Improving wear time compliance with a 24-hour waist-worn accelerometer protocol in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)

Springer Science and Business Media LLC - Tập 12 - Trang 1-9 - 2015
Catrine Tudor-Locke1, Tiago V Barreira1,2, John M Schuna1,3, Emily F Mire1, Jean-Philippe Chaput4, Mikael Fogelholm5, Gang Hu1, Rebecca Kuriyan6, Anura Kurpad6, Estelle V Lambert7, Carol Maher8, José Maia9, Victor Matsudo10, Tim Olds8, Vincent Onywera11, Olga L Sarmiento12, Martyn Standage13, Mark S Tremblay4, Pei Zhao14, Timothy S Church1, Peter T Katzmarzyk1
1Pennington Biomedical Research Center, Baton Rouge, USA
2Syracuse University, Syracuse, USA
3Oregon State University, Corvallis, USA
4Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada
5University of Helsinki, Helsinki, Finland
6St. Johns Research Institute, Bangalore, India
7University of Cape Town, Cape Town, South Africa
8University of South Australia, Adelaide, Australia
9CIFI2D, Faculdade de Desporto, University of Porto, Porto, Portugal
10Center of Studies of the Physical Fitness Research Laboratory from Sao Caetano do Sul (CELAFISCS), Sao Paulo, Brazil
11Kenyatta University, Nairobi, Kenya
12School of Medicine, Universidad de los Andes, Bogota, Colombia
13University of Bath, Bath, UK
14Tianjin Women's and Children's Health Center, Tianjin, China

Tóm tắt

We compared 24-hour waist-worn accelerometer wear time characteristics of 9–11 year old children in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) to similarly aged U.S. children providing waking-hours waist-worn accelerometer data in the 2003–2006 National Health and Nutrition Examination Survey (NHANES). Valid cases were defined as having ≥4 days with ≥10 hours of waking wear time in a 24-hour period, including one weekend day. Previously published algorithms for extracting total sleep episode time from 24-hour accelerometer data and for identifying wear time (in both the 24-hour and waking-hours protocols) were applied. The number of valid days obtained and a ratio (percent) of valid cases to the number of participants originally wearing an accelerometer were computed for both ISCOLE and NHANES. Given the two surveys’ discrepant sampling designs, wear time (minutes/day, hours/day) from U.S. ISCOLE was compared to NHANES using a meta-analytic approach. Wear time for the 11 additional countries participating in ISCOLE were graphically compared with NHANES. 491 U.S. ISCOLE children (9.92±0.03 years of age [M±SE]) and 586 NHANES children (10.43 ± 0.04 years of age) were deemed valid cases. The ratio of valid cases to the number of participants originally wearing an accelerometer was 76.7% in U.S. ISCOLE and 62.6% in NHANES. Wear time averaged 1357.0 ± 4.2 minutes per 24-hour day in ISCOLE. Waking wear time was 884.4 ± 2.2 minutes/day for U.S. ISCOLE children and 822.6 ± 4.3 minutes/day in NHANES children (difference = 61.8 minutes/day, p < 0.001). Wear time characteristics were consistently higher in all ISCOLE study sites compared to the NHANES protocol. A 24-hour waist-worn accelerometry protocol implemented in U.S. children produced 22.6 out of 24 hours of possible wear time, and 61.8 more minutes/day of waking wear time than a similarly implemented and processed waking wear time waist-worn accelerometry protocol. Consistent results were obtained internationally. The 24-hour protocol may produce an important increase in wear time compliance that also provides an opportunity to study the total sleep episode time separate and distinct from physical activity and sedentary time detected during waking-hours. ClinicalTrials.gov NCT01722500 .

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