Accelerometry cut points for physical activity in underserved African Americans
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RESEARCH
Open Access
Accelerometry cut points for physical activity in underserved African Americans Nevelyn N Trumpeter1*, Hannah G Lawman1, Dawn K Wilson1, Russell R Pate2, M Lee Van Horn1 and Alicia K Tate1
Abstract Background: Despite their increased use, no studies have examined the validity of Actical accelerometry cut points for moderate physical activity (PA) in underserved (low-income, high-crime), minority populations. The high rates of chronic disease and physical inactivity in these populations likely impact the measurement of PA. There is growing concern that traditionally defined cut points may be too high for older or inactive adults. The present study aimed to determine the self-selected pace associated with instructions to “walk for exercise” and the corresponding accelerometry estimates (e.g., Actical counts/minute) for underserved, African American adults. Method: Fifty one participants (61% women) had a mean age of 60.1 (SD = 9.9) and a mean body mass index of 30.5 kg/m2 (SD = 6.0). They performed one seated task, one standing task, and three walking tasks: “strolling”; “walking for exercise”; and “walking in an emergency.” Results: The average pace for strolling, walking for exercise, and walking in an emergency were 1.62 miles per hour (mph; SD = .51), 2.51 mph (SD = .53), and 2.86 mph (SD = .58), respectively. The average Actical counts/minute for the five activities were: 4 (SD = 15), 16 (SD = 29), 751 (SD = 591), 2006 (SD = 1095), and 2617 (SD = 1169), respectively. Regression analyses showed that the predicted counts/minute for a pace of 2.0 mph (which is used as the criterion for moderate exercise in this study) was 1075 counts/minute (SEM = 73). Conclusions: The cut point associated with subjectively determined moderate PA is similar to those previously published for older adults and extends the use of adjusted cut points to African American populations. These results indicate that accurate cut points can be obtained using this innovative methodology. Keywords: Actical, Older adults, Low-income adults, African american adults, Calibration, Moderate physical activity, Cut points
Background Despite evidence that regular physical activity (PA) is associated with improved fitness and reduced incidence of chronic disease, the majority of Americans do not meet national recommendations of 150 minutes of PA per week [1,2]. Research on psychosocial and environmental correlates of PA as well as interventions to increase PA rely on accurate measurements of free-living PA and energy expenditure (EE) to assess outcomes. Accelerometers have been used for this purpose because they offer a number of advantages. Not only do they estimate the duration, frequency, and intensity of PA, they also are non-intrusive, convenient, and more objective * Correspondence: [email protected] 1 Department of Psychology, University of South Carolina, Barnwell College, Columbia, SC 29208, USA Full list of author information is available at the end of the article
than self-report measures [3]. Accelerometers ca
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