2026's Top 10 Smart Pajamas for Biometric Sleep Tracking

Gone are the days when optimizing your sleep meant simply upgrading your mattress or switching to blackout curtains. As we enter 2026, the sleep technology revolution has woven itself directly into the very fabric of our nighttime routines—literally. Smart pajamas equipped with biometric tracking represent the most intimate evolution in sleep science, transforming what you wear to bed into a sophisticated health monitoring system that rivals traditional sleep labs.

Unlike bulky wrist-worn devices that can disrupt comfort or get abandoned on the nightstand, biometric sleepwear integrates seamlessly into your natural sleep environment. These advanced garments capture clinical-grade data through sensors embedded directly into breathable, moisture-wicking fabrics, offering unprecedented insights into your sleep architecture, recovery metrics, and long-term health patterns. But with this rapid innovation comes complexity. Understanding what distinguishes medical-grade smart pajamas from glorified fitness trackers is crucial for making an investment that genuinely enhances your wellbeing rather than simply adding another gadget to your life.

Top 10 Smart Pajamas for Biometric Sleep Tracking

ergoPouch Drift Home Baby Monitor and Smart TOG Guide – Non-Wi-Fi Monitor with Sleep Tracking, Night Light, and Intelligent TOG Dressing Guide for Safer SleepergoPouch Drift Home Baby Monitor and Smart TOG Guide – Non-Wi-Fi Monitor with Sleep Tracking, Night Light, and Intelligent TOG Dressing Guide for Safer SleepCheck Price

Detailed Product Reviews

1. ergoPouch Drift Home Baby Monitor and Smart TOG Guide – Non-Wi-Fi Monitor with Sleep Tracking, Night Light, and Intelligent TOG Dressing Guide for Safer Sleep

ergoPouch Drift Home Baby Monitor and Smart TOG Guide – Non-Wi-Fi Monitor with Sleep Tracking, Night Light, and Intelligent TOG Dressing Guide for Safer Sleep

Overview: The ergoPouch Drift Home Baby Monitor carves a distinctive niche by championing digital privacy and sleep safety in equal measure. This $249.95 RF-based system eliminates Wi-Fi vulnerabilities entirely while introducing an industry-first Smart TOG Dressing Guide that transforms nursery temperature data into actionable, real-time clothing recommendations for safer infant sleep.

What Makes It Stand Out: The intelligent TOG recommendation engine is genuinely revolutionary, automatically calculating appropriate sleepwear layers based on ambient room temperature—removing dangerous guesswork for exhausted parents. The Wi-Fi-free 2.4GHz RF design ensures complete security with no cloud storage, no apps, and zero hacking risk. Complementing this are robust monitoring capabilities tracking sound, motion, temperature, feeding, and diaper changes, creating a comprehensive care ecosystem that doesn’t require smartphone dependency.

Value for Money: Positioned in the premium tier, it justifies its cost through unparalleled privacy architecture and proprietary safety guidance that competitors simply don’t offer. Parents would otherwise need separate temperature monitors, consulting charts, and constant manual calculations—this integrates everything into one seamless, stress-reducing solution that prioritizes infant safety above all else.

Strengths and Weaknesses: Strengths include bulletproof privacy protection, evidence-based TOG recommendations, 360° pan/tilt camera with invisible infrared night vision, and a customizable multi-color night light. Weaknesses: 720p resolution trails 1080p alternatives; the lack of app integration limits remote viewing convenience; RF range may constrain larger properties; and the interface feels less modern than touchscreen competitors.

Bottom Line: Perfect for privacy-conscious parents who value data-driven sleep safety over smartphone bells and whistles. The TOG feature alone delivers tangible peace of mind, though tech enthusiasts may find the RF-only approach limiting.


The Evolution of Sleep Technology: Why Smart Pajamas Are the Future

Sleep tracking has undergone a remarkable transformation over the past decade. We’ve graduated from smartphone apps that merely guessed at sleep duration based on microphone input to sophisticated polysomnography-grade systems that fit comfortably in your dresser drawer. Smart pajamas represent the convergence of three critical advancements: textile engineering breakthroughs that make conductive fabrics feel indistinguishable from premium cotton, miniaturized sensor technology that operates on microvolts of electricity, and AI-driven analytics that translate raw biometric data into actionable health insights.

What makes 2026 a watershed moment is the standardization of sensor accuracy. Earlier generations of smart sleepwear suffered from data drift—where readings became less reliable as fabrics stretched and washed. Today’s implementations use self-calibrating sensor arrays that maintain clinical accuracy through hundreds of wash cycles, making them practical for everyday use rather than just novelty demonstrations.

How Smart Pajamas Actually Work: The Science Behind the Fabric

The Sensor Integration Process

Smart pajamas function through a network of micro-electromechanical systems (MEMS) sensors woven directly into the garment’s structure using conductive yarns. These aren’t the rigid circuit boards you’d imagine—they’re flexible, thread-like filaments that can stretch, breathe, and move with your body. The most advanced implementations use triboelectric nanogenerators that harvest energy from your natural movements, eliminating the need for external batteries in some sensor types.

The sensor placement follows precise anatomical mapping. Chest patches capture cardiac signals through capacitive sensing that detects minute electrical changes across your skin. Waistband sensors monitor respiratory effort through strain gauges that expand and contract with each breath. Even your sleep position gets tracked through distributed pressure sensors that create a real-time map of body contact points with your mattress.

Data Transmission and Security Protocols

Data flows from sensors to a low-power hub typically integrated into the garment’s collar or waistband, which then transmits encrypted packets to your smartphone or dedicated base station. In 2026, Thread and Matter protocols have largely replaced basic Bluetooth for sleepwear, creating mesh networks that are more reliable and consume 60% less power. Look for devices employing AES-256 encryption with perfect forward secrecy—meaning even if one data packet were compromised, it couldn’t be used to decrypt historical or future transmissions.

Key Biometric Metrics You Should Be Tracking in 2026

Heart Rate Variability (HRV) and Sleep Stages

While basic heart rate monitoring is table stakes, sophisticated smart pajamas now track HRV with medical-grade ECG sensors that measure the millisecond variations between heartbeats. This reveals your autonomic nervous system’s behavior during each sleep stage. True stage detection requires multi-parameter analysis—combining HRV, respiratory rate, and movement patterns to distinguish REM from deep sleep with over 90% accuracy compared to polysomnography.

Respiratory Rate and Oxygen Saturation

Advanced photoplethysmography (PPG) sensors embedded in sleeve cuffs or chest panels now measure peripheral oxygen saturation (SpO2) continuously throughout the night. This is critical for detecting sleep-disordered breathing patterns. The best implementations use multi-wavelength LEDs that penetrate different tissue depths, compensating for variations in skin tone and body composition that plagued earlier single-wavelength designs.

Core Body Temperature Monitoring

Your nocturnal temperature fluctuations reveal crucial information about circadian rhythm alignment and metabolic health. Smart pajamas deploy distributed thermistors that measure skin temperature at multiple points, then apply proprietary algorithms to estimate core body temperature within 0.1°C accuracy. This matters because even slight elevations can indicate inflammation, while abnormal cooling patterns may suggest circadian misalignment.

Movement and Positional Analysis

Beyond simple actigraphy, modern sleepwear uses gyroscopic sensors and pressure mapping to understand not just how much you move, but why. Positional data helps identify conditions like positional sleep apnea or REM behavior disorder. The system can differentiate between restorative position changes and restless tossing, providing context that raw movement counts miss entirely.

Fabric Technology: What Makes Smart Sleepwear Different

Conductive Yarns and Thread Integration

The magic lies in the marriage of conductivity and comfort. Silver-coated nylon threads provide antimicrobial properties while maintaining conductivity, but premium options now use carbon-based graphene filaments that are lighter, more flexible, and don’t degrade with washing. The key specification is resistance consistency—quality smart fabrics maintain less than 5% variance in conductivity after 100 wash cycles.

Moisture-Wicking and Breathability Standards

Sensors generate minimal heat, but the fabric itself must prevent sweat accumulation that could interfere with readings. Look for garments meeting ASTM D737 air permeability standards above 100 ft³/ft²/min and moisture vapor transmission rates (MVTR) exceeding 5,000 g/m²/24h. The best smart pajamas use three-layer constructions: a hydrophilic inner layer that pulls moisture away, a sensor-embedded middle layer, and a hydrophobic outer layer that accelerates evaporation.

Hypoallergenic and Skin-Safe Materials

Since you’ll wear these garments for 7-9 hours against bare skin, material safety is non-negotiable. All conductive components should be encapsulated in medical-grade silicone or thermoplastic polyurethane (TPU) barriers. Certifications to demand: OEKO-TEX Standard 100 Class I (safe for infant skin) and ISO 10993-10 for irritation and sensitization testing. If you have nickel allergies, explicitly confirm the conductive threads use silver or carbon rather than nickel-copper alloys.

Essential Features to Evaluate Before Buying

Battery Life and Charging Mechanisms

Battery anxiety shouldn’t follow you to bed. Current generation smart pajamas offer 7-14 days of continuous monitoring on a single charge, with wireless charging pads that can power the garment while you wear it (think charging mats that work through fabric). For travel, prioritize models with magnetic charging connectors that align automatically—no fumbling with micro-USB ports in the dark. Some cutting-edge designs now incorporate energy harvesting, where your body heat and movement generate supplementary power, extending battery life indefinitely for low-power sensors.

Wireless Connectivity Standards (Bluetooth, Wi-Fi, Thread)

Your choice of protocol impacts both reliability and your home network’s health. Thread creates a self-healing mesh network that doesn’t congest your Wi-Fi, ideal for homes with dozens of smart devices. However, if you want direct cloud backup without a phone gateway, Wi-Fi 6E models offer lower latency. Bluetooth 5.3 remains the most phone-friendly option but requires your device to stay within 30 feet. Consider your smart home ecosystem: Apple HomeKit users should prioritize Thread, while those in Google or Amazon environments might prefer Wi-Fi for direct assistant integration.

Machine Washability and Durability

The Achilles’ heel of early smart clothing was laundry. Modern implementations achieve true machine washability through hermetic sealing of all electronic components. Look for IP67 or higher ratings, meaning the garment can withstand immersion in 1 meter of water for 30 minutes. The gold standard is removable sensor modules—small puck-like devices that pop out before washing, leaving behind pure fabric. Check warranty terms specifically for wash-related failures; reputable manufacturers guarantee 200+ wash cycles without performance degradation.

Real-Time vs. Delayed Data Processing

Some systems process data onboard and transmit only summarized insights, preserving privacy and battery life. Others stream raw data continuously for cloud-based AI analysis. Real-time processing is crucial if you want smart home integrations—like automatically adjusting thermostat temperature when your core body temperature drops. Delayed processing suffices for next-morning sleep reports. Hybrid approaches offer the best of both worlds, with critical alerts (like apnea detection) processed in real-time while detailed analysis occurs post-sleep.

Accuracy and Validation: Separating Hype from Science

Clinical Validation Studies

Don’t trust marketing claims alone. Legitimate smart pajamas publish peer-reviewed validation studies comparing their accuracy against polysomnography (PSG) in sleep labs. The metric to scrutinize is epoch-by-epoch agreement for sleep staging—aim for products demonstrating at least 85% concordance with PSG. Be wary of brands that only validate against consumer-grade wrist trackers; that’s comparing a toy to a toy rather than to medical truth.

FDA Approval and Medical-Grade Certifications

FDA clearance matters if you plan to use the device for medical purposes, such as monitoring sleep apnea treatment efficacy. Class II medical device clearance indicates the product underwent rigorous review for safety and effectiveness. For general wellness, FDA registration (different from clearance) suffices. In Europe, look for CE marking with Medical Device Regulation (MDR) compliance. Wellness devices can make general claims; medical-grade devices can advertise specific diagnostic capabilities.

Third-Party Testing Standards

Independent labs like UL or Intertek verify electromagnetic compatibility (EMC) and electrical safety. Sleep-specific certifications include validation from the National Sleep Foundation or partnerships with accredited sleep research institutions. The gold standard is American Academy of Sleep Medicine (AASM) recognition, which few consumer devices achieve but many aspire to.

Privacy and Data Security in Sleep Tracking

End-to-End Encryption Standards

Your sleep data reveals intimate health details—heart conditions, anxiety patterns, even relationship stress. Ensure the device uses end-to-end encryption where only you hold the decryption keys, not the manufacturer. Zero-knowledge architecture means the company can’t access your raw data even if compelled by subpoena. Read the privacy policy carefully: if it mentions “anonymized data sharing with research partners,” verify you can opt-out without losing core functionality.

Data Ownership and Portability

You should own your biometric data outright. The right to export your complete dataset in standardized formats (like JSON or CSV) ensures you’re not locked into a single platform. This becomes critical if the company discontinues the product or you want to share data with your physician. Avoid services that claim ownership of your aggregated data or charge fees for data export.

GDPR and HIPAA Compliance

Even if you’re not in Europe, GDPR compliance signals robust privacy practices. For U.S. users, HIPAA compliance is essential if you plan to integrate sleep data with electronic health records. Ask whether the company will sign a Business Associate Agreement (BAA), which legally binds them to HIPAA’s strict privacy and security rules. Most direct-to-consumer wellness companies won’t, but medical-grade providers should.

Integration with Your Existing Health Ecosystem

Compatibility with Smart Home Platforms

The true power of smart pajamas emerges when they orchestrate your entire sleep environment. Thread-enabled garments can directly communicate with compatible thermostats, automatically lowering bedroom temperature when they detect deep sleep onset. Integration with smart lighting systems allows for gradual dawn simulation based on your actual sleep cycle rather than a fixed alarm time. Check for IFTTT or similar automation platform support to create custom workflows—like brewing coffee when the system detects you’re in light sleep 30 minutes before your scheduled wake time.

API Access and Data Export Options

Power users should demand RESTful APIs that allow custom application development. This enables integration with research tools, proprietary corporate wellness platforms, or personal data warehouses. Rate limits matter: generous APIs allow thousands of calls per day, while restrictive ones hamper real-time applications. OAuth 2.0 authentication is the security standard to expect.

Synchronization with Fitness Trackers and Medical Devices

Your smart pajamas shouldn’t exist in a silo. Bidirectional sync with fitness platforms like Apple HealthKit, Google Fit, or Garmin Connect creates a holistic health picture. More importantly, medical device integration—such as continuous glucose monitors or blood pressure cuffs—allows correlation analysis. Imagine seeing how your 2 AM blood sugar spike correlates with fragmented REM sleep. This requires not just data export but sophisticated data model alignment that only premium platforms offer.

Sizing, Fit, and Comfort Considerations

Ergonomic Sensor Placement

Sensors must align with specific anatomical landmarks to capture accurate data. A poorly fitted smart pajama is worse than useless—it generates misleading data. Manufacturers should provide detailed sizing charts showing sensor positions relative to body measurements. Some offer virtual fitting tools using your phone’s camera to map sensor placement. The ideal fit is snug enough to maintain sensor contact but not so tight it restricts circulation or causes discomfort.

Gender-Specific Design Differences

Sleep physiology differs between genders, and smart pajamas should reflect this. Women’s designs often incorporate additional sensors in the waistband to capture core temperature fluctuations across menstrual cycles, providing fertility insights. Men’s versions may focus more on chest positioning for cardiac monitoring. Unisex designs compromise on both fronts; gender-specific tailoring ensures optimal sensor placement and comfort.

Adaptive Sizing Technology

Revolutionary new fabrics incorporate shape-memory alloys that allow a single garment to accommodate weight fluctuations of up to 15%. This is particularly valuable for long-term health monitoring where body composition may change. The technology works by creating “smart seams” that expand and contract while maintaining consistent sensor-to-skin distance.

Price vs. Value: Understanding the Cost Landscape

Subscription Models and Hidden Fees

The hardware is just the entry point. Many manufacturers subsidize garment costs through mandatory subscription services for data analysis, typically $10-30 monthly. Evaluate what’s locked behind the paywall: basic sleep scores should be free, but personalized coaching, trend analysis, and physician reporting may require subscription. Calculate the total cost of ownership over three years, not just the upfront price. Some premium models include lifetime data access, which can save hundreds annually.

Warranty and Replacement Policies

Given the electronic components, standard apparel warranties don’t apply. Look for at least a two-year warranty covering sensor failure and battery degradation. Pro-rated replacement policies are red flags—they suggest the manufacturer expects failures. The best programs offer advance replacement: they’ll ship a new garment before you return the defective one, ensuring uninterrupted sleep tracking.

Long-Term ROI on Health Insights

Quantify the value proposition by considering potential healthcare savings. Early detection of sleep apnea through consistent monitoring can prevent costly cardiovascular complications. Improved sleep quality correlates with reduced sick days and increased productivity. While difficult to monetize precisely, investing $500-800 in quality smart pajamas that last three years breaks down to less than $0.75 per night—far cheaper than a single poor night’s sleep costs in lost productivity.

The Role of AI and Machine Learning in Sleep Optimization

Personalized Sleep Coaching Features

Generic sleep advice like “avoid caffeine after 2 PM” is obsolete. Modern AI analyzes your individual biometric patterns to generate hyper-personalized recommendations. The system might notice your deep sleep improves on nights when your core temperature drops below 36.2°C by midnight, then automatically adjust your smart thermostat schedule. Effective coaching requires reinforcement learning that adapts as your body responds to interventions, not static rule-based algorithms.

Predictive Health Analytics

By establishing your personal biometric baseline over 30 nights, AI can detect subtle deviations that precede illness. A 5% decrease in HRV combined with elevated resting heart rate might predict an impending viral infection 48 hours before symptoms appear. This transforms sleep tracking from reactive analysis to proactive health management. The most sophisticated platforms cross-reference your data with anonymized population datasets to identify risk patterns unique to your age, gender, and health profile.

Anomaly Detection and Health Alerts

Critical for users with known cardiac or respiratory conditions, anomaly detection algorithms can differentiate between benign sleep disturbances and events requiring medical attention. False positive rates below 2% are essential—too many false alarms lead to alarm fatigue and device abandonment. The system should escalate alerts intelligently: a single apnea event triggers a note in your morning report, while repeated desaturation below 88% initiates immediate notification to your emergency contacts.

Potential Health Concerns and Contraindications

Electromagnetic Frequency (EMF) Exposure

While smart pajamas emit far less radiation than your smartphone, EMF-conscious users should prioritize garments that transmit data in burst mode rather than continuous streaming. Look for SAR (Specific Absorption Rate) testing results below 0.1 W/kg—significantly lower than the 1.6 W/kg FCC limit for phones. Some manufacturers offer “airplane mode” scheduling, where the device stores data locally and syncs only during waking hours.

Skin Sensitivity and Allergic Reactions

Even hypoallergenic materials can cause contact dermatitis in sensitive individuals. Conduct a patch test: wear the garment for one hour during the day and monitor for redness or itching. The conductive gel used in some medical-grade sensors contains propylene glycol, which can irritate eczema-prone skin. Newer dry-electrode designs eliminate gels entirely but may sacrifice some signal quality.

When Smart Pajamas Aren’t Appropriate

Certain medical conditions contraindicate smart sleepwear. Patients with pacemakers should consult their cardiologist, as the garment’s electromagnetic fields could theoretically interfere with device function (though modern pacemakers are well-shielded). Those with severe sleep disorders requiring immediate intervention need medical-grade polysomnography, not consumer tracking. And if tracking itself causes anxiety that worsens insomnia, the device defeats its purpose.

Care and Maintenance Best Practices

Washing and Drying Protocols

Always remove detachable sensor modules before washing. Use gentle, fragrance-free detergents without fabric softeners, which can coat conductive fibers. Wash in cold water on delicate cycles, and never use chlorine bleach. Air drying is preferred; if you must use a dryer, choose the lowest heat setting and remove the garment while slightly damp. High heat degrades the elastic polymers that maintain sensor positioning.

Sensor Calibration and Software Updates

Sensors drift over time. Monthly calibration using the manufacturer’s app ensures accuracy—typically involves wearing the garment while sitting still for five minutes so the system can re-establish baseline impedance. Enable automatic firmware updates but schedule them for daytime hours; interrupted updates could corrupt sensor firmware, requiring professional recalibration. Keep a log of calibration dates to track sensor health.

Storage and Longevity Tips

Store smart pajamas flat or on wide, padded hangers to prevent stretching sensor threads. Avoid direct sunlight, which degrades conductive polymers. If you won’t use them for extended periods, charge the battery to 50% before storage—full charges stress lithium cells, while complete discharge can cause permanent capacity loss. Place silica gel packets in the storage bag to prevent moisture damage to electronic components.

The Future of Smart Sleepwear Beyond 2026

Emerging Technologies on the Horizon

Laboratory prototypes already demonstrate pajamas with integrated sweat analysis, using microfluidic channels to capture and analyze interstitial fluid for cortisol, glucose, and inflammatory markers. Another breakthrough involves piezoelectric fabrics that generate electricity from breathing and heartbeat, potentially eliminating batteries entirely. Expect these features to reach consumer markets by 2028, but for now, focus on proven metrics rather than vaporware promises.

Integration with Circadian Lighting and Smart Bedrooms

The next frontier is closed-loop sleep environment control. Imagine your pajamas detecting early signs of restless sleep and automatically triggering your smart lighting to emit specific wavelengths that promote relaxation, or your smart speakers playing subliminal delta wave audio. This requires not just data sharing but predictive AI that acts before you consciously realize sleep quality is declining. Early implementations exist but remain primitive; the ecosystem maturity expected by 2027 will make this truly seamless.

Frequently Asked Questions

How accurate are smart pajamas compared to clinical sleep studies?

Premium smart pajamas validated against polysomnography achieve 85-90% accuracy for sleep staging and 95%+ accuracy for heart rate and respiratory metrics. However, they cannot replace clinical studies for diagnosing disorders like sleep apnea, which require EEG and airflow sensors. Think of them as excellent screening tools and longitudinal monitors, not diagnostic replacements.

Can smart pajamas really replace my fitness tracker for sleep tracking?

Absolutely, and they should. Wrist-worn devices rely on actigraphy and optical heart rate, which are prone to motion artifacts and lose contact when you shift positions. Smart pajamas maintain consistent sensor contact across multiple body sites, capturing respiratory effort and core temperature that wrist devices simply cannot. The only trade-off is losing daytime activity tracking, which pajamas obviously can’t provide.

What happens if I roll over onto the sensors during sleep?

Quality smart pajamas use distributed sensor arrays, so compressing one sensor doesn’t lose data—redundant sensors in the back panel take over. The software is designed to detect and ignore pressure artifacts, similar to how hospital monitors filter out movement noise. You’ll never be woken up to “adjust your sensors.”

Are smart pajamas safe for children and teenagers?

Pediatric versions exist with appropriately sized sensors and safety protocols, but consider the psychological impact. For children under 12, the data is rarely actionable and may create unnecessary anxiety. Teenagers can benefit from sleep pattern insights, especially those with athletic training demands, but parental monitoring should be transparent and consensual to maintain trust. Always choose models with pediatric-specific FDA clearance, not just scaled-down adult versions.

How often do I need to replace smart pajamas?

With proper care, the electronic components last 3-5 years. The fabric itself may wear sooner, typically 2-3 years with nightly use. Budget for replacement every 2.5 years. Some manufacturers offer refurbishment programs where you return the garment, they replace fabric while reusing sensors, reducing cost and e-waste by 40%.

Will insurance cover the cost of medical-grade smart sleepwear?

Rarely for wellness tracking, but increasingly yes when prescribed for specific conditions. If your physician documents medical necessity for monitoring sleep apnea treatment, insomnia, or cardiac arrhythmias, HSA/FSA funds can typically be used. Some progressive insurers offer wellness incentives that partially reimburse tracking devices. Always obtain a Letter of Medical Necessity from your doctor before purchasing if you plan to seek reimbursement.

Can I travel with smart pajamas and will they work internationally?

Yes, but verify voltage compatibility for charging bases if traveling outside your purchase region. The garments themselves are voltage-agnostic. For data connectivity, ensure your subscription includes international server access; some budget services geo-restrict data processing. Pack the garment in your carry-on—luggage compartment pressure and temperature extremes can damage sensor calibration.

What if I share my bed with a partner? Will their movements interfere?

Modern sensor fusion algorithms isolate individual biometric signatures. Your heart’s electrical pattern is unique, allowing software to filter out your partner’s movements and vitals. However, if your partner also wears smart pajamas, ensure you’re using different transmission channels or paired devices to prevent signal crosstalk. Most systems auto-detect and pair household devices to avoid interference.

How do I know if I’m allergic to the conductive materials?

Conductive materials are encapsulated, so direct contact is rare. However, adhesives used in some sensor patches contain acrylates. Request a material safety data sheet (MSDS) from the manufacturer listing all skin-contact substances. Conduct a 24-hour patch test on your inner forearm with a dampened sensor portion. If you have known metal allergies, choose carbon-based conductive systems over silver or copper alloys.

Can smart pajamas detect serious health conditions like sleep apnea?

They can strongly suggest it but cannot diagnose. Look for features like oxygen desaturation index (ODI) reporting and apnea-hypopnea event estimation. If the device flags concerning patterns—repeated SpO2 drops below 88% with associated heart rate spikes—it should prompt you to seek formal sleep study testing. Think of smart pajamas as a smoke detector: they alert you to potential danger but can’t confirm the fire.