Cellini Nicola, McDevitt Elizabeth A, Mednick Sara C, Buman Matthew P
Department of General Psychology, University of Padova, Via Venezia 8, 35131 Padova, Italy; Department of Psychology, University of California, Riverside, 900 University Ave., Riverside, CA 92521, USA.
Department of Psychology, University of California, Riverside, 900 University Ave., Riverside, CA 92521, USA.
Physiol Behav. 2016 Apr 1;157:79-86. doi: 10.1016/j.physbeh.2016.01.034. Epub 2016 Jan 25.
There is a growing need for free-living monitoring of the full 24 h spectrum of behaviors with a single or integrated set of sensors. The validity of field standard wearable monitors in sleep and physical activity have yet to be assessed for the complementary behavior in the context of 24 h continuous monitoring. We conducted a free-living comparison study of the Actigraph GT3X+ (GT3X+) to assess sleep parameters as compared with the Actiwatch-64 (AW-64) and concurrently, the AW-64 to assess sedentary and physical activity behaviors as compared with the GT3X+. Thirty young adults (15 female, 19.2±0.86 years) wore both monitors for 3 consecutive days and 2 consecutive nights. Agreement of sleep, sedentary, and physical activity metrics were evaluated using analyses of variance, intraclass correlation coefficients, Bland-Altman plots with associated confidence limits, mean absolute percentage of errors and equivalence tests. For sleep, the GT3X+ showed high agreement for total sleep time and sleep efficiency, but underestimated wakefulness after sleep onset and sleep onset latency relative to the AW-64. For sedentary behavior and physical activity, the AW-64 showed a moderate agreement for activity energy expenditure, but not for sedentary, light or moderate-vigorous physical activities relative to the GT3X+. Overall our results showed good agreement of the GT3X+ with AW-64 for assessing sleep but a lack of agreement between AW-64 and GT3X+ for physical activity and sedentary behaviors. These results are likely due to the monitor placement (wrist vs hip), as well as the algorithm employed to score the data. Future validation work of existing and emerging technologies that may hold promise for 24 h continuous monitoring is needed.
越来越需要使用一套单一或集成的传感器对全天24小时的行为频谱进行自由生活监测。在24小时连续监测的背景下,现场标准可穿戴监测器在睡眠和身体活动方面的有效性尚未针对补充行为进行评估。我们对Actigraph GT3X+(GT3X+)进行了一项自由生活比较研究,以评估与Actiwatch-64(AW-64)相比的睡眠参数,同时,将AW-64与GT3X+相比,以评估久坐行为和身体活动行为。30名年轻成年人(15名女性,19.2±0.86岁)连续3天和连续2晚佩戴这两种监测器。使用方差分析、组内相关系数、带有相关置信限的Bland-Altman图、平均绝对误差百分比和等效性检验来评估睡眠、久坐行为和身体活动指标的一致性。对于睡眠,GT3X+在总睡眠时间和睡眠效率方面显示出高度一致性,但相对于AW-64,它低估了睡眠开始后的清醒时间和睡眠开始潜伏期。对于久坐行为和身体活动,AW-64在活动能量消耗方面显示出中等一致性,但相对于GT3X+,在久坐、轻度或中度剧烈身体活动方面则不然。总体而言,我们的结果表明,GT3X+与AW-64在评估睡眠方面具有良好的一致性,但AW-64与GT3X+在身体活动和久坐行为方面缺乏一致性。这些结果可能是由于监测器的放置位置(手腕与臀部)以及用于对数据进行评分的算法所致。需要对现有和新兴技术进行未来的验证工作,这些技术可能对24小时连续监测具有前景。