Exploring Factors Associated With Accelerometer Validity Among Ethnically Diverse Toddlers.

Abstract

Studying physical activity in toddlers using accelerometers is challenging due to noncompliance with wear time (WT) and activity log (AL) instructions. The aims of this study are to examine relationships between WT and AL completion and (1)demographic and socioeconomic variables, (2)parenting style, and (3)whether sedentary time differs by AL completion. Secondary analysis was performed using baseline data from a community wellness program randomized controlled trial for parents with toddlers (12-35mo). Parents had toddlers wear ActiGraph wGT3x accelerometers and completed ALs. Valid days included ≥600-minute WT. Analysis of variance and chi-square analyses were used. The sample (n = 50) comprised racial and ethnically diverse toddlers (mean age = 27mo, 58% male) and parents (mean age = 31.7y, 84% female). Twenty-eight families (56%) returned valid accelerometer data with ALs. Participants in relationships were more likely to complete ALs (P < .05). Toddler sedentary time did not differ between those with ALs and those without. We found varied compliance with WT instructions and AL completion. Returned AL quality was poor, presenting challenges in correctly characterizing low-activity counts to improve internal validity of WT and physical activity measures. Support from marital partners may be important for adherence to study protocols.