

0:26.2

Eti, I always pronounce it in my own special way.

0:29.1

Welcome back to the podcast.

0:31.3

It's the best way to pronounce it.

0:33.0

Thank you.

0:34.7

So I think we've got lots of really fascinating questions, and we were just chatting very

0:39.9

briefly before we started recording to say, I need to do much better at getting through these

0:45.5

questions in a more direct, straight line, efficient, informationally rich, nevertheless,

0:53.4

manner, rather than going just long-winded. So let's see if we

0:57.1

can do that. Let us start with the first question. Okay, the first question. The challenge is on.

1:03.1

My sleep tracker says I get plenty of deep sleep, but I still feel exhausted. What could be happening here

1:09.1

and can we trust these devices? Yeah, it's a good question

1:12.9

and it's a question I do get asked a lot in the public about either which are the best devices

1:17.4

or are they accurate and what are the accuracies? Sleep trackers, whether they're in smart watch

1:24.6

form or a ring form or a headband sort of standalone device, just so people know,

1:30.4

they estimate sleep stages using a combination of different signals. And the sensors on these

1:36.9

different devices are measuring these different signals. So one of the sensors is what we

1:41.7

call an accelerometer and it measures movement. One of the other things

1:45.9

that they measure is your heart rate. So how quickly or slowly is your heart contracting? They also

1:52.3

measure the variability from one beat of your heart to the next. And that is called heart rate

...

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