Skip to main content
Top
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Using open source accelerometer analysis to assess physical activity and sedentary behaviour in overweight and obese adults

Authors: Paul Innerd, Rory Harrison, Morc Coulson

Published in: BMC Public Health | Issue 1/2018

Login to get access

Abstract

Background

Physical activity and sedentary behaviour are difficult to assess in overweight and obese adults. However, the use of open-source, raw accelerometer data analysis could overcome this. This study compared raw accelerometer and questionnaire-assessed moderate-to-vigorous physical activity (MVPA), walking and sedentary behaviour in normal, overweight and obese adults, and determined the effect of using different methods to categorise overweight and obesity, namely body mass index (BMI), bioelectrical impedance analysis (BIA) and waist-to-hip ratio (WHR).

Methods

One hundred twenty adults, aged 24–60 years, wore a raw, tri-axial accelerometer (Actigraph GT3X+), for 3 days and completed a physical activity questionnaire (IPAQ-S). We used open-source accelerometer analyses to estimate MVPA, walking and sedentary behaviour from a single raw accelerometer signal. Accelerometer and questionnaire-assessed measures were compared in normal, overweight and obese adults categorised using BMI, BIA and WHR.

Results

Relationships between accelerometer and questionnaire-assessed MVPA (Rs = 0.30 to 0.48) and walking (Rs = 0.43 to 0.58) were stronger in normal and overweight groups whilst sedentary behaviour were modest (Rs = 0.22 to 0.38) in normal, overweight and obese groups. The use of WHR resulted in stronger agreement between the questionnaire and accelerometer than BMI and BIA. Finally, accelerometer data showed stronger associations with BMI, BIA and WHR (Rs = 0.40 to 0.77) than questionnaire data (Rs = 0.24 to 0.37).

Conclusions

Open-source, raw accelerometer data analysis can be used to estimate MVPA, walking and sedentary behaviour from a single acceleration signal in normal, overweight and obese adults. Our data supports the use of WHR to categorise overweight and obese adults. This evidence helps researchers obtain more accurate measures of physical activity and sedentary behaviour in overweight and obese populations.
Literature
1.
go back to reference Maher CA, et al. The independent and combined associations of physical activity and sedentary behavior with obesity in adults: NHANES 2003-06. Obesity (Silver Spring). 2013; Maher CA, et al. The independent and combined associations of physical activity and sedentary behavior with obesity in adults: NHANES 2003-06. Obesity (Silver Spring). 2013;
2.
go back to reference Van Dyck D, et al. International study of objectively measured physical activity and sedentary time with body mass index and obesity: IPEN adult study. Int J Obes. 2015;39(2):199–207.CrossRef Van Dyck D, et al. International study of objectively measured physical activity and sedentary time with body mass index and obesity: IPEN adult study. Int J Obes. 2015;39(2):199–207.CrossRef
3.
go back to reference Shields M, Connor Gorber S, Tremblay MS. Associations between obesity and morbidity: effects of measurement methods. Obes Rev. 2008;9(5):501–2. author reply 503CrossRefPubMed Shields M, Connor Gorber S, Tremblay MS. Associations between obesity and morbidity: effects of measurement methods. Obes Rev. 2008;9(5):501–2. author reply 503CrossRefPubMed
4.
go back to reference Golubic R, et al. Rate of weight gain predicts change in physical activity levels: a longitudinal analysis of the EPIC-Norfolk cohort. Int J Obes. 2013;37(3):404–9.CrossRef Golubic R, et al. Rate of weight gain predicts change in physical activity levels: a longitudinal analysis of the EPIC-Norfolk cohort. Int J Obes. 2013;37(3):404–9.CrossRef
5.
go back to reference Batsis JA, et al. Normal weight with central obesity, physical activity, and functional decline: data from the osteoarthritis initiative. J Am Geriatr Soc. 2015;63(8):1552–60.CrossRefPubMedPubMedCentral Batsis JA, et al. Normal weight with central obesity, physical activity, and functional decline: data from the osteoarthritis initiative. J Am Geriatr Soc. 2015;63(8):1552–60.CrossRefPubMedPubMedCentral
6.
go back to reference Lee PH, et al. Validity of the international physical activity questionnaire short form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.CrossRefPubMedPubMedCentral Lee PH, et al. Validity of the international physical activity questionnaire short form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.CrossRefPubMedPubMedCentral
7.
go back to reference Lockwood J, et al. Comparison of a physical activity recall questionnaire with accelerometry in children and adolescents with obesity: a pilot study. Pediatr Obes. 2016; Lockwood J, et al. Comparison of a physical activity recall questionnaire with accelerometry in children and adolescents with obesity: a pilot study. Pediatr Obes. 2016;
9.
go back to reference Aguilar-Farias N, Brown WJ, Peeters GM. ActiGraph GT3X+ cut-points for identifying sedentary behaviour in older adults in free-living environments. J Sci Med Sport. 2014;17(3):293–9.CrossRefPubMed Aguilar-Farias N, Brown WJ, Peeters GM. ActiGraph GT3X+ cut-points for identifying sedentary behaviour in older adults in free-living environments. J Sci Med Sport. 2014;17(3):293–9.CrossRefPubMed
10.
go back to reference Hildebrand M, et al. Age group comparability of raw accelerometer output from wrist- and hip-worn monitors. Med Sci Sports Exerc. 2014;46(9):1816–24.CrossRefPubMed Hildebrand M, et al. Age group comparability of raw accelerometer output from wrist- and hip-worn monitors. Med Sci Sports Exerc. 2014;46(9):1816–24.CrossRefPubMed
11.
go back to reference Doherty A, et al. Large scale population assessment of physical activity using wrist worn accelerometers: the UK biobank study. PLoS One. 2017;12(2):e0169649.CrossRefPubMedPubMedCentral Doherty A, et al. Large scale population assessment of physical activity using wrist worn accelerometers: the UK biobank study. PLoS One. 2017;12(2):e0169649.CrossRefPubMedPubMedCentral
12.
go back to reference Esliger DW, et al. Validation of the GENEA accelerometer. Med Sci Sports Exerc. 2011;43(6):1085–93.CrossRefPubMed Esliger DW, et al. Validation of the GENEA accelerometer. Med Sci Sports Exerc. 2011;43(6):1085–93.CrossRefPubMed
13.
go back to reference Zhang S, et al. Physical activity classification using the GENEA wrist-worn accelerometer. Med Sci Sports Exerc. 2012;44(4):742–8.CrossRefPubMed Zhang S, et al. Physical activity classification using the GENEA wrist-worn accelerometer. Med Sci Sports Exerc. 2012;44(4):742–8.CrossRefPubMed
14.
go back to reference Rowlands AV, et al. Sedentary sphere: wrist-worn accelerometer-brand independent posture classification. Med Sci Sports Exerc. 2016;48(4):748–54.CrossRefPubMed Rowlands AV, et al. Sedentary sphere: wrist-worn accelerometer-brand independent posture classification. Med Sci Sports Exerc. 2016;48(4):748–54.CrossRefPubMed
15.
go back to reference Sabia S, et al. Association between questionnaire- and accelerometer-assessed physical activity: the role of sociodemographic factors. Am J Epidemiol. 2014;179(6):781–90.CrossRefPubMedPubMedCentral Sabia S, et al. Association between questionnaire- and accelerometer-assessed physical activity: the role of sociodemographic factors. Am J Epidemiol. 2014;179(6):781–90.CrossRefPubMedPubMedCentral
16.
go back to reference Bellocco R, et al. Effects of physical activity, body mass index, waist-to-hip ratio and waist circumference on total mortality risk in the Swedish National March Cohort. Eur J Epidemiol. 2010;25(11):777–88.CrossRefPubMed Bellocco R, et al. Effects of physical activity, body mass index, waist-to-hip ratio and waist circumference on total mortality risk in the Swedish National March Cohort. Eur J Epidemiol. 2010;25(11):777–88.CrossRefPubMed
17.
go back to reference Shuger SL, et al. Body mass index as a predictor of hypertension incidence among initially healthy normotensive women. Am J Hypertens. 2008;21(6):613–9.CrossRefPubMedPubMedCentral Shuger SL, et al. Body mass index as a predictor of hypertension incidence among initially healthy normotensive women. Am J Hypertens. 2008;21(6):613–9.CrossRefPubMedPubMedCentral
18.
go back to reference Shah NR, Braverman ER. Measuring adiposity in patients: the utility of body mass index (BMI), percent body fat, and leptin. PLoS One. 2012;7(4):e33308.CrossRefPubMedPubMedCentral Shah NR, Braverman ER. Measuring adiposity in patients: the utility of body mass index (BMI), percent body fat, and leptin. PLoS One. 2012;7(4):e33308.CrossRefPubMedPubMedCentral
19.
go back to reference Chouinard LE, et al. Bioelectrical impedance vs. four-compartment model to assess body fat change in overweight adults. Obesity (Silver Spring). 2007;15(1):85–92.CrossRef Chouinard LE, et al. Bioelectrical impedance vs. four-compartment model to assess body fat change in overweight adults. Obesity (Silver Spring). 2007;15(1):85–92.CrossRef
20.
go back to reference Buchholz AC, Bartok C, Schoeller DA. The validity of bioelectrical impedance models in clinical populations. Nutr Clin Pract. 2004;19(5):433–46.CrossRefPubMed Buchholz AC, Bartok C, Schoeller DA. The validity of bioelectrical impedance models in clinical populations. Nutr Clin Pract. 2004;19(5):433–46.CrossRefPubMed
21.
go back to reference Lee CM, et al. Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. J Clin Epidemiol. 2008;61(7):646–53.CrossRefPubMed Lee CM, et al. Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. J Clin Epidemiol. 2008;61(7):646–53.CrossRefPubMed
22.
go back to reference Kinnunen TI, et al. Agreement between pedometer and accelerometer in measuring physical activity in overweight and obese pregnant women. BMC Public Health. 2011;11:501.CrossRefPubMedPubMedCentral Kinnunen TI, et al. Agreement between pedometer and accelerometer in measuring physical activity in overweight and obese pregnant women. BMC Public Health. 2011;11:501.CrossRefPubMedPubMedCentral
23.
go back to reference van Hees VT, et al. Separating movement and gravity components in an acceleration signal and implications for the assessment of human daily physical activity. PLoS One. 2013;8(4):e61691.CrossRefPubMedPubMedCentral van Hees VT, et al. Separating movement and gravity components in an acceleration signal and implications for the assessment of human daily physical activity. PLoS One. 2013;8(4):e61691.CrossRefPubMedPubMedCentral
24.
go back to reference Parkka J, et al. Activity classification using realistic data from wearable sensors. IEEE Trans Inf Technol Biomed. 2006;10(1):119–28.CrossRefPubMed Parkka J, et al. Activity classification using realistic data from wearable sensors. IEEE Trans Inf Technol Biomed. 2006;10(1):119–28.CrossRefPubMed
25.
go back to reference WHO, Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser, 2000. 894: p. i-xii, 1–253. WHO, Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser, 2000. 894: p. i-xii, 1–253.
26.
go back to reference Donnelly JE, et al. American college of sports medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.CrossRefPubMed Donnelly JE, et al. American college of sports medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.CrossRefPubMed
27.
go back to reference Institute, N.I.O.H.A.N.H.L.a.B., Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res, 1998 6 Suppl 2: p. 51S–209S. Institute, N.I.O.H.A.N.H.L.a.B., Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res, 1998 6 Suppl 2: p. 51S–209S.
28.
go back to reference Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8(2):135–60.CrossRefPubMed Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8(2):135–60.CrossRefPubMed
29.
go back to reference Allender S, et al. The burden of smoking-related ill health in the UK. Tob Control. 2009;18(4):262–7.CrossRefPubMed Allender S, et al. The burden of smoking-related ill health in the UK. Tob Control. 2009;18(4):262–7.CrossRefPubMed
30.
go back to reference Balakrishnan R, et al. The burden of alcohol-related ill health in the United Kingdom. J Public Health (Oxf). 2009;31(3):366–73.CrossRef Balakrishnan R, et al. The burden of alcohol-related ill health in the United Kingdom. J Public Health (Oxf). 2009;31(3):366–73.CrossRef
31.
go back to reference Bergsmann E, et al. Evaluation of competence-based teaching in higher education: from theory to practice. Eval Program Plann. 2015;52:1–9.CrossRefPubMed Bergsmann E, et al. Evaluation of competence-based teaching in higher education: from theory to practice. Eval Program Plann. 2015;52:1–9.CrossRefPubMed
32.
go back to reference van Hees, V.T., et al. A method to compare new and traditional accelerometry data in physical activity monitoring. in World of wireless mobile and multimedia networks (WoWMoM), 2010 IEEE international symposium on a. 2010. van Hees, V.T., et al. A method to compare new and traditional accelerometry data in physical activity monitoring. in World of wireless mobile and multimedia networks (WoWMoM), 2010 IEEE international symposium on a. 2010.
33.
go back to reference Rowlands AV, et al. Moving forward with backward compatibility: translating wrist accelerometer data. Med Sci Sports Exerc. 2016;48(11):2142–9.CrossRefPubMed Rowlands AV, et al. Moving forward with backward compatibility: translating wrist accelerometer data. Med Sci Sports Exerc. 2016;48(11):2142–9.CrossRefPubMed
34.
go back to reference Silsbury Z, et al. Systematic review of the measurement properties of self-report physical activity questionnaires in healthy adult populations. BMJ Open. 2015;15:5 Silsbury Z, et al. Systematic review of the measurement properties of self-report physical activity questionnaires in healthy adult populations. BMJ Open. 2015;15:5
36.
go back to reference Wijndaele K, et al. Utilization and harmonization of adult Accelerometry data: review and expert consensus. Med Sci Sports Exerc. 2015; Wijndaele K, et al. Utilization and harmonization of adult Accelerometry data: review and expert consensus. Med Sci Sports Exerc. 2015;
37.
go back to reference Clark BK, et al. Past-day recall of sedentary time: validity of a self-reported measure of sedentary time in a university population. J Sci Med Sport. 2016;19(3):237–41.CrossRefPubMed Clark BK, et al. Past-day recall of sedentary time: validity of a self-reported measure of sedentary time in a university population. J Sci Med Sport. 2016;19(3):237–41.CrossRefPubMed
38.
go back to reference Gomersall SR, et al. Validity of a self-report recall tool for estimating sedentary behavior in adults. J Phys Act Health. 2015;12(11):1485–91.CrossRefPubMed Gomersall SR, et al. Validity of a self-report recall tool for estimating sedentary behavior in adults. J Phys Act Health. 2015;12(11):1485–91.CrossRefPubMed
39.
go back to reference Clark BK, et al. Relationship of television time with accelerometer-derived sedentary time: NHANES. Med Sci Sports Exerc. 2011;43(5):822–8.CrossRefPubMed Clark BK, et al. Relationship of television time with accelerometer-derived sedentary time: NHANES. Med Sci Sports Exerc. 2011;43(5):822–8.CrossRefPubMed
41.
go back to reference Rowlands AV, Stiles VH. Accelerometer counts and raw acceleration output in relation to mechanical loading. J Biomech. 2012;45(3):448-54. Rowlands AV, Stiles VH. Accelerometer counts and raw acceleration output in relation to mechanical loading. J Biomech. 2012;45(3):448-54.
42.
go back to reference Rosenberger ME, et al. Estimating activity and sedentary behavior from an accelerometer on the hip or wrist. Med Sci Sports Exerc. 2013;45(5):964–75.CrossRefPubMedPubMedCentral Rosenberger ME, et al. Estimating activity and sedentary behavior from an accelerometer on the hip or wrist. Med Sci Sports Exerc. 2013;45(5):964–75.CrossRefPubMedPubMedCentral
43.
46.
go back to reference Rowlands AV, et al. Raw accelerometer data analysis with GGIR R-package: does accelerometer brand matter? Med Sci Sports Exerc. 2016; Rowlands AV, et al. Raw accelerometer data analysis with GGIR R-package: does accelerometer brand matter? Med Sci Sports Exerc. 2016;
47.
48.
go back to reference Valenti G, Bonomi AG, Westerterp KR. Walking as a contributor to physical activity in healthy older adults: 2 week longitudinal study using Accelerometry and the doubly labeled water method. JMIR Mhealth Uhealth. 2016;4(2):e56.CrossRefPubMedPubMedCentral Valenti G, Bonomi AG, Westerterp KR. Walking as a contributor to physical activity in healthy older adults: 2 week longitudinal study using Accelerometry and the doubly labeled water method. JMIR Mhealth Uhealth. 2016;4(2):e56.CrossRefPubMedPubMedCentral
49.
go back to reference Audrey S, Procter S, Cooper AR. The contribution of walking to work to adult physical activity levels: a cross sectional study. Int J Behav Nutr Phys Act. 2014;11(1):37.CrossRefPubMedPubMedCentral Audrey S, Procter S, Cooper AR. The contribution of walking to work to adult physical activity levels: a cross sectional study. Int J Behav Nutr Phys Act. 2014;11(1):37.CrossRefPubMedPubMedCentral
50.
go back to reference Levine JA, et al. The role of free-living daily walking in human weight gain and obesity. Diabetes. 2008;57(3):548–54.CrossRefPubMed Levine JA, et al. The role of free-living daily walking in human weight gain and obesity. Diabetes. 2008;57(3):548–54.CrossRefPubMed
51.
go back to reference Jiang H, et al. Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study. Int J Behav Nutr Phys Act. 2012;9:12.CrossRefPubMedPubMedCentral Jiang H, et al. Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study. Int J Behav Nutr Phys Act. 2012;9:12.CrossRefPubMedPubMedCentral
52.
go back to reference Bonomi AG, et al. Weight-loss induced changes in physical activity and activity energy expenditure in overweight and obese subjects before and after energy restriction. PLoS One. 2013;8(3):e59641.CrossRefPubMedPubMedCentral Bonomi AG, et al. Weight-loss induced changes in physical activity and activity energy expenditure in overweight and obese subjects before and after energy restriction. PLoS One. 2013;8(3):e59641.CrossRefPubMedPubMedCentral
53.
go back to reference Saunders TJ, et al. Validity of SC-StepRx pedometer-derived moderate and vigorous physical activity during treadmill walking and running in a heterogeneous sample of children and youth. BMC Public Health. 2014;14:519.CrossRefPubMedPubMedCentral Saunders TJ, et al. Validity of SC-StepRx pedometer-derived moderate and vigorous physical activity during treadmill walking and running in a heterogeneous sample of children and youth. BMC Public Health. 2014;14:519.CrossRefPubMedPubMedCentral
54.
go back to reference Papadopoulos A, et al. Differentiating walking from other activities of daily living in older adults using wrist-based accelerometers. Curr Aging Sci. 2015;8(3):266–75.CrossRefPubMed Papadopoulos A, et al. Differentiating walking from other activities of daily living in older adults using wrist-based accelerometers. Curr Aging Sci. 2015;8(3):266–75.CrossRefPubMed
55.
go back to reference Barnett A, et al. Validity of treadmill- and track-based individual calibration methods for estimating free-living walking speed and VO2 using the Actigraph accelerometer. BMC Sports Sci Med Rehabil. 2015;7:29.CrossRefPubMedPubMedCentral Barnett A, et al. Validity of treadmill- and track-based individual calibration methods for estimating free-living walking speed and VO2 using the Actigraph accelerometer. BMC Sports Sci Med Rehabil. 2015;7:29.CrossRefPubMedPubMedCentral
57.
go back to reference Conklin AI, et al. Socioeconomic status, financial hardship and measured obesity in older adults: a cross-sectional study of the EPIC-Norfolk cohort. BMC Public Health. 2013;13:1039.CrossRefPubMedPubMedCentral Conklin AI, et al. Socioeconomic status, financial hardship and measured obesity in older adults: a cross-sectional study of the EPIC-Norfolk cohort. BMC Public Health. 2013;13:1039.CrossRefPubMedPubMedCentral
58.
go back to reference Fitzgerald L, et al. Accelerometer validation of questionnaires used in clinical settings to assess MVPA. Med Sci Sports Exerc. 2015;47(7):1538–42.CrossRefPubMed Fitzgerald L, et al. Accelerometer validation of questionnaires used in clinical settings to assess MVPA. Med Sci Sports Exerc. 2015;47(7):1538–42.CrossRefPubMed
59.
go back to reference Oyeyemi AL, et al. Accelerometer-determined physical activity and its comparison with the international physical activity questionnaire in a sample of Nigerian adults. PLoS One. 2014;9(1):e87233.CrossRefPubMedPubMedCentral Oyeyemi AL, et al. Accelerometer-determined physical activity and its comparison with the international physical activity questionnaire in a sample of Nigerian adults. PLoS One. 2014;9(1):e87233.CrossRefPubMedPubMedCentral
60.
go back to reference Ainsworth BE, et al. Recommendations to improve the accuracy of estimates of physical activity derived from self report. J Phys Act Health, 2012 9 Suppl. 1:S76–84. Ainsworth BE, et al. Recommendations to improve the accuracy of estimates of physical activity derived from self report. J Phys Act Health, 2012 9 Suppl. 1:S76–84.
61.
go back to reference Stabler ME, Giacobbi PR Jr, Fekedulegn DB. Association of television viewing time with overweight/obesity independent of meeting physical activity guidelines: do joint exposures yield independence? J Epidemiol. 2013;23(5):396–7.CrossRefPubMedPubMedCentral Stabler ME, Giacobbi PR Jr, Fekedulegn DB. Association of television viewing time with overweight/obesity independent of meeting physical activity guidelines: do joint exposures yield independence? J Epidemiol. 2013;23(5):396–7.CrossRefPubMedPubMedCentral
62.
go back to reference Swartz AM, et al. Estimation of energy expenditure using CSA accelerometers at hip and wrist sites. Med Sci Sports Exerc. 2000;32(9 Suppl):S450–6.CrossRefPubMed Swartz AM, et al. Estimation of energy expenditure using CSA accelerometers at hip and wrist sites. Med Sci Sports Exerc. 2000;32(9 Suppl):S450–6.CrossRefPubMed
63.
go back to reference Raiber L, et al. Accelerometer thresholds: accounting for body mass reduces discrepancies between measures of physical activity for individuals with overweight and obesity. Appl Physiol Nutr Metab. 2017;42(1):53–8.CrossRefPubMed Raiber L, et al. Accelerometer thresholds: accounting for body mass reduces discrepancies between measures of physical activity for individuals with overweight and obesity. Appl Physiol Nutr Metab. 2017;42(1):53–8.CrossRefPubMed
64.
go back to reference Sergi G, et al. Resting VO2, maximal VO2 and metabolic equivalents in free-living healthy elderly women. Clin Nutr. 2010;29(1):84–8.CrossRefPubMed Sergi G, et al. Resting VO2, maximal VO2 and metabolic equivalents in free-living healthy elderly women. Clin Nutr. 2010;29(1):84–8.CrossRefPubMed
65.
go back to reference Welch WA, et al. Classification accuracy of the wrist-worn gravity estimator of normal everyday activity accelerometer. Med Sci Sports Exerc. 2013;45(10):2012–9.CrossRefPubMedPubMedCentral Welch WA, et al. Classification accuracy of the wrist-worn gravity estimator of normal everyday activity accelerometer. Med Sci Sports Exerc. 2013;45(10):2012–9.CrossRefPubMedPubMedCentral
66.
go back to reference Regaieg S, et al. The reliability and concurrent validity of a modified version of the international physical activity questionnaire for adolescents (IPAQ-A) in Tunisian overweight and obese youths. Med Princ Pract. 2016;25(3):227–32.CrossRefPubMed Regaieg S, et al. The reliability and concurrent validity of a modified version of the international physical activity questionnaire for adolescents (IPAQ-A) in Tunisian overweight and obese youths. Med Princ Pract. 2016;25(3):227–32.CrossRefPubMed
67.
go back to reference Bell R, et al. Measuring physical activity in pregnancy: a comparison of accelerometry and self-completion questionnaires in overweight and obese women. Eur J Obstet Gynecol Reprod Biol. 2013;170(1):90–5.CrossRefPubMed Bell R, et al. Measuring physical activity in pregnancy: a comparison of accelerometry and self-completion questionnaires in overweight and obese women. Eur J Obstet Gynecol Reprod Biol. 2013;170(1):90–5.CrossRefPubMed
68.
go back to reference Connor Gorber, S. and M.S. Tremblay, The bias in self-reported obesity from 1976 to 2005: a Canada-US comparison. Obesity (Silver Spring), 2010 18(2): p. 354–61. Connor Gorber, S. and M.S. Tremblay, The bias in self-reported obesity from 1976 to 2005: a Canada-US comparison. Obesity (Silver Spring), 2010 18(2): p. 354–61.
69.
go back to reference Ng M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014; Ng M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;
70.
go back to reference Holme I, Tonstad S. Survival in elderly men in relation to midlife and current BMI. Age Ageing. 2015;44(3):434–9.CrossRefPubMed Holme I, Tonstad S. Survival in elderly men in relation to midlife and current BMI. Age Ageing. 2015;44(3):434–9.CrossRefPubMed
71.
go back to reference Kivimaki M, et al. Optimal form of operationalizing BMI in relation to all-cause and cause-specific mortality: the original Whitehall study. Obesity (Silver Spring). 2008;16(8):1926–32.CrossRef Kivimaki M, et al. Optimal form of operationalizing BMI in relation to all-cause and cause-specific mortality: the original Whitehall study. Obesity (Silver Spring). 2008;16(8):1926–32.CrossRef
72.
go back to reference Kim KS, et al. A comparison between BMI and Conicity index on predicting coronary heart disease. the Framingham Heart Study Ann Epidemiol. 2000;10(7):424–31.PubMed Kim KS, et al. A comparison between BMI and Conicity index on predicting coronary heart disease. the Framingham Heart Study Ann Epidemiol. 2000;10(7):424–31.PubMed
73.
go back to reference Elia M. Body composition by whole-body bioelectrical impedance and prediction of clinically relevant outcomes: overvalued or underused? Eur J Clin Nutr. 2013;67(Suppl 1):S60–70.CrossRefPubMed Elia M. Body composition by whole-body bioelectrical impedance and prediction of clinically relevant outcomes: overvalued or underused? Eur J Clin Nutr. 2013;67(Suppl 1):S60–70.CrossRefPubMed
74.
go back to reference Gaba A, et al. Comparison of multi- and single-frequency bioelectrical impedance analysis with dual-energy X-ray absorptiometry for assessment of body composition in post-menopausal women: effects of body mass index and accelerometer-determined physical activity. J Hum Nutr Diet. 2015;28(4):390–400.CrossRefPubMed Gaba A, et al. Comparison of multi- and single-frequency bioelectrical impedance analysis with dual-energy X-ray absorptiometry for assessment of body composition in post-menopausal women: effects of body mass index and accelerometer-determined physical activity. J Hum Nutr Diet. 2015;28(4):390–400.CrossRefPubMed
75.
go back to reference Kim JY, et al. Comparability and utility of body composition measurement vs. anthropometric measurement for assessing obesity related health risks in Korean men. Int J Clin Pract. 2013;67(1):73–80.CrossRefPubMed Kim JY, et al. Comparability and utility of body composition measurement vs. anthropometric measurement for assessing obesity related health risks in Korean men. Int J Clin Pract. 2013;67(1):73–80.CrossRefPubMed
76.
go back to reference Abete I, et al. Association between different obesity measures and the risk of stroke in the EPIC Spanish cohort. Eur J Nutr. 2015;54(3):365–75.CrossRefPubMed Abete I, et al. Association between different obesity measures and the risk of stroke in the EPIC Spanish cohort. Eur J Nutr. 2015;54(3):365–75.CrossRefPubMed
77.
go back to reference Gateva AT, Kamenov ZA. Markers of visceral obesity and cardiovascular risk in patients with polycystic ovarian syndrome. Eur J Obstet Gynecol Reprod Biol. 2012;164(2):161–6.CrossRefPubMed Gateva AT, Kamenov ZA. Markers of visceral obesity and cardiovascular risk in patients with polycystic ovarian syndrome. Eur J Obstet Gynecol Reprod Biol. 2012;164(2):161–6.CrossRefPubMed
78.
go back to reference Sabia S, et al. Physical activity and adiposity markers at older ages: accelerometer vs questionnaire data. J Am Med Dir Assoc. 2015;16(5):438.e7–13.CrossRef Sabia S, et al. Physical activity and adiposity markers at older ages: accelerometer vs questionnaire data. J Am Med Dir Assoc. 2015;16(5):438.e7–13.CrossRef
79.
go back to reference Foong YC, et al. The association between physical activity and reduced body fat lessens with age - results from a cross-sectional study in community-dwelling older adults. Exp Gerontol. 2014;55:107–12.CrossRefPubMed Foong YC, et al. The association between physical activity and reduced body fat lessens with age - results from a cross-sectional study in community-dwelling older adults. Exp Gerontol. 2014;55:107–12.CrossRefPubMed
80.
go back to reference Harris TJ, et al. A comparison of questionnaire, accelerometer, and pedometer: measures in older people. Med Sci Sports Exerc. 2009;41(7):1392–402.CrossRefPubMed Harris TJ, et al. A comparison of questionnaire, accelerometer, and pedometer: measures in older people. Med Sci Sports Exerc. 2009;41(7):1392–402.CrossRefPubMed
81.
go back to reference Skender S, et al. Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health. 2016;16:515. Skender S, et al. Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health. 2016;16:515.
82.
go back to reference Bauman AE, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–71.CrossRefPubMed Bauman AE, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258–71.CrossRefPubMed
83.
go back to reference Flum DR, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361(5):445–54.CrossRefPubMed Flum DR, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med. 2009;361(5):445–54.CrossRefPubMed
Metadata
Title
Using open source accelerometer analysis to assess physical activity and sedentary behaviour in overweight and obese adults
Authors
Paul Innerd
Rory Harrison
Morc Coulson
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5215-1

Other articles of this Issue 1/2018

BMC Public Health 1/2018 Go to the issue