The Physical Activity Assessment of Adults With Type 2 Diabetes Using Accelerometer-Based Cut Points: Scoping Review.
The Physical Activity Assessment of Adults With Type 2 Diabetes Using Accelerometer-Based Cut Points: Scoping Review.
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DOI：
10.2196/34433
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发表时间：
2022-09-06
影响因子：
2
通讯作者：
Mitchell, Suzanne E.
中科院分区：
文献类型：
--
作者：
Moldovan, Ioana A.;Bragg, Alexa;Nidhiry, Anna S.;De La Cruz, Barbara A.;Mitchell, Suzanne E.
建议2型糖尿病患者将身体活动纳入日常生活方式。加速度计为客观测量身体活动和评估干预措施提供了一种有前途的方法。然而，现有的文献中缺乏加速度计测量的体力活动中，中老年2型糖尿病患者。本研究旨在确定使用基于加速度计的切割点将中年至老年2型糖尿病患者的身体活动强度分类为久坐、轻度、中度、剧烈和非常剧烈的研究，并确定是否存在专门针对该人群的有效加速度计切割点。我们遵循乔安娜·布里格斯研究所的范围审查方法。2020年6月23日至7月12日期间，两名评审员独立筛选了来自四个数据库的记录（PubMed，Web of Science，Embase，Engineering Village）和ActiGraph Corp网站，用于合格研究，包括样本平均年龄≥50岁的2型糖尿病患者，使用研究级加速度计，应用临界点对客观测量的身体活动进行分类，并提供英文版。我们排除了仅报告通过加速度计或计步器测量的步数或步数的研究，以及会议摘要或其他没有全文的来源。使用Microsoft Excel完成数据提取。根据频率分布对以下变量的数据进行制表：研究设计、加速度计类型、器械放置、历元长度、总佩戴时间和使用的切割点。总结了研究目的和参与者人口统计学数据。共筛选了748条摘要记录，评估了88篇全文文章的合格性。最终，保留并分析了46篇文章。参与者的平均年龄从50岁到79.9岁不等。ActiGraph加速计和Freedson等人和Troiano等人的每分钟计数临界点是文献中最常用的。Freedson et al和Troiano et al的轻度、中度和剧烈活动的每分钟计数临界点分别对应于<1952、1952-5724和≥5725以及100-2019、2020-5998和≥5999。Lopes等人通过校准超重/肥胖和2型糖尿病中老年患者的ActiGraph来制定临界点。这些每分钟计数阈值为≥200（轻度）、≥1240（中度）和≥2400（剧烈），并应用于1项干预性研究。研究人员使用各种加速度计切割点来对患有糖尿病的中年和老年人的身体活动强度进行分类。在我们感兴趣的人群中，只有一组临界点得到了验证和校准。有必要进行更多的研究，以解决糖尿病特定切割点的需要，为公共卫生建议提供信息。这包括证实Lopes等人的临界点反映了患有超重/肥胖以外的合并症的糖尿病成人的体力活动的临床有意义的变化，以及可能更适合身体功能欠佳的患者的相对强度临界点的制定。
Incorporating physical activity into lifestyle routines is recommended for individuals with type 2 diabetes. Accelerometers offer a promising method for objectively measuring physical activity and for assessing interventions. However, the existing literature for accelerometer-measured physical activity among middle-aged and older adults with type 2 diabetes is lacking. This study aims to identify research studies in which accelerometer-based cut points were used to classify the physical activity intensity of middle-aged to older adults with type 2 diabetes as sedentary, light, moderate, vigorous, and very vigorous, and to determine if validated accelerometer cut points specifically for this population exist. We followed the Joanna Briggs Institute methodology for scoping reviews. Between June 23 and July 12, 2020, two reviewers independently screened records from four databases (PubMed, Web of Science, Embase, Engineering Village) and the ActiGraph Corp web site for eligible studies that included patients with type 2 diabetes with a sample mean age ≥50 years, used research-grade accelerometers, applied cut points to categorize objectively measured physical activity, and were available in English. We excluded studies reporting exclusively steps or step counts measured by accelerometers or pedometers and conference abstracts or other sources that did not have a full text available. Data extraction was completed using Microsoft Excel. Data for the following variables were tabulated based on frequency distributions: study design, accelerometer type, device placement, epoch length, total wear time, and cut points used. Study aims and participant demographic data were summarized. A total of 748 records were screened at the abstract level, and 88 full-text articles were assessed for eligibility. Ultimately, 46 articles were retained and analyzed. Participants’ mean ages ranged from 50 to 79.9 years. The ActiGraph accelerometer and the Freedson et al and Troiano et al counts-per-minute cut points were the most frequently used across the literature. Freedson et al and Troiano et al counts-per-minute cut points for light, moderate, and vigorous activity correspond to <1952, 1952-5724, and ≥5725, and 100-2019, 2020-5998, and ≥5999, respectively. The Lopes et al cut points were developed by calibrating the ActiGraph in middle-aged and older adults with overweight/obesity and type 2 diabetes. These counts-per-minute thresholds are ≥200 (light), ≥1240 (moderate), and ≥2400 (vigorous), and were applied in 1 interventional study. An assortment of accelerometer cut points have been used by researchers to categorize physical activity intensity for middle-aged and older adults with diabetes. Only one set of cut points was validated and calibrated in our population of interest. Additional research is warranted to address the need for diabetes-specific cut points to inform public health recommendations. This includes confirmation that the Lopes et al cut points reflect clinically meaningful changes in physical activity for adults with diabetes who have comorbidities other than overweight/obesity and the development of relative intensity cut points that may be more suitable for those with suboptimal physical functioning.
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连续葡萄糖监测和加速度计的可行性和可接受性在运动2型糖尿病患者方面。
影响因子：
4.2
作者：
Allen NA;Jacelon CS;Chipkin SR
通讯作者：
Chipkin SR
DOI：
10.3961/jpmph.18.213
发表时间：
2019-03-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Do, Vuong Van;Jancey, Jonine;Lee, Andy H
通讯作者：
Lee, Andy H
影响因子：
16.2
作者：
Eakin, Elizabeth G.;Winkler, Elisabeth A.;Reeves, Marina M.
通讯作者：
Reeves, Marina M.
影响因子：
5.1
作者：
Allen, Nancy A.;Fain, James A.;Chipkin, Stuart R.
通讯作者：
Chipkin, Stuart R.
影响因子：
7.2
作者：
Fagour, C.;Gonzalez, C.;Rigalleau, V.
通讯作者：
Rigalleau, V.