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Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies
OBJECTIVES: Studies that assess all three dimensions of the integrative 24-hour physical behaviour (PB) construct, namely, intensity, posture/activity type and biological state, are on the rise. However, reviews on validation studies that cover intensity, posture/activity type and biological state a...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9109110/ https://www.ncbi.nlm.nih.gov/pubmed/35646389 http://dx.doi.org/10.1136/bmjsem-2021-001267 |
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author | Giurgiu, Marco Kolb, Simon Nigg, Carina Burchartz, Alexander Timm, Irina Becker, Marlissa Rulf, Ellen Doster, Ann-Kathrin Koch, Elena Bussmann, Johannes B J Nigg, Claudio Ebner-Priemer, Ulrich W Woll, Alexander |
author_facet | Giurgiu, Marco Kolb, Simon Nigg, Carina Burchartz, Alexander Timm, Irina Becker, Marlissa Rulf, Ellen Doster, Ann-Kathrin Koch, Elena Bussmann, Johannes B J Nigg, Claudio Ebner-Priemer, Ulrich W Woll, Alexander |
author_sort | Giurgiu, Marco |
collection | PubMed |
description | OBJECTIVES: Studies that assess all three dimensions of the integrative 24-hour physical behaviour (PB) construct, namely, intensity, posture/activity type and biological state, are on the rise. However, reviews on validation studies that cover intensity, posture/activity type and biological state assessed via wearables are missing. DESIGN: Systematic review. The risk of bias was evaluated by using the QUADAS-2 tool with nine signalling questions separated into four domains (ie, patient selection/study design, index measure, criterion measure, flow and time). DATA SOURCES: Peer-reviewed validation studies from electronic databases as well as backward and forward citation searches (1970–July 2021). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Wearable validation studies with children and adolescents (age <18 years). Required indicators: (1) study protocol must include real-life conditions; (2) validated device outcome must belong to one dimension of the 24-hour PB construct; (3) the study protocol must include a criterion measure; (4) study results must be published in peer-reviewed English language journals. RESULTS: Out of 13 285 unique search results, 76 articles with 51 different wearables were included and reviewed. Most studies (68.4%) validated an intensity measure outcome such as energy expenditure, but only 15.9% of studies validated biological state outcomes, while 15.8% of studies validated posture/activity type outcomes. We identified six wearables that had been used to validate outcomes from two different dimensions and only two wearables (ie, ActiGraph GT1M and ActiGraph GT3X+) that validated outcomes from all three dimensions. The percentage of studies meeting a given quality criterion ranged from 44.7% to 92.1%. Only 18 studies were classified as ‘low risk’ or ‘some concerns’. SUMMARY: Validation studies on biological state and posture/activity outcomes are rare in children and adolescents. Most studies did not meet published quality principles. Standardised protocols embedded in a validation framework are needed. PROSPERO REGISTRATION NUMBER: CRD42021230894. |
format | Online Article Text |
id | pubmed-9109110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-91091102022-05-27 Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies Giurgiu, Marco Kolb, Simon Nigg, Carina Burchartz, Alexander Timm, Irina Becker, Marlissa Rulf, Ellen Doster, Ann-Kathrin Koch, Elena Bussmann, Johannes B J Nigg, Claudio Ebner-Priemer, Ulrich W Woll, Alexander BMJ Open Sport Exerc Med Review OBJECTIVES: Studies that assess all three dimensions of the integrative 24-hour physical behaviour (PB) construct, namely, intensity, posture/activity type and biological state, are on the rise. However, reviews on validation studies that cover intensity, posture/activity type and biological state assessed via wearables are missing. DESIGN: Systematic review. The risk of bias was evaluated by using the QUADAS-2 tool with nine signalling questions separated into four domains (ie, patient selection/study design, index measure, criterion measure, flow and time). DATA SOURCES: Peer-reviewed validation studies from electronic databases as well as backward and forward citation searches (1970–July 2021). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Wearable validation studies with children and adolescents (age <18 years). Required indicators: (1) study protocol must include real-life conditions; (2) validated device outcome must belong to one dimension of the 24-hour PB construct; (3) the study protocol must include a criterion measure; (4) study results must be published in peer-reviewed English language journals. RESULTS: Out of 13 285 unique search results, 76 articles with 51 different wearables were included and reviewed. Most studies (68.4%) validated an intensity measure outcome such as energy expenditure, but only 15.9% of studies validated biological state outcomes, while 15.8% of studies validated posture/activity type outcomes. We identified six wearables that had been used to validate outcomes from two different dimensions and only two wearables (ie, ActiGraph GT1M and ActiGraph GT3X+) that validated outcomes from all three dimensions. The percentage of studies meeting a given quality criterion ranged from 44.7% to 92.1%. Only 18 studies were classified as ‘low risk’ or ‘some concerns’. SUMMARY: Validation studies on biological state and posture/activity outcomes are rare in children and adolescents. Most studies did not meet published quality principles. Standardised protocols embedded in a validation framework are needed. PROSPERO REGISTRATION NUMBER: CRD42021230894. BMJ Publishing Group 2022-05-12 /pmc/articles/PMC9109110/ /pubmed/35646389 http://dx.doi.org/10.1136/bmjsem-2021-001267 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Review Giurgiu, Marco Kolb, Simon Nigg, Carina Burchartz, Alexander Timm, Irina Becker, Marlissa Rulf, Ellen Doster, Ann-Kathrin Koch, Elena Bussmann, Johannes B J Nigg, Claudio Ebner-Priemer, Ulrich W Woll, Alexander Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title | Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title_full | Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title_fullStr | Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title_full_unstemmed | Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title_short | Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
title_sort | assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9109110/ https://www.ncbi.nlm.nih.gov/pubmed/35646389 http://dx.doi.org/10.1136/bmjsem-2021-001267 |
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