Evidence map›Paper›PMID 29570740›Full record

Trial reportPloS one2018

Identifying bedrest using 24-h waist or wrist accelerometry in adults.

J Dustin Tracy, Sari Acra, Kong Y Chen, Maciej S Buchowski

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 20 citations in OpenAlex.

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  12. Criterion validity of wrist accelerometry for assessing energy intake via the intake-balance technique.The international journal of behavioral nutrition and physical activity · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

J Dustin TracyEnergy Balance Laboratory, Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Sari AcraDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Kong Y ChenNational Institute of Diabetes and Digestive and Kidney Diseases, Diabetes, Endocrinology, and Obesity Branch, National Institutes of Health, Bethesda, Maryland, United States of America.
Maciej S BuchowskiEnergy Balance Laboratory, Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-0566-1743
Vanderbilt University Medical Center · USNational Institutes of Health · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALVIN C POWERS · 2012 to 2026
$29.3M
Development of obesity and metabolic clinical research programsZIADK071014 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHEN, KONG · 2009 to 2025
$12.3M
Metabolic Research Core: energy balance and obesity studiesZICDK071013 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHEN, KONG · 2009 to 2025
$12.3M
A novel approach to predict energy of physical activityR01DK069465 · NIDDK · VANDERBILT UNIVERSITY · PI BUCHOWSKI, MACIEJ S · 2004 to 2008
$1.6M
NCRR NIH HHS UL1 RR024975NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P30 DK058404NIDDK NIH HHS R01 DK069465NIH HHS DK058404NIH HHS DK20593NIH HHS DK69465NIH HHS RR024975
6 · The paper itself

Abstract

objectivesTo adapt and refine a previously-developed youth-specific algorithm to identify bedrest for use in adults. The algorithm is based on using an automated decision tree (DT) analysis of accelerometry data.

designHealthy adults (n = 141, 85 females, 19-69 years-old) wore accelerometers on the waist, with a subset also wearing accelerometers on the dominant wrist (n = 45). Participants spent ≈24-h in a whole-room indirect calorimeter equipped with a force-platform floor to detect movement.

methodsMinute-by-minute data from recordings of waist-worn or wrist-worn accelerometers were used to identify bedrest and wake periods. Participants were randomly allocated to development (n = 69 and 23) and validation (n = 72 and 22) groups for waist-worn and wrist-worn accelerometers, respectively. The optimized DT algorithm parameters were block length, threshold, bedrest-start trigger, and bedrest-end trigger. Differences between DT classification and synchronized objective classification by the room calorimeter to bedrest or wake were assessed for sensitivity, specificity, and accuracy using a Receiver Operating Characteristic (ROC) procedure applied to 1-min epochs (n = 92,543 waist; n = 30,653 wrist).

resultsThe optimal algorithm parameter values for block length were 60 and 45 min, thresholds 12.5 and 400 counts/min, bedrest-start trigger 120 and 400 counts/min, and bedrest-end trigger 1,200 and 1,500 counts/min, for the waist and wrist-worn accelerometers, respectively. Bedrest was identified correctly in the validation group with sensitivities of 0.819 and 0.912, specificities of 0.966 and 0.923, and accuracies of 0.755 and 0.859 by the waist and wrist-worn accelerometer, respectively. The DT algorithm identified bedrest/sleep with greater accuracy than a commonly used automated algorithm (Cole-Kripke) for wrist-worn accelerometers (p<0.001).

conclusionsThe adapted DT accurately identifies bedrest in data from accelerometers worn by adults on either the wrist or waist. The automated bedrest/sleep detection DT algorithm for both youth and adults is openly accessible as a package "PhysActBedRest" for the R-computer language.

Indexed as

AccelerometryBed RestWearable Electronic DevicesWristAdultAgedFemaleHumansMaleMiddle Aged

Identifiers

PMID29570740
PMCPMC5865746
OpenAlexW2791284434

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.