How many daily steps are really enough for adolescents? A cross-validation study

  1. Maribel Parra Saldías 1
  2. Daniel Mayorga-Vega 2
  3. Iván López-Fernández 3
  4. Jesús Viciana 2
  1. 1 Universidad de Los Lagos, Chile
  2. 2 Universidad de Granada, España
  3. 3 Universidad de Málaga, España
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Revista:
Retos: nuevas tendencias en educación física, deporte y recreación

ISSN: 1579-1726,  1988-2041

Ano de publicación: 2018

Número: 33

Páxinas: 241-246

Tipo: Artigo

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Outras publicacións en: Retos: nuevas tendencias en educación física, deporte y recreación

Resumo

The main purpose of the present study was to compare the accuracy of total daily steps thresholds associated to the recommended 60 min per day moderate-to-vigorous physical activity in adolescents. A total of 156 adolescents, 87 males and 69 females, participated in the present study. Objectively-measured moderate-to-vigorous physical activity and steps were assessed by GT3X accelerometers for eight consecutive days. The accuracy of the following total daily steps thresholds was calculated (males/females): 9,930, 11,714, 12,000, 11,000/10,500, 14,000/11,500, 13,000/ 12,000, 8,500/7,500, 11,500/9,000, 10,500/9,500, 12,118, 12,118/12,605, and 10,000. The results of accuracy both uncensored and censored total daily steps cut-off points ranged from low to high. For the uncensored total daily steps, the cut-off 11,000 for males and 10,500 for females showed the best results: Sensitivity = .85; Specificity = .94; Youden’s index = .78; Proportion of agreement = .93, and Kappa coefficient = .67, p < .001. For the censored total daily steps, the 10,000 cut-off score showed the best results: Sensitivity = .77; Specificity = .95; Youden’s index = .72; Proportion of agreement = .93, and Kappa coefficient = .65, p < .001. Among adolescents for accelerometry-measured total daily steps the 11,000 for males and 10,500 for females cut-off points should be used. For population guidelines regarding health-enhancing steps in adolescents, the cut-off point of 10,000 daily steps seems to be the most appropriate.

Referencias bibliográficas

  • Active Healthy Kids Canada. (2010). Healthy habits start earlier than you think—The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. Toronto.
  • Active Healthy Kids Canada. (2015). The biggest risk is keeping kids indoors-The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. Toronto.
  • Active Healthy Kids Canada. (2016). Are Canadian kids too tired to move? The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. Toronto.
  • Adams, M., Caparosa, S., Thompson, S., & Norman, G. (2009). Translating physical activity recommendations for overweight adolescents to steps per day. American Journal of Preventive Medicine, 37(2), 137–140. http://doi.org/10.1016/j.amepre.2009.03.016
  • Adams, M., Johnson, W., & Tudor-Locke, C. (2013). A steps/day translation of the moderate-to-vigorous physical activity guideline for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 10(49). http://doi.org/10.1186/1479-5868-10-49
  • Arvidsson, D., Fitch, M., Hudes, M., Tudor-Locke, C., & Fleming, S. (2011). Accelerometer response to physical activity intensity in normal-weight versus overweight African American children. Journal of Physical Activity & Health, 8(5), 682–692.
  • Banda, J., Haydel, K., Davila, T., Desai, M., Bryson, S., Haskell, W., … Robinson, T. (2016). Effects of varying epoch lengths, wear time algorithms, and activity cut-points on estimates of child sedentary behavior and physical activity from accelerometer data. PLoS One, 11(3), e0150534. http://doi.org/10.1371/journal.pone.0150534
  • Baumgartner, T., Jackson, A., Mahar, M., & Rowe, D. (2015). Measurement for evaluation in kinesiology (9th ed.). Burlington, USA: Jones and Bartlett Learning.
  • Cain, K. L., Sallis, J. F., Conway, T. L., Van Dyck, D., & Calhoon, L. (2013). Using accelerometers in youth physical activity studies: A review of methods. Journal of Physical Activity & Health, 10, 437–450.
  • Calahorro, F., Torres-Luque, G., López-Fernández, I., Santos-Lozano, A., Garatachea, N., & Álvarez, E. (2015). Actividad física y acelerometría; orientaciones metodológicas, recomendaciones y patrones. Nutrición Hospitalaria, 31, 115–128.
  • Castro-Piñero, J., Artero, E., España-Romero, V., Ortega, F., Sjöström, M., Suni, J., & Ruiz, J. (2010). Criterion-related validity of field-based fitness tests in youth: A systematic review. British Journal of Sports Medicine, 44(13), 934–943. http://doi.org/10.1136/bjsm.2009.058321
  • Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ (Clinical Research Ed.), 320(7244), 1240–1243.
  • Colley, R., Janssen, I., & Tremblay, M. (2012). Daily step target to measure adherence to physical activity guidelines in children. Medicine and Science in Sports and Exercise, 44(5), 977–982. http://doi.org/10.1249/MSS.0b013e31823f23b1
  • Craig, C., Cameron, C., Griffiths, J., & Tudor-Locke, C. (2010). Descriptive epidemiology of youth pedometer-determined physical activity: CANPLAY. Medicine and Science in Sports and Exercise, 42(9), 1639–1643. http://doi.org/10.1249/MSS.0b013e3181d58a92
  • Da Silva, M., Fontana, F., Callahan, E., Mazzardo, O., & De Campos, W. (2015). Step-count guidelines for children and adolescents: A systematic review. Journal of Physical Activity & Health, 12(8), 1184–1191. http://doi.org/10.1123/jpah.2014-0202
  • Dollman, J., Olds, T., Esterman, A., & Kupke, T. (2010). Pedometer step guidelines in relation to weight status among 5- to 16-year-old Australians. Pediatric Exercise Science, 22(2), 288–300.
  • Evenson, K. R., Catellier, D. J., Gill, K., Ondrak, K. S., & McMurray, R. G. (2008). Calibration of two objective measures of physical activity for children. Journal of Sports Sciences, 26(14), 1557–1565.
  • Field, A. (2013). Discovering statistics using IBM SPSS Statistics (4th ed.). London: SAGE Publications.
  • Fontana, F., da Silva, M., Marston, R., Finn, K., & Gallagher, J. (2015). Step-count guidelines referenced on 60-minutes of moderate/vigorous physical activity. Motriz, 21(1), 92–99. http://doi.org/10.1590/S1980-65742015000100012
  • Gómez-Campos, R., Andruske, C., Hespanhol, J., Torres, J., Arruda, M., Luarte-Rocha, C., & Cossio-Bolaños, M. (2015). Waist circumferences of Chilean students: Comparison of the CDC-2012 standard and proposed percentile curves. International Journal of Environmental Research and Public Health, 12(7), 7712–7724. http://doi.org/10.3390/ijerph120707712
  • Harrell, J., McMurray, R., Baggett, C., Pennell, M., Pearce, P., & Bangdiwala, S. (2005). Energy costs of physical activities in children and adolescents. Medicine and Science in Sports and Exercise, 37(2), 329–336.
  • Janssen, I., & Leblanc, A. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7(40). http://doi.org/10.1186/1479-5868-7-40
  • Léger, L., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 meter shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 93–101.
  • Mattocks, C., Ness, A., Leary, S., Tilling, K., Blair, S., Shield, J., … Riddoch, C. (2008). Use of accelerometers in a large field-based study of children: Protocols, design issues, and effects on precision. Journal of Physical Activity & Health, 5(1), S98-111.
  • Mayorga-Vega, D., Aguilar-Soto, P., & Viciana, J. (2015). Criterion-related validity of the 20-m shuttle run test for estimating cardiorespiratory fitness: A meta-analysis. Journal of Sports Science and Medicine, 14(3), 536–547.
  • Mayorga-Vega, D., Bocanegra-Parrilla, R., Ornelas, M., & Viciana, J. (2016). Criterion-related validity of the distance- and time-based walk/run field tests for estimating cardiorespiratory fitness: A systematic review and meta-analysis. Plos One, 11(3), e0151671. http://doi.org/10.1371/journal.pone.0151671
  • Ojiambo, R., Cuthill, R., Budd, H., Konstabel, K., Casajús, J., González-Agüero, A., … Pitsiladis, Y. (2011). Impact of methodological decisions on accelerometer outcome variables in young children. International Journal of Obesity, 35(1), S98-103. http://doi.org/10.1038/ijo.2011.40
  • Oliver, M., Badland, H. M., Schofield, G. M., & Shepherd, J. (2011). Identification of accelerometer nonwear time and sedentary behavior. Research Quarterly for Exercise and Sport, 82(4), 779–783.
  • Poitras, V., Gray, C., Borghese, M., Carson, V., Chaput, J., Janssen, I., … Tremblay, M. (2016). Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism, 41(6), S197-239. http://doi.org/10.1139/apnm-2015-0663
  • Ridley, K., Ainsworth, B., & Olds, T. (2008). Development of a compendium of energy expenditures for youth. International Journal of Behavioral Nutrition and Physical Activity, 5(45). http://doi.org/10.1186/1479-5868-5-45
  • Ridley, K., & Olds, T. (2008). Assigning energy costs to activities in children: A review and synthesis. Medicine and Science in Sports and Exercise, 40(8), 1439–1446. http://doi.org/10.1249/MSS.0b013e31817279ef
  • Ruiz, J., Castro-Piñero, J., España-Romero, V., Artero, E., Ortega, F., Cuenca, M., … Castillo, M. (2011). Field-based fitness assessment in young people: The ALPHA health-related fitness test battery for children and adolescents. British Journal of Sports Medicine, 45(6), 518–524. http://doi.org/10.1136/bjsm.2010.075341
  • Ruiz, J., Huybrechts, I., Cuenca-García, M., Artero, E., Labayen, I., Meirhaeghe, A., … Ortega, F. (2015). Cardiorespiratory fitness and ideal cardiovascular health in European adolescents. Heart, 101(10), 766–773. http://doi.org/10.1136/heartjnl-2014-306750
  • Santos-Lozano, A., Santin-Medeiros, F., Cardon, G., Torres-Luque, G., Bailon, R., Bergmeir, C., … Garatachea, N. (2013). Actigraph GT3X: Validation and determination of physical activity intensity cut points. International Journal of Sports Medicine, 34(11), 975–982. http://doi.org/10.1055/s-0033-1337945
  • Silva, P., Aires, L., Santos, R. M., Vale, S., Welk, G., & Mota, J. (2011). Lifespan snapshot of physical activity assessed by accelerometry in Porto. Journal of Physical Activity & Health, 8(3), 352–360.
  • Trost, S. G., Loprinzi, P. D., Moore, R., & Pfeiffer, K. A. (2011). Comparison of accelerometer cut points for predicting activity intensity in youth. Medicine and Science in Sports and Exercise, 43(7), 1360–1368. http://doi.org/10.1249/MSS.0b013e318206476e
  • Tudor-Locke, C., Ainsworth, B., Thompson, R., & Matthews, C. (2002). Comparison of pedometer and accelerometer measures of free-living physical activity. Medicine and Science in Sports and Exercise, 34(12), 2045–2051.
  • Tudor-Locke, C., Craig, C., Beets, M., Belton, S., Cardon, G., Duncan, S., … Blair, S. (2011). How many steps/day are enough? for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 8, 78. http://doi.org/10.1186/1479-5868-8-78
  • Tudor-Locke, C., Johnson, W., & Katzmarzyk, P. (2010). Accelerometer-determined steps per day in US children and youth. Medicine and Science in Sports and Exercise, 42(12), 2244–2250. http://doi.org/10.1249/MSS.0b013e3181e32d7f
  • Welk, G., Laurson, K., Eisenmann, J., & Cureton, K. (2011). Development of youth aerobic-capacity standards using receiver operating characteristic curves. American Journal of Preventive Medicine, 41(4), S111-116. http://doi.org/10.1016/j.amepre.2011.07.007
  • World Health Organization. (2010). Global recommendations on physical activity for health. Switzerland: World Health Organization.
  • World Health Organization. (2014). Global status report on noncommunicable diseases 2014. Geneva.
  • Zhu, W., Mahar, M., Welk, G., Going, S., & Cureton, K. (2011). Approaches for development of criterion-referenced standards in health-related youth fitness tests. American Journal of Preventive Medicine, 41(4), S68-76. http://doi.org/10.1016/j.amepre.2011.07.001
  • Zimmermann-Sloutskis, D., Wanner, M., Zimmermann, E., & Martin, B. W. (2010). Physical activity levels and determinants of change in young adults: A longitudinal panel study. The International Journal of Behavioral Nutrition and Physical Activity, 7, 2. http://doi.org/10.1186/1479-5868-7-2
Fonte de datos: Dialnet