Associations between device-measured physical activity and performance-based physical function outcomes in adults: a systematic review and meta-analysis
dc.contributor.author | Culverhouse, J | |
dc.contributor.author | Hillsdon, M | |
dc.contributor.author | Metcalf, B | |
dc.contributor.author | Nunns, M | |
dc.contributor.author | Lear, R | |
dc.contributor.author | Brailey, G | |
dc.contributor.author | Pulsford, R | |
dc.date.accessioned | 2023-11-16T09:44:56Z | |
dc.date.issued | 2023-10-30 | |
dc.date.updated | 2023-11-15T20:32:04Z | |
dc.description.abstract | This systematic review and meta-analysis aimed to examine the association between device-measured physical activity (PA) and performance-based measures of physical function (PF). Databases searched included CINAHL, Embase, MEDLINE/PubMed, SPORTDiscus, and Web of Science (last search conducted on November 11, 2022). Observational studies (cross-sectional or prospective) reporting associations between wearable device-measured PA and PF outcomes in non-clinical adults were eligible. Forty-two studies with a pooled sample of 27 276 participants were eligible, with 34 studies reporting a standardised regression coefficient (β) between at least one of four PA measures and one of six PF outcomes. All measures of PA were positively associated with all measures of PF, except for step count with grip strength. Largest associations were seen with lower-body PF tests; gait speed (βs=0.11–0.26), walk tests (βs=0.18–0.41), chair-rise test (βs=0.10–0.26), balance (βs=0.07–0.24) and Timed Up-and-Go (βs=0.10–0.24) all p<0.01. Small or no association was seen with grip strength (βs=0.02–0.07). In observational studies of general adult populations, there were associations between multiple dimensions of PA and a broad range of PF measures. The findings provide provisional support for the use of device measures of movement to remotely monitor people for risk of low PF. Prospective designs are needed to determine the direction of the relationship. Future studies should also explore a broader range of PA metrics beyond simple aggregate measures of time spent at different acceleration values as there is evidence that the temporal distribution of activity is related to health and functional outcomes. | en_GB |
dc.description.sponsorship | Economic and Social Research Council (ESRC) | en_GB |
dc.format.extent | e100000-e100000 | |
dc.identifier.citation | Vol. 1, article e100000 | en_GB |
dc.identifier.doi | https://doi.org/10.1136/bmjph-2023-100000 | |
dc.identifier.grantnumber | ES/P000630/1 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/134551 | |
dc.identifier | ORCID: 0000-0001-6880-7597 (Pulsford, Richard) | |
dc.language.iso | en | en_GB |
dc.publisher | BMJ Publishing Group | en_GB |
dc.rights | © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. h This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. | en_GB |
dc.title | Associations between device-measured physical activity and performance-based physical function outcomes in adults: a systematic review and meta-analysis | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-11-16T09:44:56Z | |
dc.description | This is the final version. Available on open access from BMJ Publishing Group via the DOI in this record | en_GB |
dc.identifier.eissn | 2753-4294 | |
dc.identifier.journal | BMJ Public Health | en_GB |
dc.relation.ispartof | BMJ Public Health, 1(1) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-10-09 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-10 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-11-16T09:43:09Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-11-16T09:45:59Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-10-30 |
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Except where otherwise noted, this item's licence is described as © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. h
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.