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arxiv: 2604.22123 · v1 · submitted 2026-04-23 · 📊 stat.AP

Recognition: unknown

Modeling Physical Activity Change as Smooth Transformations: Temporal and Amplitude Patterns Associated with Physical Function in Older Women

Andrea Z. LaCroix, Charles Kooperberg, Chongzhi Di, Jingjing Zou, Lindsay Dillon, Loki Natarajan, Marcia L. Stefanick, Michael J. LaMonte, Phyllis A. Richey, Ramon Casanova, Rong W. Zablocki, Sheri J. Hartman, Steve Nguyen, Yacun Wang

Pith reviewed 2026-05-08 13:03 UTC · model grok-4.3

classification 📊 stat.AP
keywords physical activityaccelerometerRiemannian deformationmultivariate functional PCAphysical functionolder womenlongitudinal changediurnal patterns
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The pith

Increases in physical activity throughout the day, identified through Riemannian deformation of diurnal curves, are associated with better physical function in older women.

A machine-rendered reading of the paper's core claim, the machinery that carries it, and where it could break.

The paper models how daily physical activity patterns evolve over time by treating each day's minute-level accelerometer readings as a smooth curve and changes between visits as a Riemannian deformation that jointly tracks shifts in timing and magnitude. These deformations are then summarized with multivariate functional principal component analysis to extract dominant modes of variation across participants. The leading mode, which captures a broad increase or decrease in activity across the day and accounts for roughly 21 percent of the variability, shows a clear positive link to physical function scores. Overall deformation energy interacts with the observation period, indicating that the extent of pattern change relates more strongly to function in later intervals. This framework is presented as yielding more interpretable phenotypes than conventional totals such as average daily steps.

Core claim

Longitudinal change in diurnal physical activity is represented as Riemannian deformations of smooth curves between baseline and follow-up visits. These deformations are parameterized by initial momenta and decomposed via MFPCA, with the first principal component explaining 22.4 percent of variability in the first interval and 20.8 percent in the second and corresponding to uniform activity increase or decrease across the day. Participant scores on this component are positively associated with physical function (p < 0.0001), while deformation energy shows a period-dependent association (interaction p = 0.003).

What carries the argument

Riemannian deformation of smooth activity curves, jointly capturing timing and magnitude changes, then decomposed by multivariate functional principal component analysis to yield principal component scores and deformation energy.

If this is right

  • The first principal component of deformations represents an overall rise or fall in activity across the waking day and tracks with physical function.
  • Deformation energy, the total amount of pattern change, relates more strongly to physical function in the later follow-up interval.
  • Top principal components together explain at least 90 percent of the variability in how activity patterns deform between visits.
  • These modes give clinically interpretable descriptions of redistribution in activity timing and amplitude beyond single-number summaries.

Where Pith is reading between the lines

These are editorial extensions of the paper, not claims the author makes directly.

  • If the deformation modes prove robust, interventions could target specific timing shifts rather than simply increasing overall volume.
  • The same Riemannian-plus-MFPCA pipeline could be tested on other accelerometer-derived outcomes such as sleep-wake transitions or sedentary bout lengths.
  • External validation against performance-based mobility measures would clarify whether the smooth-curve approximation preserves signals relevant to real-world function.

Load-bearing premise

Riemannian deformations of smooth curves accurately capture clinically meaningful changes in physical activity timing and magnitude without the modeling steps themselves creating the observed associations.

What would settle it

A direct comparison in the same cohort showing that standard summary metrics such as total daily activity counts or mean step volume predict physical function as strongly as the leading MFPCA component and deformation energy would undermine the claim of added clinical value.

read the original abstract

Background: Minute-level accelerometer data capture rich diurnal physical activity (PA) patterns, but conventional summary metrics obscures clinically meaningful changes accumulated across a day. Building on Riemannian framework, we integrate multivariate functional principal component analysis (MFPCA) to identify main modes of PA change in older women and examine associations with physical function (PF). Method: A subset participant from OPACH as baseline and two WHISH follow-ups (W1, W2), yielded 3 accelerometer measurements; each participant's diurnal PA at each visit was represented as a smooth curve. Change between consecutive visits (defined as periods: baseline-W1, W1-W2) was modeled as a Riemannian deformation (RD) jointly capturing changes in PA timing and magnitude. Deformations were parameterized by initial momenta and summarized using MFPCA; participant-level changes were characterized by principal component (PC) scores and deformation energy (DE), a metric of overall pattern change. Associations with PF were assessed using linear mixed models. Results: Mean deformation in both periods showed overall downward shifts in PA magnitude with temporal redistribution between 10am and 7pm. Top 15 PCs explained >= 90% of variability in both periods; PC1 represented a pattern of PA increase/decrease throughout the day, explaining 22.4% (baseline-W1) and 20.8% (W1-W2). Among complete data (N=1157), an increase in PA in the mode of PC1 was positively associated with PF (p <0.0001). The interaction between DE and period was significantly associated with PF (p=0.003). Conclusions: Modeling longitudinal PA change as RDs and summarizing variability via MFPCA produced clinically interpretable phenotypes of diurnal PA change beyond standard metrics. The leading deformation mode was significantly associated with PF, and DE showed a stronger association with PF in the later period.

Editorial analysis

A structured set of objections, weighed in public.

Desk editor's note, referee report, simulated authors' rebuttal, and a circularity audit. Tearing a paper down is the easy half of reading it; the pith above is the substance, this is the friction.

Referee Report

3 major / 3 minor

Summary. The paper claims that diurnal physical activity (PA) changes in older women, derived from minute-level accelerometer data across three visits in the OPACH/WHISH cohorts, can be modeled as Riemannian deformations (RDs) that jointly capture timing and magnitude shifts; these deformations are then summarized via multivariate functional principal component analysis (MFPCA) to yield principal component (PC) scores and deformation energy (DE). Linear mixed models on complete cases (N=1157) show that higher PC1 scores (reflecting overall PA increase) are positively associated with physical function (PF) (p<0.0001), while the DE×period interaction is also significant (p=0.003). The authors conclude that this yields clinically interpretable phenotypes beyond standard metrics.

Significance. If the Riemannian deformation and MFPCA steps faithfully recover clinically relevant PA dynamics without introducing artifacts that correlate with PF, the work would provide a valuable extension of functional data methods to longitudinal accelerometer analysis, enabling more nuanced phenotypes for aging research. The reported associations suggest that overall PA magnitude changes (PC1) and total pattern deviation (DE) track with PF, potentially guiding interventions focused on diurnal redistribution.

major comments (3)
  1. [Results] Results section (and abstract): The headline associations (PC1 with PF, p<0.0001; DE×period interaction, p=0.003) are obtained from linear mixed models using derived PC scores and DE as predictors, yet no model diagnostics, residual analyses, sensitivity to outliers, or checks for multicollinearity among the MFPCA-derived covariates are reported. Given that PC scores and DE are constructed directly from the same deformation data, this omission is load-bearing for interpreting the statistical significance.
  2. [Methods] Methods section: The manuscript truncates to the top 15 PCs explaining >=90% variability and uses these for the PF models, but provides no sensitivity analyses varying the number of retained components, the smoothing bandwidth in the RD step, or the choice of Riemannian metric. Because the free parameter (number of PCs) directly influences which modes enter the association models, the robustness of the PC1-PF link cannot be assessed.
  3. [Methods] Methods/Results: No benchmark comparison is presented against simpler alternatives such as standard FPCA on log-transformed count curves or conventional summary metrics (e.g., total daily PA, peak timing). Without this, it remains unclear whether the reported PF associations are driven by the Riemannian deformation itself or would arise under conventional functional data pipelines, which is central to the claim that RDs produce “clinically interpretable phenotypes beyond standard metrics.”
minor comments (3)
  1. [Abstract] Abstract: The sentence “conventional summary metrics obscures” contains a subject-verb agreement error (“obscure”).
  2. [Results] Results: The complete-case N=1157 is stated, but the manuscript should explicitly describe the missing-data mechanism and any imputation or sensitivity checks performed on the full cohort before restricting to complete cases.
  3. [Methods] Methods: The definition and computation of “deformation energy (DE)” should be given explicitly (e.g., as an integral of the squared initial momentum or reference to the precise formula), rather than only described qualitatively.

Simulated Author's Rebuttal

3 responses · 0 unresolved

We thank the referee for their constructive comments, which identify key areas for strengthening the statistical rigor and comparative context of our work. We address each major comment below and will incorporate revisions to enhance transparency and robustness.

read point-by-point responses
  1. Referee: [Results] Results section (and abstract): The headline associations (PC1 with PF, p<0.0001; DE×period interaction, p=0.003) are obtained from linear mixed models using derived PC scores and DE as predictors, yet no model diagnostics, residual analyses, sensitivity to outliers, or checks for multicollinearity among the MFPCA-derived covariates are reported. Given that PC scores and DE are constructed directly from the same deformation data, this omission is load-bearing for interpreting the statistical significance.

    Authors: We agree that explicit model diagnostics are essential for validating the reported associations. In the revised manuscript, we will add a dedicated supplementary section presenting residual plots, Q-Q plots, variance inflation factor (VIF) calculations to assess multicollinearity between PC scores and DE, and sensitivity analyses that exclude influential outliers identified via Cook's distance. These additions will directly support the reliability of the p-values and strengthen the interpretation of PC1 and the DE×period interaction. revision: yes

  2. Referee: [Methods] Methods section: The manuscript truncates to the top 15 PCs explaining >=90% variability and uses these for the PF models, but provides no sensitivity analyses varying the number of retained components, the smoothing bandwidth in the RD step, or the choice of Riemannian metric. Because the free parameter (number of PCs) directly influences which modes enter the association models, the robustness of the PC1-PF link cannot be assessed.

    Authors: We concur that sensitivity to modeling choices is important. The revised manuscript will include supplementary analyses demonstrating the stability of the PC1-PF association when retaining 10, 15, or 20 components (covering 85-95% variance). We will also report results under alternative smoothing bandwidths in the Riemannian deformation step and provide a brief justification for the chosen metric, drawing on prior literature for its suitability to positive count data. These checks will confirm that the leading mode and its association with physical function are not artifacts of the specific parameter settings. revision: yes

  3. Referee: [Methods] Methods/Results: No benchmark comparison is presented against simpler alternatives such as standard FPCA on log-transformed count curves or conventional summary metrics (e.g., total daily PA, peak timing). Without this, it remains unclear whether the reported PF associations are driven by the Riemannian deformation itself or would arise under conventional functional data pipelines, which is central to the claim that RDs produce “clinically interpretable phenotypes beyond standard metrics.”

    Authors: We recognize that direct benchmarking would better isolate the contribution of the Riemannian deformation framework. While the core innovation lies in jointly modeling timing and amplitude shifts via deformations (which standard log-FPCA does not explicitly separate), we will add a concise comparison in the revised Results and Discussion. This will include re-fitting the linear mixed models using (i) total daily PA and peak timing as predictors and (ii) PC scores from standard FPCA applied to log-transformed activity curves, allowing readers to evaluate whether the reported associations with physical function are unique to the deformation approach or replicable under conventional pipelines. revision: yes

Circularity Check

0 steps flagged

No significant circularity; derivation chain is self-contained

full rationale

The paper derives participant-level PC scores and deformation energy from MFPCA applied to Riemannian deformations of smoothed diurnal PA curves, then feeds these derived quantities into separate linear mixed models to test associations with physical function. No equation or step incorporates the PF outcome into the definition or fitting of the deformations, momenta, or principal components. No self-citations are invoked as load-bearing uniqueness theorems or ansatzes for the core pipeline. The reported p-values (PC1 with PF, DE×period interaction) arise from independent regression steps rather than any fitted-input-called-prediction or self-definitional loop. The chain therefore does not reduce to its inputs by construction.

Axiom & Free-Parameter Ledger

1 free parameters · 2 axioms · 0 invented entities

The central claim rests on standard assumptions from functional data analysis and Riemannian geometry for curves, plus a data-driven choice for the number of components; no new entities are postulated.

free parameters (1)
  • Number of principal components retained
    Selected to explain at least 90% of variability in the deformations for both periods
axioms (2)
  • domain assumption Diurnal physical activity can be represented as smooth functional curves suitable for Riemannian analysis
    Invoked to enable the deformation modeling and MFPCA steps
  • domain assumption Riemannian deformations provide a geometrically valid way to quantify changes in timing and amplitude
    Core modeling premise stated in the methods description

pith-pipeline@v0.9.0 · 5708 in / 1424 out tokens · 67953 ms · 2026-05-08T13:03:55.261669+00:00 · methodology

discussion (0)

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Reference graph

Works this paper leans on

88 extracted references

  1. [1]

    Health benefits of physical activity: a system- atic review of current systematic reviews

    Warburton DE, Bredin SS. Health benefits of physical activity: a system- atic review of current systematic reviews. Current opinion in cardiology. 2017;32(5):541–556

  2. [2]

    World Health Organization 2020 guidelines on physical activity and sedentary behaviour

    Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine. 2020;54(24):1451–1462

  3. [3]

    Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Licht- enstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 2010;122(4):406–441

  4. [4]

    Accelerometer-Measured Physical Activity and Mortality in Women Aged 63 to 99

    LaMonte MJ, Buchner DM, Rillamas-Sun E, Di C, Evenson KR, Bellettiere J, et al. Accelerometer-Measured Physical Activity and Mortality in Women Aged 63 to 99. Journal of the American Geriatrics Society. 2018 May;66(5):886–894

  5. [5]

    Association of Light Physical Activity Measured by Accelerometry and Incidence of Coronary Heart Disease and Cardiovascular Disease in Older Women

    LaCroix AZ, Bellettiere J, Rillamas-Sun E, Di C, Evenson KR, Lewis CE, et al. Association of Light Physical Activity Measured by Accelerometry and Incidence of Coronary Heart Disease and Cardiovascular Disease in Older Women. JAMA Network Open. 2019 Mar;2(3):e190419–e190419

  6. [6]

    How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies

    Chastin SFM, De Craemer M, De Cocker K, Powell L, Van Cauwenberg J, Dall P, et al. How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies. British Journal of Sports Medicine. 2019 Mar;53(6):370–376

  7. [7]

    Prospective Associations of Accelerometer-Measured Machine-Learned Sedentary Behavior With Death Among Older Women: The OPACH Study

    Nguyen S, Bellettiere J, Anuskiewicz B, Di C, Carlson J, Natarajan L, et al. Prospective Associations of Accelerometer-Measured Machine-Learned Sedentary Behavior With Death Among Older Women: The OPACH Study. Journal of the American Heart Association. 2024;13(5):e031156

  8. [8]

    Accelerometer-measured physical activity, sedentary time, and heart failure risk in women aged 63 to 99 years

    LaMonte MJ, LaCroix AZ, Nguyen S, Evenson KR, Di C, Stefanick ML, et al. Accelerometer-measured physical activity, sedentary time, and heart failure risk in women aged 63 to 99 years. JAMA cardiology. 2024;9(4):336–345

  9. [9]

    Sedentary Behavior and Cardiovascular Disease in Older Women: The OPACH Study

    Bellettiere J, Lamonte MJ, Evenson KR, Rillamas-Sun E, Kerr J, Lee IM, et al. Sedentary Behavior and Cardiovascular Disease in Older Women: The OPACH Study. Circulation. 2019 2;139:1036–1046. https://doi.org/10.1161/ CIRCULATIONAHA.118.035312

  10. [10]

    Physical activity, obesity and sedentary behavior in cancer etiology: epidemiologic evidence and biologic mechanisms

    Friedenreich CM, Ryder-Burbidge C, McNeil J. Physical activity, obesity and sedentary behavior in cancer etiology: epidemiologic evidence and biologic mechanisms. Molecular oncology. 2021;15(3):790–800. 32

  11. [11]

    Sitting time and risk of cancer incidence and cancer mortality in postmenopausal women: the Women’s Health Accelerometry Collaboration

    Hyde ET, Evenson KR, Howard AG, Parada Jr H, Di C, LaMonte MJ, et al. Sitting time and risk of cancer incidence and cancer mortality in postmenopausal women: the Women’s Health Accelerometry Collaboration. Cancer Causes & Control. 2025;p. 1–14

  12. [12]

    Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis

    Silveira EA, Mendon¸ ca CR, Delpino FM, Souza GVE, de Souza Rosa LP, de Oliveira C, et al. Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clinical nutrition ESPEN. 2022;50:63–73

  13. [13]

    Sedentary behaviour and health in adults: an overview of systematic reviews

    Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, et al. Sedentary behaviour and health in adults: an overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism. 2020;45(10):S197–S217

  14. [14]

    Distinct trajectories of individual physical performance measures across 9 years in 60-to 70-year-old adults

    Hoekstra T, Rojer AGM, van Schoor NM, Maier AB, Pijnappels M. Distinct trajectories of individual physical performance measures across 9 years in 60-to 70-year-old adults. The Journals of Gerontology: Series A. 2020;75(10):1951–1959

  15. [15]

    Cardiometabolic risk trajectory among older Americans: Findings from the Health and Retirement Study

    Wu Q, Ailshire JA, Kim JK, Crimmins EM. Cardiometabolic risk trajectory among older Americans: Findings from the Health and Retirement Study. The Journals of Gerontology: Series A. 2021;76(12):2265–2274

  16. [16]

    Dynamics of functional aging based on latent-class trajectories of activities of daily living

    Han L, Allore H, Murphy T, Gill T, Peduzzi P, Lin H. Dynamics of functional aging based on latent-class trajectories of activities of daily living. Annals of epidemiology. 2013;23(2):87–92

  17. [17]

    Health benefits of light-intensity physical activity: a systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES)

    Fuezeki E, Engeroff T, Banzer W. Health benefits of light-intensity physical activity: a systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES). Sports medicine. 2017;47(9):1769– 1793

  18. [18]

    Light-intensity physical activity and all-cause mortality

    Loprinzi PD. Light-intensity physical activity and all-cause mortality. American Journal of Health Promotion. 2017;31(4):340–342

  19. [19]

    Actigraph GT3X: validation and determination of phys- ical activity intensity cut points

    Santos-Lozano A, Santin-Medeiros F, Cardon G, Torres-Luque G, Bailon R, Bergmeir C, et al. Actigraph GT3X: validation and determination of phys- ical activity intensity cut points. International journal of sports medicine. 2013;34(11):975–982

  20. [20]

    Cali- brating physical activity intensity for hip-worn accelerometry in women age 60 to 91 years: The Women’s Health Initiative OPACH Calibration Study

    Evenson KR, Wen F, Herring AH, Di C, LaMonte MJ, Tinker LF, et al. Cali- brating physical activity intensity for hip-worn accelerometry in women age 60 to 91 years: The Women’s Health Initiative OPACH Calibration Study. Preventive medicine reports. 2015;2:750–756

  21. [21]

    Accelerometer assessment of physical activity and its association with physical function in older adults residing at assisted care facilities

    Corcoran MP, Chui K, White D, Reid K, Kirn D, Nelson M, et al. Accelerometer assessment of physical activity and its association with physical function in older adults residing at assisted care facilities. The Journal of nutrition, health and 33 aging. 2016;20(7):752–758

  22. [22]

    Comparison of accelerometry-based measures of physical activity: Ret- rospective observational data analysis study

    Karas M, Muschelli J, Leroux A, Urbanek JK, Wanigatunga AA, Bai J, et al. Comparison of accelerometry-based measures of physical activity: Ret- rospective observational data analysis study. JMIR mHealth and uHealth. 2022;10(7):e38077

  23. [23]

    Associ- ations of accelerometer-measured physical activity, sedentary behaviour, and sleep with next-day cognitive performance in older adults: a micro-longitudinal study

    Bloomberg M, Brocklebank L, Doherty A, Hamer M, Steptoe A. Associ- ations of accelerometer-measured physical activity, sedentary behaviour, and sleep with next-day cognitive performance in older adults: a micro-longitudinal study. International Journal of Behavioral Nutrition and Physical Activity. 2024;21(1):133

  24. [24]

    Model- ing temporal variation in physical activity using functional principal components analysis

    Xu SY, Nelson S, Kerr J, Godbole S, Johnson E, Patterson RE, et al. Model- ing temporal variation in physical activity using functional principal components analysis. Statistics in Biosciences. 2019;11(2):403–421

  25. [25]

    Rest- activity profiles among US adults in a nationally representative sample: a functional principal component analysis

    Xiao Q, Lu J, Zeitzer JM, Matthews CE, Saint-Maurice PF, Bauer C. Rest- activity profiles among US adults in a nationally representative sample: a functional principal component analysis. International Journal of Behavioral Nutrition and Physical Activity. 2022;19(1):1–13

  26. [26]

    Daily patterns of accelerometer activity predict changes in sleep, cog- nition, and mortality in older men

    Zeitzer JM, Blackwell T, Hoffman AR, Cummings S, Ancoli-Israel S, Stone K, et al. Daily patterns of accelerometer activity predict changes in sleep, cog- nition, and mortality in older men. The Journals of Gerontology: Series A. 2018;73(5):682–687

  27. [27]

    Variable-domain functional principal component analysis

    Johns JT, Crainiceanu C, Zipunnikov V, Gellar J. Variable-domain functional principal component analysis. Journal of Computational and Graphical Statistics. 2019;28(4):993–1006

  28. [28]

    Longitudinal Associations Between Timing of Physical Activity Accumulation and Health: Application of Functional Data Methods

    Lin W, Zou J, Di C, Sears DD, Rock CL, Natarajan L. Longitudinal Associations Between Timing of Physical Activity Accumulation and Health: Application of Functional Data Methods. Statistics in Biosciences. 2022;p. 1–21

  29. [29]

    Robust functional principal component analysis via a functional pairwise spatial sign operator

    Wang G, Liu S, Han F, Di CZ. Robust functional principal component analysis via a functional pairwise spatial sign operator. Biometrics. 2023;79(2):1239–1253

  30. [30]

    Using functional principal component analysis (FPCA) to quantify sitting patterns derived from wearable sensors

    Zablocki RW, Hartman SJ, Di C, Zou J, Carlson JA, Hibbing PR, et al. Using functional principal component analysis (FPCA) to quantify sitting patterns derived from wearable sensors. International Journal of Behavioral Nutrition and Physical Activity. 2024;21(1):48

  31. [31]

    Functional data analysis for wearable sensor data: a systematic review: N

    Acar-Denizli N, Delicado P. Functional data analysis for wearable sensor data: a systematic review: N. Acar-Denizli, P. Delicado. AStA Advances in Statistical Analysis. 2025;p. 1–41. 34

  32. [32]

    A Riemann manifold model framework for longitudinal changes in physical activity patterns

    Zou J, Lin T, Di C, Bellettiere J, Jankowska MM, Hartman SJ, et al. A Riemann manifold model framework for longitudinal changes in physical activity patterns. The Annals of Applied Statistics. 2023;17(4):3216–3240

  33. [33]

    Intrinsic statistics on Riemannian manifolds: Basic tools for geometric measurements

    Pennec X. Intrinsic statistics on Riemannian manifolds: Basic tools for geometric measurements. Journal of Mathematical Imaging and Vision. 2006;25(1):127–154

  34. [34]

    Computing large deformation metric mappings via geodesic flows of diffeomorphisms

    Beg MF, Miller MI, Trouv´ e A, Younes L. Computing large deformation metric mappings via geodesic flows of diffeomorphisms. International journal of computer vision. 2005;61(2):139–157

  35. [35]

    The fshape framework for the variability analysis of functional shapes

    Charlier B, Charon N, Trouv´ e A. The fshape framework for the variability analysis of functional shapes. Foundations of Computational Mathematics. 2017;17:287– 357

  36. [36]

    Age is associated with dampened circadian patterns of rest and activity: the study of muscle, mobility, and aging (SOMMA)

    Erickson ML, Blackwell TL, Mau T, Cawthon PM, Glynn NW, Qiao Y, et al. Age is associated with dampened circadian patterns of rest and activity: the study of muscle, mobility, and aging (SOMMA). The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences. 2024;79(4):glae049

  37. [37]

    Aging and activity patterns: actigraphy evidence from NHANES studies

    Luo W, Scharf MT, Androulakis IP. Aging and activity patterns: actigraphy evidence from NHANES studies. Frontiers in Systems Biology. 2025;5:1632110

  38. [38]

    Multivariate functional principal component analysis for data observed on different (dimensional) domains

    Happ C, Greven S. Multivariate functional principal component analysis for data observed on different (dimensional) domains. Journal of the American Statistical Association. 2018;113(522):649–659

  39. [39]

    Pathways, contributors, and correlates of functional limitation across specialties: workshop summary

    Kritchevsky SB, Forman DE, Callahan KE, Ely EW, High KP, McFarland F, et al. Pathways, contributors, and correlates of functional limitation across specialties: workshop summary. The Journals of Gerontology: Series a. 2019;74(4):534–543

  40. [40]

    Design of the Women’s Health Initiative clinical trial and observational study

    The Women’s Health Initiative Study Group. Design of the Women’s Health Initiative clinical trial and observational study. Controlled Clinical Trials. 1998;19(1):61–109

  41. [41]

    The objective physical activity and cardiovascular disease health in older women (OPACH) study

    LaCroix AZ, Rillamas-Sun E, Buchner D, Evenson KR, Di C, Lee IM, et al. The objective physical activity and cardiovascular disease health in older women (OPACH) study. BMC public health. 2017;17(1):192

  42. [42]

    Women’s health initiative strong and healthy pragmatic physical activ- ity intervention trial for cardiovascular disease prevention: design and baseline characteristics

    Stefanick ML, King AC, Mackey S, Tinker LF, Hlatky MA, LaMonte MJ, et al. Women’s health initiative strong and healthy pragmatic physical activ- ity intervention trial for cardiovascular disease prevention: design and baseline characteristics. The Journals of Gerontology: Series A. 2021;76(4):725–734

  43. [43]

    Women’s Health Initiative Strong and Healthy (WHISH): A pragmatic physical activity intervention trial for cardiovascular disease prevention

    Stefanick ML, Kooperberg C, LaCroix AZ. Women’s Health Initiative Strong and Healthy (WHISH): A pragmatic physical activity intervention trial for cardiovascular disease prevention. Contemporary clinical trials. 2022;119:106815. 35

  44. [44]

    Wegner L, Mendoza-Vasconez AS, Mackey S, McGuire V, To C, White B, et al. Physical activity, well-being, and priorities of older women during the COVID-19 pandemic: a survey of Women’s Health Initiative Strong and Healthy (WHISH) intervention participants. Translational Behavioral Medicine. 2021;11(12):2155– 2163

  45. [45]

    Is Sitting Always Inactive and Standing Always Active? A Simultaneous Free- Living activPal and ActiGraph Analysis

    Kuster RP, Grooten WJ, Blom V, Baumgartner D, Hagstr¨ omer M, Ekblom ¨O. Is Sitting Always Inactive and Standing Always Active? A Simultaneous Free- Living activPal and ActiGraph Analysis. International journal of environmental research and public health. 2020;17(23):8864

  46. [46]

    Accelerometer data collection and processing criteria to assess physical activity and other outcomes: a systematic review and practical considerations

    Migueles JH, Cadenas-Sanchez C, Ekelund U, Delisle Nystr¨ om C, Mora-Gonzalez J, L¨ of M, et al. Accelerometer data collection and processing criteria to assess physical activity and other outcomes: a systematic review and practical considerations. Sports medicine. 2017;47(9):1821–1845

  47. [47]

    Validation and comparison of ActiGraph activity monitors

    Sasaki JE, John D, Freedson PS. Validation and comparison of ActiGraph activity monitors. Journal of science and medicine in sport. 2011;14(5):411–416

  48. [48]

    Validation of accelerometer wear and nonwear time classification algorithm

    Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Medicine and science in sports and exercise. 2011;43(2):357

  49. [49]

    Assessment of wear/nonwear time classification algorithms for triaxial accelerometer

    Choi L, Ward SC, Schnelle JF, Buchowski MS. Assessment of wear/nonwear time classification algorithms for triaxial accelerometer. Medicine and science in sports and exercise. 2012;44(10):2009

  50. [50]

    Historical development of accelerometry measures and methods for physical activity and sedentary behavior research worldwide: A scoping review of observational studies of adults

    Evenson KR, Scherer E, Peter KM, Cuthbertson CC, Eckman S. Historical development of accelerometry measures and methods for physical activity and sedentary behavior research worldwide: A scoping review of observational studies of adults. PLoS One. 2022;17(11):e0276890

  51. [51]

    Lower- extremity function in persons over the age of 70 years as a predictor of subsequent disability

    Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower- extremity function in persons over the age of 70 years as a predictor of subsequent disability. New England Journal of Medicine. 1995;332(9):556–562

  52. [52]

    Gait speed and survival in older adults

    Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. Jama. 2011;305(1):50–58

  53. [53]

    The relationship of cardiovascular disease to physical functioning in women surviving to age 80 and above in the Women’s Health Initiative

    Stefanick ML, Brunner RL, Leng X, Limacher MC, Bird CE, Garcia DO, et al. The relationship of cardiovascular disease to physical functioning in women surviving to age 80 and above in the Women’s Health Initiative. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2016;71(Suppl 1):S42–S53

  54. [54]

    Association between 6-minute walk test and all-cause mortality, coronary 36 heart disease–specific mortality, and incident coronary heart disease

    Yazdanyar A, Aziz MM, Enright PL, Edmundowicz D, Boudreau R, Sutton-Tyrell K, et al. Association between 6-minute walk test and all-cause mortality, coronary 36 heart disease–specific mortality, and incident coronary heart disease. Journal of aging and health. 2014;26(4):583–599

  55. [55]

    Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women

    Saquib N, Brunner R, Desai M, Kroenke C, Martin LW, Daviglus M, et al. Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women. Age and ageing. 2019;48(3):448–453

  56. [56]

    Short physical performance battery and incident cardiovascular events among older women

    Bellettiere J, Lamonte MJ, Unkart J, Liles S, Laddu-Patel D, Manson JE, et al. Short physical performance battery and incident cardiovascular events among older women. Journal of the American Heart Association. 2020;9(14):e016845

  57. [57]

    Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2000;55(4):M221–M231

  58. [58]

    Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for Elders Pilot (LIFE-P) study

    LIFE Study Investigators. Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for Elders Pilot (LIFE-P) study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2006;61(11):1157–1165

  59. [59]

    Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial

    Pahor M, Guralnik JM, Ambrosius WT, Blair S, Bonds DE, Church TS, et al. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. Jama. 2014;311(23):2387– 2396

  60. [60]

    Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes

    G´ omez JF, Curcio CL, Alvarado B, Zunzunegui MV, Guralnik J. Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes. Colombia medica. 2013;44(3):165–171

  61. [61]

    2018 Physical Activity Guidelines Advisory Committee Scientific Report

    U S Department of Health and Human Services and Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion; 2018. Scientific report submitted to the Secretary of Health and Human Serv...

  62. [62]

    Interventions to promote physical activity by older adults

    King AC. Interventions to promote physical activity by older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2001;56(suppl 2):36–46

  63. [63]

    Physical activity interventions target- ing older adults: A critical review and recommendations

    King AC, Rejeski WJ, Buchner DM. Physical activity interventions target- ing older adults: A critical review and recommendations. American journal of preventive medicine. 1998;15(4):316–333. 37

  64. [64]

    The rand 36-item health survey 1.0

    Hays RD, Sherbourne CD, Mazel RM. The rand 36-item health survey 1.0. Health economics. 1993;2(3):217–227

  65. [65]

    The impact of multimorbidity and coronary disease comorbidity on physical function in women aged 80 years and older: the Women’s Health Initiative

    Rillamas-Sun E, LaCroix AZ, Bell CL, Ryckman K, Ockene JK, Wallace RB. The impact of multimorbidity and coronary disease comorbidity on physical function in women aged 80 years and older: the Women’s Health Initiative. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2016;71(Suppl 1):S54–S61

  66. [66]

    LaMonte MJ, Lewis CE, Buchner DM, Evenson KR, Rillamas-Sun E, Di C, et al. Both light intensity and moderate-to-vigorous physical activity measured by accelerometry are favorably associated with cardiometabolic risk factors in older women: the Objective Physical Activity and Cardiovascular Health (OPACH) study. Journal of the American Heart Association. 2...

  67. [67]

    Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score

    Ridker PM, Buring JE, Rifai N, Cook NR. Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score. Jama. 2007;297(6):611–619

  68. [68]

    Chapter 1

    Wahba G. Chapter 1. In: Spline models for observational data. SIAM (Society for Industrial and Applied Mathematics); 1990. p. 1–20

  69. [69]

    R Core Team, editor.: fdapace: Functional Data Analysis and Empirical Dynamics

    Zhou Y, Bhattacharjee S, Carroll C, Chen Y, Dai X, Fan J, et al.. R Core Team, editor.: fdapace: Functional Data Analysis and Empirical Dynamics. R Foundation for Statistical Computing. R package version 0.5.9. Available from: https://CRAN.R-project.org/package=fdapace

  70. [70]

    Variable selection for generalized linear mixed models by L 1-penalized estimation

    Groll A, Tutz G. Variable selection for generalized linear mixed models by L 1-penalized estimation. Statistics and Computing. 2014;24(2):137–154

  71. [71]

    R Core Team, editor.: glmmLasso: Variable Selection for Generalized Linear Mixed Models by L1-Penalized Estimation

    Groll A. R Core Team, editor.: glmmLasso: Variable Selection for Generalized Linear Mixed Models by L1-Penalized Estimation. R Foundation for Statistical Computing. R package version 1.6.3. Available from: https://CRAN.R-project. org/package=glmmLasso

  72. [72]

    R Core Team, editor.: R: A Language and Environment for Sta- tistical Computing

    R Core Team. R Core Team, editor.: R: A Language and Environment for Sta- tistical Computing. Vienna, Austria: R Foundation for Statistical Computing. Available from: https://www.R-project.org/

  73. [73]

    National Research Platform, editor.: Nautilus

    National Research Platform, San Diego Supercomputer Center at University of California San Diego. National Research Platform, editor.: Nautilus. https:// portal.nrp-nautilus.io, https://nrp.ai

  74. [74]

    R Core Team, editor.: nlme: Linear and Nonlinear Mixed Effects Models

    Pinheiro J, Bates D, R Core Team. R Core Team, editor.: nlme: Linear and Nonlinear Mixed Effects Models. R Foundation for Statistical Computing. R package version 3.1-162. Available from: https://CRAN.R-project.org/package= nlme. 38

  75. [75]

    R Core Team, editor.: MFPCA: Multivariate Functional Principal Component Analysis for Data Observed on Different Dimensional Domains

    Happ-Kurz C. R Core Team, editor.: MFPCA: Multivariate Functional Principal Component Analysis for Data Observed on Different Dimensional Domains. R Foundation for Statistical Computing. R package version 1.3-9. Available from: https://github.com/ClaraHapp/MFPCA

  76. [76]

    Accelerometer-measured daily steps, physical function, and subsequent fall risk in older women: the objective physical activity and cardiovascular disease in older women study

    Schumacher BT, Bellettiere J, LaMonte MJ, Evenson KR, Di C, Lee IM, et al. Accelerometer-measured daily steps, physical function, and subsequent fall risk in older women: the objective physical activity and cardiovascular disease in older women study. Journal of aging and physical activity. 2021;30(4):635–645

  77. [77]

    Aging In Motion: Describing The Longitudinal Decline In Accelerometer-Measured Phys- ical Activity In Older Women

    Hyde ET, Crespo NC, Parada Jr H, Bandoli GE, Zou J, Di C, et al. Aging In Motion: Describing The Longitudinal Decline In Accelerometer-Measured Phys- ical Activity In Older Women. In: Medicine & Science in Sports & Exercise. vol. 57(10S). Lippincott Williams & Wilkins Two Commerce Sq, 2001 Market st, Philadelphia; 2025. p. 281–281

  78. [78]

    Prospec- tive associations between accelerometer-measured physical activity, sedentary behavior, and healthy longevity: the Women’s Health Accelerometry Collabora- tion

    Hyde ET, Bandoli GE, Zou J, Crespo NC, Parada H, Evenson KR, et al. Prospec- tive associations between accelerometer-measured physical activity, sedentary behavior, and healthy longevity: the Women’s Health Accelerometry Collabora- tion. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences. 2025;80(12):glaf206

  79. [79]

    Using devices to assess physical activity and sedentary behavior in a large cohort study: The Women’s Health Study

    Lee IM, Shiroma EJ, Evenson KR, Kamada M, LaCroix AZ, Buring JE. Using devices to assess physical activity and sedentary behavior in a large cohort study: The Women’s Health Study. Journal for the measurement of physical behaviour. 2018;1(2):60–69

  80. [80]

    The association between sensor-based assessments of daily physical activity patterns and physical fitness in older adults: a systematic review and meta-analysis

    Su S, Liu JY, Yu CCW, Ngai SPC, Fu SN. The association between sensor-based assessments of daily physical activity patterns and physical fitness in older adults: a systematic review and meta-analysis. European Review of Aging and Physical Activity. 2025;22(1):15

Showing first 80 references.