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Karsten Koehler, Thomas Abel, Birgit Wallmann-Sperlich, Annika Dreuscher and Volker Anneken

Background:

Inactivity and overweight are major health concerns in children and adolescents with disabilities. Methods for the assessment of activity and energy expenditure may be affected negatively by the underlying disability, especially when motor function is impaired. The purpose of this study was to assess the validity of the SenseWear Armband in adolescents with cerebral palsy and hemiparesis.

Methods:

Ten volunteers (age: 13.4 ± 1.6 years) were equipped with SenseWear Armbands on the hemiparetic and nonhemiparetic side of the body. Energy expenditure was measured at rest and during treadmill exercise (speed range: 0.85 to 2.35 m/s). Indirect calorimetry served as independent reference method.

Results:

The mean error was between −0.6 and 0.8 kcal/min and there were no significant differences between SenseWear and indirect calorimetry at any speed. Differences between body sides in expenditure (mean: −0.2 to 0.0 kcal/min) and step count (mean: −3.4 to 9.7 steps/min) were not significant.

Conclusions:

The validity of the SenseWear Armband does not appear to be negatively affected by cerebral palsy during laboratory treadmill exercise. Future field studies are necessary to assess the validity and practicability of energy expenditure and physical activity assessment in children and adolescents with physical disabilities.

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Joel D. Reece, Vaughn Barry, Dana K. Fuller and Jennifer Caputo

Background:

This study determined the validity and sensitivity of the SenseWear armband (SWA) during sedentary and light office duties compared with indirect calorimetry (IC).

Methods:

Participants (N = 22), 30 to 64 years of age, randomly performed 6 conditions for 5 minutes each (ie, supine, sitting no movement, standing no movement, sitting office work, standing office work, walking at 1.0 mph). Steady state for each activity (ie, average for minutes 4 and 5) was analyzed.

Results:

Energy expenditure (EE) for the SWA (1.58 kcal/min) and the IC (1.64 kcal/min) were significantly correlated, r(20) = 0.90, P < .001 and ICC = 0.90, 95% CI (0.699, 0.966). Correlation results for each condition varied in strength, r(20) = 0.53 to 0.83 and ICC = 0.49 to 0.81, but were all significant (P < .05). A significant interaction between measurement method and condition existed (P < .001). The SWA under predicted EE during standing with no movement, sitting office work, and standing office work.

Conclusion:

The SWA and IC EE rates were strongly correlated during sedentary and light activity office behaviors. However, the SWA may under predict EE during office work (standing or sitting) and when standing motionless, making it slightly less sensitive than IC.

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Gianluca Vernillo, Aldo Savoldelli, Barbara Pellegrini and Federico Schena

Background:

Accurate assessments of physical activity and energy expenditure (EE) are needed to advance research on positive and negative graded walking.

Purpose:

To evaluate the validity of 2 SenseWear Armband monitors (Pro3 and the recently released Mini) during graded walking.

Methods:

Twenty healthy adults wore both monitors during randomized walking activities on a motorized treadmill at 7 grades (0%, ±5%, ±15%, and ±25%). Estimates of total EE from the monitors were computed using different algorithms and compared with values derived from indirect calorimetry methodology using a 2-way mixed model ANOVA (Device × Condition), correlation analyses and Bland-Altman plots.

Results:

There was no significant difference in EE between the 2 armbands in any of the conditions examined. Significant main effects for device and condition, as well as a consistent bias, were observed during positive and negative graded walking with a greater over- and under-estimation at higher slope.

Conclusions:

Both the armbands produced similar EE values and seem to be not accurate in estimation of EE during activities involving uphill and downhill walking. Additional work is needed to understand factors contributing to this discrepancy and to improve the ability of these monitors to accurately measure EE during graded walking.

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Holly R. Huddleston, Vaughn Barry and Jennifer L. Caputo

Background:

The purpose was to characterize energy expenditure (EE) during academic subjects and activities during an elementary school day.

Methods:

Children in 2nd to 4th grades (N = 33) wore the SenseWear Armband (SWA) for 5 school days to measure EE. Teachers’ logs were compared with SWA data to extract information about EE throughout the day. Energy expenditure was also compared among grades.

Results:

After controlling for body mass, grade level was not a significant predictor of average daily caloric expenditure, F (2, 17.58) = .29, P = .75, ω2 = .05. When comparing activities throughout the day, relative rates of EE differed significantly, Wilks’ F (7, 23) = 52.2, P = .00, ηp 2 = .94, with PE and recess having higher EE. When academic subjects were compared (math, science, language arts), relative rate of EE was also significantly different, Wilks’ F (2, 30) = 4.31, P = .02, ηp 2 = .22. For the full sample, relative rate EE was higher in science than in language arts.

Conclusions:

The school day provides opportunity for EE for children. These data support the potential benefit of active instruction in language arts as a method to increase school day EE.

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Ricardo A. Tanhoffer, Aldre I.P. Tanhoffer, Jacqueline Raymond, Nathan A. Johnson, Andrew P. Hills and Glen M. Davis

Background:

The objective of this study was to determine whether doubly labeled water (DLW) and a multi-sensor armband (SWA) could detect the variation in energy expenditure incurred by a period of increased exercise (EXE) versus a period of high sedentary activity (SED), in individuals with spinal cord injury (SCI).

Methods:

Eight participants with SCI were submitted to 2 testing periods of energy expenditure assessment: 1) a 14-day phase during which sedentary living conditions were imposed and 2) a 14-day phase during which an exercise training intervention was employed. For each phase, total daily energy expenditure (TDEE) and physical activity energy expenditure (PAEE) were measured by DLW and SWA.

Results:

Mean TDEE assessed by DLW, was significantly higher during EXE versus SED (11,605 ± 2151 kJ·day-1 and 10,069 ± 2310 kJ·day-1). PAEE predicted by DLW was also significantly higher during EXE versus SED (5422 ± 2240 kJ·day-1 and 3855 ± 2496 kJ·day-1). SWA-predicted PAEE significantly underestimated PAEE measured by the DLW during SED and EXE.

Conclusion:

DLW is sensitive to detect variation in within-individual energy expenditure during voluntary increase in physical activity in individuals with SCI. SWA failed to detect statistically significant variations in energy expenditure between periods of high versus low activity in SCI.

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Nicola D. Ridgers, Karen E. Lamb, Anna Timperio, Helen Brown and Jo Salmon

rate) returned informed written parental consent to participate in the primary components of the data collection (accelerometry, survey, and log book). A subsample (72 boys and 77 girls) provided written informed parental consent to wear an additional monitor (SenseWear Armband; BodyMedia Inc

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Stephanie A. Hooker, Laura B. Oswald, Kathryn J. Reid and Kelly G. Baron

alignment in healthy adults: associations with BMI, body fat, caloric intake, and physical activity . Int J Obes . 2017 ; 41 : 203 – 209 . doi:10.1038/ijo.2016.194 10.1038/ijo.2016.194 11. Drenowatz C , Eisenmann JC . Validation of the SenseWear Armband at high intensity exercise . Eur J Appl

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Tessa M. Pollard and Cornelia Guell

Background:

We assessed the quality of data on physical activity obtained by recall from Muslim women of South Asian origin, and the feasibility of using accelerometer-based physical activity monitors to provide more objective measures of physical activity in this group.

Methods:

In this largely qualitative study, 22 British Pakistani women were asked to wear accelerometers (the GT1M Actigraph and/or the Sensewear Armband) for 4 days, provided 2 24-hour recalls of activities, and were interviewed about their experiences with the monitors.

Results:

Women reported spending most of their time in housework and childcare, activities which generated the majority of recorded bouts of moderate to vigorous physical activity. However, women had difficulty in recalling the timing, and assessing the intensity, of these usually unstructured activities. A significant minority of accelerometer datasets were incomplete and some women reported either forgetting to wear the acceler-ometer or finding it intrusive.

Conclusions:

Questionnaires are unlikely to provide an accurate assessment of physical activity in this group of women. This suggests that accelerometer data will be preferable. However, collecting sufficient data for large-scale studies using activity monitors in this population will be challenging.

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John M. Jakicic, Wendy C. King, Bethany Barone Gibbs, Renee J. Rogers, Amy D. Rickman, Kelliann K. Davis, Abdus Wahed and Steven H. Belle

Background:

To compare moderate-to-vigorous intensity physical activity (MVPA) assessed via questionnaires to an objective measure of MVPA in overweight or obese young adults.

Methods:

MVPA was assessed in 448 [median BMI = 31.2 (Interquartile Range: 28.5–34.3) kg/m2] young adults [median age: 30.9 (Interquartile Range: 27.8–33.7) years]. Measures included the SenseWear Armband (MVPAOBJ), the Paffenbarger Questionnaire (MVPAPAFF), and the Global Physical Activity Questionnaire (GPAQ). The GPAQ was used to compute total MVPA (MVPAGPAQ-TOTAL) and MVPA from transportation and recreation (MVPAGPAQ-REC).

Results:

The association between MVPAOBJ and MVPAPAFF was r s = 0.40 (P < .0001). Associations between MVPAOBJ and MVPAGPAQ-TOTAL and MVPAGPAQ-REC were r s = 0.19 and r s = 0.32, respectively (P < .0001). MVPAGPAQ-TOTAL was significantly greater than MVPAOBJ (P < .0001). Median differences in MET-min/week between MVPAOBJ and MVPAPAFF or MVPAGPAQ-REC were not significantly different from zero. There was proportional bias between each self-reported measure of MVPA and MVPAOBJ. There were significant associations between all measures of MVPA and fitness. MVPAOBJ was significantly associated with BMI and percent body fat.

Conclusions:

Objective and self-reported measures of MVPA are weakly to moderately correlated, with substantial differences between measures. MVPAOBJ provided predictive validity with fitness, BMI, and percent body fat. Thus, an objective measure of MVPA may be preferred to self-report in young adults.

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Brittney S. Lange-Maia, Jane A. Cauley, Anne B. Newman, Robert M. Boudreau, John M. Jakicic, Nancy W. Glynn, Sasa Zivkovic, Thuy-Tien L. Dam, Paolo Caserotti, Peggy M. Cawthon, Eric S. Orwoll, Elsa S. Strotmeyer and for the Osteoporotic Fractures in Men (MrOS) Study Group

We determined whether sensorimotor peripheral nerve (PN) function was associated with physical activity (PA) in older men. The Osteoporotic Fractures in Men Study Pittsburgh, PA, site (n = 328, age 78.8 ± 4.7 years) conducted PN testing, including: peroneal motor and sural sensory nerve conduction (latencies, amplitudes: CMAP and SNAP for motor and sensory amplitude, respectively), 1.4g/10g monofilament (dorsum of the great toe), and neuropathy symptoms. ANOVA and multivariate linear regression modeled PN associations with PA (Physical Activity Scale for the Elderly [PASE] and SenseWear Armband). After multivariable adjustment, better motor latency was associated with higher PASE scores (160.5 ± 4.8 vs. 135.6 ± 6.7, p < .01). Those without versus with neuropathy symptoms had higher PASE scores (157.6 ± 5.3 vs. 132.9 ± 7.1, p < .01). Better versus worse SNAP was associated with slightly more daily vigorous activity (9.5 ± 0.8 vs. 7.3 ± 0.7, p = .05). Other PN measures were not associated with PA. Certain PN measures were associated with lower PA, suggesting a potential pathway for disability.