PMID- 33170820 OWN - NLM STAT- MEDLINE DCOM- 20210702 LR - 20230822 IS - 1530-0315 (Electronic) IS - 0195-9131 (Linking) VI - 53 IP - 5 DP - 2021 May 1 TI - Site-specific Concurrent Validity of the ActiGraph GT9X Link in the Estimation of Activity-related Skeletal Loading. PG - 951-959 LID - 10.1249/MSS.0000000000002562 [doi] AB - PURPOSE: The aims of this project were twofold: 1) to assess the concurrent validity of raw accelerometer outputs with ground reaction forces (GRF) and loading rates (LR) calculated from force plate across a range of simulated habitual PA and 2) to identify the optimal wear site among the ankle, hip, and wrist with the strongest relationships between accelerometer and force plate and/or skeletal outcomes. METHODS: Thirty healthy young adults (23.0 +/- 4.5 yr, 50% female) wore a triaxial accelerometer at the right ankle, hip, and wrist while performing eight trials of walking, jogging, running, low box drops, and high box drops over an in-ground force plate. Repeated-measures correlations and linear mixed models were used to assess concurrent validity of accelerometer and force plate outcomes across wear sites. RESULTS: Strong repeated-measures associations were observed between peak hip resultant acceleration and resultant LR (rrm 1169 = 0.74, P < 0.001, 95% confidence interval = 0.718, 0.769) and peak hip resultant accelerations and resultant GRF (rrm 1169 = 0.69, P < 0.001, 95% confidence interval = 0.660, 0.720) when data were combined across activities. By contrast, small to moderate associations were seen between ankle-based outcomes and corresponding GRF and LR during walking and jogging (rrm 209 = 0.17-0.34, all P < 0.001). No significant associations were seen with wrist-based outcomes during any activity. In addition, linear mixed models suggested that 24%-50% of the variability in peak GRF and LR could be attributed to measured accelerations at the hip. CONCLUSION: Peak accelerations measured at the hip were identified as the strongest proxies for skeletal loading assessed via force plate. CI - Copyright (c) 2020 by the American College of Sports Medicine. FAU - Higgins, Simon AU - Higgins S AD - Department of Exercise Science, Elon University, Elon, NC. FAU - Higgins, Lauren Q AU - Higgins LQ AD - Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC. FAU - Vallabhajosula, Srikant AU - Vallabhajosula S AD - Department of Physical Therapy Education, Elon University, Elon, NC. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Med Sci Sports Exerc JT - Medicine and science in sports and exercise JID - 8005433 SB - IM MH - *Acceleration MH - Accelerometry/*instrumentation MH - Actigraphy MH - Adult MH - Biomechanical Phenomena/physiology MH - Bone and Bones/*physiology MH - Confidence Intervals MH - Female MH - Humans MH - Jogging/physiology MH - Linear Models MH - Male MH - Reproducibility of Results MH - Running/*physiology MH - Walking/*physiology MH - Young Adult EDAT- 2020/11/11 06:00 MHDA- 2021/07/03 06:00 CRDT- 2020/11/10 17:11 PHST- 2020/11/11 06:00 [pubmed] PHST- 2021/07/03 06:00 [medline] PHST- 2020/11/10 17:11 [entrez] AID - 00005768-202105000-00009 [pii] AID - 10.1249/MSS.0000000000002562 [doi] PST - ppublish SO - Med Sci Sports Exerc. 2021 May 1;53(5):951-959. doi: 10.1249/MSS.0000000000002562.