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Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count
BMJ Open Sport & Exercise Medicine, Volume: 3, Issue: 1, Start page: e000272
Swansea University Author: Kelly Mackintosh
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DOI (Published version): 10.1136/bmjsem-2017-000272
Abstract
Objectives Validation of physical activity measurement tools is essential to determine the relationship between physical activity and health in preschool children, but research to date has not focused on this priority. The aims of this study were to ascertain inter-rater reliability of observer step...
Published in: | BMJ Open Sport & Exercise Medicine |
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ISSN: | 2055-7647 |
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2017
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<?xml version="1.0"?><rfc1807><datestamp>2018-03-05T14:49:48.4248989</datestamp><bib-version>v2</bib-version><id>35246</id><entry>2017-09-13</entry><title>Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count</title><swanseaauthors><author><sid>bdb20e3f31bcccf95c7bc116070c4214</sid><ORCID>0000-0003-0355-6357</ORCID><firstname>Kelly</firstname><surname>Mackintosh</surname><name>Kelly Mackintosh</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2017-09-13</date><deptcode>STSC</deptcode><abstract>Objectives Validation of physical activity measurement tools is essential to determine the relationship between physical activity and health in preschool children, but research to date has not focused on this priority. The aims of this study were to ascertain inter-rater reliability of observer step count, and interdevice reliability and validity of Fitbit Zip accelerometer step counts in preschool children.Methods Fifty-six children aged 3–4 years (29 girls) recruited from 10 nurseries in North Wales, UK, wore two Fitbit Zip accelerometers while performing a timed walking task in their childcare settings. Accelerometers were worn in secure pockets inside a custom-made tabard. Video recordings enabled two observers to independently code the number of steps performed in 3 min by each child during the walking task. Intraclass correlations (ICCs), concordance correlation coefficients, Bland-Altman plots and absolute per cent error were calculated to assess the reliability and validity of the consumer-grade device.Results An excellent ICC was found between the two observer codings (ICC=1.00) and the two Fitbit Zips (ICC=0.91). Concordance between the Fitbit Zips and observer counts was also high (r=0.77), with an acceptable absolute per cent error (6%–7%). Bland-Altman analyses identified a bias for Fitbit 1 of 22.8±19.1 steps with limits of agreement between −14.7 and 60.2 steps, and a bias for Fitbit 2 of 25.2±23.2 steps with limits of agreement between −20.2 and 70.5 steps.Conclusions Fitbit Zip accelerometers are a reliable and valid method of recording preschool children’s step count in a childcare setting.</abstract><type>Journal Article</type><journal>BMJ Open Sport & Exercise Medicine</journal><volume>3</volume><journalNumber>1</journalNumber><paginationStart>e000272</paginationStart><publisher/><issnElectronic>2055-7647</issnElectronic><keywords/><publishedDay>11</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2017</publishedYear><publishedDate>2017-10-11</publishedDate><doi>10.1136/bmjsem-2017-000272</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2018-03-05T14:49:48.4248989</lastEdited><Created>2017-09-13T14:43:38.4775859</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences</level></path><authors><author><firstname>Catherine A</firstname><surname>Sharp</surname><order>1</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>2</order></author><author><firstname>Mihela</firstname><surname>Erjavec</surname><order>3</order></author><author><firstname>Duncan M</firstname><surname>Pascoe</surname><order>4</order></author><author><firstname>Pauline J</firstname><surname>Horne</surname><order>5</order></author></authors><documents><document><filename>0035246-09012018104015.pdf</filename><originalFilename>sharp2017v2.pdf</originalFilename><uploaded>2018-01-09T10:40:15.6430000</uploaded><type>Output</type><contentLength>618397</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><embargoDate>2018-01-09T00:00:00.0000000</embargoDate><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807> |
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2018-03-05T14:49:48.4248989 v2 35246 2017-09-13 Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2017-09-13 STSC Objectives Validation of physical activity measurement tools is essential to determine the relationship between physical activity and health in preschool children, but research to date has not focused on this priority. The aims of this study were to ascertain inter-rater reliability of observer step count, and interdevice reliability and validity of Fitbit Zip accelerometer step counts in preschool children.Methods Fifty-six children aged 3–4 years (29 girls) recruited from 10 nurseries in North Wales, UK, wore two Fitbit Zip accelerometers while performing a timed walking task in their childcare settings. Accelerometers were worn in secure pockets inside a custom-made tabard. Video recordings enabled two observers to independently code the number of steps performed in 3 min by each child during the walking task. Intraclass correlations (ICCs), concordance correlation coefficients, Bland-Altman plots and absolute per cent error were calculated to assess the reliability and validity of the consumer-grade device.Results An excellent ICC was found between the two observer codings (ICC=1.00) and the two Fitbit Zips (ICC=0.91). Concordance between the Fitbit Zips and observer counts was also high (r=0.77), with an acceptable absolute per cent error (6%–7%). Bland-Altman analyses identified a bias for Fitbit 1 of 22.8±19.1 steps with limits of agreement between −14.7 and 60.2 steps, and a bias for Fitbit 2 of 25.2±23.2 steps with limits of agreement between −20.2 and 70.5 steps.Conclusions Fitbit Zip accelerometers are a reliable and valid method of recording preschool children’s step count in a childcare setting. Journal Article BMJ Open Sport & Exercise Medicine 3 1 e000272 2055-7647 11 10 2017 2017-10-11 10.1136/bmjsem-2017-000272 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2018-03-05T14:49:48.4248989 2017-09-13T14:43:38.4775859 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Catherine A Sharp 1 Kelly Mackintosh 0000-0003-0355-6357 2 Mihela Erjavec 3 Duncan M Pascoe 4 Pauline J Horne 5 0035246-09012018104015.pdf sharp2017v2.pdf 2018-01-09T10:40:15.6430000 Output 618397 application/pdf Version of Record true 2018-01-09T00:00:00.0000000 true eng |
title |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
spellingShingle |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count Kelly Mackintosh |
title_short |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
title_full |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
title_fullStr |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
title_full_unstemmed |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
title_sort |
Validity and reliability of the Fitbit Zip as a measure of preschool children’s step count |
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bdb20e3f31bcccf95c7bc116070c4214 |
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bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh |
author |
Kelly Mackintosh |
author2 |
Catherine A Sharp Kelly Mackintosh Mihela Erjavec Duncan M Pascoe Pauline J Horne |
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BMJ Open Sport & Exercise Medicine |
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3 |
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e000272 |
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2017 |
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Swansea University |
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2055-7647 |
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10.1136/bmjsem-2017-000272 |
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Faculty of Science and Engineering |
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Faculty of Science and Engineering |
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School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences |
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Objectives Validation of physical activity measurement tools is essential to determine the relationship between physical activity and health in preschool children, but research to date has not focused on this priority. The aims of this study were to ascertain inter-rater reliability of observer step count, and interdevice reliability and validity of Fitbit Zip accelerometer step counts in preschool children.Methods Fifty-six children aged 3–4 years (29 girls) recruited from 10 nurseries in North Wales, UK, wore two Fitbit Zip accelerometers while performing a timed walking task in their childcare settings. Accelerometers were worn in secure pockets inside a custom-made tabard. Video recordings enabled two observers to independently code the number of steps performed in 3 min by each child during the walking task. Intraclass correlations (ICCs), concordance correlation coefficients, Bland-Altman plots and absolute per cent error were calculated to assess the reliability and validity of the consumer-grade device.Results An excellent ICC was found between the two observer codings (ICC=1.00) and the two Fitbit Zips (ICC=0.91). Concordance between the Fitbit Zips and observer counts was also high (r=0.77), with an acceptable absolute per cent error (6%–7%). Bland-Altman analyses identified a bias for Fitbit 1 of 22.8±19.1 steps with limits of agreement between −14.7 and 60.2 steps, and a bias for Fitbit 2 of 25.2±23.2 steps with limits of agreement between −20.2 and 70.5 steps.Conclusions Fitbit Zip accelerometers are a reliable and valid method of recording preschool children’s step count in a childcare setting. |
published_date |
2017-10-11T03:43:48Z |
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11.035634 |