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利用ROC曲线确定低收入儿童上学日计步器步数切点

Establishing school day pedometer step count cut-points using ROC curves in low-income children.

作者信息

Burns Ryan D, Brusseau Timothy A, Fu You, Hannon James C

机构信息

Department of Exercise and Sport Science, University of Utah, 250 S. 1850 E. Rm 200, Salt Lake City, UT 84112, USA.

Department of Kinesiology and Sports Sciences, University of Nebraska Kearney, Kearney, 905 W. 25th St. Kearney, NE 68849, USA.

出版信息

Prev Med. 2016 May;86:117-22. doi: 10.1016/j.ypmed.2016.02.018. Epub 2016 Feb 12.

Abstract

Previous research has not established pedometer step count cut-points that discriminate children that meet school day physical activity recommendations using a tri-axial ActiGraph accelerometer criterion. The purpose of this study was to determine step count cut-points that associate with 30min of school day moderate-to-vigorous physical activity (MVPA) in school-aged children. Participants included 1053 school-aged children (mean age=8.4±1.8years) recruited from three low-income schools from the state of Utah in the U.S. Physical activity was assessed using Yamax DigiWalker CW600 pedometers and ActiGraph wGT3X-BT triaxial accelerometers that were concurrently worn during school hours. Data were collected at each school during the 2014-2015 school year. Receiver operating characteristic (ROC) curves were used to determine pedometer step count cut-points that associated with at least 30min of MVPA during school hours. Cut-points were determined using the maximum Youden's J statistic (J max). For the total sample, the area-under-the-curve (AUC) was 0.77 (p<0.001) with a pedometer cut-point of 5505 steps (J max=0.46, Sensitivity=63%, Specificity=84%; Accuracy=76%). Step counts showed greater diagnostic ability in girls (AUC=0.81, p<0.001; Cut-point=5306 steps; Accuracy=78.8%) compared to boys (AUC=0.72, p<0.01; Cut-point=5786 steps; Accuracy=71.4%). Pedometer step counts showed good diagnostic ability in girls and fair diagnostic ability in boys for discriminating children that met at least 30min of MVPA during school hours.

摘要

以往的研究尚未确定使用三轴ActiGraph加速度计标准来区分达到上学日身体活动建议的儿童的计步器步数切点。本研究的目的是确定与学龄儿童上学日30分钟中度至剧烈身体活动(MVPA)相关的步数切点。参与者包括从美国犹他州三所低收入学校招募的1053名学龄儿童(平均年龄=8.4±1.8岁)。使用Yamax DigiWalker CW600计步器和ActiGraph wGT3X-BT三轴加速度计评估身体活动,在上学时间同时佩戴。在2014 - 2015学年在每所学校收集数据。使用受试者工作特征(ROC)曲线来确定与上学时间至少30分钟的MVPA相关的计步器步数切点。使用最大约登指数(J最大值)确定切点。对于总样本,曲线下面积(AUC)为0.77(p<0.001),计步器切点为5505步(J最大值=0.46,灵敏度=63%,特异性=84%;准确性=76%)。与男孩相比,女孩的步数显示出更高的诊断能力(AUC=0.81,p<0.001;切点=5306步;准确性=78.8%)(男孩:AUC=0.72,p<0.01;切点=5786步;准确性=71.4%)。计步器步数在区分上学时间达到至少30分钟MVPA的女孩方面显示出良好的诊断能力,在男孩方面显示出中等的诊断能力。

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