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Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review

Mayara S Bianchim, Melitta McNarry Orcid Logo, Lillebeth Larun, Alan R Barker, Craig A Williams, Kelly Mackintosh Orcid Logo

Preventive Medicine Reports, Volume: 19

Swansea University Authors: Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo

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DOI (Published version): 10.1016/j.pmedr.2020.101142

Abstract

Regular physical activity is associated with physiological and psychosocial benefits in both healthy and clinical populations. However, little is known about tailoring the analysis of physical activity using accelerometers to the specific characteristics of chronic conditions. Whilst accelerometry i...

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Published in: Preventive Medicine Reports
ISSN: 2211-3355
Published: Elsevier BV 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa54402
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spelling 2020-07-23T10:40:35.4619575 v2 54402 2020-06-08 Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2020-06-08 STSC Regular physical activity is associated with physiological and psychosocial benefits in both healthy and clinical populations. However, little is known about tailoring the analysis of physical activity using accelerometers to the specific characteristics of chronic conditions. Whilst accelerometry is broadly used to assess physical activity, recommendations on calibration in paediatric clinical groups are warranted. The aim of this systematic review was to provide a critical overview of protocols used to calibrate accelerometry in children and adolescents with clinical conditions, as well as to develop recommendations for calibration and validation of accelerometry in such populations. The search was performed between March to July 2017 using text words and subject headings in six databases. Studies had to develop moderate-to-vigorous intensity physical activity (MVPA) cut-points for paediatric clinical populations to be included. Risk of bias was assessed using a specific checklist. A total of 540,630 titles were identified, with 323 full-text articles assessed. Five studies involving 347 participants aged 9 to 15 years were included. Twenty-four MVPA cut-points were reported across seven clinical conditions, 16 of which were developed for different models of ActiGraph, seven for Actical and one for Tritrac-R3D. Statistical approaches included mixed regression, machine learning and receiver operating characteristic analyses. Disease-specific MVPA cut-points ranged from 152 to 735 counts·15 s−1, with lower cut-points found for inherited muscle disease and higher cut-points associated with intellectual disabilities. The lower MVPA cut-points for diseases characterised by both ambulatory and metabolic impairments likely reflect the higher energetic demands associated with those conditions. Journal Article Preventive Medicine Reports 19 Elsevier BV 2211-3355 30 9 2020 2020-09-30 10.1016/j.pmedr.2020.101142 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2020-07-23T10:40:35.4619575 2020-06-08T10:56:32.7130979 Mayara S Bianchim 1 Melitta McNarry 0000-0003-0813-7477 2 Lillebeth Larun 3 Alan R Barker 4 Craig A Williams 5 Kelly Mackintosh 0000-0003-0355-6357 6 54402__17625__9c021c5eaaed4f80932ebf569d980a89.pdf 54402 (2).pdf 2020-07-02T10:56:41.8234017 Output 763322 application/pdf Version of Record true © 2020 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/). true
title Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
spellingShingle Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
Melitta McNarry
Kelly Mackintosh
title_short Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
title_full Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
title_fullStr Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
title_full_unstemmed Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
title_sort Calibration and Validation of Accelerometry using cut-points to Assess Physical Activity in Paediatric Clinical Groups: A Systematic Review
author_id_str_mv 062f5697ff59f004bc8c713955988398
bdb20e3f31bcccf95c7bc116070c4214
author_id_fullname_str_mv 062f5697ff59f004bc8c713955988398_***_Melitta McNarry
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
author Melitta McNarry
Kelly Mackintosh
author2 Mayara S Bianchim
Melitta McNarry
Lillebeth Larun
Alan R Barker
Craig A Williams
Kelly Mackintosh
format Journal article
container_title Preventive Medicine Reports
container_volume 19
publishDate 2020
institution Swansea University
issn 2211-3355
doi_str_mv 10.1016/j.pmedr.2020.101142
publisher Elsevier BV
document_store_str 1
active_str 0
description Regular physical activity is associated with physiological and psychosocial benefits in both healthy and clinical populations. However, little is known about tailoring the analysis of physical activity using accelerometers to the specific characteristics of chronic conditions. Whilst accelerometry is broadly used to assess physical activity, recommendations on calibration in paediatric clinical groups are warranted. The aim of this systematic review was to provide a critical overview of protocols used to calibrate accelerometry in children and adolescents with clinical conditions, as well as to develop recommendations for calibration and validation of accelerometry in such populations. The search was performed between March to July 2017 using text words and subject headings in six databases. Studies had to develop moderate-to-vigorous intensity physical activity (MVPA) cut-points for paediatric clinical populations to be included. Risk of bias was assessed using a specific checklist. A total of 540,630 titles were identified, with 323 full-text articles assessed. Five studies involving 347 participants aged 9 to 15 years were included. Twenty-four MVPA cut-points were reported across seven clinical conditions, 16 of which were developed for different models of ActiGraph, seven for Actical and one for Tritrac-R3D. Statistical approaches included mixed regression, machine learning and receiver operating characteristic analyses. Disease-specific MVPA cut-points ranged from 152 to 735 counts·15 s−1, with lower cut-points found for inherited muscle disease and higher cut-points associated with intellectual disabilities. The lower MVPA cut-points for diseases characterised by both ambulatory and metabolic impairments likely reflect the higher energetic demands associated with those conditions.
published_date 2020-09-30T04:07:55Z
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