Urbanek Jacek K, Harezlak Jaroslaw, Glynn Nancy W, Harris Tamara, Crainiceanu Ciprian, Zipunnikov Vadim
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States.
Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, United States.
Gait Posture. 2017 Feb;52:217-223. doi: 10.1016/j.gaitpost.2016.11.045. Epub 2016 Nov 30.
Many epidemiological and clinical studies use accelerometry to objectively measure physical activity using the activity counts, vector magnitude, or number of steps. These measures use just a fraction of the information in the raw accelerometry data as they are typically summarized at the minute level. To address this problem, we define and estimate two measures of temporal stride-to-stride gait variability based on raw accelerometry data: Amplitude Deviation (AD) and Phase Deviation (PD). We explore the sensitivity of our approach to on-body placement of the accelerometer by comparing hip, left and right wrist placements. We illustrate the approach by estimating AD and PD in 46 elderly participants in the Developmental Epidemiologic Cohort Study (DECOS) who worn accelerometers during a 400m walk test. We also show that AD and PD have a statistically significant association with the gait speed and sit-to-stand test performance.
许多流行病学和临床研究使用加速度计,通过活动计数、矢量大小或步数来客观测量身体活动。这些测量仅使用原始加速度计数据中的一小部分信息,因为它们通常是按分钟级别进行汇总的。为了解决这个问题,我们基于原始加速度计数据定义并估计了两种时间步幅间步态变异性的测量指标:幅度偏差(AD)和相位偏差(PD)。我们通过比较髋部、左手腕和右手腕放置加速度计的情况,探讨了我们的方法对加速度计在身体上放置位置的敏感性。我们通过估计发育流行病学队列研究(DECOS)中46名老年参与者在400米步行测试期间佩戴加速度计时的AD和PD来说明该方法。我们还表明,AD和PD与步态速度和从坐到站测试表现具有统计学上的显著关联。