SynthesisThe international journal of behavioral nutrition and physical activity2018
Validity of objective methods for measuring sedentary behaviour in older adults: a systematic review.
Synthesis in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06169020 (Design of an Intelligent Wearable to Assess Physical Activity and Health Related Outcomes - the DIWAH Study), which is not on this map. Cited by 55 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Design of an Intelligent Wearable to Assess Physical Activity and Health Related Outcomes - the DIWAH Study
Who cites it
55 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Use of Wearable Technology for Measuring and Characterizing Sedentary Behavior in People With Mild Cognitive Impairment and Dementia: Systematic Review.JMIR aging · 2026Pooled it
- Empowering Health Through Digital Lifelong Prevention: An Umbrella Review of Apps and Wearables for Nutritional Management.Nutrients · 2025Pooled it
- Sedentary behavior, cognition, and brain health in older adults: a systematic review.Frontiers in aging neuroscience · 2025Pooled it
- The association between sedentary behaviour and sarcopenia in older adults: a systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- Health-Related Telemonitoring Parameters/Signals of Older Adults: An Umbrella Review.Sensors (Basel, Switzerland) · 2023Pooled it
- Intervention for Social Frailty Focusing on Physical Activity and Reducing Loneliness: A Randomized Controlled Trial.Clinical interventions in aging · 2025Trial
- Using functional principal component analysis (FPCA) to quantify sitting patterns derived from wearable sensors.The international journal of behavioral nutrition and physical activity · 2024Trial
- Sensor-measured sedentariness and physical activity are differentially related to fluid and crystallized abilities in aging.Psychology and aging · 2020Trial
- Feasibility, acceptability, and preliminary effects of the Join4Joy approach for older adults living in nursing homes: a multicentre mixed-methods feasibility study.European geriatric medicine · 2026Article
- Distribution of device-measured 24-h movement behaviors in older adults: cross-sectional findings from the HUNT4 study.Scientific reports · 2026Article
- Longitudinal Effects of Snow-season Activity Decline on Physical Function in Older Adults in Rural Snowy Regions.Physical therapy research · 2026Article
- Sedentary behavior as an emerging risk factor for chronic kidney disease: a narrative review.Clinical and experimental nephrology · 2026Review
- Minimum wear time criteria for reliable estimates of device-measured 24-hour movement in older women.American journal of epidemiology · 2025Article
- Activity levels during lifestyle physical activity and exercise physical activity: An observational study.The British journal of occupational therapy · 2025Article
- Increased sedentary behavior is associated with neurodegeneration and worse cognition in older adults over a 7-year period despite high levels of physical activity.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Seasonal and sex differences in instrumental activities of daily living and objective physical activity among older adults residing in rural areas with snow and cold regions.Journal of rural medicine : JRM · 2025Article
- Association between sleep and physical activity data, and depressive symptoms in Thai elderly.PloS one · 2025Article
- Association of sedentary behavior and physical activity with occurrence of signs and symptoms in participants of a cardiac rehabilitation program.Scientific reports · 2024Article
- Daily physical activity in older adults across levels of care: the HUNT Trondheim 70 + study.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Article
- The Effect of Palmitoylethanolamide (PEA) on Skeletal Muscle Hypertrophy, Strength, and Power in Response to Resistance Training in Healthy Active Adults: A Double-Blind Randomized Control Trial.Sports medicine - open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe evidence showing the ill health effects of prolonged sedentary behaviour (SB) is growing. Most studies of SB in older adults have relied on self-report measures of SB. However, SB is difficult for older adults to recall and objective measures that combine accelerometry with inclinometry are now available for more accurately assessing SB. The aim of this systematic review was to assess the validity and reliability of these accelerometers for the assessment of SB in older adults.
methodsEMBASE, PubMed and EBSCOhost databases were searched for articles published up to December 13, 2017. Articles were eligible if they: a) described reliability, calibration or validation studies of SB measurement in healthy, community-dwelling individuals, b) were published in English, Portuguese or Spanish, and c) were published or in press as journal articles in peer-reviewed journals.
resultsThe review identified 15 studies in 17 papers. Of the included studies, 11 assessed the ActiGraph accelerometer. Of these, three examined reliability only, seven (in eight papers) examined validity only and one (in two papers) examined both. The strongest evidence from the studies reviewed is from studies that assessed the validity of the ActiGraph. These studies indicate that analysis of the data using 60-s epochs and a vertical magnitude cut-point < 200 cpm or using 30- or 60-s epochs with a machine learning algorithm provides the most valid estimates of SB. Non-wear algorithms of 90+ consecutive zeros is also suggested for the ActiGraph.
conclusionsFew studies have examined the reliability and validity of accelerometers for measuring SB in older adults. Studies to date suggest that the criteria researchers use for classifying an epoch as sedentary instead of as non-wear time (e.g., the non-wear algorithm used) may need to be different for older adults than for younger adults. The required number of hours and days of wear for valid estimates of SB in older adults was not clear from studies to date. More older-adult-specific validation studies of accelerometers are needed, to inform future guidelines on the appropriate criteria to use for analysis of data from different accelerometer brands.
trial registrationPROSPERO ID# CRD42017080754 registered December 12, 2017.
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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.