Comparing Multiple Approaches to Estimate Physical Activity, Sedentary Behavior, and Sleep in Pregnancy

Jacob B. Gallagher; Daniel E. Boonstra; Jaclyn D. Borrowman; McKenzie Unke; Melissa A. Jones; Christopher E. Kline; Bethany Barone Gibbs; Kara M. Whitaker

doi:10.1123/jmpb.2024-0007

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Comparing Multiple Approaches to Estimate Physical Activity, Sedentary Behavior, and Sleep in Pregnancy

Journal article

Open access

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Comparing Multiple Approaches to Estimate Physical Activity, Sedentary Behavior, and Sleep in Pregnancy

Jacob B. Gallagher, Daniel E. Boonstra, Jaclyn D. Borrowman, McKenzie Unke, Melissa A. Jones, Christopher E. Kline, Bethany Barone Gibbs and Kara M. Whitaker

Journal for the measurement of physical behaviour, Vol.7(1), pp.1-8

01/01/2024

DOI: 10.1123/jmpb.2024-0007

PMCID: PMC11822988

PMID: 39949639

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https://pmc.ncbi.nlm.nih.gov/articles/PMC11822988/pdf/nihms-2047696.pdfView

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Abstract

Introduction : The purpose of this study was to compare estimates of 24-hr activity using the best practice of a thigh accelerometer (activPAL), wrist actigraphy (Actiwatch), and a sleep diary ( PAL + watch + diary ) with estimates from simpler procedures, such as the thigh accelerometer and diary ( PAL + diary ) or thigh monitor alone ( PAL only ) during pregnancy. Methods : Data collected during the second trimester from 40 randomly selected participants in the Pregnancy 24/7 cohort study were included. activPAL data were integrated with sleep time determined by wrist actigraphy ( PAL + watch + diary ) or diary-determined sleep ( PAL + diary ). In the PAL only analysis, average estimates were exported directly from the PAL software. Repeated-measures analysis of variance and intraclass correlations coefficients compared moderate–vigorous physical activity (MVPA), light physical activity, sedentary time, sleep, and wear time across measurement approaches. Pairwise comparisons using a Bonferroni correction explored significant differences identified from the omnibus analysis of variance. Results : The three approaches arrived at consistent durations of physical activity (intraclass correlations coefficients > .95) but not for estimating sedentary behavior and sleep durations (intraclass correlations coefficients: .73–.82). PAL + diary overestimated MVPA by 2.3 min/day ( p < .01) compared with PAL + diary + watch . PAL only overestimated sleep (25.3–29.0 min/day, p < .01) while underestimating MVPA (11.7–14.0 min/day, p < .01) compared with the other approaches. Conclusions : Since the inclusion of the wrist actigraphy provided only slight differences in MVPA estimates, PAL + diary may provide acceptable estimates of 24-hr activity during pregnancy in future research. PAL only may be acceptable when exclusively interested in physical activity.

Details

Title: Subtitle: Comparing Multiple Approaches to Estimate Physical Activity, Sedentary Behavior, and Sleep in Pregnancy
Creators: Jacob B. Gallagher - University of Iowa
Daniel E. Boonstra - University of Iowa
Jaclyn D. Borrowman - University of Iowa
McKenzie Unke - University of Iowa
Melissa A. Jones - Oakland University
Christopher E. Kline - University of Pittsburgh
Bethany Barone Gibbs - West Virginia University
Kara M. Whitaker - University of Iowa
Resource Type: Journal article
Publication Details: Journal for the measurement of physical behaviour, Vol.7(1), pp.1-8
DOI: 10.1123/jmpb.2024-0007
PMID: 39949639
PMCID: PMC11822988
NLM abbreviation: J Meas Phys Behav
ISSN: 2575-6605
eISSN: 2575-6613
Language: English
Date published: 01/01/2024
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984749496602771

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