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103 protocols using actilife software

1

Objective Measurement of Physical Activity

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Level of PA was objectively measured by triaxial accelerometer (ActiGraph GT3X+, LLC, Pensacola, FL, USA) worn for 4 consecutive days (2 weekdays and 2 weekend days). The accelerometer was worn on the right hip for the entire day, except during water-based activities or while sleeping. Accelerometers were initialized to start recording at 06:00 on the day after they were distributed. Epoch length was set to 10-s intervals. The criterion for a valid day was set as a wear time of 480 min/day between 06:00 and 24:00. A total of ≥ 2 days (weekdays and/or weekend days) was the criteria for a valid measurement. All sequences of ≥ 20 min of consecutive zero counts from each subject’s recording were excluded and defined as non-wear time, as this indicates periods in which participants did not wear the accelerometer. We used ActiLife software (ActiGraph, LLC, Pensacola, FL, USA) to initialize the monitors and to download the accelerometer files. The outcomes for total PA were counts per minute (cpm) from the accelerometer’s vertical axis (cpm axis 1). Sedentary time was defined as all activities less than 100 cpm, a threshold that corresponds with sitting, reclining or lying down [29 ]. Evenson’s criteria [29 ] were used to define cut-offs for moderate-to-vigorous PA. We analysed all accelerometer data using ActiLife software (ActiGraph, LLC, Pensacola, FL, USA).
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2

Accelerometer Data Analysis Protocol

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Raw accelerometer data were downloaded and converted into 15‐second epochs for hip‐worn physical activity and sedentary behavior data, while sleep data were downloaded into 60‐second epochs. Data were visually inspected for any technical malfunctions or spurious counts. All analyses were completed in Actilife software (ActiGraph Corporation, Pensacola, FL, USA).
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3

Accelerometer-Based Physical Activity Assessment

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PA was assessed via accelerometry. The triaxial actigraph wGT3X-BT (ActiGraph LLC, Pensacola, United States) was set up at a 30 Hz sampling rate and worn around the hip for seven consecutive days. Data processing was done in the ActiLife software (version 6.13.4; ActiGraph LLC, Pensacola, United States) using a 10 s epoch length and the Troiano et al. algorithm to remove non-wear-time (24 (link)). PA measurements were included for further analyses if they consisted of at least three valid schooldays and one valid weekend day. A valid day was defined by a minimum of three hours’ wear-time between 08:00 and 15:00 (school days), or eight hours between 06:00 and 24:00 (weekend day). MVPA was calculated as minutes per day spent in moderate and vigorous intensity activity levels, as defined by Evenson et al. cut-off points. Non-compliance with the 60 min of MVPA per day recommended for children by the World Health Organization (WHO) was considered physical inactivity.
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4

Wrist-Worn Accelerometry for Physical Activity and Sedentary Behavior Assessment

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Tri-axial ActiGraph wGT3X-BT accelerometers (ActiGraph LLC, Pensacola, FL, USA) were used to assess PA, SB with standard device initialization (sample rate of 60 Hz, 10 s epochs, and normal filter option). In this study, every participant was asked to wear the accelerometer on the dominant wrist for 7 consecutive days except during water activities (e.g., swimming and showering). On day 8 of the survey, the staff retrieved the accelerometers and downloaded the data using the latest version of ActiLife software (version 6.0; ActiGraph, Pensacola, FL, USA). Freedson’s Adult VM3 (2011) [28 (link)] cut-off points were used to determine PA at different intensities: light: 0–2690 counts per minute (CPM); moderate: 2691–6166 CPM; vigorous: 6167–9642 CPM; and very vigorous: 9643+ CPM; sedentary behaviour < 100 CPM. Non-wear periods were identified as 60 consecutive minutes with no movement data (0 counts).
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5

Accelerometer-Based Assessment of Youth Physical Activity

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Students completed the motivation questionnaires and the leisure-time PA questionnaire during one scheduled classroom lesson. Research assistants then demonstrated the correct positioning of an accelerometer and requested that students wear the device for the following seven-days. Students received a text message reminder each morning to encourage them to wear the device. During this period, participants also completed the 48-h travel diary during two scheduled lessons 2 days apart.
To prepare the accelerometer data, we created wear-time files consisting of a count-value for each 1-s epoch of data, excluding periods of ≥60 min of consecutive zero counts, allowing for a 1–2 min spike tolerance of 0–100 counts per minute [39 (link)]. We then used ActiLife software (Actigraph, LLC, Fort Walton Beach, FL) to specify the time periods to be analyzed for each participant (i.e., leisure-time and active travel). The active travel data period was defined by each student’s self-reported recall travel times, and the leisure-time data consisted of all wear-time counts, minus the school day (defined by school bells) and the active travel period. Within each domain, we categorized each epoch count-value based on the intensity of raw acceleration into its corresponding intensity of PA (i.e., sedentary, light, moderate, or vigorous) based on Evenson and colleagues’ equations [40 (link)].
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6

Accelerometer-Based Physical Activity Measurement

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Physical activity was measured using an Actigraph GT3X model (Actigraph LLC, Pensacola, FL, USA) accelerometer. The monitor was worn on the hip with a belt for a seven-day period by the participants, who were requested to remove it only for sleeping and bathing. The recorded data files were downloaded and processed using Actilife software (version 6, Actigraph, 2012). Only days on which the monitors were worn for 10 or more hours were considered valid, and at least three days of data were required to validate the recorded data [40 (link)]. Steps per day were recorded, along with the number of minutes per day spent in intensity-specific categories. The physical activity was classified according to the classification developed by Freedson [41 (link)] as light (100–1951 counts per minute (CPM)), moderate (1952–5724 CPM), or vigorous (>5725 CPM). Moderate-to-vigorous physical activity (MVPA) was defined as the sum of minutes spent in moderate and vigorous physical activities (≥1952 CPM).
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7

Objective Sleep Monitoring via Actigraphy

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Participants wore a tri-axial wrist accelerometer (Actigraph GT3X+; ActiGraph LLC, Pensacola, FL, USA) on their non-dominant wrist for 24 hours/day for two weeks while completing IVR sleep diaries to collect objective indices of sleep. Movement data were collected in 60-second intervals. After finishing their two-week wear period, participants returned their device and the data were downloaded using ActiLife software (Version 6.7.3; ActiGraph). Based upon the actigraphy monitoring guideline from the Society of Behavioral Sleep Medicine 3 (link), sleep periods were first autoscored based upon the ActiLife software using the Cole-Kripke algorithm and then they were manually verified by trained research staff using the IVR sleep diary data for reference (if available) to assist in determining sleep period and to remove epochs when the device was determined to be off wrist.
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8

Accelerometer-Based Physical Activity Assessment

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Physical activity and sedentary time were measured using a triaxial wGT3X-BT accelerometer (ActiGraph LLC., Pensacola, FL, USA), a small device (3.3 × 4.6 × 1.5 cm; 19 g) with a dynamic range of ± 8 g. Sampling frequency was set to 100 Hz. Accelerometers were worn on an elastic belt at the right anterior axillary line for 7 consecutive days during waking hours except for water-based activities. Non-wear time (60 consecutive minutes of 0 counts106 (link),107 ) was excluded from the analyses. Only participants with ≥ 4 days of ≥ 10 h of wear time were included104 ,108 . Acceleration signal was converted into vertical axis counts over 60 s epochs and time (min/day) spent sedentary (< 100 CPM109 (link)) and in MVPA (≥ 2,020 CPM110 ) was calculated using ActiLife software (version 6.13.3; ActiGraph LLC., Pensacola, FL, USA).
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9

Wrist Actigraphy for Objective Sleep Monitoring

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Participants were trained in wrist actigraphy monitoring and wore a triaxial wrist actigraph (Actigraph GT3X+; ActiGraph LLC, Pensacola, FL, USA) on their non-dominant wrist for 2 weeks (24 hours/day) to provide another objective index of SOL, WASO, TST, and SE. Data were integrated into 60-second epochs. Following the actigraphy scoring guidelines from the Society of Behavioral Sleep Medicine (SBSM) [41 (link)], sleep periods were first autoscored using the ActiLife software (Version 6.7.3; ActiGraph) based upon the Cole-Kripke’s sleep algorithm. Then, those autoscored sleep periods were manually reviewed by trained research assistants to further remove artifact, off wrist periods and adjust sleep period based on the sleep diary data and actigraphy patterns as needed, according to standardized procedures developed by the lab and consistent with SBSM guidelines.
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10

Accelerometer-Based Physical Activity Assessment

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Time, intensity, and frequency of physical activity engagement will be assessed using ActiGraph GT9X accelerometers (ActiGraph Pensacola, USA) at pre-intervention (with aims to provide baseline comparisons), during the intervention (mid-way, approximately 8 weeks of intervention), and post-intervention (after 16 weeks). The ActiGraph GT9X is a small, light-weight accelerometer (19 g; 4.6 cm × 3.3 cm × 1.5 cm) capable of recording accelerations in the vertical (Y), horizontal right-left (X), and horizontal front-back (Z) axes to compute vector magnitude [VM = √(axisY2 + axisX2 + axisZ2)]. The ActiGraph GT9X records accelerations over pre-defined time periods (“epochs”). Following which, Actilife software (ActiGraph Pensacola, USA) is used to convert raw acceleration data into “activity counts” for analysis. In this study, the GT9X+ will be initialized to record accelerations in 60-s epochs over a period of 7 days at each assessment time point. During this 7 days, participants will be asked to wear the GT9X attached to an adjustable elastic belt on their right hip in a vertical position [90 , 91 (link)], and to remove the device only for sleeping and water-based activities (e.g., swimming, bathing).
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