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. 2021 Jun 8;23(6):e20710. doi: 10.2196/20710

Table 2.

Temperature shifts and diagnostic accuracy for wrist skin temperature and basal body temperature.

Variables Wrist skin temperature Basal body temperature
Ovulatory cycles

Total number of temperature shifts detected, n 240 47

Cycles with ≥1 temperature shift, n (%) 106 (62.4)a 39 (22.9)a


With 1 temperature shift 40 (37.7)b 31 (79)c


With 2 temperature shifts 31 (29.2)b 8 (21)c


With 3 temperature shifts 15 (14.2)b 0 (0)


With >3 temperature shifts 20 (18.9)b 0 (0)

The first day of temperature shift relative to ovulation day, mean (SD) 4.4 (2.75) 2.69 (1.89)
Anovulatory cycles

Total number of temperature shifts detected, n 39 9

Cycles with ≥1 temperature shift, n (%) 17 (74)d 7 (30)d


With 1 temperature shift 5 (29)e 5 (71)f


With 2 temperature shifts 4 (24)e 2 (29)f


With 3 temperature shifts 6 (35)e 0 (0)


With 4 temperature shifts 2 (12)e 0 (0)

Diagnostic accuracy (urine luteinizing hormone tests as standard reference; N=193 )


True positives, n (%) 106 (54.9) 39 (20.2)


True negatives, n (%) 6 (3.1) 16 (8.3)


False positives, n (%) 17 (8.8) 7 (3.6)


False negatives, n (%) 64 (33.2) 131 (67.9)


Sensitivity (95% CI) 0.62 (0.55-0.70) 0.23 (0.17-0.30)g


Specificity (95% CI) 0.26 (0.10-0.48) 0.70 (0.47-0.87)g


Negative predictive value (95% CI) 0.09 (0.03-0.18) 0.11 (0.06-0.17)g


Positive predictive value (95% CI) 0.86 (0.79-0.92) 0.85 (0.71-0.94)g

aN=170.

bN=106.

cN=39.

dN=23.

eN=17.

fN=7.

gP values comparing wrist skin temperature and basal body temperature: P<.001 for sensitivity; P=.002 for specificity; P=.39 for negative predictive value; and P=.74 for positive predictive value.