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Measuring Children's Physical Activity: Compliance Using Skin-Taped Accelerometers.

Mikkel Bo Schneller¹, Peter Bentsen, Glen Nielsen

¹1Health Promotion Research, Steno Diabetes Center Copenhagen, Gentofte, DENMARK; 2Active Living, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DENMARK; 3Sport Individual & Society, Department of Nutrition Exercise and Sports, University of Copenhagen, Copenhagen, DENMARK; 4Research in Childhood Health (RICH), Exercise Epidemiology, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DENMARK; 5The Centre of Inflammation and Metabolism (CIM) and The Center for Physical Activity Research, (CFAS), Rigshospitalet, University of Copenhagen, Copenhagen, DENMARK; 6The Danish Diabetes Academy, Odense University Hospital, Odense, DENMARK; and 7Forest and Landscape College, Department of Geosciences and Natural Resource Management, University of Copenhagen, Fredensborg, DENMARK.

Medicine and Science in Sports and Exercise

|February 10, 2017

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Skin-taped accelerometers achieved over 65% compliance for children

Area of Science:

Pediatric physical activity monitoring
Biomedical engineering
Public health research

Background:

Accelerometer-based physical activity monitoring is widely used in large-scale studies.
Challenges include device placement, wear time determination, and participant compliance.
Optimizing data collection methods is crucial for accurate physical activity assessment in children.

Purpose of the Study:

To evaluate the compliance of Axivity AX3 accelerometers attached directly to the skin in children aged 9-13 years.
To compare compliance rates between thigh and lower back accelerometer placements.
To identify factors associated with accelerometer wear time in this population.

Main Methods:

903 children wore thigh-mounted and 856 wore lower back-mounted accelerometers for up to 10 days.

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Participants were instructed not to reattach devices if they fell off.

Linear regression analyses examined associations between wear time and age, sex, BMI, and physical activity levels.

Main Results:

Over 65% achieved >7 days of 24-hour wear time for the thigh placement, and 59.5% for the lower back.
Higher physical activity levels were strongly associated with lower wear time.
Factors like male sex, older age, and higher BMI percentile were linked to reduced wear time.

Conclusions:

Skin-taped Axivity accelerometers can yield high compliance rates (>65%) for 7-day, 24-hour wear time in children.
Thigh placement demonstrated superior compliance compared to lower back placement.
Achieving consistent 24-hour wear time enhances data validity for physical activity measurements.