Melissa M. Klamm MSN, RN, Angela A. Duck PhD, RN, CNE, Michael A. Welsch PhD, FACSM, Yonghua Yan PhD, Elisa R. Torres PhD, RN, Breanna Wade MS, CHES, Mary W. Stewart PhD, RN, FAAN, Jill Clayton PhD, RN, Lei Zhang PhD, MBA
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引用次数: 0
Abstract
Purpose
The objectives of this paper are (1) to examine patterns of physical activity (PA) and sedentary behavior; (2) to describe development of a method to quantify movement dispersion; and (3) to determine the relationship between variables of movement (i.e., volume, intensity, and dispersion), volume of sedentary behavior, and estimated cardiorespiratory capacity in school-aged children.
Design and Methods
A secondary analysis of an existing data set with raw accelerometer data identified PA patterns of movement dispersion in school-aged children. Bar graphs visually depicted each participant's daily vector magnitude counts. The research team developed a dispersion variable—movement dispersion—and formula to provide a new quantification of daily PA patterns. Total movement dispersion represents both intensity and distribution of movement, whereas pure movement dispersion refers to the distribution of movement during the wear time, independent of intensity. Kendall's tau examined the relationship between several variables: body mass index percentile, average minutes of sedentary behavior, average minutes of light PA, average minutes of moderate-vigorous PA (MVPA), derived VO2 max, total movement dispersion, and pure movement dispersion.
Results
Three participants' activity graphs were presented as examples: (1) active, (2) inactive, and (3) mixed. The more active participant had the highest values for pure and total movement dispersion. The inactive participant had much lower pure and total movement dispersion values compared to the active participant. The mixed participant had high average minutes of MVPA yet lower pure and total movement dispersion values. Total movement dispersion had a significant correlation with average minutes of light PA (r = .406, p = .016) and average minutes of MVPA (r = .686, p < .001). Pure movement dispersion was significantly correlated with average minutes of light PA (r = .448, p = .008) and average minutes of MVPA (r = .599, p < .001). Average minutes of sedentary behavior (SB) were not significantly correlated with total (r = .041, p = .806) or pure movement dispersion (r = .165, p = .326).
Practice Implications
Movement dispersion may provide another tool to advance knowledge of PA, potentially leading to improved health outcomes. Raw accelerometer data, such as that gathered at the elementary school in this study, offer opportunities to identify school-aged children at risk for obesity, SB, and lack of PA.
本文的目的是:(1)研究身体活动(PA)和久坐行为的模式;(2)描述一种量化运动分散的方法的发展;(3)确定学龄儿童运动变量(即量、强度和离散度)、久坐行为量与估计心肺功能之间的关系。设计和方法对现有的原始加速度计数据集进行二次分析,确定了学龄儿童运动分散的PA模式。条形图直观地描绘了每个参与者的每日矢量大小计数。研究小组开发了一个弥散变量——运动弥散——和公式,以提供一种新的每日PA模式的量化。总运动离散度表示运动的强度和分布,而纯运动离散度表示运动在磨损时间内的分布,与强度无关。Kendall的tau检验了几个变量之间的关系:身体质量指数百分位数、久坐行为的平均分钟数、轻度PA的平均分钟数、中度剧烈PA (MVPA)的平均分钟数、导出的最大摄氧量、总运动离散度和纯运动离散度。结果以(1)活跃、(2)不活跃和(3)混合三种被试的活动图为例。越活跃的参与者的纯粹和总运动分散值最高。与积极参与者相比,不积极参与者的纯粹和总运动离散值要低得多。混合参与者的MVPA平均分钟数较高,但纯运动分散值和总运动分散值较低。总运动离散度与轻度PA平均分钟数有显著相关(r =。406, p = .016), MVPA平均分钟数(r =。686, p < .001)。纯运动弥散度与光PA平均分钟数显著相关(r =。448, p = .008)和MVPA平均分钟数(r = .008)。599, p < .001)。平均久坐时间(SB)与总运动量无显著相关(r =。041, p = .806)或纯运动分散(r =。165, p = .326)。实践意义运动分散可能提供另一种工具来提高对前列腺癌的认识,可能导致改善健康结果。原始加速度计数据,如本研究中在小学收集的数据,提供了识别有肥胖、SB和缺乏PA风险的学龄儿童的机会。
期刊介绍:
Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?''
The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.