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Use of Accelerometers to Track Changes in Stepping Behavior With the Introduction of the 2020 COVID Pandemic Restrictions: A Case Study 随着2020年COVID大流行限制的引入,使用加速度计跟踪步进行为的变化:案例研究
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0015
Tiereny McGuire, Kirstie Devin, Victoria Patricks, Benjamin Griffiths, C. Speirs, M. Granat
Introduction: The COVID-19 lockdown introduced restrictions to free-living activities. Changes to these activities can be accurately quantified using combined measurement. Using activPAL3 and self-reports to collect activity data, the study aimed to quantify changes that occurred in physical activity and sedentary behavior between prelockdown and lockdown. The study also sought to determine changes in indoor and outdoor stepping. Methods: Using activPAL3, four participants recorded physical activity data prelockdown and during lockdown restrictions (February–June 2020). Single events (sitting, standing, stepping, lying) were recorded and analyzed by the CREA algorithm using an event-based approach. The analysis focused on step count, sedentary time, and lying (in bed) time; median and interquartile range were calculated. Daily steps classified as taking place indoors and outdoors were calculated separately. Results: 33 prelockdown and 92 in-lockdown days of valid data were captured. Median daily step count across all participants reduced by 14.8% (from 5,828 prelockdown to 4,963 in-lockdown), while sedentary and lying time increased by 4% and 8%, respectively (sedentary: 9.98–10.30 hr; lying: 9.33–10.05 hr). Individual variations were observed in hours spent sedentary (001: 8.44–8.66, 002: 7.41–8.66, 003: 11.97–10.59, 004: 6.29–7.94, and lying (001: 9.69–9.49, 002: 11.46–11.66, 003: 7.63–9.34, 004: 9.7–11.12) pre- and in-lockdown. Discrepancies in self-report versus algorithm classification of indoor/outdoor stepping were observed for three participants. Conclusion: The study quantitively showed lockdown restrictions negatively impacted physical activity and sedentary behavior; two variables closely linked to health outcomes. This has important implications for public health policies to help develop targeted interventions and mandates that encourage additional physical activity and lower sedentary behavior.
导言:COVID-19封锁对自由生活活动施加了限制。这些活动的变化可以使用组合测量准确地量化。该研究使用activPAL3和自我报告收集活动数据,旨在量化封锁前和封锁期间身体活动和久坐行为发生的变化。该研究还试图确定室内和室外行走的变化。方法:使用activPAL3,四名参与者记录了封锁前和封锁期间(2020年2月至6月)的身体活动数据。采用基于事件的CREA算法记录和分析单事件(坐、站、走、躺)。分析的重点是步数、久坐时间和躺在床上的时间;计算中位数和四分位数范围。每日步数分为室内步数和室外步数。结果:捕获了封锁前33天和封锁后92天的有效数据。所有参与者的平均每日步数减少了14.8%(从封锁前的5828步减少到封锁后的4963步),而久坐和躺着的时间分别增加了4%和8%(久坐:9.98-10.30小时;说谎:9.33-10.05小时)。在封锁前和封锁中,久坐的时间(001:8.44-8.66、002:7.41-8.66、003:11.97-10.59、004:6.29-7.94、躺着的时间(001:9.69-9.49、002:11.46-11.66、003:7.63-9.34、004:9.7-11.12)存在个体差异。在室内/室外步进的自我报告与算法分类中观察到三名参与者的差异。结论:定量研究表明,封锁限制对身体活动和久坐行为产生负面影响;与健康结果密切相关的两个变量。这对公共卫生政策具有重要意义,有助于制定有针对性的干预措施和命令,鼓励额外的身体活动和减少久坐行为。
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引用次数: 1
Comparative Analysis and Conversion Between Actiwatch and ActiGraph Open-Source Counts Actiwatch与ActiGraph开源计数的比较分析与转换
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0054
Paul H. Lee, Ali Neishabouri, Andy C. Y. Tse, Christine C. Guo
Body-worn sensors have contributed to a rich and growing body of literature in public health and clinical research in the last decades. A major challenge in sensor research is the lack of consistency and standardization of the collection and reporting of the sensor data. The algorithms used to derive these activity counts can be vastly different between manufactures and not always transparent to the researchers. With Philips, one of the major research-grade wearable device manufacturers, discontinuing this product line, many researchers are left in need of alternative solutions and at the risk of not being able to relate their historical data using the Philips Actiwatch 2 devices to future findings with other devices. We herein provide a comparison analysis and conversion method that can be used to convert activity counts from Philips to those from ActiGraph, another major manufacturer who provide both raw acceleration data and count data based on their open-source algorithm to the research community. This work provides an approach to maximize the scientific value of historical actigraphy data collected by the Actiwatch devices to support research continuity in this community. The conversion, however, is not perfect and only offers an approximation, due to the intrinsic difference in the count algorithms between the two accelerometers, and the permanent information loss during data reduction. We encourage future research using body-worn sensors to retain the raw sensor data to ensure data consistency, comparability, and the ability to leverage future algorithm improvement.
在过去的几十年里,穿戴式传感器在公共卫生和临床研究方面的文献丰富且不断增长。传感器研究的一个主要挑战是传感器数据的收集和报告缺乏一致性和标准化。用于计算这些活动计数的算法在不同的制造商之间可能差别很大,而且对研究人员来说并不总是透明的。飞利浦是主要的研究级可穿戴设备制造商之一,随着该产品线的停产,许多研究人员需要替代解决方案,并冒着无法将他们使用飞利浦Actiwatch 2设备的历史数据与其他设备的未来发现联系起来的风险。我们在此提供了一种比较分析和转换方法,可用于将飞利浦的活动计数转换为ActiGraph的活动计数,ActiGraph是另一家主要制造商,他们根据其开源算法向研究社区提供原始加速度数据和计数数据。这项工作提供了一种最大化Actiwatch设备收集的历史活动数据的科学价值的方法,以支持该社区的研究连续性。然而,由于两种加速度计之间计数算法的内在差异以及数据缩减过程中的永久信息丢失,转换并不完美,仅提供近似值。我们鼓励未来的研究使用穿戴式传感器来保留原始传感器数据,以确保数据的一致性、可比性和利用未来算法改进的能力。
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引用次数: 0
Evaluation of Physical Activity Assessment Using a Triaxial Activity Monitor in Community-Dwelling Older Japanese Adults With and Without Lifestyle-Related Diseases 用三轴活动监测仪评价有或无生活方式相关疾病的日本社区老年人的身体活动评估
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0055
Sho Nagayoshi, Harukaze Yatsugi, Xin Liu, Takafumi Saito, Koji Yamatsu, Hiro Kishimoto
Background : Several previous studies investigated physical activity of older adults using wearable devices, but more studies need to develop normative values for chronic disease conditions. This study aimed to investigate physical activity using a triaxial activity monitor in community-dwelling older Japanese adults with and without lifestyle-related diseases. Methods : Data from a total of 732 community-dwelling older Japanese men and women were collected and analyzed in a cross-sectional study. The participants’ physical activity was assessed for seven consecutive days by a triaxial accelerometer. Physical activity was assessed by number of lifestyle-related diseases and six lifestyle-related diseases categories by gender. Physical activity was assessed separately for total, locomotive, and nonlocomotive physical activity. Results : Participants with multiple (two or more) diseases had significantly lower total light-intensity physical activity (LPA; 278.5 ± 8.4 min/day) and nonlocomotive LPA (226.4 ± 7.0 min/day) versus without diseases in men. Compared in each disease category, total LPA and nonlocomotive LPA was significantly lower in men with hypertension and diabetes. Total sedentary time was significantly higher in men with hypertension, diabetes, and heart disease. Locomotive LPA was significantly lower in men with diabetes. In women, locomotive moderate- to vigorous-intensity physical activity was significantly higher in women with diabetes, and nonlocomotive moderate- to vigorous-intensity physical activity was significantly lower in women with heart disease. Conclusion : This study demonstrated that older Japanese men with multiple lifestyle-related diseases had lower physical activity. In each disease category, hypertension, diabetes, and heart disease affected lower physical activity, especially in men.
背景:先前的一些研究调查了使用可穿戴设备的老年人的身体活动,但需要更多的研究来制定慢性病的规范值。本研究旨在利用三轴活动监测仪调查有或无生活方式相关疾病的日本社区老年人的身体活动情况。方法:通过横断面研究收集了732名居住在社区的日本老年男性和女性的数据并进行了分析。参与者的身体活动通过三轴加速度计连续七天进行评估。根据生活方式相关疾病的数量和按性别划分的六种生活方式相关疾病类别来评估身体活动。体力活动分为总体力活动、主要体力活动和非主要体力活动。结果:患有多种(两种或两种以上)疾病的参与者的总光强度体力活动(LPA;278.5±8.4分钟/天)和非机车性LPA(226.4±7.0分钟/天)相比,男性无疾病。与各疾病类别相比,高血压和糖尿病男性的总LPA和非运动性LPA显著降低。高血压、糖尿病和心脏病患者的总久坐时间明显更高。男性糖尿病患者的火车头LPA显著降低。在女性糖尿病患者中,剧烈的中等到剧烈的体力活动显著高于女性糖尿病患者,而非剧烈的中等到剧烈的体力活动在心脏病患者中显著低于女性糖尿病患者。结论:本研究表明,患有多种生活方式相关疾病的日本老年男性身体活动较少。在每一种疾病类别中,高血压、糖尿病和心脏病影响较少的身体活动,尤其是男性。
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引用次数: 0
Statistical Learning Methods to Identify Nonwear Periods From Accelerometer Data 从加速度计数据中识别非磨损期的统计学习方法
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0034
Sahej D. Randhawa, Manoj Sharma, M. Fiterau, J. Banda, F. Haydel, K. Kapphahn, Donna Matheson, Hyatt Moore, Robyn L. Ball, C. Kushida, S. Delp, Dennis P Wall, Thomas Robinson, M. Desai
Background: Accelerometers are used to objectively measure movement in free-living individuals. Distinguishing nonwear from sleep and sedentary behavior is important to derive accurate measures of physical activity, sedentary behavior, and sleep. We applied statistical learning approaches to examine their promise in detecting nonwear time and compared the results with commonly used wear time (WT) algorithms. Methods: Fifteen children, aged 4–17, wore an ActiGraph wGT3X-BT monitor on their hip during overnight polysomnography. We applied Hidden Markov Models (HMM) and Gaussian Mixture Models (GMM) to classify states of nonwear and wear in triaxial acceleration data. Performance of methods was compared with WT algorithms across two conditions with differing amounts of consecutive nonwear. Clinical scoring of polysomnography served as the gold standard. Results: When the length of nonwear was less than or equal to WT algorithms’ predefined thresholds for consecutive nonwear time, GMM methods yielded improved classification error, specificity, positive predictive value, and negative predictive value over commonly used algorithms. HMM was superior to one algorithm for sensitivity and negative predictive value. When the length of nonwear was longer, results were mixed, with the commonly used algorithms performing better on some parameters but GMM with the greatest specificity. However, all approached the upper limits of performance for almost all metrics. Conclusions: GMM and HMM demonstrated robust, consistently strong performance across multiple conditions, surpassing or remaining competitive with commonly used WT algorithms which had marked inaccuracy when nonwear time periods were shorter. Of the two statistical learning algorithms, GMM was superior to HMM.
背景:加速度计用于客观地测量自由生活个体的运动。将非磨损与睡眠和久坐行为区分开来,对于获得身体活动、久坐行为和睡眠的准确测量是很重要的。我们应用统计学习方法来检验它们在检测非磨损时间方面的前景,并将结果与常用的磨损时间(WT)算法进行比较。方法:15名年龄4-17岁的儿童在臀部佩戴ActiGraph wGT3X-BT监护仪进行夜间多导睡眠描记。应用隐马尔可夫模型(HMM)和高斯混合模型(GMM)对三轴加速度数据中的非磨损和磨损状态进行分类。在连续非磨损量不同的两种情况下,将方法的性能与WT算法进行了比较。多导睡眠图临床评分为金标准。结果:当非磨损长度小于或等于WT算法预定义的连续非磨损时间阈值时,GMM方法的分类误差、特异性、阳性预测值和阴性预测值均优于常用算法。HMM在灵敏度和负预测值方面优于一种算法。当非磨损长度较长时,结果好坏参半,常用算法在某些参数上表现较好,但GMM具有最大的特异性。然而,他们都接近了几乎所有指标的性能上限。结论:GMM和HMM在多种条件下表现出稳健、持续的强大性能,超过或保持与常用的WT算法的竞争力,后者在非磨损时间较短时具有明显的不准确性。在两种统计学习算法中,GMM优于HMM。
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引用次数: 0
Conceptualizing, Defining, and Measuring Before-School Physical Activity: A Review With Exploratory Analysis of Adolescent Data 学前体育活动的概念、定义和测量:青少年数据的探索性分析综述
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0051
J. Woodforde, S. Gomersall, A. Timperio, Venurs H. Y. Loh, H. Browning, Francisco Perales, J. Salmon, M. Stylianou
Physical activity (PA) among children and adolescents is often reported by time segments centered around the school day, including before school. However, there is no consistent approach to defining the before-school segment, to accurately capture PA levels and facilitate synthesis of results across studies. Therefore, this study aimed to (a) examine how studies with children and adolescents have defined the before-school segment, and (b) compare adolescents’ before-school PA using various segment definitions. We conducted a systematic search and review of literature from six databases, and subsequently analyzed accelerometer data from Australia (n = 472, mean age 14.9 years, 40% male), to compare PA across five before-school definitions. Our review found 69 studies reporting before-school PA, 59 of which used device-based measures. Definitions ranged widely, but justifications were rarely reported. Our empirical comparison of definitions resulted in a range of participants meeting wear time criteria (≥3 days at >50% of segment length) from the latest-starting definition (30 min prior to school; n = 443) to the earliest-starting definition (6:00 a.m.–school start; n = 155), implying that for many participants, accelerometer wear was low in the early hours due to sleep or noncompliance. Statistically significant differences in light and moderate-to-vigorous PA (mean minutes/school day, proportion of segment length, and proportion of wear time) were found between definitions, indicating that before-school PA could potentially be underestimated depending on definition choice. We recommend that future studies clearly report and justify segment definition, apply segment-specific wear time criteria, and collect wake time data to enable individualized segment start times and minimize risk of data misclassification.
儿童和青少年的体育活动(PA)通常以上学日为中心的时间段进行报告,包括上学前。然而,没有一致的方法来定义入学前的部分,以准确地捕获PA水平并促进跨研究结果的综合。因此,本研究旨在(a)研究儿童和青少年的研究如何定义学前阶段,以及(b)使用不同的阶段定义比较青少年的学前PA。我们对来自6个数据库的文献进行了系统的检索和回顾,随后分析了来自澳大利亚的加速度计数据(n = 472,平均年龄14.9岁,40%为男性),以比较五种学龄前PA定义。我们的回顾发现69项研究报告了上学前的PA,其中59项使用了基于设备的测量方法。定义范围很广,但很少报道理由。我们对定义的实证比较结果表明,从最新开始的定义(上学前30分钟;N = 443)到最早开始的定义(早上6:00学校开始;N = 155),这意味着对于许多参与者来说,由于睡眠或不遵守规定,加速度计磨损在早期较低。在轻度和中度到剧烈的PA(平均分钟/上学日,片段长度的比例和磨损时间的比例)的定义之间发现了统计学上的显著差异,表明上学前PA可能被低估,这取决于定义的选择。我们建议未来的研究清楚地报告和证明分段定义,应用特定分段磨损时间标准,并收集尾流时间数据,以实现个性化分段启动时间,并将数据错误分类的风险降至最低。
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引用次数: 0
Maximizing the Utility and Comparability of Accelerometer Data from Large-Scale Epidemiologic Studies. 最大限度地提高来自大规模流行病学研究的加速度计数据的实用性和可比性。
Pub Date : 2023-01-01 Epub Date: 2023-01-11 DOI: 10.1123/jmpb.2022-0035
I-Min Lee, Christopher C Moore, Kelly R Evenson

There is much evidence showing that physical activity is related to optimal health, including physical and mental function, and quality of life. Additionally, data are accumulating with regards to the detrimental health impacts of sedentary behavior. Much of the evidence related to long-term health outcomes, such as cardiovascular disease and cancer - the two leading causes of death in the United States and worldwide, comes from observational epidemiologic studies and, in particular, prospective cohort studies. Few data on these outcomes are derived from randomized controlled trials, conventionally regarded as the "gold standard" of research designs. Why is there a paucity of data from randomized trials on physical activity or sedentary behavior and long-term health outcomes? A further issue to consider is that prospective cohort studies investigating these outcomes can take a long time to accrue sufficient numbers of endpoints for robust and meaningful findings. This contrasts with the rapid pace at which technology advances. Thus, while the use of devices for measuring physical behaviors has been an important development in large-scale epidemiologic studies over the past decade, cohorts that are now publishing results on health outcomes related to accelerometer-assessed physical activity and sedentary behavior may have been initiated years ago, using "dated" technology. This paper, based on a keynote presentation at ICAMPAM 2022, discusses the issues of study design and slow pace of discovery in prospective cohort studies and suggests some possible ways to maximize the utility and comparability of "dated" device data from prospective cohort studies for research investigations, using the Women's Health Study as an example.

许多证据表明,体育锻炼与最佳健康状况有关,包括身心功能和生活质量。此外,有关久坐不动对健康有害影响的数据也在不断积累。与心血管疾病和癌症等长期健康结果有关的大部分证据都来自流行病学观察研究,尤其是前瞻性队列研究。有关这些结果的数据很少来自随机对照试验,而随机对照试验一直被视为研究设计的 "黄金标准"。为什么缺乏有关体育锻炼或久坐行为与长期健康结果的随机试验数据?另一个需要考虑的问题是,调查这些结果的前瞻性队列研究需要很长时间才能积累足够数量的终点数据,从而得出可靠而有意义的结论。这与技术的飞速发展形成了鲜明对比。因此,尽管在过去十年中,使用测量身体行为的设备是大规模流行病学研究的一项重要发展,但现在公布与加速度计评估的身体活动和久坐行为相关的健康结果的队列研究可能是多年前开始的,使用的是 "过时 "的技术。本文是根据 2022 年国际加速度测量学和运动医学大会(ICAMPAM 2022)上的主题演讲撰写的,讨论了前瞻性队列研究中的研究设计和发现速度缓慢等问题,并以妇女健康研究为例,提出了一些可能的方法,以最大限度地提高前瞻性队列研究中 "过时 "设备数据在研究调查中的实用性和可比性。
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引用次数: 0
Validity of the Modified SIT-Q 7d for Estimating Sedentary Break Frequency and Duration in Home-Based Office Workers During the COVID-19 Global Pandemic: A Secondary Analysis 改进的sit - q7d用于估算COVID-19全球大流行期间居家办公人员久坐休息频率和持续时间的有效性:一项二次分析
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0021
Kirsten Dillon-Rossiter, Madison Hiemstra, Nina Bartmann, Wuyou Sui, Marc S Mitchell, Scott Rollo, P. Gardiner, H. Prapavessis
Office workers who transitioned to working from home are spending an even higher percentage of their workday sitting compared with being “in-office” and this is an emerging health concern. With many office workers continuing to work from home since the onset of the COVID-19 pandemic, it is imperative to have a validated self-report questionnaire to assess sedentary behavior, break frequency, and duration, to reduce the cost and burden of using device-based assessments. This secondary analysis study aimed to validate the modified Last 7-Day Sedentary Behavior Questionnaire (SIT-Q 7d) against an activPAL4™ device in full-time home-based “office” workers (n = 148; mean age = 44.90). Participants completed the modified SIT-Q 7d and wore an activPAL4 for a full work week. The findings showed that the modified SIT-Q 7d had low (ρ = .35–.37) and weak (ρ = .27–.28) criterion validity for accurate estimates of break frequency and break duration, respectively. The 95% limits of agreement were large for break frequency (26.85–29.01) and medium for break duration (5.81–8.47), indicating that the modified SIT-Q 7d may not be appropriate for measuring occupational sedentary behavior patterns at the individual level. Further validation is still required before confidently recommending this self-report questionnaire to be used among this population to assess breaks in sedentary time.
与“在办公室”工作相比,在家办公的上班族坐着工作的时间比例更高,这是一个新出现的健康问题。自2019冠状病毒病大流行以来,许多上班族继续在家工作,因此有必要编制一份有效的自我报告问卷,以评估久坐行为、休息频率和持续时间,以减少使用基于设备的评估的成本和负担。这项二级分析研究旨在验证改进后的最后7天久坐行为问卷(sit - q7d)与activPAL4™设备对全职在家“办公室”员工的影响(n = 148;平均年龄= 44.90)。参与者完成了改进的sit - q7d,并在整个工作周内佩戴activPAL4。结果表明,改进后的sit - q7d在准确估计断裂频率和断裂持续时间方面分别具有低(ρ = 0.35 - 0.37)和弱(ρ = 0.27 - 0.28)的效度。休息频率(26.85-29.01)和休息时间(5.81-8.47)的95%一致性限较大,表明改进后的sit - q7d可能不适合测量个人水平上的职业久坐行为模式。在自信地推荐在这些人群中使用这份自我报告问卷来评估久坐时间的休息时间之前,还需要进一步的验证。
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引用次数: 0
Interchangeability of Research and Commercial Wearable Device Data for Assessing Associations With Cardiometabolic Risk Markers 用于评估与心脏代谢风险标志物相关的研究和商业可穿戴设备数据的互换性
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0050
A. Kingsnorth, E. Moltchanova, Jonah J C Thomas, Maxine E. Whelan, M. Orme, D. Esliger, M. Hobbs
Introduction: While there is evidence on agreement, it is unknown whether commercial wearables can be used as surrogates for research-grade devices when investigating links with markers of cardiometabolic risk. Therefore, the aim of this study was to investigate whether data from a commercial wearable device could be used to assess associations between behavior and cardiometabolic risk markers, compared with physical activity from a research-grade monitor. Methods: Forty-five adults concurrently wore a wrist-worn Fitbit Charge 2 and a waist-worn ActiGraph wGT3X-BT during waking hours over 7 consecutive days. Log-linear regression models were fitted, and predictive fit via a one-out cross-validation was performed for each device between behavioral (steps, and light and moderate-to-vigorous physical activity) and cardiometabolic variables (body mass index, weight, body fat percentage, systolic and diastolic blood pressure, glycated haemoglobin, grip strength, estimated maximal oxygen uptake, and waist circumference). Results: Overall, step count was the most consistent predictor of cardiometabolic risk factors, with negative associations across both Fitbit and ActiGraph devices for body mass index (−0.017 vs. −0.020, p < .01), weight (−0.014 vs. −0.017, p < .05), body fat percentage (−0.021 vs. −0.022, p < .01), and waist circumference (−0.013 vs. −0.015, p < .01). Neither device was found to provide a consistently better prediction across all included cardiometabolic risk markers. Conclusions: Step count data from a commercial-grade wearable device showed similar associations and predictive relationships with cardiometabolic risk markers compared with a research-grade wearable device, providing preliminary support for their use in health research.
导读:虽然有一致的证据,但在研究与心脏代谢风险标志物的联系时,商业可穿戴设备是否可以作为研究级设备的替代品尚不清楚。因此,本研究的目的是调查来自商业可穿戴设备的数据是否可以用于评估行为和心脏代谢风险标志物之间的关联,并与来自研究级监测器的身体活动进行比较。方法:45名成年人在连续7天的清醒时间内同时佩戴腕带Fitbit Charge 2和腰带ActiGraph wgt3g - bt。拟合对数线性回归模型,并通过一对一交叉验证对每个设备进行行为(步数,轻、中、高强度体力活动)和心脏代谢变量(体重指数、体重、体脂率、收缩压和舒张压、糖化血红蛋白、握力、估计最大摄氧量和腰围)之间的预测拟合。结果:总体而言,步数是最一致的心脏代谢危险因素的预测因子,在Fitbit和ActiGraph设备中,体重指数(- 0.017对- 0.020,p < 0.01)、体重(- 0.014对- 0.017,p < 0.05)、体脂率(- 0.021对- 0.022,p < 0.01)和腰围(- 0.013对- 0.015,p < 0.01)呈负相关。没有发现这两种设备对所有包括的心脏代谢风险标志物提供一致的更好的预测。结论:与研究级可穿戴设备相比,商业级可穿戴设备的步数数据与心脏代谢风险标志物显示出相似的关联和预测关系,为其在健康研究中的应用提供了初步支持。
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引用次数: 0
Systematic Review of Accelerometer Responsiveness to Change for Measuring Physical Activity, Sedentary Behavior, or Sleep 测量身体活动、久坐行为或睡眠的加速度计响应变化的系统综述
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2023-0025
Kimberly A. Clevenger, Alexander H.K. Montoye
Measurement of 24-hr movement behaviors is important for assessing adherence to guidelines, participation trends over time, group differences, and whether health-promoting interventions are successful. For a measurement tool to be useful, it must be valid, reliable, and able to detect change, the latter being a measurement property called responsiveness, sensitivity to change, or longitudinal validity. We systematically reviewed literature on the responsiveness of accelerometers to detect change in 24-hr movement behaviors. Databases (PubMed, Scopus, and EBSCOHost) were searched for peer-reviewed papers published in English between 1998 and 2023. Quality/risk of bias was assessed using a customized tool. This study is registered at https://osf.io/qrn8a . Twenty-six papers met the inclusion/exclusion criteria with an overall sample of 1,939 participants. Narrative synthesis was used. Most studies focused on adults ( n = 21), and almost half ( n = 12) included individuals with specific medical conditions. Studies primarily took place in free-living settings ( n = 21) and used research-grade accelerometers ( n = 24) worn on the hip ( n = 18), thigh ( n = 7), or wrist ( n = 9). Outcomes included physical activity ( n = 19), sedentary time/behavior ( n = 12), or sleep ( n = 2) and were calculated using proprietary formulas (e.g., Fitbit algorithm), cut points, and/or count-based methods. Most studies calculated responsiveness by comparing before versus after an intervention ( n = 16). Six studies included a criterion measure to confirm that changes occurred. Limited research is available on the responsiveness of accelerometers for detecting change in 24-hr movement behaviors, particularly in youth populations, for sleep outcomes, and for commercial and thigh- or wrist-worn devices. Lack of a criterion measure precludes conclusions about the responsiveness even in more frequently studied outcomes/populations.
测量24小时运动行为对于评估指南的遵守情况、随时间推移的参与趋势、群体差异以及促进健康的干预措施是否成功非常重要。对于有用的测量工具,它必须是有效的、可靠的,并且能够检测到变化,后者是一种称为响应性、对变化的敏感性或纵向有效性的测量属性。我们系统地回顾了有关加速计响应性的文献,以检测24小时运动行为的变化。检索了1998年至2023年间发表的英文同行评议论文(PubMed、Scopus和EBSCOHost)。使用定制工具评估偏倚的质量/风险。本研究注册网址为https://osf.io/qrn8a。26篇论文符合纳入/排除标准,总共有1939名参与者。采用了叙事综合。大多数研究集中在成年人身上(n = 21),几乎一半(n = 12)包括有特殊医疗条件的个体。研究主要在自由生活环境中进行(n = 21),并使用了佩戴在臀部(n = 18)、大腿(n = 7)或手腕(n = 9)的研究级加速度计(n = 24)。结果包括体力活动(n = 19)、久坐时间/行为(n = 12)或睡眠(n = 2),并使用专有公式(例如Fitbit算法)、切割点和/或基于计数的方法进行计算。大多数研究通过比较干预前后的反应性来计算反应性(n = 16)。六项研究包括一个标准测量,以确认发生的变化。对于加速计用于检测24小时运动行为变化的响应性,特别是在年轻人群体中,对于睡眠结果,以及商用和大腿或手腕上佩戴的设备,研究有限。缺乏标准测量,即使在更频繁研究的结果/人群中,也无法得出反应性的结论。
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引用次数: 0
Moving Beyond the Characterization of Activity Intensity Bouts as Square Waves Signals 超越活动强度回合作为方波信号的表征
Pub Date : 2023-01-01 DOI: 10.1123/jmpb.2022-0041
M. O'Brien, Jennifer L. Petterson, Liam P. Pellerine, Madeline E. Shivgulam, D. Kimmerly, Ryan J. Frayne, P. Hettiarachchi, Peter J. Johansson
Wearable activity monitors provide objective estimates of time in different physical activity intensities. Each continuous stepping period is described by its length and a corresponding single intensity (in metabolic equivalents of task [METs]), creating square wave–shaped signals. We argue that physiological responses do not resemble square waves, with the purpose of this technical report to challenge this idea and use experimental data as a proof of concept and direct potential solutions to better characterize activity intensity. Healthy adults (n = 43, 19♀; 23 ± 5 years) completed 6-min treadmill stages (five walking and five jogging/running) where oxygen consumption (3.5 ml O2·kg−1·min−1 = 1 MET) was recorded throughout and following the cessation of stepping. The time to steady state was ∼1–1.5 min, and time back to baseline following exercise was ∼1–2 min, with faster stepping stages generally exhibiting longer durations. Instead of square waves, the duration intensity signal reflected a trapezoid shape for each stage. The METs per minute during the rise to steady state (upstroke slopes; average: 1.7–6.3 METs/min for slow walking to running) may be used to better characterize activity intensity for shorter activity bouts where steady state is not achieved (within ∼90 s). While treating each activity bout as a single intensity is a much simpler analytical procedure, characterizing each bout in a continuous manner may better reflect the true physiological responses to movement. The information provided herein may be used to improve the characterization of activity intensity, definition of bout breaks, and act as a starting point for researchers and software developers interested in using wearables to measure activity intensity.
可穿戴式活动监测器在不同的身体活动强度下提供客观的时间估计。每个连续的步进周期由其长度和相应的单个强度(在任务的代谢当量[METs]中)来描述,形成方波状信号。我们认为生理反应不像方波,本技术报告的目的是挑战这一观点,并使用实验数据作为概念的证明和直接潜在的解决方案,以更好地表征活动强度。健康成人(n = 43, 19♀;23±5年)完成6分钟的跑步机阶段(5次步行和5次慢跑/跑步),在整个过程中和停止行走后记录耗氧量(3.5 ml O2·kg−1·min−1 = 1 MET)。达到稳定状态的时间为~ 1-1.5分钟,运动后回到基线的时间为~ 1-2分钟,越快的踏步阶段通常持续时间越长。而不是方波,持续时间强度信号反映了梯形形状的每一个阶段。上升到稳定状态时的每分钟代谢当量(上冲程斜率;平均:1.7-6.3 METs/min(慢走到跑步)可用于更好地表征未达到稳定状态(在~ 90秒内)的较短活动回合的活动强度。虽然将每次活动回合视为单一强度是一种更简单的分析过程,但以连续的方式表征每次活动回合可能更好地反映对运动的真实生理反应。本文提供的信息可用于改进活动强度的表征,间歇的定义,并作为对使用可穿戴设备测量活动强度感兴趣的研究人员和软件开发人员的起点。
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Journal for the measurement of physical behaviour
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