ArticleInternational journal of obesity supplements2015
Reliability of accelerometer-determined physical activity and sedentary behavior in school-aged children: a 12-country study.
Article in International journal of obesity supplements, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Physical Activity, Mental Health, and Well-Being in Very Pre-Term and Term Born Adolescents: An Individual Participant Data Meta-Analysis of Two Accelerometry Studies.International journal of environmental research and public health · 2021Pooled it
- School Poverty Level Moderates the Effectiveness of a Physical Activity Intervention.American journal of health promotion : AJHP · 2024Trial
- The longitudinal association between objectively-measured school-day physical activity and academic achievement in US elementary school students.The international journal of behavioral nutrition and physical activity · 2022Trial
- Effects of a strategy for the promotion of physical activity in students from Bogotá.Revista de saude publica · 2018Trial
- Reducing bias and enhancing equity in AI-enabled precision nutrition: addressing measurement error across wearables, multiomics, and dietary data.Frontiers in digital health · 2026Review
- Article
- Do COVID-19 recovered individuals differ from healthy controls in accelerometer-measured physical activity and self-reported sleep? a UAE-based study.BMC public health · 2025Article
- Protocol for a randomized controlled dose response trial to combat accelerated summer BMI gain in children: The Determining the Optimal amount of Structured Environments (DOSE) study.Contemporary clinical trials · 2025Article
- Methodological Choices on 24-h Movement Behavior Assessment by Accelerometry: A Scoping Review.Sports medicine - open · 2025Review
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- Article
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- Establishing the Minimum Media Time Sample Required to Obtain Reliable Estimates of Children's Digital Media Food Marketing Exposures.Current developments in nutrition · 2023Article
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- Associations of emotional/behavioral problems with accelerometer-measured sedentary behavior, physical activity and step counts in children with autism spectrum disorder.Frontiers in public health · 2022Article
- Reliability of GENEActiv accelerometers to estimate sleep, physical activity, and sedentary time in children.The international journal of behavioral nutrition and physical activity · 2021Article
- How Many Days are Necessary to Represent Typical Daily Leg Movement Behavior for Infants at Risk of Developmental Disabilities?Sensors (Basel, Switzerland) · 2020Article
- Using generalizability theory to evaluate the comparative reliability of developmental measures in neurogenetic syndrome and low-risk populations.Journal of neurodevelopmental disorders · 2020Article
- No one accelerometer-based physical activity data collection protocol can fit all research questions.BMC medical research methodology · 2020Article
- Does free public transit increase physical activity and independent mobility in children? Study protocol for comparing children's activity between two Finnish towns with and without free public transit.BMC public health · 2020Article
Corrections and comments
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Authors and funding
20 authors at 5 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFocused on the accelerometer-determined physical activity and sedentary time metrics in 9-11-year-old children, we sought to determine the following: (i) number of days that are necessary to achieve reliable estimates (G⩾0.8); (ii) proportion of variance attributed to different facets (participants and days) of reliability estimates; and (iii) actual reliability of data as collected in The International Study of Childhood Obesity, Lifestyle and Environment (ISCOLE).
methodsThe analytical sample consisted of 6025 children (55% girls) from sites in 12 countries. Physical activity and sedentary time metrics measures were assessed for up to 7 consecutive days for 24 h per day with a waist-worn ActiGraph GT3X+. Generalizability theory using R software was used to investigate the objectives i and ii. Intra-class correlation coefficients (ICC) were computed using SAS PROC GLM to inform objective iii.
resultsThe estimated minimum number of days required to achieve a reliability estimate of G⩾0.8 ranged from 5 to 9 for boys and 3 to 11 for girls for light physical activity (LPA); 5 to 9 and 3 to 10, for moderate-to-vigorous physical activity (MVPA); 5 to 10 and 4 to 10 for total activity counts; and 7 to 11 and 6 to 11 for sedentary time, respectively. For all variables investigated, the 'participant' facet accounted for 30-50% of the variability, whereas the 'days' facet accounted for ⩽5%, and the interaction (P × D) accounted for 50-70% of the variability. The actual reliability for boys in ISCOLE ranged from ICCs of 0.78 to 0.86, 0.73 to 0.85 and 0.72 to 0.86 for LPA, MVPA and total activity counts, respectively, and 0.67 to 0.79 for sedentary time. The corresponding values for girls were 0.80-0.88, 0.70-0.89, 0.74-0.86 and 0.64-0.80.
conclusionsIt was rare that only 4 days from all participants would be enough to achieve desirable reliability estimates. However, asking participants to wear the device for 7 days and requiring ⩾4 days of data to include the participant in the analysis might be an appropriate approach to achieve reliable estimates for most accelerometer-derived metrics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.