Discrepancies in accelerometer-measured physical activity in children due to cut-point non-equivalence and placement site |
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Authors: | Ash C Routen Dominic Upton Martin G Edwards Derek M Peters |
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Institution: | a University of Worcester, Institute of Sport & Exercise Science , Henwick Grove , Worcester , WR2 6AJ , United Kingdom. |
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Abstract: | Abstract This study examined dissonance in physical activity (PA) between two youth-specific hip-derived intensity cut-points for the Actiwatch (AW), and compared PA between hip and wrist placements using site-specific cut-points. Twenty-four children aged 11.2?±?0.5 years wore the AW on the right hip and non-dominant wrist during a typical school day. Minutes of sedentary behaviour and vigorous activity were greater using Puyau et al. (2002) cut-points, but light, moderate, and moderate-to-vigorous (MVPA) were greater when derived using Puyau et al. (2004) cut-points (P?0.01). Total hip activity counts were lower than wrist. Sedentary minutes were greater at the hip, but minutes of light, vigorous and MVPA were lower (P?0.01). Moderate minutes were greater at the hip, but differed only when applying the Puyau et al. (2004) cut-points (P?0.01). In conclusion, data comparisons between two hip derived AW cut-points and between hip and wrist data are inappropriate. Future researchers using the AW at the hip should present data reduced using both published cut-points. As hip and wrist data differ, the wrist placement is preferable as it will likely increase children's compliance to monitoring protocols due to reduced obtrusiveness compared to the hip. |
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