Reilly John J, Coyle Jennifer, Kelly Louise, Burke Genevieve, Grant Stanley, Paton James Y
Division of Developmental Medicine and. Institute of Biomedical and Life Sciences, University of Glasgow, Glasgow, Scotland.
Obes Res. 2003 Oct;11(10):1155-8. doi: 10.1038/oby.2003.158.
To test the ability of accelerometry to quantify sedentary behavior in 3- to 4-year-old children.
We developed a cut-off for accelerometry output (validation study) in 30 healthy 3 to 4 year olds, which provided highest sensitivity and specificity for the detection of sedentary behavior relative to a criterion method of measurement, direct observation using the children's physical activity form. We then cross-validated the cut-off in an independent sample of healthy 3 to 4 year olds (n = 52).
In the validation study, optimal sensitivity and specificity for the detection of sedentary behavior were obtained at an accelerometry output cut-off of <1100 counts/min. In the cross-validation, sensitivity was 83%: 438/528 inactive minutes were correctly classified. Specificity was 82%: 1251/1526 noninactive minutes were correctly classified using this cut-off.
Sedentary behavior can be quantified objectively in young children using accelerometry. This new technique could be considered for a wide variety of applications in the etiology, prevention, and treatment of childhood obesity.
测试加速度计量化3至4岁儿童久坐行为的能力。
我们在30名3至4岁健康儿童中确定了加速度计输出的临界值(验证研究),相对于一种测量标准方法,即使用儿童身体活动表格进行直接观察,该临界值在检测久坐行为方面具有最高的敏感性和特异性。然后,我们在另一组独立的3至4岁健康儿童样本(n = 52)中对该临界值进行了交叉验证。
在验证研究中,当加速度计输出临界值<1100计数/分钟时,检测久坐行为获得了最佳的敏感性和特异性。在交叉验证中,敏感性为83%:438/528分钟的非活动时间被正确分类。特异性为82%:使用此临界值,1251/1526分钟的非非活动时间被正确分类。
使用加速度计可以客观地量化幼儿的久坐行为。这项新技术可考虑用于儿童肥胖症的病因学、预防和治疗等多种应用。