TitleAllometrically Scaled Children's Clinical and Free-Living Ambulatory Behavior.
Publication TypeJournal Article
Year of Publication2016
AuthorsLim, J, Schuna, Jr, JM, Busa, MA, Umberger, BR, Katzmarzyk, PT, VAN Emmerik, REA, Tudor-Locke, C
JournalMed Sci Sports Exerc
Volume48
Issue12
Pagination2407-2416
Date Published2016 12
ISSN1530-0315
KeywordsAccelerometry, Child, Female, Gait, Humans, Leg, Male, Walking
Abstract
 

PURPOSE: This study aimed to compare clinical and free-living walking cadence in school-age children and to examine how the allometric scaling of leg length variability affects objective ambulatory activity assessment.

METHODS: A total of 375 children (154 boys and 221 girls, 9-11 yr old) completed GAITRite-determined slow, normal, and fast walks and wore accelerometers for 1 wk. Dependent variables from clinical assessment included gait speed, cadence, and step length, whereas steps per day, peak 1-min cadence, and peak 60-min cadence were assessed during free living. Analogous allometrically scaled variables were used to account for leg length differences. Free-living times above clinically determined individualized slow, normal, and fast cadence values were calculated. Differences in dependent variables between sex and sex-specific leg length tertiles were assessed.

RESULTS: Clinically assessed cadence (mean ± SD) was 90.9 ± 15.2 (slow), 113.8 ± 12.9 (normal), and 148.9 ± 20.9 (fast) steps per minute, respectively. During free living, participants accumulated 8651 ± 2259 steps per day. Peak 1-min cadence was 113.4 ± 12.4 steps per minute and peak 60-min cadence was 60.1 ± 11.4 steps per minute. Allometrically scaling gait variables to leg length eliminated the previously significant leg length effect observed in both clinical and free-living gait variables but did not affect the observation that girls exhibited lower levels of free-living ambulatory behavior measured by mean steps per day. On average, all groups spent <15 min·d above clinically determined slow cadence; this was unaffected by leg length.

CONCLUSION: Allometrically scaling gait variables to leg length significantly affected the assessment of ambulatory behavior, such that different leg length groups appear to walk in a dynamically similar manner. Leg length effects on free-living ambulatory behavior were also eliminated by implementing estimates of time spent above individualized cadence cut points derived from clinical gait assessment.

DOI10.1249/MSS.0000000000001057
Alternate JournalMed Sci Sports Exerc
PubMed ID27471783