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Validity of the ActivPAL™ and the ActiGraph monitors in preschoolers

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Abstract
PURPOSE: This study aimed to compare three objective measures (GT1M ActiGraph, ActivPAL™, and direct observation) of sedentary behavior in preschoolers. METHODS: Fifty-two 4- to 6-yr-old preschoolers wore an ActivPAL™ and a GT1M ActiGraph for five consecutive days and were videotaped for 1 h during classroom activities at preschool. The area under the receiver operating characteristic curve was calculated to assess the criterion validity of the ActivPAL™ (sitting/lying, with and without standing still) and the GT1M ActiGraph (<100 counts per minute) to estimate sedentary behavior (directly observed sitting behaviors). A two-way repeated-measures ANOVA was used to define the convergent validity of the ActivPAL™ and the GT1M ActiGraph sedentary behavior estimates across the measurement days. The practical utility of the ActivPAL™ was tested in the same sample by asking the parents how their child perceived wearing the ActivPAL™. RESULTS: Results indicated a poor classification accuracy for both devices (area under the receiver operating characteristic curve, 0.6) to measure sedentary behavior based on the direct observation, with and without the inclusion of standing. Time defined as sedentary behavior (sitting/lying) was lower for the ActivPAL™ compared with the GT1M ActiGraph (mean bias, 7.7%; limits of agreement, -29.01% to 13.6%). According to the parental reports, 38% of the preschoolers had skin irritation due to wearing the ActivPAL™ for consecutive days. CONCLUSIONS: Low classification accuracy was found for the ActivPAL™ and the GT1M ActiGraph to measure sedentary behavior in preschoolers. No correction factor can be suggested to make the sedentary estimates of the GT1M ActiGraph and the ActivPAL™ convergent as no systematic bias and wide limits of agreement were found. Furthermore, the practical utility of the ActivPAL™ was perceived to be lower compared with the ActiGraph accelerometer in preschoolers.
Keywords
VALIDATION, ACCELEROMETER, SEDENTARY BEHAVIOR, DIRECT OBSERVATION, CHILDREN, CHILDRENS PHYSICAL-ACTIVITY, SEDENTARY BEHAVIOR, YOUNG-CHILDREN, TELEVISION, CALIBRATION, OBESITY, ACCELEROMETER, TIME

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Chicago
De Decker, Ellen, Marieke De Craemer, Alejandro Santos-Lozano, Eveline Van Cauwenberghe, Ilse De Bourdeaudhuij, and Greet Cardon. 2013. “Validity of the ActivPALTM and the ActiGraph Monitors in Preschoolers.” Medicine and Science in Sports and Exercise 45 (10): 2002–2011.
APA
De Decker, E., De Craemer, M., Santos-Lozano, A., Van Cauwenberghe, E., De Bourdeaudhuij, I., & Cardon, G. (2013). Validity of the ActivPALTM and the ActiGraph monitors in preschoolers. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 45(10), 2002–2011.
Vancouver
1.
De Decker E, De Craemer M, Santos-Lozano A, Van Cauwenberghe E, De Bourdeaudhuij I, Cardon G. Validity of the ActivPALTM and the ActiGraph monitors in preschoolers. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE. 2013;45(10):2002–11.
MLA
De Decker, Ellen, Marieke De Craemer, Alejandro Santos-Lozano, et al. “Validity of the ActivPALTM and the ActiGraph Monitors in Preschoolers.” MEDICINE AND SCIENCE IN SPORTS AND EXERCISE 45.10 (2013): 2002–2011. Print.
@article{4252932,
  abstract     = {PURPOSE: This study aimed to compare three objective measures (GT1M ActiGraph, ActivPAL{\texttrademark}, and direct observation) of sedentary behavior in preschoolers.
METHODS: Fifty-two 4- to 6-yr-old preschoolers wore an ActivPAL{\texttrademark} and a GT1M ActiGraph for five consecutive days and were videotaped for 1 h during classroom activities at preschool. The area under the receiver operating characteristic curve was calculated to assess the criterion validity of the ActivPAL{\texttrademark} (sitting/lying, with and without standing still) and the GT1M ActiGraph ({\textlangle}100 counts per minute) to estimate sedentary behavior (directly observed sitting behaviors). A two-way repeated-measures ANOVA was used to define the convergent validity of the ActivPAL{\texttrademark} and the GT1M ActiGraph sedentary behavior estimates across the measurement days. The practical utility of the ActivPAL{\texttrademark} was tested in the same sample by asking the parents how their child perceived wearing the ActivPAL{\texttrademark}.
RESULTS: Results indicated a poor classification accuracy for both devices (area under the receiver operating characteristic curve, 0.6) to measure sedentary behavior based on the direct observation, with and without the inclusion of standing. Time defined as sedentary behavior (sitting/lying) was lower for the ActivPAL{\texttrademark} compared with the GT1M ActiGraph (mean bias, 7.7\%; limits of agreement, -29.01\% to 13.6\%). According to the parental reports, 38\% of the preschoolers had skin irritation due to wearing the ActivPAL{\texttrademark} for consecutive days.
CONCLUSIONS: Low classification accuracy was found for the ActivPAL{\texttrademark} and the GT1M ActiGraph to measure sedentary behavior in preschoolers. No correction factor can be suggested to make the sedentary estimates of the GT1M ActiGraph and the ActivPAL{\texttrademark} convergent as no systematic bias and wide limits of agreement were found. Furthermore, the practical utility of the ActivPAL{\texttrademark} was perceived to be lower compared with the ActiGraph accelerometer in preschoolers.},
  author       = {De Decker, Ellen and De Craemer, Marieke and Santos-Lozano, Alejandro and Van Cauwenberghe, Eveline and De Bourdeaudhuij, Ilse and Cardon, Greet},
  issn         = {0195-9131},
  journal      = {MEDICINE AND SCIENCE IN SPORTS AND EXERCISE},
  keyword      = {VALIDATION,ACCELEROMETER,SEDENTARY BEHAVIOR,DIRECT OBSERVATION,CHILDREN,CHILDRENS PHYSICAL-ACTIVITY,SEDENTARY BEHAVIOR,YOUNG-CHILDREN,TELEVISION,CALIBRATION,OBESITY,ACCELEROMETER,TIME},
  language     = {eng},
  number       = {10},
  pages        = {2002--2011},
  title        = {Validity of the ActivPAL{\texttrademark} and the ActiGraph monitors in preschoolers},
  url          = {http://dx.doi.org/10.1249/MSS.0b013e318292c575},
  volume       = {45},
  year         = {2013},
}

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