Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants

<p><strong>Background:</strong> Movement behaviours, including physical activity, sedentary behaviour, and sleep have been shown to be associated with several chronic diseases. However, they have not been objectively measured in large-scale prospective cohort studies in low-and mid...

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Main Authors: Chen, Y, Chan, S, Bennett, D, Chen, X, Wu, X, Ke, Y, Lv, J, Sun, D, Pan, L, Pei, P, Yang, L, Chen, J, Chen, Z, Li, L, Du, H, Yu, C, Doherty, A
Other Authors: China Kadoorie Biobank Collaborative Group
Format: Journal article
Language:English
Published: BioMed Central 2023
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author Chen, Y
Chan, S
Bennett, D
Chen, X
Wu, X
Ke, Y
Lv, J
Sun, D
Pan, L
Pei, P
Yang, L
Chen, Y
Chen, J
Chen, Z
Li, L
Du, H
Yu, C
Doherty, A
author2 China Kadoorie Biobank Collaborative Group
author_facet China Kadoorie Biobank Collaborative Group
Chen, Y
Chan, S
Bennett, D
Chen, X
Wu, X
Ke, Y
Lv, J
Sun, D
Pan, L
Pei, P
Yang, L
Chen, Y
Chen, J
Chen, Z
Li, L
Du, H
Yu, C
Doherty, A
author_sort Chen, Y
collection OXFORD
description <p><strong>Background:</strong> Movement behaviours, including physical activity, sedentary behaviour, and sleep have been shown to be associated with several chronic diseases. However, they have not been objectively measured in large-scale prospective cohort studies in low-and middle-income countries. We aim to describe the patterns of device-measured movement behaviours collected in the China Kadoorie Biobank (CKB) study.</p> <p><strong>Methods:</strong> During 2020 and 2021, a random subset of 25,087 surviving CKB individuals participated in the 3rd resurvey of the CKB. Among them, 22,511 (89.7%) agreed to wear an Axivity AX3 wrist-worn triaxial accelerometer for seven consecutive days to assess their habitual movement behaviours. We developed a machine-learning model to infer time spent in four movement behaviours [i.e. sleep, sedentary behaviour, light intensity physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)]. Descriptive analyses were performed for wear-time compliance and patterns of movement behaviours by different participant characteristics.</p> <p><strong>Results:</strong> Data from 21,897 participants (aged 65.4 ± 9.1 years; 35.4% men) were received for demographic and wear-time analysis, with a median wear-time of 6.9 days (IQR: 6.1–7.0). Among them, 20,370 eligible participants were included in movement behavior analyses. On average, they had 31.1 mg/day (total acceleration) overall activity level, accumulated 7.7 h/day (32.3%) of sleep time, 8.8 h/day (36.6%) sedentary, 5.7 h/day (23.9%) in light physical activity, and 104.4 min/day (7.2%) in moderate-to-vigorous physical activity. There was an inverse relationship between age and overall acceleration with an observed decline of 5.4 mg/day (17.4%) per additional decade. Women showed a higher activity level than men (32.3 vs 28.8 mg/day) and there was a marked geographical disparity in the overall activity level and time allocation.</p> <p><strong>Conclusions:</strong> This is the first large-scale accelerometer data collected among Chinese adults, which provides rich and comprehensive information about device-measured movement behaviour patterns. This resource will enhance our knowledge about the potential relevance of different movement behaviours for chronic disease in Chinese adults.</p>
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spelling oxford-uuid:9ad16403-8773-485e-a978-e3caad6755102024-07-20T14:26:32ZDevice-measured movement behaviours in over 20,000 China Kadoorie Biobank participantsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9ad16403-8773-485e-a978-e3caad675510EnglishSymplectic ElementsBioMed Central2023Chen, YChan, SBennett, DChen, XWu, XKe, YLv, JSun, DPan, LPei, PYang, LChen, YChen, JChen, ZLi, LDu, HYu, CDoherty, AChina Kadoorie Biobank Collaborative Group<p><strong>Background:</strong> Movement behaviours, including physical activity, sedentary behaviour, and sleep have been shown to be associated with several chronic diseases. However, they have not been objectively measured in large-scale prospective cohort studies in low-and middle-income countries. We aim to describe the patterns of device-measured movement behaviours collected in the China Kadoorie Biobank (CKB) study.</p> <p><strong>Methods:</strong> During 2020 and 2021, a random subset of 25,087 surviving CKB individuals participated in the 3rd resurvey of the CKB. Among them, 22,511 (89.7%) agreed to wear an Axivity AX3 wrist-worn triaxial accelerometer for seven consecutive days to assess their habitual movement behaviours. We developed a machine-learning model to infer time spent in four movement behaviours [i.e. sleep, sedentary behaviour, light intensity physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)]. Descriptive analyses were performed for wear-time compliance and patterns of movement behaviours by different participant characteristics.</p> <p><strong>Results:</strong> Data from 21,897 participants (aged 65.4 ± 9.1 years; 35.4% men) were received for demographic and wear-time analysis, with a median wear-time of 6.9 days (IQR: 6.1–7.0). Among them, 20,370 eligible participants were included in movement behavior analyses. On average, they had 31.1 mg/day (total acceleration) overall activity level, accumulated 7.7 h/day (32.3%) of sleep time, 8.8 h/day (36.6%) sedentary, 5.7 h/day (23.9%) in light physical activity, and 104.4 min/day (7.2%) in moderate-to-vigorous physical activity. There was an inverse relationship between age and overall acceleration with an observed decline of 5.4 mg/day (17.4%) per additional decade. Women showed a higher activity level than men (32.3 vs 28.8 mg/day) and there was a marked geographical disparity in the overall activity level and time allocation.</p> <p><strong>Conclusions:</strong> This is the first large-scale accelerometer data collected among Chinese adults, which provides rich and comprehensive information about device-measured movement behaviour patterns. This resource will enhance our knowledge about the potential relevance of different movement behaviours for chronic disease in Chinese adults.</p>
spellingShingle Chen, Y
Chan, S
Bennett, D
Chen, X
Wu, X
Ke, Y
Lv, J
Sun, D
Pan, L
Pei, P
Yang, L
Chen, Y
Chen, J
Chen, Z
Li, L
Du, H
Yu, C
Doherty, A
Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title_full Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title_fullStr Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title_full_unstemmed Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title_short Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants
title_sort device measured movement behaviours in over 20 000 china kadoorie biobank participants
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