The Assessment of 24-Hr Physical Behavior in Children and Adolescents via Wearables: A Systematic Review of Laboratory Validation Studies

The Assessment of 24-Hr Physical Behavior in Children and Adolescents via Wearables: A Systematic Review of Laboratory Validation Studies
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通过可穿戴设备评估儿童和青少年 24 小时身体行为:实验室验证研究的系统回顾

DOI:
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发表时间:
2022
期刊:
Journal for the Measurement of Physical Behaviour
影响因子:
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通讯作者:
U. Ebner
U. Ebner
中科院分区:
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文献类型:
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作者:
M. Giurgiu;C. Nigg;Janis Fiedler;Irina Timm;Ellen Rulf;J. Bussmann;C. Nigg;A. Woll;U. Ebner

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目的:提高对已发布验证协议质量的关注,同时比较(in)一致性,并提供可穿戴设备的概述,以及它们是否有希望。方法:从五个电子数据库中检索包括以下资格标准:(a)人类(<18岁)的实验室条件,(b)设备结果必须属于24小时身体行为结构的一个维度(即强度,姿势/活动类型结果,生物状态),(c)必须包括标准测量,以及(d)发表在同行评审的英语期刊上1980年至2021年之间。结果:在13285个唯一的搜索结果中,包含123篇文章。86项研究招募了13岁以下的儿童,而26项研究招募了13 - 18岁的青少年。大多数研究(73.2%)证实了强度结果,如能量消耗;只有20.3%和13.8%的研究分别验证了生物状态或姿势/活动类型的结果。我们确定了14种可穿戴设备,用于验证两到三个不同维度的结果。在确定的88款可穿戴设备中,大多数(n = 72)只进行了一次验证。偏倚风险评估结果显示,7.3%的研究被归类为“低风险”,28.5%的研究被归类为“一些问题”,71.5%的研究被归类为“高风险”。结论:总体而言,可穿戴设备的实验室验证研究的特点是方法质量低,设计可变性大,关注强度。没有一种可穿戴设备能够在24小时身体行为结构的所有三个维度上提供有效的结果。未来的研究应该更强烈地针对生物状态和姿势/活动类型的结果,并努力在验证框架中嵌入标准化的协议。
Purpose: To raise attention to the quality of published validation protocols while comparing (in)consistencies and providing an overview on wearables, and whether they show promise or not. Methods: Searches from five electronic databases were included concerning the following eligibility criteria: (a) laboratory conditions with humans (<18 years), (b) device outcome must belong to one dimension of the 24-hr physical behavior construct (i.e., intensity, posture/activity type outcomes, biological state), (c) must include a criterion measure, and (d) published in a peer-reviewed English language journal between 1980 and 2021. Results: Out of 13,285 unique search results, 123 articles were included. In 86 studies, children <13 years were recruited, whereas in 26 studies adolescents (13–18 years) were recruited. Most studies (73.2%) validated an intensity outcome such as energy expenditure; only 20.3% and 13.8% of studies validated biological state or posture/activity type outcomes, respectively. We identified 14 wearables that had been used to validate outcomes from two or three different dimensions. Most (n = 72) of the identified 88 wearables were only validated once. Risk of bias assessment resulted in 7.3% of studies being classified as “low risk,” 28.5% as “some concerns,” and 71.5% as “high risk.” Conclusion: Overall, laboratory validation studies of wearables are characterized by low methodological quality, large variability in design, and a focus on intensity. No identified wearable provides valid results across all three dimensions of the 24-hr physical behavior construct. Future research should more strongly aim at biological state and posture/activity type outcomes, and strive for standardized protocols embedded in a validation framework.
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影响因子: 4.1
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影响因子: 3.1
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影响因子: 4.1
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