Record Details

Improving wear time compliance with a 24-hour waist-worn accelerometer protocol in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)

ScholarsArchive at Oregon State University

Field Value
Title Improving wear time compliance with a 24-hour waist-worn accelerometer protocol in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)
Names Tudor-Locke, Catrine (creator)
Barreira, Tiago V. (creator)
Schuna, John M., Jr. (creator)
et al. (creator)
Date Issued 2015-02-11 (iso8601)
Note This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by BioMed Central Ltd. The published article can be found at: http://www.ijbnpa.org/.
Abstract BACKGROUND: We compared 24-hour waist-worn accelerometer wear time characteristics of 9-11 year old children
in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) to similarly aged U.S. children
providing waking-hours waist-worn accelerometer data in the 2003-2006 National Health and Nutrition Examination
Survey (NHANES).
METHODS: Valid cases were defined as having ≥4 days with ≥10 hours of waking wear time in a 24-hour period,
including one weekend day. Previously published algorithms for extracting total sleep episode time from 24-hour
accelerometer data and for identifying wear time (in both the 24-hour and waking-hours protocols) were
applied. The number of valid days obtained and a ratio (percent) of valid cases to the number of participants
originally wearing an accelerometer were computed for both ISCOLE and NHANES. Given the two surveys’ discrepant
sampling designs, wear time (minutes/day, hours/day) from U.S. ISCOLE was compared to NHANES using a
meta-analytic approach. Wear time for the 11 additional countries participating in ISCOLE were graphically
compared with NHANES.
RESULTS: 491 U.S. ISCOLE children (9.92 ± 0.03 years of age [M ± SE]) and 586 NHANES children (10.43 ± 0.04 years
of age) were deemed valid cases. The ratio of valid cases to the number of participants originally wearing an
accelerometer was 76.7% in U.S. ISCOLE and 62.6% in NHANES. Wear time averaged 1357.0 ± 4.2 minutes per 24-hour
day in ISCOLE. Waking wear time was 884.4 ± 2.2 minutes/day for U.S. ISCOLE children and 822.6 ± 4.3 minutes/day
in NHANES children (difference = 61.8 minutes/day, p < 0.001). Wear time characteristics were consistently higher
in all ISCOLE study sites compared to the NHANES protocol.
CONCLUSIONS: A 24-hour waist-worn accelerometry protocol implemented in U.S. children produced 22.6 out of
24 hours of possible wear time, and 61.8 more minutes/day of waking wear time than a similarly implemented
and processed waking wear time waist-worn accelerometry protocol. Consistent results were obtained internationally.
The 24-hour protocol may produce an important increase in wear time compliance that also provides an opportunity
to study the total sleep episode time separate and distinct from physical activity and sedentary time detected during
waking-hours.
TRIAL REGISTRATION: ClinicalTrials.gov NCT01722500.
Genre Article
Access Condition http://creativecommons.org/licenses/by/3.0/us/
Topic Accelerometry
Identifier Tudor-Locke, C., Barreira, T. V., Schuna, J. M., Mire, E. F., Chaput, J. P., Fogelholm, M., ... & Katzmarzyk, P. T. (2015). Improving wear time compliance with a 24-hour waist-worn accelerometer protocol in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). International Journal of Behavioral Nutrition and Physical Activity, 12, 11. doi:10.1186/s12966-015-0172-x

© Western Waters Digital Library - GWLA member projects - Designed by the J. Willard Marriott Library - Hosted by Oregon State University Libraries and Press