PURPOSE
To establish physical activity (PA) intensity cutpoints for a wrist-mounted GeneActiv accelerometer (ACC) in elementary school-aged children. A second purpose was to apply cutpoints to a free-living sample and examine duration of PA based on continuous 1s epochs.
METHODS
Metabolic and ACC data were collected during nine typical activities in 24 children ages 6–11. Measured VO2 values were divided by Schofield-estimated resting values to determine METs. ACC data were collected at 75 Hz, band pass filtered and averaged over each one-second interval. Receiver Operator Characteristic (ROC) curves were used to establish cutpoints at <1.5, 1.5–3, 3–6 and ≥6 METs for sedentary, light, moderate and vigorous activity, respectively. These cutpoints were applied to a free-living independent data set to quantify the amount of moderate-vigorous PA (MVPA) and to examine how bout length (1, 2, 3, 5, 10, 15 and 60 seconds) affected the accumulation of MVPA.
RESULTS
ROC yielded areas under the curve of 0.956, 0.946 and 0.940 for sedentary, moderate and vigorous intensities, respectively. Cutpoints for sedentary, moderate and vigorous intensities were 0.190, 0.314 and 0.998 g, respectively. Intensity classification accuracies ranged from 27.6% (light) to 88.7% (vigorous) when cutpoints were applied to the calibration data. When applied to free-living data (n=47 children ages 6–11), estimated daily MVPA was 308 minutes and decreased to 14.3 minutes when only including 1 min periods of continuous MVPA.
CONCLUSION
Cutpoints that quantify movements associated with moderate-vigorous intensity, when applied to a laboratory protocol, result in large amounts of accumulated MVPA using the 1s epoch compared to prior studies, highlighting the need for representative calibration activities and free-living validation of cutpoints and epoch length selection.