Dispersion of daily physical activity behaviors in school‐age children: A novel approach to measure patterns of physical activity. Issue 2 (8th December 2021)

• Record Type: Journal Article
• Authors: Klamm, Melissa M.; Duck, Angela A.; Welsch, Michael A.; Yan, Yonghua; Torres, Elisa R.; Wade, Breanna; Stewart, Mary W.; Clayton, Jill; Zhang, Lei
• Is Part Of: Journal for specialists in pediatric nursing. Volume 27:Issue 2(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-12-08
• Subjects: accelerometers -- children -- distribution -- health promotion -- patterns -- physical activity; Pediatric nursing -- Periodicals; Evidence-based nursing -- Periodicals; Evidence-based pediatrics -- Periodicals; 618.9200231
• DOI: 10.1111/jspn.12364
• Languages: English
• ISSNs: 1539-0136

Abstract

Abstract: Purpose: The objectives of this paper are (1) to examine patterns of physical activity (PA) and sedentary behavior; (2) to describe development of a method to quantify movement dispersion; and (3) to determine the relationship between variables of movement (i.e., volume, intensity, and dispersion), volume of sedentary behavior, and estimated cardiorespiratory capacity in school‐aged children. Design and Methods: A secondary analysis of an existing data set with raw accelerometer data identified PA patterns of movement dispersion in school‐aged children. Bar graphs visually depicted each participant's daily vector magnitude counts. The research team developed a dispersion variable—movement dispersion—and formula to provide a new quantification of daily PA patterns. Total movement dispersion represents both intensity and distribution of movement, whereas pure movement dispersion refers to the distribution of movement during the wear time, independent of intensity. Kendall's tau examined the relationship between several variables: body mass index percentile, average minutes of sedentary behavior, average minutes of light PA, average minutes of moderate‐vigorous PA (MVPA), derived VO2 max, total movement dispersion, and pure movement dispersion. Results: Three participants' activity graphs were presented as examples: (1) active, (2) inactive, and (3) mixed. The more active participant had the highest values for pure and total movement dispersion. The inactive participant had much lower pure and total movement dispersion values compared to the active participant. The mixed participant had high average minutes of MVPA yet lower pure and total movement dispersion values. Total movement dispersion had a significant correlation with average minutes of light PA ( r = .406, p = .016) and average minutes of MVPA ( r = .686, p < .001). Pure movement dispersion was significantly correlated with average minutes of light PA ( r = .448, p = .008) and average minutes of MVPA ( r = .599, p < .001). Average minutes of sedentary behavior (SB) were not significantly correlated with total ( r = .041, p = .806) or pure movement dispersion ( r = .165, p = .326). Practice Implications: Movement dispersion may provide another tool to advance knowledge of PA, potentially leading to improved health outcomes. Raw accelerometer data, such as that gathered at the elementary school in this study, offer opportunities to identify school‐aged children at risk for obesity, SB, and lack of PA.