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Protocol - Total Physical Activity-Objective Measure

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Description

An accelerometer is used to measure the intensity of movements continuously over a desirable study period (for a robust assessment of free-living physical activity, a minimum of 4 days is recommended; 7 days of continuous measurement is the most common). It is generally recommended to select the highest time resolution (or the shortest epoch) possible to last over the entire study period. Most current accelerometers have sufficient memory and battery capacity. The participant is asked to wear the accelerometer during all waking hours of the study period. Most monitors are not waterproof, and are not recommended for activities such as swimming and showering. An additional daily record of wearing the monitor can be taken to identify non-wearing time activity. Data are downloaded from the accelerometer after being retrieved from the participant. Although this is the current standard for objective physical activity measurements, more advanced sensor and processing technologies are rapidly evolving in this field to improve accuracy and expand usability.

Specific Instructions
The hip placements of the accelerometer (on a belt) have been shown to yield the best prediction of energy expenditure. The absolute accuracy may vary with different accelerometers, placement locations, signal filters used by the devices, and models used for predicting energy expenditure or time spent in certain intensity categories. Follow manufacturers operation manuals for installation, initialization, downloading and other specific procedures if needed.
Availability

Available

Protocol

Refer to Health ABC Study Operations Manual, Accelerometry Section.

Personnel and Training Required
The individual who programs the accelerometer, collects the data from the participant, and downloads the data must be trained. The accelerometers user manual must be used to complete the procedures properly.
Equipment Needs
Personal computer, accelerometers, download ports or readers (for some), battery chargers (for some) and replaceable batteries (for others).
Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Physical Measurement

Lifestage

Child, Adolescent, Adult, Senior, Pregnancy

Participants

Ages 3+

Selection Rationale

There are several accelerometers that can measure physical activity, but the costs, accuracy, sensitivity, complexity, and research applicability vary widely. Several accelerometers have been shown to be applicable in heterogeneous subject populations. While the cost remains relatively high (around $350), they provide detailed physical activity data registered in good time resolutions (typically minute-by-minute or better). The intensity measures from the accelerometers closely represent energy expenditure, and with high data resolution, patterns of movements can also be studied. Accelerometers have low user burden (lightweight and small size, allowing multiple uses, and with rechargeable batteries), and data can be directly downloaded for research. The GT3X accelerometer (Actigraph) is used as an example of a typical accelerometer protocol.

Language

Chinese, English

Standards
StandardNameIDSource
Human Phenotype Ontology Postexertional malaise HP:0030973 HPO
Human Phenotype Ontology Exercise-induced muscle stiffness HP:0008967 HPO
Human Phenotype Ontology Exercise intolerance HP:0003546 HPO
caDSR Form PhenX PX150801 - Total Physical Activityobjective Measure 6929010 caDSR Form
Derived Variables

None

Process and Review

Protocol Name from Source

The Health, Aging and Body Composition (Health ABC) Study, 2009

Source

National Institutes of Health. National Institute of Aging and National Institute of Diabetes & Digestive & Kidney diseases. The Health, Aging and Body Composition (Health ABC) Study. Operations Manual. Accelerometry Section. 2009.

Pate, R. R., M. J. Almeida, et al. (2006). Validation and Calibration of an Accelerometer in Preschool Children. Obesity. 14(11): 2000-2006.

General References

None

Protocol ID

150801

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX150801_Actigraph_Activity_Recorded
PX150801180100 Was any activity collected and recorded on more
the ActiGraph? show less
N/A
PX150801_Actigraph_Not_Returned
PX150801150400 Did not return ActiGraph N/A
PX150801_Date_Returned_Day
PX150801150200 Date participant returned ActiGraph to more
clinic (Day) show less
N/A
PX150801_Date_Returned_Month
PX150801150100 Date participant returned ActiGraph to more
clinic (Month) show less
N/A
PX150801_Date_Returned_Year
PX150801150300 Date participant returned ActiGraph to more
clinic (Year) show less
N/A
PX150801_Diary_Completed
PX150801190000 Was the diary completed? N/A
PX150801_Diary_Day1_Date_Day
PX150801290102 Today's Date (Day) N/A
PX150801_Diary_Day1_Date_Month
PX150801290101 Today's Date (Month) N/A
PX150801_Diary_Day1_Date_Year
PX150801290103 Today's Date (Year) N/A
PX150801_Diary_Day1_Day_Name
PX150801290200 Day N/A
PX150801_Diary_Day1_EndTime_AMPM
PX150801290703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day1_EndTime_Hour
PX150801290701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day1_EndTime_Minutes
PX150801290702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day1_Start_Time_AMPM
PX150801290303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day1_Start_Time_Hour
PX150801290301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day1_Start_Time_Minute
PX150801290302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day1_TimeBackOn1_AMPM
PX150801290603 Time put back on (AM or PM) N/A
PX150801_Diary_Day1_TimeBackOn1_Hour
PX150801290601 Time put back on (Hour) N/A
PX150801_Diary_Day1_TimeBackOn1_Minutes
PX150801290602 Time put back on (Minutes) N/A
PX150801_Diary_Day1_TimeOff1_Activity
PX150801290500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day1_TimeOff1_AMPM
PX150801290403 Time took off N/A
PX150801_Diary_Day1_TimeOff1_Hour
PX150801290401 Time took off (Hour) N/A
PX150801_Diary_Day1_TimeOff1_Minute
PX150801290402 Time took off (Minute) N/A
PX150801_Diary_Day2_Date_Day
PX150801300102 Today's Date (Day) N/A
PX150801_Diary_Day2_Date_Month
PX150801300101 Today's Date (Month) N/A
PX150801_Diary_Day2_Date_Year
PX150801300103 Today's Date (Year) N/A
PX150801_Diary_Day2_Day_Name
PX150801300200 Day N/A
PX150801_Diary_Day2_EndTime_AMPM
PX150801300703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day2_EndTime_Hour
PX150801300701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day2_EndTime_Minutes
PX150801300702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day2_Start_Time_AMPM
PX150801300303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day2_Start_Time_Hour
PX150801300301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day2_Start_Time_Minute
PX150801300302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day2_TimeBackOn1_AMPM
PX150801300603 Time put back on (AM or PM) N/A
PX150801_Diary_Day2_TimeBackOn1_Hour
PX150801300601 Time put back on (Hour) N/A
PX150801_Diary_Day2_TimeBackOn1_Minutes
PX150801300602 Time put back on (Minutes) N/A
PX150801_Diary_Day2_TimeOff1_Activity
PX150801300500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day2_TimeOff1_AMPM
PX150801300403 Time took off N/A
PX150801_Diary_Day2_TimeOff1_Hour
PX150801300401 Time took off (Hour) N/A
PX150801_Diary_Day2_TimeOff1_Minute
PX150801300402 Time took off (Minute) N/A
PX150801_Diary_Day3_Date_Day
PX150801310102 Today's Date (Day) N/A
PX150801_Diary_Day3_Date_Month
PX150801310101 Today's Date (Month) N/A
PX150801_Diary_Day3_Date_Year
PX150801310103 Today's Date (Year) N/A
PX150801_Diary_Day3_Day_Name
PX150801310200 Day N/A
PX150801_Diary_Day3_EndTime_AMPM
PX150801310703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day3_EndTime_Hour
PX150801310701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day3_EndTime_Minutes
PX150801310702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day3_Start_Time_AMPM
PX150801310303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day3_Start_Time_Hour
PX150801310301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day3_Start_Time_Minute
PX150801310302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day3_TimeBackOn1_AMPM
PX150801310603 Time put back on (AM or PM) N/A
PX150801_Diary_Day3_TimeBackOn1_Hour
PX150801310601 Time put back on (Hour) N/A
PX150801_Diary_Day3_TimeBackOn1_Minutes
PX150801310602 Time put back on (Minutes) N/A
PX150801_Diary_Day3_TimeOff1_Activity
PX150801310500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day3_TimeOff1_AMPM
PX150801310403 Time took off N/A
PX150801_Diary_Day3_TimeOff1_Hour
PX150801310401 Time took off (Hour) N/A
PX150801_Diary_Day3_TimeOff1_Minute
PX150801310402 Time took off (Minute) N/A
PX150801_Diary_Day4_Date_Day
PX150801320102 Today's Date (Day) N/A
PX150801_Diary_Day4_Date_Month
PX150801320101 Today's Date (Month) N/A
PX150801_Diary_Day4_Date_Year
PX150801320103 Today's Date (Year) N/A
PX150801_Diary_Day4_Day_Name
PX150801320200 Day N/A
PX150801_Diary_Day4_EndTime_AMPM
PX150801320703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day4_EndTime_Hour
PX150801320701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day4_EndTime_Minutes
PX150801320702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day4_Start_Time_AMPM
PX150801320303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day4_Start_Time_Hour
PX150801320301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day4_Start_Time_Minute
PX150801320302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day4_TimeBackOn1_AMPM
PX150801320603 Time put back on (AM or PM) N/A
PX150801_Diary_Day4_TimeBackOn1_Hour
PX150801320601 Time put back on (Hour) N/A
PX150801_Diary_Day4_TimeBackOn1_Minutes
PX150801320602 Time put back on (Minutes) N/A
PX150801_Diary_Day4_TimeOff1_Activity
PX150801320500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day4_TimeOff1_AMPM
PX150801320403 Time took off N/A
PX150801_Diary_Day4_TimeOff1_Hour
PX150801320401 Time took off (Hour) N/A
PX150801_Diary_Day4_TimeOff1_Minute
PX150801320402 Time took off (Minute) N/A
PX150801_Diary_Day5_Date_Day
PX150801330102 Today's Date (Day) N/A
PX150801_Diary_Day5_Date_Month
PX150801330101 Today's Date (Month) N/A
PX150801_Diary_Day5_Date_Year
PX150801330103 Today's Date (Year) N/A
PX150801_Diary_Day5_Day_Name
PX150801330200 Day N/A
PX150801_Diary_Day5_EndTime_AMPM
PX150801330703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day5_EndTime_Hour
PX150801330701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day5_EndTime_Minutes
PX150801330702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day5_Start_Time_AMPM
PX150801330303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day5_Start_Time_Hour
PX150801330301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day5_Start_Time_Minute
PX150801330302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day5_TimeBackOn1_AMPM
PX150801330603 Time put back on (AM or PM) N/A
PX150801_Diary_Day5_TimeBackOn1_Hour
PX150801330601 Time put back on (Hour) N/A
PX150801_Diary_Day5_TimeBackOn1_Minutes
PX150801330602 Time put back on (Minutes) N/A
PX150801_Diary_Day5_TimeOff1_Activity
PX150801330500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day5_TimeOff1_AMPM
PX150801330403 Time took off N/A
PX150801_Diary_Day5_TimeOff1_Hour
PX150801330401 Time took off (Hour) N/A
PX150801_Diary_Day5_TimeOff1_Minute
PX150801330402 Time took off (Minute) N/A
PX150801_Diary_Day6_Date_Day
PX150801340102 Today's Date (Day) N/A
PX150801_Diary_Day6_Date_Month
PX150801340101 Today's Date (Month) N/A
PX150801_Diary_Day6_Date_Year
PX150801340103 Today's Date (Year) N/A
PX150801_Diary_Day6_Day_Name
PX150801340200 Day N/A
PX150801_Diary_Day6_EndTime_AMPM
PX150801340703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day6_EndTime_Hour
PX150801340701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day6_EndTime_Minutes
PX150801340702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day6_Start_Time_AMPM
PX150801340303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day6_Start_Time_Hour
PX150801340301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day6_Start_Time_Minute
PX150801340302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day6_TimeBackOn1_AMPM
PX150801340603 Time put back on (AM or PM) N/A
PX150801_Diary_Day6_TimeBackOn1_Hour
PX150801340601 Time put back on (Hour) N/A
PX150801_Diary_Day6_TimeBackOn1_Minutes
PX150801340602 Time put back on (Minutes) N/A
PX150801_Diary_Day6_TimeOff1_Activity
PX150801340500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day6_TimeOff1_AMPM
PX150801340403 Time took off N/A
PX150801_Diary_Day6_TimeOff1_Hour
PX150801340401 Time took off (Hour) N/A
PX150801_Diary_Day6_TimeOff1_Minute
PX150801340402 Time took off (Minute) N/A
PX150801_Diary_Day7_Date_Day
PX150801350102 Today's Date (Day) N/A
PX150801_Diary_Day7_Date_Month
PX150801350101 Today's Date (Month) N/A
PX150801_Diary_Day7_Date_Year
PX150801350103 Today's Date (Year) N/A
PX150801_Diary_Day7_Day_Name
PX150801350200 Day N/A
PX150801_Diary_Day7_EndTime_AMPM
PX150801350703 End time (right before going to sleep) (AM or PM) Variable Mapping
PX150801_Diary_Day7_EndTime_Hour
PX150801350701 End time (right before going to sleep) (Hour) Variable Mapping
PX150801_Diary_Day7_EndTime_Minutes
PX150801350702 End time (right before going to sleep) (Minutes) Variable Mapping
PX150801_Diary_Day7_Start_Time_AMPM
PX150801350303 Starting Time (AM or PM) Variable Mapping
PX150801_Diary_Day7_Start_Time_Hour
PX150801350301 Starting Time (Hour) Variable Mapping
PX150801_Diary_Day7_Start_Time_Minute
PX150801350302 Starting Time (Minutes) Variable Mapping
PX150801_Diary_Day7_TimeBackOn1_AMPM
PX150801350603 Time put back on (AM or PM) N/A
PX150801_Diary_Day7_TimeBackOn1_Hour
PX150801350601 Time put back on (Hour) N/A
PX150801_Diary_Day7_TimeBackOn1_Minutes
PX150801350602 Time put back on (Minutes) N/A
PX150801_Diary_Day7_TimeOff1_Activity
PX150801350500 Activity while NOT wearing monitor N/A
PX150801_Diary_Day7_TimeOff1_AMPM
PX150801350403 Time took off N/A
PX150801_Diary_Day7_TimeOff1_Hour
PX150801350401 Time took off (Hour) N/A
PX150801_Diary_Day7_TimeOff1_Minute
PX150801350402 Time took off (Minute) N/A
PX150801_Number_Days_Actigraph_Worn
PX150801160000 How many days was ActiGraph worn? N/A
PX150801_Number_Days_Actigraph_Worn_Valid
PX150801170000 How many of the days that the ActiGraph was more
worn were valid? show less
N/A
PX150801_Participant_First_Name
PX150801010100 What is your... First Name? N/A
PX150801_Participant_Last_Name
PX150801010300 What is your... Last Name? N/A
PX150801_Participant_Middle_Initial
PX150801010200 What is your... Middle Initial? N/A
PX150801_Participant_Received_Actigraph
PX150801020000 Did the participant receive an ActiGraph? N/A
PX150801_Participant_SerialNo
PX150801020100 If answer is Yes, please record the last more
four digits of serial number: show less
N/A
PX150801_QA_ActiGraph_Distribution_Form
PX150801120000 Fills out ActiGraph Distribution Form N/A
PX150801_QA_Distribution_7Day_Diary_Instructions
PX150801090000 Procedure for completing 7-day activity more
diary explained to participant show less
N/A
PX150801_QA_Distribution_Free_Living
PX150801040000 ActiGraph set up for free-living N/A
PX150801_QA_Distribution_ID
PX150801050000 Participant ID# entered at Subject Name prompt N/A
PX150801_QA_Distribution_Iliac_Crest_Placement
PX150801080000 Actigraph placed as close to iliac crest as more
possible show less
N/A
PX150801_QA_Distribution_Participant_Questions
PX150801110000 Participant asked if they have any questions N/A
PX150801_QA_Distribution_Return_Procedure
PX150801100000 Procedure for returning Actigraph explained more
to participant show less
N/A
PX150801_QA_Distribution_Review_Form
PX150801130000 Reviews forms for completeness N/A
PX150801_QA_Distribution_USB
PX150801030000 ActiGraph is connected to USB cable N/A
PX150801_QA_Distribution_USB_Disconnected
PX150801060000 ActiGraph disconnected from USB cable and OK more
clicked show less
N/A
PX150801_QA_Distribution_Wearing_Instructions
PX150801070000 Participant instructed about how to wear ActiGraph N/A
PX150801_QA_Return_Data_Saved
PX150801220000 Data saved properly N/A
PX150801_QA_Return_Days_Recorded
PX150801250000 Records how many days the ActiGraph was worn more
on ActiGraph Return and Reading Form show less
N/A
PX150801_QA_Return_Diary_Recorded
PX150801270000 Records whether diary was completed more
partially, fully, or not at all on the ActiGraph Return and Reading Form show less
N/A
PX150801_QA_Return_Download_Button
PX150801210000 Download button clicked on ActiWeb Client Software N/A
PX150801_QA_Return_Enter_Activity_On_Computer
PX150801240000 Correctly enters activities on computer N/A
PX150801_QA_Return_Reviews_Forms
PX150801280000 Reviews forms for completeness N/A
PX150801_QA_Return_Review_Diary
PX150801230000 Reviews activity diary to see if completely more
filled out, partially filled out, or not filled out at all show less
N/A
PX150801_QA_Return_USB
PX150801200000 ActiGraph properly connected to USB cable N/A
PX150801_QA_Return_Valid_Days_Recorded
PX150801260000 Records how many valid days the ActiGraph more
was worn on ActiGraph Return and Reading Form show less
N/A
PX150801_Reason_No_Activity_Recorded
PX150801180200 Why wasn't any activity collected and more
recorded on the ActiGraph? (Please mark all that apply.) show less
N/A
PX150801_Reason_No_Activity_Recorded_Specify
PX150801180300 Completed if answer is Other Specify N/A
PX150801_Reason_Participant_NotReceive_Actigraph
PX150801020200 Why didn't the participant receive an ActiGraph? N/A
PX150801_Reason_Participant_NotReceive_Actigraph_Other
PX150801020202 Other (Please Specify) N/A
PX150801_Reason_Participant_NotReceive_Actigraph_PhysicalMedical
PX150801020201 Physical/Medical Problem (Please Specify) N/A
Physical Activity and Physical Fitness
Measure Name

Total Physical Activity-Objective Measure

Release Date

May 10, 2010

Definition

Physical movements measured by accelerometer(s).

Purpose

Recent physical activity patterns are a predictor of lifestyle, and individuals with sedentary lifestyles are at a greater risk for obesity and chronic disease.

Keywords

Actigraph, Actigraphy, Accelerometer, Acceleration, movement, Motion sensing, Epoch, Health ABC Study, physical activity, Activity Counts, energy expenditure, Activity Intensity, Physical Activity and Physical Fitness

Measure Protocols
Protocol ID Protocol Name
150801 Total Physical Activity-Objective Measure
Publications

Barbirou, M., et al. (2020) Western influenced lifestyle and Kv2.1 association as predicted biomarkers for Tunisian colorectal cancer. BMC Cancer. 2020 November; 20: Article Number: 1086. doi: 10.1186/s12885-020-07605-7

Webel, A. R., et al. (2020) The PROSPER-HIV Study: A Research Protocol to Examine Relationships Among Physical Activity, Diet Intake, and Symptoms in Adults Living With HIV. Janac-Journal of the Association of Nurses in Aids Care. 2020 May; 31(3): 346-352. doi: 10.1097/JNC.0000000000000145

Webel, A. R., et al. (2019) Relationship of HIV Status and Fatigue, Cardiorespiratory Fitness, Myokines, and Physical Activity. Janac-Journal of the Association of Nurses in Aids. 2019 July; 30(4): 392-404. doi: 10.1097/JNC.0000000000000022

Balshaw D. M., Kwok, R. K. (2012) Innovative methods for improving measures of the personal environment. Am J Prev Med. 2012 May; 42(5): 558-9. doi: 10.1016/j.amepre.2012.02.002