Classification of accelerometer wear and non-wear events in seconds for monitoring free-living physical activity

Shang Ming Zhou*, Rebecca A. Hill, Kelly Morgan, Gareth Stratton, Mike B. Gravenor, Gunnar Bijlsma, Sinead Brophy

*Corresponding author for this work

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Abstract

<jats:sec><jats:title>Objective</jats:title><jats:p>To classify wear and non-wear time of accelerometer data for accurately quantifying physical activity in public health or population level research.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>A bi-moving-window-based approach was used to combine acceleration and skin temperature data to identify wear and non-wear time events in triaxial accelerometer data that monitor physical activity.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Local residents in Swansea, Wales, UK.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>50 participants aged under 16 years (n=23) and over 17 years (n=27) were recruited in two phases: phase 1: design of the wear/non-wear algorithm (n=20) and phase 2: validation of the algorithm (n=30).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Participants wore a triaxial accelerometer (GeneActiv) against the skin surface on the wrist (adults) or ankle (children). Participants kept a diary to record the timings of wear and non-wear and were asked to ensure that events of wear/non-wear last for a minimum of 15 min.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The overall sensitivity of the proposed method was 0.94 (95% CI 0.90 to 0.98) and specificity 0.91 (95% CI 0.88 to 0.94). It performed equally well for children compared with adults, and females compared with males. Using surface skin temperature data in combination with acceleration data significantly improved the classification of wear/non-wear time when compared with methods that used acceleration data only (p&lt;0.01).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Using either accelerometer seismic information or temperature information alone is prone to considerable error. Combining both sources of data can give accurate estimates of non-wear periods thus giving better classification of sedentary behaviour. This method can be used in population studies of physical activity in free-living environments.</jats:p></jats:sec>
Original languageEnglish
Pages (from-to)e007447-e007447
Number of pages0
JournalBMJ Open
Volume5
Issue number5
Early online date11 May 2015
DOIs
Publication statusPublished - May 2015

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