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Wrist Acceleration Cut Points for Moderate-to-Vigorous Physical Activity in Youth

Journal Article


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Abstract


  • Purpose: This study aimed to examine the validity of wrist acceleration cut points for classifying moderate (MPA), vigorous (VPA), and moderate-to-vigorous (MVPA) physical activity.

    Methods: Fifty-seven children (5–12 yr) completed 15 semistructured activities. Three sets of wrist cut points (9192 mg, 9250 mg, and 9314 mg), previously developed using Euclidian norm minus one (ENMO192+), GENEActiv software (GENEA250+), and band-pass filter followed by Euclidian norm (BFEN314+),

    were evaluated against indirect calorimetry. Analyses included classification accuracy, equivalence testing, and Bland–Altman procedures.

    Results: All cut points classified MPA, VPA, and MVPA with substantial accuracy (ENMO192+: J = 0.72 [95% confidence interval = 0.72–0.73], MVPA: area under the receiver operating characteristic curve (ROC-AUC) = 0.85 [0.85–0.86]; GENEA250+: J = 0.75 [0.74–0.76], MVPA: ROC-AUC = 0.85 [0.85–0.86]; BFEN314+: J = 0.73 [0.72–0.74], MVPA: ROC-AUC = 0.86 [0.86–0.87]). BFEN314+ misclassified 19.7% non-MVPA epochs as MPA, whereas ENMO192+ and GENEA250+ misclassified 32.6% and 26.5% of MPA epochs as non-MVPA, respectively. Group estimates of MPA time were equivalent (P G 0.01) to indirect calorimetry for the BFEN314+ MPA cut point (mean bias = j1.5%, limits of agreement [LoA] = j57.5% to 60.6%), whereas estimates of MVPA time were equivalent (P G 0.01) to indirect calorimetry for the ENMO192+ (mean bias = j1.1%, LoA = j53.7% to 55.9%) and GENEA250+ (mean bias = 2.2%, LoA = j56.5% to 52.2%) cut points. Individual variability (LoA) was large for MPA (min: BFEN314+, j60.6% to 57.5%; max: GENEA250+, j42.0% to 104.1%), VPA (min: BFEN314+, j238.9% to 54.6%; max: ENMO192+, j244.5% to 127.4%), and MVPA (min: ENMO192+, j53.7% to 55.0%; max: BFEN314+, j83.9% to 25.3%).

    Conclusion: Wrist acceleration cut points misclassified a considerable proportion of non-MVPA and MVPA. Group-level estimates of MVPA were acceptable; however, error for individual-level prediction was larger

Authors


  •   Okely, Anthony D.
  •   Batterham, Marijka
  •   Hinkley, Trina (external author)
  •   Ekelund, Ulf (external author)
  •   Brage, Soren (external author)
  •   Reilly, John J. (external author)
  •   Trost, Stewart (external author)
  •   Jones, Rachel A.
  •   Janssen, Xanne (external author)
  •   Cliff, Dylan P
  •   van Loo, Christel (external author)

Publication Date


  • 2018

Citation


  • Okely, A. D., Batterham, M. J., Hinkley, T., Ekelund, U., Brage, S., Reilly, J. J., Trost, S. G., Jones, R. A., Janssen, X., Cliff, D. P. & van Loo, C. Maria Theodora. (2018). Wrist Acceleration Cut Points for Moderate-to-Vigorous Physical Activity in Youth. Medicine And Science In Sports And Exercise, 50 (3), 609-616.

Scopus Eid


  • 2-s2.0-85042366794

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=2237&context=ihmri

Ro Metadata Url


  • http://ro.uow.edu.au/ihmri/1210

Number Of Pages


  • 7

Start Page


  • 609

End Page


  • 616

Volume


  • 50

Issue


  • 3

Place Of Publication


  • United States

Abstract


  • Purpose: This study aimed to examine the validity of wrist acceleration cut points for classifying moderate (MPA), vigorous (VPA), and moderate-to-vigorous (MVPA) physical activity.

    Methods: Fifty-seven children (5–12 yr) completed 15 semistructured activities. Three sets of wrist cut points (9192 mg, 9250 mg, and 9314 mg), previously developed using Euclidian norm minus one (ENMO192+), GENEActiv software (GENEA250+), and band-pass filter followed by Euclidian norm (BFEN314+),

    were evaluated against indirect calorimetry. Analyses included classification accuracy, equivalence testing, and Bland–Altman procedures.

    Results: All cut points classified MPA, VPA, and MVPA with substantial accuracy (ENMO192+: J = 0.72 [95% confidence interval = 0.72–0.73], MVPA: area under the receiver operating characteristic curve (ROC-AUC) = 0.85 [0.85–0.86]; GENEA250+: J = 0.75 [0.74–0.76], MVPA: ROC-AUC = 0.85 [0.85–0.86]; BFEN314+: J = 0.73 [0.72–0.74], MVPA: ROC-AUC = 0.86 [0.86–0.87]). BFEN314+ misclassified 19.7% non-MVPA epochs as MPA, whereas ENMO192+ and GENEA250+ misclassified 32.6% and 26.5% of MPA epochs as non-MVPA, respectively. Group estimates of MPA time were equivalent (P G 0.01) to indirect calorimetry for the BFEN314+ MPA cut point (mean bias = j1.5%, limits of agreement [LoA] = j57.5% to 60.6%), whereas estimates of MVPA time were equivalent (P G 0.01) to indirect calorimetry for the ENMO192+ (mean bias = j1.1%, LoA = j53.7% to 55.9%) and GENEA250+ (mean bias = 2.2%, LoA = j56.5% to 52.2%) cut points. Individual variability (LoA) was large for MPA (min: BFEN314+, j60.6% to 57.5%; max: GENEA250+, j42.0% to 104.1%), VPA (min: BFEN314+, j238.9% to 54.6%; max: ENMO192+, j244.5% to 127.4%), and MVPA (min: ENMO192+, j53.7% to 55.0%; max: BFEN314+, j83.9% to 25.3%).

    Conclusion: Wrist acceleration cut points misclassified a considerable proportion of non-MVPA and MVPA. Group-level estimates of MVPA were acceptable; however, error for individual-level prediction was larger

Authors


  •   Okely, Anthony D.
  •   Batterham, Marijka
  •   Hinkley, Trina (external author)
  •   Ekelund, Ulf (external author)
  •   Brage, Soren (external author)
  •   Reilly, John J. (external author)
  •   Trost, Stewart (external author)
  •   Jones, Rachel A.
  •   Janssen, Xanne (external author)
  •   Cliff, Dylan P
  •   van Loo, Christel (external author)

Publication Date


  • 2018

Citation


  • Okely, A. D., Batterham, M. J., Hinkley, T., Ekelund, U., Brage, S., Reilly, J. J., Trost, S. G., Jones, R. A., Janssen, X., Cliff, D. P. & van Loo, C. Maria Theodora. (2018). Wrist Acceleration Cut Points for Moderate-to-Vigorous Physical Activity in Youth. Medicine And Science In Sports And Exercise, 50 (3), 609-616.

Scopus Eid


  • 2-s2.0-85042366794

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=2237&context=ihmri

Ro Metadata Url


  • http://ro.uow.edu.au/ihmri/1210

Number Of Pages


  • 7

Start Page


  • 609

End Page


  • 616

Volume


  • 50

Issue


  • 3

Place Of Publication


  • United States