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dc.rights.licenseopenen_US
dc.contributor.authorWU, Yinxiang
dc.contributor.authorROSENBERG, Dori E.
dc.contributor.authorGREENWOOD-HICKMAN, Mikael Anne
dc.contributor.authorMCCURRY, Susan M.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPROUST LIMA, Cecile
ORCID: 0000-0002-9884-955X
IDREF: 114375747
dc.contributor.authorNELSON, Jennifer C.
dc.contributor.authorCRANE, Paul K.
dc.contributor.authorLACROIX, Andrea Z.
dc.contributor.authorLARSON, Eric B.
dc.contributor.authorSHAW, Pamela A.
dc.date.accessioned2023-05-15T13:20:00Z
dc.date.available2023-05-15T13:20:00Z
dc.date.issued2023-03-27
dc.identifier.issn1664-1078en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/182146
dc.description.abstractEnThe 24-h activity cycle (24HAC) is a new paradigm for studying activity behaviors in relation to health outcomes. This approach inherently captures the interrelatedness of the daily time spent in physical activity (PA), sedentary behavior (SB), and sleep. We describe three popular approaches for modeling outcome associations with the 24HAC exposure. We apply these approaches to assess an association with a cognitive outcome in a cohort of older adults, discuss statistical challenges, and provide guidance on interpretation and selecting an appropriate approach. We compare the use of the isotemporal substitution model (ISM), compositional data analysis (CoDA), and latent profile analysis (LPA) to analyze 24HAC. We illustrate each method by exploring cross-sectional associations with cognition in 1,034 older adults (Mean age = 77; Age range = 65-100; 55.8% female; 90% White) who were part of the Adult Changes in Thought (ACT) Activity Monitoring (ACT-AM) sub-study. PA and SB were assessed with thigh-worn activPAL accelerometers for 7-days. For each method, we fit a multivariable regression model to examine the cross-sectional association between the 24HAC and Cognitive Abilities Screening Instrument item response theory (CASI-IRT) score, adjusting for baseline characteristics. We highlight differences in assumptions and the scientific questions addressable by each approach. ISM is easiest to apply and interpret; however, the typical ISM assumes a linear association. CoDA uses an isometric log-ratio transformation to directly model the compositional exposure but can be more challenging to apply and interpret. LPA can serve as an exploratory analysis tool to classify individuals into groups with similar time-use patterns. Inference on associations of latent profiles with health outcomes need to account for the uncertainty of the LPA classifications, which is often ignored. Analyses using the three methods did not suggest that less time spent on SB and more in PA was associated with better cognitive function. The three standard analytical approaches for 24HAC each have advantages and limitations, and selection of the most appropriate method should be guided by the scientific questions of interest and applicability of each model's assumptions. Further research is needed into the health implications of the distinct 24HAC patterns identified in this cohort.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enCognition
dc.subject.enCompositional data
dc.subject.enPhysical activity
dc.subject.enSleep
dc.subject.enSedentary behavior
dc.subject.enTime use
dc.subject.enLatent profile analysis
dc.subject.enIsotemporal substitution
dc.title.enAnalysis of the 24-h activity cycle: An illustration examining the association with cognitive function in the Adult Changes in Thought study
dc.title.alternativeFront Psycholen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.3389/fpsyg.2023.1083344en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37057157en_US
bordeaux.journalFrontiers in Psychologyen_US
bordeaux.volume14en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04097839
hal.version1
hal.date.transferred2023-05-15T13:20:13Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Frontiers%20in%20Psychology&rft.date=2023-03-27&rft.volume=14&rft.eissn=1664-1078&rft.issn=1664-1078&rft.au=WU,%20Yinxiang&ROSENBERG,%20Dori%20E.&GREENWOOD-HICKMAN,%20Mikael%20Anne&MCCURRY,%20Susan%20M.&PROUST%20LIMA,%20Cecile&rft.genre=article


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