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Indoor versus outdoor time in preschoolers at child care
Pooja S Tandon1, Brian E Saelens, Chuan Zhou
1Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA, USA. pooja@uw.edu
Insights
Light sensors and GPS accurately measure outdoor time in preschoolers, aiding health research. These methods offer a feasible and cost-effective way to quantify children's time spent outdoors.
Area of Science:
- Environmental Health
- Pediatric Health
- Measurement Science
Background:
- Outdoor time is linked to health benefits, including increased physical activity.
- Accurate measurement of outdoor time is crucial but challenging.
- Understanding children's outdoor exposure is vital for public health.
Purpose of the Study:
- To evaluate the accuracy and validity of light-sensor and GPS devices for measuring outdoor time in 3-5-year-old children.
- To compare device-based measurements with direct observation in a childcare setting.
Main Methods:
- 45 preschoolers (mean age 4.5 years) wore accelerometers with light sensors and GPS devices.
- Direct observation served as the gold standard for indoor/outdoor classification.
- Receiver operating characteristic (ROC) analyses determined device accuracy.
Main Results:
- Light sensors and GPS showed moderate to high accuracy in distinguishing indoor from outdoor environments.
- GPS demonstrated a higher area under the ROC curve (0.89) compared to light sensors (0.82).
- Light sensors achieved 74% sensitivity and 86% specificity; GPS achieved 82% sensitivity and 88% specificity.
Conclusions:
- Both light sensors and GPS are accurate tools for quantifying preschool children's outdoor time.
- These technologies enhance the feasibility and reduce the cost of outdoor time measurement in research.
- Findings support the use of these devices in studies investigating outdoor time and child health.
Background:
Being outdoors may have health benefits including being more physically active. Understanding the relationship between outdoor time and health is hampered by the difficulty of measuring outdoor time.
Purpose:
To examine the accuracy and validity of light-sensor and GPS methods for quantifying outdoor time among those aged 3-5 years at child care.
Methods:
A total of 45 children (mean age 4.5 years, 64% boys) from five child care centers wore portable accelerometers with built-in light sensors and a separate GPS device around their waists during child care, providing 80,648 episodes (15 seconds each) for analysis. Direct observation (gold standard) of children being outdoors versus indoors was conducted for 2 days at each center. GPS signal-to-noise ratios, processed through the Personal Activity and Location Measurement System were used to define indoor versus outdoor locations. Receiver operating characteristic (ROC) analyses were used to determine thresholds for defining being indoors versus outdoors. Data were collected in Fall 2011, analyzed in 2012.
Results:
Mean observed outdoor time was 63 [±44; range: 18-152] minutes/day. Mean light-sensor levels were significantly higher outdoors. The area under the ROC curve for location based on light sensor for all weather conditions was 0.82 (range: 0.70 on partly cloudy days to 0.97 on sunny days); for GPS, it was 0.89. The light sensor had a sensitivity of 74% and specificity of 86%. GPS had a sensitivity of 82% and specificity of 88%.
Conclusions:
A light sensor and a GPS device both distinguish indoor from outdoor time for preschoolers with moderate to high levels of accuracy. These devices can increase the feasibility and lower the cost of measuring outdoor time in studies of preschool children.
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