Statistical methods for analyzing objectively measured physical activity.

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Project Summary/Abstract This project aims to develop new analytic tools for understanding accumulation patterns of physical activity (PA), sedentary behavior (SB) and sleep in the 24-hour activity cycle and to flexibly model these patterns and health outcomes, such as cardiovascular diseases, and apply these methods in PA epidiological studies that collected objective measurements by accelerometry or wearable devices. In physical activity epidemiology, each inten- sity/behavior category has been investigated separately in association with health outcomes. However, this approach fails to account for the inter-relatedness and interactions among of these activities. In fact, the 2018 Physical Activity Guidelines Advisory Committee Scientific Report identified 24-hour cycle and dose-response PA/SB accumulation patterns among the most important and critical issues that clearly need future research for informing the next set of physical activity guidelines. Motivated by this critical need, we propose novel statistical methods to utilize the rich information collected by accelerometry in a few directions. First, we develop robust functional data analysis methods for flexibly modeling associations between accelerometry-measured PA trajectories and health outcomes. Second, we develop flexible functional data analysis methods for characterizing dose-response relationships between PA/SB accumulation patterns and health outcomes, using an interpretable functional principal component analysis approach. Third, we plan to develop nonparametric compositional data analysis (NCDA) methods for extracting patterns of the 24- hour activity cycle, extend the approach to longitudinal studies and to flexibly investigate associations between 24-hour activity compositional patterns and health. The proposed analytic tools are directly motivated by and will be immediately applied to ancillary studies of the Women's Health Initiative (WHI) that we are involved in, the Objective Physical Activity and Cardiovascular Health (OPACH) Study, WHI Strong and Healthy Trial (WHISH), the Sedentary Time and Aging (STAR) Program, the Women's Health Accelerometry Collaboration (WHAC), as well as the publicly available National Health and Nutrition Examination Survey (NHANES) and UK Biobank data.