TitleCadence (steps/min) and intensity during ambulation in 6-20 year olds: the CADENCE-kids study.
Publication TypeJournal Article
Year of Publication2018
AuthorsTudor-Locke, C, Schuna, Jr, JM, Han, H, Aguiar, EJ, Larrivee, S, Hsia, DS, Ducharme, SW, Barreira, TV, Johnson, WD
JournalInt J Behav Nutr Phys Act
Volume15
Issue1
Pagination20
Date Published02/2018
ISSN1479-5868
Abstract
 

BACKGROUND: Steps/day is widely utilized to estimate the total volume of ambulatory activity, but it does not directly reflect intensity, a central tenet of public health guidelines. Cadence (steps/min) represents an overlooked opportunity to describe the intensity of ambulatory activity. We sought to establish thresholds linking directly observed cadence with objectively measured intensity in 6-20 year olds.

METHODS: One hundred twenty participants completed multiple 5-min bouts on a treadmill, from 13.4 m/min (0.80 km/h) to 134.0 m/min (8.04 km/h). The protocol was terminated when participants naturally transitioned to running, or if they chose to not continue. Steps were visually counted and intensity was objectively measured using a portable metabolic system. Youth metabolic equivalents (METy) were calculated for 6-17 year olds, with moderate intensity defined as ≥4 and < 6 METy, and vigorous intensity as ≥6 METy. Traditional METs were calculated for 18-20 year olds, with moderate intensity defined as ≥3 and < 6 METs, and vigorous intensity defined as ≥6 METs. Optimal cadence thresholds for moderate and vigorous intensity were identified using segmented random coefficients models and receiver operating characteristic (ROC) curves.

RESULT: Participants were on average (± SD) aged 13.1 ± 4.3 years, weighed 55.8 ± 22.3 kg, and had a BMI z-score of 0.58 ± 1.21. Moderate intensity thresholds (from regression and ROC analyses) ranged from 128.4 steps/min among 6-8 year olds to 87.3 steps/min among 18-20 year olds. Comparable values for vigorous intensity ranged from 157.7 steps/min among 6-8 year olds to 119.3 steps/min among 18-20 year olds. Considering both regression and ROC approaches, heuristic cadence thresholds (i.e., evidence-based, practical, rounded) ranged from 125 to 90 steps/min for moderate intensity, and 155 to 125 steps/min for vigorous intensity, with higher cadences for younger age groups. Sensitivities and specificities for these heuristic thresholds ranged from 77.8 to 99.0%, indicating fair to excellent classification accuracy.

CONCLUSIONS: These heuristic cadence thresholds may be used to prescribe physical activity intensity in public health recommendations. In the research and clinical context, these heuristic cadence thresholds have apparent value for accelerometer-based analytical approaches to determine the intensity of ambulatory activity.

DOI10.1186/s12966-018-0651-y
Alternate JournalInt J Behav Nutr Phys Act
PubMed ID29482554
PubMed Central IDPMC5828000
Grant ListR21 HD073807 / HD / NICHD NIH HHS / United States
U54 GM104940 / GM / NIGMS NIH HHS / United States
NIH NICHD 1R21HD073807 / / National Institute of Child Health and Human Development /
1 U54 GM104940 / / National Institute of General Medical Sciences /