Modifying Accelerometer Cut-Points Affects Criterion Validity in Simulated Free-Living for Adolescents and Adults

调整加速度计阈值会影响青少年和成人模拟自由生活情境中的效标效度

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Abstract

Purpose: To assess changes in criterion validity when modifying cut-points for use in different epoch lengths. Method: Simulated free-living data came from 42 adolescents (2-hr each) and 29 adults (6-hr each) wearing a hip-worn accelerometer and portable indirect calorimeter (Cosmed K4b(2)). K4b(2) data were classified as sedentary behavior (SB), light physical activity (LPA), or moderate-to-vigorous physical activity (MVPA), and compared to estimates from accelerometer data processed with three youth and three adult cut-points in six epoch lengths (1, 5, 10, 15, 30, and 60-s). A cut-point of 100 counts per minute was used for all SB estimates. Results: For both adolescents and adults, SB estimates in all but 60-s epochs were significantly higher than the criterion, by 18.4%-78.4% (all p < .02). CPS had varied effects on youth LPA, ranging from favorable effects for one cut-point (1.9% underestimation in 1-s epochs, versus 40.2% overestimation in the originally-calibrated epoch length; p < .01 and p = .91, respectively) to unfavorable effects for another (41.8% underestimation in 1-s epochs, versus 9.8% underestimation in the originally-calibrated epoch length; p < .01 and p = .39, respectively). Adult LPA estimates in 30-s or 60-s epochs were closest to the criterion (within 5.2%-37.3%, p = .0001-0.49). Youth MVPA estimates in 60-s epochs were closest to the criterion (within 9.5%-53.2%, all p < .05), whereas adult MVPA estimates in 1-s epochs were closest to the criterion (within 6.6%-34.2%, p = .02-0.59). Conclusion: Cut-point modification is not universally beneficial, and thus it is not recommended.

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