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Comparison of a thigh worn accelerometer algorithm with diary estimates of time in bed and time asleep: the 1970 British Cohort Study

Inan-Eroglu, E; Huang, B-H; Shepherd, L; Pearson, N; Koster, A; Palm, P; Cistulli, P; ... Stamatakis, E; + view all (2021) Comparison of a thigh worn accelerometer algorithm with diary estimates of time in bed and time asleep: the 1970 British Cohort Study. Journal for the Measurement of Physical Behaviour , 4 (1) pp. 60-67. 10.1123/jmpb.2020-0033. Green open access

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Abstract

Background: Thigh-worn accelerometers have established reliability and validity for measurement of free-living physical activity-related behaviors. However, comparisons of methods for measuring sleep and time in bed using the thigh-worn accelerometer are rare. The authors compared the thigh-worn accelerometer algorithm that estimates time in bed with the output of a sleep diary (time in bed and time asleep). Methods: Participants (N = 5,498), from the 1970 British Cohort Study, wore an activPAL device on their thigh continuously for 7 days and completed a sleep diary. Bland–Altman plots and Pearson correlation coefficients were used to examine associations between the algorithm derived and diary time in bed and asleep. Results: The algorithm estimated acceptable levels of agreement with time in bed when compared with diary time in bed (mean bias of −11.4 min; limits of agreement −264.6 to 241.8). The algorithm-derived time in bed overestimated diary sleep time (mean bias of 55.2 min; limits of agreement −204.5 to 314.8 min). Algorithm and sleep diary are reasonably correlated (ρ = .48, 95% confidence interval [.45, .52] for women and ρ = .51, 95% confidence interval [.47, .55] for men) and provide broadly comparable estimates of time in bed but not for sleep time. Conclusions: The algorithm showed acceptable estimates of time in bed compared with diary at the group level. However, about half of the participants were outside of the ±30 min difference of a clinically relevant limit at an individual level.

Type: Article
Title: Comparison of a thigh worn accelerometer algorithm with diary estimates of time in bed and time asleep: the 1970 British Cohort Study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1123/jmpb.2020-0033
Publisher version: https://doi.org/10.1123/jmpb.2020-0033
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: activPAL; sleep; sleep diary
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10120536
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