Physical activity levels in adults and elderly from triaxial and uniaxial accelerometry. The Tromsø Study


Autoři: Edvard H. Sagelv aff001;  Ulf Ekelund aff002;  Sigurd Pedersen aff001;  Søren Brage aff004;  Bjørge H. Hansen aff006;  Jonas Johansson aff007;  Sameline Grimsgaard aff007;  Anna Nordström aff001;  Alexander Horsch aff009;  Laila A. Hopstock aff007;  Bente Morseth aff001
Působiště autorů: School of Sport Sciences, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway aff001;  Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway aff002;  Department of Chronic Diseases and Ageing, the Norwegian Institute for Public Health, Oslo, Norway aff003;  MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom aff004;  Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, Southern Denmark University, Odense, Denmark aff005;  Department of Sport Science and Physical Education, Faculty of Health Sciences, University of Agder, Agder, Norway aff006;  Department of Community Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway aff007;  Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aff008;  Department of Computer Science, Faculty of Natural Sciences, UiT the Arctic University of Norway, Tromsø, Norway aff009
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0225670

Souhrn

Introduction

Surveillance of physical activity at the population level increases the knowledge on levels and trends of physical activity, which may support public health initiatives to promote physical activity. Physical activity assessed by accelerometry is challenged by varying data processing procedures, which influences the outcome. We aimed to describe the levels and prevalence estimates of physical activity, and to examine how triaxial and uniaxial accelerometry data influences these estimates, in a large population-based cohort of Norwegian adults.

Methods

This cross-sectional study included 5918 women and men aged 40–84 years who participated in the seventh wave of the Tromsø Study (2015–16). The participants wore an ActiGraph wGT3X-BT accelerometer attached to the hip for 24 hours per day over seven consecutive days. Accelerometry variables were expressed as volume (counts·minute-1 and steps·day-1) and as minutes per day in sedentary, light physical activity and moderate and vigorous physical activity (MVPA).

Results

From triaxial accelerometry data, 22% (95% confidence interval (CI): 21–23%) of the participants fulfilled the current global recommendations for physical activity (≥150 minutes of MVPA per week in ≥10-minute bouts), while 70% (95% CI: 69–71%) accumulated ≥150 minutes of non-bouted MVPA per week. When analysing uniaxial data, 18% fulfilled the current recommendations (i.e. 20% difference compared with triaxial data), and 55% (95% CI: 53–56%) accumulated ≥150 minutes of non-bouted MVPA per week. We observed approximately 100 less minutes of sedentary time and 90 minutes more of light physical activity from triaxial data compared with uniaxial data (p<0.001).

Conclusion

The prevalence estimates of sufficiently active adults and elderly are more than three times higher (22% vs. 70%) when comparing triaxial bouted and non-bouted MVPA. Physical activity estimates are highly dependent on accelerometry data processing criteria and on different definitions of physical activity recommendations, which may influence prevalence estimates and tracking of physical activity patterns over time.

Klíčová slova:

Accelerometers – Body Mass Index – Data processing – Educational attainment – Exercise – Physical activity – Schools – Walking


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