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Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health

BACKGROUND: For valid accelerometer-assessed physical activity (PA) data, several methodological aspects should be considered. We aimed to 1) visualize the applicability of absolute accelerometer cut-offs to classify PA intensity, 2) verify recommendations to measure PA over 7 days by examining inte...

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Autores principales: Schwendinger, Fabian, Wagner, Jonathan, Infanger, Denis, Schmidt-Trucksäss, Arno, Knaier, Raphael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590791/
https://www.ncbi.nlm.nih.gov/pubmed/34775952
http://dx.doi.org/10.1186/s12874-021-01350-6
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author Schwendinger, Fabian
Wagner, Jonathan
Infanger, Denis
Schmidt-Trucksäss, Arno
Knaier, Raphael
author_facet Schwendinger, Fabian
Wagner, Jonathan
Infanger, Denis
Schmidt-Trucksäss, Arno
Knaier, Raphael
author_sort Schwendinger, Fabian
collection PubMed
description BACKGROUND: For valid accelerometer-assessed physical activity (PA) data, several methodological aspects should be considered. We aimed to 1) visualize the applicability of absolute accelerometer cut-offs to classify PA intensity, 2) verify recommendations to measure PA over 7 days by examining inter-day variability and reactivity, 3) examine seasonal differences in PA, and 4) recommend during which 10 h day period accelerometers should be worn to capture the most PA in patients with heart failure (HEART) and healthy individuals (HEALTH). METHODS: Fifty-six HEART (23% female; mean age 66 ± 13 years) and 299 HEALTH (51% female; mean age 54 ± 19 years) of the COmPLETE study wore accelerometers for 14 days. Aim 1 was analyzed descriptively. Key analyses were performed using linear mixed models. RESULTS: The results yielded poor applicability of absolute cut-offs. The day of the week significantly affected PA in both groups. PA-reactivity was not present in either group. A seasonal influence on PA was only found in HEALTH. Large inter-individual variability in PA timing was present. CONCLUSIONS: Our data indicated that absolute cut-offs foster inaccuracies in both populations. In HEART, Sunday and four other days included in the analyses seem sufficient to estimate PA and the consideration of seasonal differences and reactivity seems not necessary. For healthy individuals, both weekend days plus four other days should be integrated into the analyses and seasonal differences should be considered. Due to substantial inter-individual variability in PA timing, accelerometers should be worn throughout waking time. These findings may improve future PA assessment. TRIAL REGISTRATION: The COmPLETE study was registered at clinicaltrials.gov (NCT03986892). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12874-021-01350-6.
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spelling pubmed-85907912021-11-15 Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health Schwendinger, Fabian Wagner, Jonathan Infanger, Denis Schmidt-Trucksäss, Arno Knaier, Raphael BMC Med Res Methodol Research BACKGROUND: For valid accelerometer-assessed physical activity (PA) data, several methodological aspects should be considered. We aimed to 1) visualize the applicability of absolute accelerometer cut-offs to classify PA intensity, 2) verify recommendations to measure PA over 7 days by examining inter-day variability and reactivity, 3) examine seasonal differences in PA, and 4) recommend during which 10 h day period accelerometers should be worn to capture the most PA in patients with heart failure (HEART) and healthy individuals (HEALTH). METHODS: Fifty-six HEART (23% female; mean age 66 ± 13 years) and 299 HEALTH (51% female; mean age 54 ± 19 years) of the COmPLETE study wore accelerometers for 14 days. Aim 1 was analyzed descriptively. Key analyses were performed using linear mixed models. RESULTS: The results yielded poor applicability of absolute cut-offs. The day of the week significantly affected PA in both groups. PA-reactivity was not present in either group. A seasonal influence on PA was only found in HEALTH. Large inter-individual variability in PA timing was present. CONCLUSIONS: Our data indicated that absolute cut-offs foster inaccuracies in both populations. In HEART, Sunday and four other days included in the analyses seem sufficient to estimate PA and the consideration of seasonal differences and reactivity seems not necessary. For healthy individuals, both weekend days plus four other days should be integrated into the analyses and seasonal differences should be considered. Due to substantial inter-individual variability in PA timing, accelerometers should be worn throughout waking time. These findings may improve future PA assessment. TRIAL REGISTRATION: The COmPLETE study was registered at clinicaltrials.gov (NCT03986892). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12874-021-01350-6. BioMed Central 2021-11-14 /pmc/articles/PMC8590791/ /pubmed/34775952 http://dx.doi.org/10.1186/s12874-021-01350-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Schwendinger, Fabian
Wagner, Jonathan
Infanger, Denis
Schmidt-Trucksäss, Arno
Knaier, Raphael
Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title_full Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title_fullStr Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title_full_unstemmed Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title_short Methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
title_sort methodological aspects for accelerometer-based assessment of physical activity in heart failure and health
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590791/
https://www.ncbi.nlm.nih.gov/pubmed/34775952
http://dx.doi.org/10.1186/s12874-021-01350-6
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