PMID- 32172232 OWN - NLM STAT- MEDLINE DCOM- 20210528 LR - 20210528 IS - 1421-9697 (Electronic) IS - 0250-6807 (Linking) VI - 76 IP - 1 DP - 2020 TI - Validity of the Use of a Triaxial Accelerometer and a Physical Activity Questionnaire for Estimating Total Energy Expenditure and Physical Activity Level among Elderly Patients with Type 2 Diabetes Mellitus: CLEVER-DM Study. PG - 62-72 LID - 10.1159/000506223 [doi] AB - INTRODUCTION: Evaluation of total energy expenditure (TEE) and physical activity level (PAL) is important for treatment of patients with type 2 diabetes mellitus (T2DM). However, the validity of accelerometers (ACC) and physical activity questionnaires (PAQ) for estimating TEE and PAL remains unknown in elderly populations with T2DM. We evaluated the accuracy of TEE and PAL results estimated by an ACC (TEEACC and PALACC) and a PAQ (TEEPAQ and PALPAQ) in elderly patients with T2DM. METHODS: Fifty-one elderly patients with T2DM (aged 61-79 years) participated in this study. TEEACC was calculated with PALACC using a triaxial ACC (Active style Pro HJA-750c) over 2 weeks and predicted basal metabolic rate (BMR) by Ganpule's equation. TEEPAQ was estimated using predicted BMR and the PALPAQ from the -Japan Public Health Center Study-Long questionnaire. We compared the results to TEEDLW measured with the doubly labeled water (DLW) method and PALDLW calculated with BMR using indirect calorimetry. RESULTS: TEEDLW was 2,165 +/- 365 kcal/day, and TEEACC was 2,014 +/- 339 kcal/day; TEEACC was strongly correlated with TEEDLW (r = 0.87, p < 0.01) but significantly underestimated (-150 +/- 183 kcal/day, p < 0.05). There was no significant difference in TEEPAQ and TEEDLW (-49 +/- 284 kcal/day), while the range of difference seemed to be larger than TEEACC. PALDLW, PALACC, and PALPAQ were calculated to be 1.71 +/- 0.17, 1.69 +/- 0.16, and 1.78 +/- 0.24, respectively. -PALACC was strongly correlated with PALDLW (r = 0.71, p < 0.01), and there was no significant difference between the 2 values. PALPAQ was moderately correlated with PALDLW (r = 0.43, p < 0.01) but significantly overestimated. Predicted BMR was significantly lower than the BMR -measured by indirect calorimetry (1,193 +/- 186 vs. 1,262 +/- 155 kcal/day, p < 0.01). CONCLUSIONS: The present ACC and questionnaire showed acceptable correlation of TEE and PAL compared with DLW method in elderly patients with T2DM. Systematic errors in estimating TEE may be improved by the better equation for predicting BMR. CI - (c) 2020 S. Karger AG, Basel. FAU - Nishida, Yuki AU - Nishida Y AD - Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. FAU - Tanaka, Shigeho AU - Tanaka S AD - Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan, tanakas@nibiohn.go.jp. FAU - Nakae, Satoshi AU - Nakae S AD - Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. AD - Division of Bioengineering, Graduate School of Engineering Science, Osaka University, Toyonaka, Japan. FAU - Yamada, Yosuke AU - Yamada Y AD - Department of Nutrition and Metabolism, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. AD - Section of Healthy Longevity Research, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan. FAU - Morino, Katsutaro AU - Morino K AD - Department of Medicine, Shiga University of Medical Science, Shiga, Japan. FAU - Kondo, Keiko AU - Kondo K AD - Department of Public Health, Shiga University of Medical Science, Shiga, Japan. FAU - Nishida, Kaori AU - Nishida K AD - Division of Clinical Nutrition, Shiga University of Medical Science, Shiga, Japan. FAU - Ohi, Akiko AU - Ohi A AD - Division of Clinical Nutrition, Shiga University of Medical Science, Shiga, Japan. FAU - Kurihara, Mika AU - Kurihara M AD - Division of Clinical Nutrition, Shiga University of Medical Science, Shiga, Japan. FAU - Sasaki, Masaya AU - Sasaki M AD - Division of Clinical Nutrition, Shiga University of Medical Science, Shiga, Japan. FAU - Ugi, Satoshi AU - Ugi S AD - Department of Medicine, Shiga University of Medical Science, Shiga, Japan. FAU - Maegawa, Hiroshi AU - Maegawa H AD - Department of Medicine, Shiga University of Medical Science, Shiga, Japan. FAU - Ebine, Naoyuki AU - Ebine N AD - Faculty of Health and Sports Science, Doshisha University, Kyoto, Japan. FAU - Sasaki, Satoshi AU - Sasaki S AD - Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Katsukawa, Fuminori AU - Katsukawa F AD - Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20200313 PL - Switzerland TA - Ann Nutr Metab JT - Annals of nutrition & metabolism JID - 8105511 SB - IM MH - Accelerometry/*instrumentation/*standards MH - Aged MH - Basal Metabolism MH - Calorimetry, Indirect/methods/standards MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*physiopathology MH - Energy Metabolism MH - Exercise MH - Female MH - Geriatric Assessment/*methods MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Reproducibility of Results MH - Surveys and Questionnaires/*standards OTO - NOTNLM OT - Doubly labeled water OT - Elderly OT - Questionnaire OT - Triaxial accelerometer OT - Type 2 diabetes mellitus EDAT- 2020/03/17 06:00 MHDA- 2021/05/29 06:00 CRDT- 2020/03/16 06:00 PHST- 2019/06/19 00:00 [received] PHST- 2020/01/25 00:00 [accepted] PHST- 2020/03/17 06:00 [pubmed] PHST- 2021/05/29 06:00 [medline] PHST- 2020/03/16 06:00 [entrez] AID - 000506223 [pii] AID - 10.1159/000506223 [doi] PST - ppublish SO - Ann Nutr Metab. 2020;76(1):62-72. doi: 10.1159/000506223. Epub 2020 Mar 13.