Validation of the Actical Accelerometer in Multiethnic Preschoolers: The Children's Healthy Living (CHL) Program

Reynolette Ettienne1, Claudio R Nigg1, Fenfang Li1

  • 1University of Hawai'i at Manoa, Department of Human Nutrition, Food, and Animal Sciences, Honolulu, HI (RE, FL, YS, KM, AT, CC, JM, RN).

Insights

The Actical accelerometer accurately measures physical activity (PA) in preschool children. This study found accelerometers to be a valid and reliable tool compared to traditional methods for assessing children's activity levels.

Area of Science:

  • Pediatric Health
  • Exercise Science
  • Biomedical Engineering

Background:

  • Accurate measurement of physical activity (PA) in preschoolers is crucial for understanding health behaviors.
  • Traditional methods like parental reports (PA Logs) and direct observation (SOFIT) have limitations in objectivity and feasibility.
  • Accelerometers offer a potential objective and reliable alternative for PA assessment in young children.

Purpose of the Study:

  • To evaluate the validity and reliability of the Actical accelerometer for measuring PA in mixed-ethnicity preschoolers.
  • To compare accelerometer data with direct observation (SOFIT) and parental reports (PA Logs).

Main Methods:

  • Fifty mixed-ethnicity preschoolers in Hawai'i participated.
  • Children wore Actical accelerometers for two 7-day periods.
  • Concurrent direct observation using a modified SOFIT protocol and completion of PA Logs by parents were performed.

Main Results:

  • The Actical accelerometer demonstrated slight agreement with SOFIT (82% agreement) and PA Logs (40% agreement).
  • PA Logs tended to underestimate children's PA levels.
  • The Actical accelerometer was found to be a valid and reliable tool for estimating PA in this population.

Conclusions:

  • Accelerometers provide objective, valid, and accurate PA assessment for mixed-ethnicity preschoolers.
  • Accelerometers are superior to conventional PA logs and subjective reports for this age group.
  • This supports the use of accelerometers in research and clinical settings for pediatric PA monitoring.

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