Applying time series analyses on continuous accelerometry data—A clinical example in older adults with and without cognitive impairment

Rackoll, Torsten; Neumann, Konrad; Paßmann, Sven; Grittner, Ulrike; Külzow, Nadine; Ladenbauer, Julia; Flöel, Agnes

doi:10.1371/journal.pone.0251544

Cited by 4 publications

(11 citation statements)

References 43 publications

(57 reference statements)

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“…A total of 14 (42%) papers addressed reasons for loss of data and issues with adherence to protocol, including technical issues (n=5, 36%) [30][31][32][33][34], participants removing or refusing to wear devices (n=6, 43%) [30,33,[35][36][37][38], insufficient data collected (n=8, 57%; <10 hours per day for 8/14 days [39]; <80% daily wear time [40]; <3 days [31]; <10 hours per day for at least 3 days [41]; <7 days [15]; <6 consecutive days [33]; incomplete recorded days [34,40]), lost devices (n=2, 14%) [15,33], organizational issues (n=2, 14%) [15,33], forgetting to wear the device (n=1, 7%) [42], and hospitalization during the data collection period (n=1, 7%) [38].…”

Section: Measuring Physical Activity In Community Dwellers With Cogni...mentioning

confidence: 99%

“…Of the 13 (39%) studies reporting HPA in MCI, 8 (62%) characterized volumes [32,34,40,41,[43][44][45][46][47]. The most common volume metric was steps per day (n=5, 39%), with mean/median averages ranging between 3407 and 12,256 steps [40,41,43,44,46,47].…”

Section: Measurementmentioning

confidence: 99%

“…A total of 9 (27%) studies reported their quantification of different levels of HPA intensity, among which 1 (11%) reported very light physical activity, with counts per minute (CPM) ranging between 145 and 274 [50]. Moreover, 6 (66%) studies quantified light physical activity differently, including a metabolic equivalent (MET) ranging between 1.6 and 3 [40], 1.5 and 2.9 [53], and 1 and 3 [54] and CPM between 150 and 2689 [52], 100 and 1951 [55], and 100 and 2019 [34]. Another 4 (44%) studies characterized moderate physical activity, including an MET between 3 and 6 [40,53] and CPM between 1952 and 5742 [55] and 2020 and 5998 [34].…”

Section: Overviewmentioning

confidence: 99%

“…Moreover, 6 (66%) studies quantified light physical activity differently, including a metabolic equivalent (MET) ranging between 1.6 and 3 [40], 1.5 and 2.9 [53], and 1 and 3 [54] and CPM between 150 and 2689 [52], 100 and 1951 [55], and 100 and 2019 [34]. Another 4 (44%) studies characterized moderate physical activity, including an MET between 3 and 6 [40,53] and CPM between 1952 and 5742 [55] and 2020 and 5998 [34]. The studies report light-moderate physical activity as having a CPM between 274 and 597 [50].…”

Section: Overviewmentioning

confidence: 99%

“…Additionally, 4 (44%) studies quantified moderate-vigorous physical activity (MVPA), including >3 MET [45], >597 CPM [50], >6367 CPM [41], and >2690 CPM [52]. Another 3 (33%) studies characterized vigorous physical activity differently, including ≥6 MET [40], CPM between 5743 and 9498 [55], and CPM ≥5999 [34]. Only 1 (11%) study reported very vigorous physical activity as ≥9798 CPM [55].…”

Section: Overviewmentioning

confidence: 99%

See 4 more Smart Citations

Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review

Ardle¹,

Jabbar²,

Din³

et al. 2023

J Med Internet Res

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Background Participating in habitual physical activity (HPA) can support people with dementia and mild cognitive impairment (MCI) to maintain functional independence. Digital technology can continuously measure HPA objectively, capturing nuanced measures relating to its volume, intensity, pattern, and variability. Objective To understand HPA participation in people with cognitive impairment, this systematic review aims to (1) identify digital methods and protocols; (2) identify metrics used to assess HPA; (3) describe differences in HPA between people with dementia, MCI, and controls; and (4) make recommendations for measuring and reporting HPA in people with cognitive impairment. Methods Key search terms were input into 6 databases: Scopus, Web of Science, Psych Articles, PsychInfo, MEDLINE, and Embase. Articles were included if they included community dwellers with dementia or MCI, reported HPA metrics derived from digital technology, were published in English, and were peer reviewed. Articles were excluded if they considered populations without dementia or MCI diagnoses, were based in aged care settings, did not concern digitally derived HPA metrics, or were only concerned with physical activity interventions. Key outcomes extracted included the methods and metrics used to assess HPA and differences in HPA outcomes across the cognitive spectrum. Data were synthesized narratively. An adapted version of the National Institute of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies was used to assess the quality of articles. Due to significant heterogeneity, a meta-analysis was not feasible. Results A total of 3394 titles were identified, with 33 articles included following the systematic review. The quality assessment suggested that studies were moderate-to-good quality. Accelerometers worn on the wrist or lower back were the most prevalent methods, while metrics relating to volume (eg, daily steps) were most common for measuring HPA. People with dementia had lower volumes, intensities, and variability with different daytime patterns of HPA than controls. Findings in people with MCI varied, but they demonstrated different patterns of HPA compared to controls. Conclusions This review highlights limitations in the current literature, including lack of standardization in methods, protocols, and metrics; limited information on validity and acceptability of methods; lack of longitudinal research; and limited associations between HPA metrics and clinically meaningful outcomes. Limitations of this review include the exclusion of functional physical activity metrics (eg, sitting/standing) and non-English articles. Recommendations from this review include suggestions for measuring and reporting HPA in people with cognitive impairment and for future research including validation of methods, development of a core set of clinically meaningful HPA outcomes, and further investigation of socioecological factors that may influence HPA participation. Trial Registration PROSPERO CRD42020216744; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=216744

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Section: Measuring Physical Activity In Community Dwellers With Cogni...mentioning

confidence: 99%

Section: Measurementmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

See 3 more Smart Citations

Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review

Ardle¹,

Jabbar²,

Din³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Improvements in Walking During Subacute Stroke Rehabilitation Translate to Physical Activity at the Chronic Stage: A Sub-Analysis From the Phys Stroke Trial

Rackoll,

Hinrichs,

Neumann

et al. 2024

Brain Neurorehabil

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Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review (Preprint)

Ardle¹,

Jabbar²,

Din³

et al. 2022

Preprint

View full text Add to dashboard Cite

BACKGROUND Participating in habitual physical activity (HPA) can support people with dementia and mild cognitive impairment (MCI) to maintain functional independence. Digital technology can continuously measure HPA objectively, capturing nuanced measures relating to its volume, intensity, pattern, and variability. OBJECTIVE To understand HPA participation in people with cognitive impairment, this systematic review aims to (1) identify digital methods and protocols; (2) identify metrics used to assess HPA; (3) describe differences in HPA between people with dementia, MCI, and controls; and (4) make recommendations for measuring and reporting HPA in people with cognitive impairment. METHODS Key search terms were input into 6 databases: Scopus, Web of Science, Psych Articles, PsychInfo, MEDLINE, and Embase. Articles were included if they included community dwellers with dementia or MCI, reported HPA metrics derived from digital technology, were published in English, and were peer reviewed. Articles were excluded if they considered populations without dementia or MCI diagnoses, were based in aged care settings, did not concern digitally derived HPA metrics, or were only concerned with physical activity interventions. Key outcomes extracted included the methods and metrics used to assess HPA and differences in HPA outcomes across the cognitive spectrum. Data were synthesized narratively. An adapted version of the National Institute of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies was used to assess the quality of articles. Due to significant heterogeneity, a meta-analysis was not feasible. RESULTS A total of 3394 titles were identified, with 33 articles included following the systematic review. The quality assessment suggested that studies were moderate-to-good quality. Accelerometers worn on the wrist or lower back were the most prevalent methods, while metrics relating to volume (eg, daily steps) were most common for measuring HPA. People with dementia had lower volumes, intensities, and variability with different daytime patterns of HPA than controls. Findings in people with MCI varied, but they demonstrated different patterns of HPA compared to controls. CONCLUSIONS This review highlights limitations in the current literature, including lack of standardization in methods, protocols, and metrics; limited information on validity and acceptability of methods; lack of longitudinal research; and limited associations between HPA metrics and clinically meaningful outcomes. Limitations of this review include the exclusion of functional physical activity metrics (eg, sitting/standing) and non-English articles. Recommendations from this review include suggestions for measuring and reporting HPA in people with cognitive impairment and for future research including validation of methods, development of a core set of clinically meaningful HPA outcomes, and further investigation of socioecological factors that may influence HPA participation. CLINICALTRIAL PROSPERO CRD42020216744; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=216744

show abstract

Applying time series analyses on continuous accelerometry data—A clinical example in older adults with and without cognitive impairment

Cited by 4 publications

References 43 publications

Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review

Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review

Improvements in Walking During Subacute Stroke Rehabilitation Translate to Physical Activity at the Chronic Stage: A Sub-Analysis From the Phys Stroke Trial

Using Digital Technology to Quantify Habitual Physical Activity in Community Dwellers With Cognitive Impairment: Systematic Review (Preprint)

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