Physical activity values in two-to-seven-year-old children measured by accelerometer over five consecutives 24-hour days
Introduction. Interpretation of accelerometer-derived physical activity in preschool children is confounded by differences in cut-off points.Aim. The purpose of this study was to analyze physical activity in 2-to-7-year-old children to establish reference values for daily activity. Methods. Observational study in children aged 2-7 years, without chronic diseases and whose parents provided informed consent. The main variable was physical activity, measured continuously over 120 hours (three workdays and two weekend days) by accelerometer. Secondary variables were weight status (BMI Z-score) and gender. The relationship between the main variable and secondary variables was determined through the t-test, ANOVA and the Pearson correlation coefficient. A multivariate model was used to obtain the standard deviation of all possible combinations of values, constructing percentiles of normality(x±s and x±2·s).Results. 136 children (35% of municipality children), 54.4% girls. Their weight status distribution was: 25 underweight(18.4%), 35 normal weight(25.7%), 40 overweight(29.4%) and 36 obese(26.5%). The median age was 5.7 years and the mean physical activity was 591.9 counts/minute. The boys undertook more physical activity(p=0.031) and the underweight and normal-weight children undertook more physical activity than the overweight and obese children(p=0.032). There were no significant differences according to age. The multivariate analysis showed significant differences(p<0.001) according to gender and weight status. In boys, physical activity decreased as weight status increased. In contrast, the girls in the extreme BMI groups obtained higher levels of physical activity.Conclusion. The reference values obtained, categorized by gender and weight status, provide clinicians with standardized daily physical activity levels of preschool-age children.