Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic

Abstract Between March and April 2020, Cyprus and Greece health authorities enforced three escalated levels of public health interventions to control the COVID-19 pandemic. We quantified compliance of 108 asthmatic schoolchildren (53 from Cyprus, 55 from Greece, mean age 9.7 years) from both countri...

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Autores principales:	Panayiotis Kouis, Antonis Michanikou, Pinelopi Anagnostopoulou, Emmanouil Galanakis, Eleni Michaelidou, Helen Dimitriou, Andreas M. Matthaiou, Paraskevi Kinni, Souzana Achilleos, Harris Zacharatos, Stefania I. Papatheodorou, Petros Koutrakis, Georgios K. Nikolopoulos, Panayiotis K. Yiallouros
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cbcd42d3f9a64e23b7fcea534c4dc678
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spelling	oai:doaj.org-article:cbcd42d3f9a64e23b7fcea534c4dc6782021-12-02T11:39:27ZUse of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic10.1038/s41598-021-85358-42045-2322https://doaj.org/article/cbcd42d3f9a64e23b7fcea534c4dc6782021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85358-4https://doaj.org/toc/2045-2322Abstract Between March and April 2020, Cyprus and Greece health authorities enforced three escalated levels of public health interventions to control the COVID-19 pandemic. We quantified compliance of 108 asthmatic schoolchildren (53 from Cyprus, 55 from Greece, mean age 9.7 years) from both countries to intervention levels, using wearable sensors to continuously track personal location and physical activity. Changes in ‘fraction time spent at home’ and ‘total steps/day’ were assessed with a mixed-effects model adjusting for confounders. We observed significant mean increases in ‘fraction time spent at home’ in Cyprus and Greece, during each intervention level by 41.4% and 14.3% (level 1), 48.7% and 23.1% (level 2) and 45.2% and 32.0% (level 3), respectively. Physical activity in Cyprus and Greece demonstrated significant mean decreases by − 2,531 and − 1,191 (level 1), − 3,638 and − 2,337 (level 2) and − 3,644 and − 1,961 (level 3) total steps/day, respectively. Significant independent effects of weekends and age were found on ‘fraction time spent at home’. Similarly, weekends, age, humidity and gender had an independent effect on physical activity. We suggest that wearable technology provides objective, continuous, real-time location and activity data making possible to inform in a timely manner public health officials on compliance to various tiers of public health interventions during a pandemic.Panayiotis KouisAntonis MichanikouPinelopi AnagnostopoulouEmmanouil GalanakisEleni MichaelidouHelen DimitriouAndreas M. MatthaiouParaskevi KinniSouzana AchilleosHarris ZacharatosStefania I. PapatheodorouPetros KoutrakisGeorgios K. NikolopoulosPanayiotis K. YiallourosNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Panayiotis Kouis Antonis Michanikou Pinelopi Anagnostopoulou Emmanouil Galanakis Eleni Michaelidou Helen Dimitriou Andreas M. Matthaiou Paraskevi Kinni Souzana Achilleos Harris Zacharatos Stefania I. Papatheodorou Petros Koutrakis Georgios K. Nikolopoulos Panayiotis K. Yiallouros Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
description	Abstract Between March and April 2020, Cyprus and Greece health authorities enforced three escalated levels of public health interventions to control the COVID-19 pandemic. We quantified compliance of 108 asthmatic schoolchildren (53 from Cyprus, 55 from Greece, mean age 9.7 years) from both countries to intervention levels, using wearable sensors to continuously track personal location and physical activity. Changes in ‘fraction time spent at home’ and ‘total steps/day’ were assessed with a mixed-effects model adjusting for confounders. We observed significant mean increases in ‘fraction time spent at home’ in Cyprus and Greece, during each intervention level by 41.4% and 14.3% (level 1), 48.7% and 23.1% (level 2) and 45.2% and 32.0% (level 3), respectively. Physical activity in Cyprus and Greece demonstrated significant mean decreases by − 2,531 and − 1,191 (level 1), − 3,638 and − 2,337 (level 2) and − 3,644 and − 1,961 (level 3) total steps/day, respectively. Significant independent effects of weekends and age were found on ‘fraction time spent at home’. Similarly, weekends, age, humidity and gender had an independent effect on physical activity. We suggest that wearable technology provides objective, continuous, real-time location and activity data making possible to inform in a timely manner public health officials on compliance to various tiers of public health interventions during a pandemic.
format	article
author	Panayiotis Kouis Antonis Michanikou Pinelopi Anagnostopoulou Emmanouil Galanakis Eleni Michaelidou Helen Dimitriou Andreas M. Matthaiou Paraskevi Kinni Souzana Achilleos Harris Zacharatos Stefania I. Papatheodorou Petros Koutrakis Georgios K. Nikolopoulos Panayiotis K. Yiallouros
author_facet	Panayiotis Kouis Antonis Michanikou Pinelopi Anagnostopoulou Emmanouil Galanakis Eleni Michaelidou Helen Dimitriou Andreas M. Matthaiou Paraskevi Kinni Souzana Achilleos Harris Zacharatos Stefania I. Papatheodorou Petros Koutrakis Georgios K. Nikolopoulos Panayiotis K. Yiallouros
author_sort	Panayiotis Kouis
title	Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
title_short	Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
title_full	Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
title_fullStr	Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
title_full_unstemmed	Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic
title_sort	use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the covid-19 epidemic
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/cbcd42d3f9a64e23b7fcea534c4dc678
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Use of wearable sensors to assess compliance of asthmatic children in response to lockdown measures for the COVID-19 epidemic

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