Review Article

Review of Prediction Models to Estimate Activity-Related Energy Expenditure in Children and Adolescents

Table 5

Data of included studies.

StudyPopulationScore checklist (out of 10)SettingAccelerometer (placement)Prediction model(s)Conclusion authors

Corder et al. [13]39 children aged  yr, 23 , 16 .7.5Laboratory setting.Actiheart (chest)
Actigraph (hip, ankle)
Actical (hip)
Six prediction models were derived, one not consisting of accelerometer counts, this one was excluded.Corder et al. concluded that the combined HR and activity monitor Actiheart is valid for estimating AEE in children during treadmill walking and running. The combination of HR and activity counts provides the most accurate estimate of AEE as compared with accelerometry measures alone.
Corder et al. [14]145 children aged  yr, 66 , 79 .7.5Laboratory setting.Actigraph (hip)
Actiheart (chest)
Five previously published prediction models (Coder et al. [13](3), Puyau et al. [17], Trost et al. 19)Three derived using the current data.Corder et al. concluded that the ACC and HR + ACC can both be used to predict overall AEE during these six activities in children; however, systematic error was present in all predictions. Although both ACC and HR + ACC provides accurate predictions of overall AEE, according to the activities in their study, Corder et al. concluded that AEE-prediction models using HR + ACC may be more accurate and widely applicable than those based on accelerometry alone.
Ekelund et al. [15]26 children aged  yr, 15 , 11 .8.0Free-living.Actigraph/CSA (centre of gravity/lower back)One prediction model derived.Ekelund et al. concluded that activity counts contributed significantly to the explained variation in TEE and was the best predictor of AEE. Their cross-validation study showed no significant differences between predicted and measured AEE.
However the relatively large SEE together with the wide limits of agreement preclude individual comparison. Ekelund et al. suggested therefore that the prediction equation could be used to assess the mean AEE on a group level.
Heil et al. [9]24 children: 14 aged  yr, 10 aged  yr.5.5Laboratory setting.Actical (wrist, ankle, hip)Nine prediction models derived.Heil et al. concluded that the proposed algorithms for the Actical appeared to predict AEE accurately whether worn at the ankle, hip or wrist. Additionally they state that their results however, are clearly limited by the laboratory nature of the data collection and need to be validated under free-living conditions.
In practice, according to Heil et al., may provide their algorithms useful predictions of AEE for groups of children, but the tracking of individuals may still involve considerable error.
Johnson et al. [16]31 children aged  yr, 17 , 14 .5.0Free-living.Caltrac (hip) Sallis et al. 1989 equation; originally validated against HR, thus excluded in this study. One prediction model derived.According to Johnson et al. their study failed to find a significant correlation between either activity counts and AEE or Caltrac average calories with AEE. Their major finding was that the Caltrac accelerometer was not a useful predictor of AEE in the sample.
Johnson et al. concluded that the equation consistently overestimated AEE and had wide limits of agreement, making it unacceptable as an estimate of energy expended in physical activity for this sample.
Puyau et al. [17]26 children 14 aged  yr, 12 aged  yr.5.5Laboratory setting.Actigraph/CSA
Actiwatch (both: hip, fibula head)
Four prediction models were derived.Puyau et al. concluded that the high correlations between the activity counts and AEE demonstrates that the CSA and Actiwatch monitors strongly reflected energy expended in activity. Given the large SEE of the regression of AEE on activity counts, they found the prediction of AEE from CSA of Actiwatch activity counts inappropriate for individuals.
Puyau et al. [10]32 children aged 7–18 yr, 14♂, 18 .5.5Laboratory setting.Actiwatch Actical (both: hip)Two models derived.Puyau et al. concluded that activity counts accounted for the majority of the variability in AEE with small contributions of age, sex, weight, and height. Overall, Actiwatch equations accounted for 79% and Actical equations for 81% of the variability in AEE. Relatively wide 95% prediction intervals for AEE showed considerable variability around the mean for the individual observations. Puyau et al. suggest that accelerometers are best applied to groups rather than individuals.
According to Puyau et al. provided both accelerometer-based activity monitors valid measures of children’s AEE but require further development to accurately predict AEE of individuals.
Sun et al. [18]27 children aged 12–14 yr, 21 , 6 (25 indoor, 18 outdoor).8.0Laboratory setting.RT3 (waist/midline thigh)Two models derived and manufacturer’s model was used. Since the manufacturer’s model is not revealed it was excluded.Sun et al. concluded that the results of their study show that the RT3 accelerometer provides a valid method to examine physical activity patterns qualitatively and quantitatively for children. The moderate to high correlation coefficients between the physical activities in various lifestyle conditions from this device and the metabolic costs in simulated free-living conditions strongly supports, according to Sun et al., that the RT3 accelerometer serves as a valid, objective measure of physical activity of children, even in a tropical environment such as Singapore.
Trost et al. [11]45 children aged  yr, 22 , 23 .5.5Laboratory setting.ActiGraph (hip)Validation of three models. Two models not concerning AEE were excluded. The model by Puyau et al. [17] was included.Trost et al. concluded that previously published ActiGraph equations developed specifically for children and adolescents do not accurately predict AEE on a minute-by-minute basis during overground walking and running.

Abbreviations; ACC: Accelerometer, AEE: Activity related Energy Expenditure, HR: Heart Rate, SEE: Standard Error of the Estimate, TEE: Total Energy Expenditure, yr: year.