Evidence map›Paper›PMID 35646389›Full record

SynthesisBMJ open sport & exercise medicine2022

Assessment of 24-hour physical behaviour in children and adolescents via wearables: a systematic review of free-living validation studies.

Marco Giurgiu, Simon Kolb, Carina Nigg, Alexander Burchartz, Irina Timm, Marlissa Becker, Ellen Rulf, Ann-Kathrin Doster, Elena Koch, Johannes B J Bussmann and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open sport & exercise medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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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

13 authors at 4 institutions in 3 countries.

Marco GiurgiuDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.ORCID 0000-0001-6684-3463
Simon KolbDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Carina NiggDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Alexander BurchartzDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Irina TimmDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Marlissa BeckerDepartment of Orthopedics, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ellen RulfDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Ann-Kathrin DosterDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Elena KochDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Johannes B J BussmannDepartment of Rehabilitation Medicine and Physical Therapy, Erasmus University Medical Center, Rotterdam, The Netherlands.
Claudio NiggDepartment of Health Science, University of Bern, Bern, Switzerland.ORCID 0000-0002-2897-4689
Ulrich W Ebner-PriemerDepartment of Psychiatry and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany.
Alexander WollDepartment of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
Karlsruhe Institute of Technology · DEErasmus MC · NLInstitute for Sports Medicine · DERotterdam University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Studies that assess all three dimensions of the integrative 24-hour physical behaviour (PB) construct, namely, intensity, posture/activity type and biological state, are on the rise. However, reviews on validation studies that cover intensity, posture/activity type and biological state assessed via wearables are missing. Design: Systematic review. The risk of bias was evaluated by using the QUADAS-2 tool with nine signalling questions separated into four domains (ie, patient selection/study design, index measure, criterion measure, flow and time). Data sources: Peer-reviewed validation studies from electronic databases as well as backward and forward citation searches (1970-July 2021). Eligibility criteria for selecting studies: Wearable validation studies with children and adolescents (age <18 years). Required indicators: (1) study protocol must include real-life conditions; (2) validated device outcome must belong to one dimension of the 24-hour PB construct; (3) the study protocol must include a criterion measure; (4) study results must be published in peer-reviewed English language journals. Results: Out of 13 285 unique search results, 76 articles with 51 different wearables were included and reviewed. Most studies (68.4%) validated an intensity measure outcome such as energy expenditure, but only 15.9% of studies validated biological state outcomes, while 15.8% of studies validated posture/activity type outcomes. We identified six wearables that had been used to validate outcomes from two different dimensions and only two wearables (ie, ActiGraph GT1M and ActiGraph GT3X+) that validated outcomes from all three dimensions. The percentage of studies meeting a given quality criterion ranged from 44.7% to 92.1%. Only 18 studies were classified as 'low risk' or 'some concerns'. Summary: Validation studies on biological state and posture/activity outcomes are rare in children and adolescents. Most studies did not meet published quality principles. Standardised protocols embedded in a validation framework are needed. PROSPERO registration number: CRD42021230894.

Indexed as

accelerometerphysical activitysedentarysleepvalidation

Identifiers

PMID35646389
PMCPMC9109110
OpenAlexW4281382057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.