Paperdoi:10.1007/s44470-026-00195-4

A smart watch crosses the threshold into clinical practice—or not quite yet?

Venue listed2026Added Oct 6, 2026

  • RK
  • MC

Authors: Rami N. Khayat, Matthew S. Floyd (Penn State Health Sleep Center)

Journal of Clinical Sleep Medicine

TL;DR

Commentary on the Samsung Galaxy Watch sleep apnea validation by Alavi and colleagues. It highlights r = 0.87 between watch eAHI and PSG AHI, specificity of 66.7% at the default cutoff, a cohort weighted towards moderate-to-severe OSA, and 38.8% of participants missing a valid watch estimate on at least one attended night.

  • Form factor: wrist
Caveats
  • eAHI vs OAHI 4%; the comparison is plotted in Alavi et al. Fig. 2c (scatter, both lab nights), but r = 0.87 is not printed on the figure or caption and the body text is paywalled, so the value is still sourced from the Khayat & Floyd commentary; First author Arash Alavi stated in an email to ChatPPG (2026-10-30) that r = 0.87 (225 night-level pairs, OAHI 4%) appears on p. 6 of Alavi et al. JCSM 2026 (Fig. 2c). Author-reported; the paywalled text wasn't independently checked.; Samsung-funded.

Results on ChatPPG leaderboards · 1

All leaderboards
LeaderboardMethodResultRank
Stanford enriched cohort Pearson rSleep apnea (OSA) screeningSamsung Galaxy Watch OSA featureCaveat: eAHI vs OAHI 4%; the comparison is plotted in Alavi et al. Fig. 2c (scatter, both lab nights), but r = 0.87 is not printed on the figure or caption and the body text is paywalled, so the value is still sourced from the Khayat & Floyd commentary; First author Arash Alavi stated in an email to ChatPPG (2026-10-30) that r = 0.87 (225 night-level pairs, OAHI 4%) appears on p. 6 of Alavi et al. JCSM 2026 (Fig. 2c). Author-reported; the paywalled text wasn't independently checked.; Samsung-funded.0.87Pearson r, higher is betterUnranked

1 row is credited to this paper. Ranks apply within each leaderboard only, as reported by the source.

Tasks & signals

Tasks

Sleep apnea (OSA) screeningSleep apneaSignal quality

Signals

Keywords

Sleep ApneaOSAeAHIHypoxic BurdenFDA de NovoSkin ToneSignal QualityData Loss

How it works

How Method works: Setup → Method → TargetSetup: Signals (PPG, SpO2); Form factor (wrist). Method: Method. Target: Sleep apnea; Signal quality.SetupSignals: PPG, SpO2SignalsPPG, SpO2Form factor: wristForm factorwristMethodMethodTargetSleep apneaSleep apneaSignal qualitySignal quality

Cite this paper

Cite this paper with the fields recorded here. Check it against the publisher before submitting.

Khayat, R. N., & Floyd, M. S. (2026). A smart watch crosses the threshold into clinical practice—or not quite yet? Journal of Clinical Sleep Medicine. https://doi.org/10.1007/s44470-026-00195-4
Khayat, Rami N. and Matthew S. Floyd. 2026. "A smart watch crosses the threshold into clinical practice—or not quite yet?" Journal of Clinical Sleep Medicine. https://doi.org/10.1007/s44470-026-00195-4.
Khayat, R. N. and Floyd, M. S. (2026) 'A smart watch crosses the threshold into clinical practice—or not quite yet?', Journal of Clinical Sleep Medicine. doi: 10.1007/s44470-026-00195-4.
Khayat, Rami N., and Matthew S. Floyd "A smart watch crosses the threshold into clinical practice—or not quite yet?" Journal of Clinical Sleep Medicine, 2026. https://doi.org/10.1007/s44470-026-00195-4.
R. N. Khayat and M. S. Floyd, "A smart watch crosses the threshold into clinical practice—or not quite yet?" Journal of Clinical Sleep Medicine, 2026, doi: 10.1007/s44470-026-00195-4.
@article{khayat2026smart,
  title         = {{A smart watch crosses the threshold into clinical practice—or not quite yet?}},
  author        = {Khayat, Rami N. and Floyd, Matthew S.},
  year          = {2026},
  journal       = {Journal of Clinical Sleep Medicine},
  doi           = {10.1007/s44470-026-00195-4}
}

Record updated

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