mapnhanespa

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mapnhanespa maps physical activity summaries from a study sample onto population-level quantiles estimated from NHANES accelerometer data.

Installation

You can install the development version of mapnhanespa from GitHub with:

# install.packages("pak")
pak::pak("jhuwit/mapnhanespa")

Example

Map one row per participant-measure observation with map_nhanes_pa_quantiles():

library(mapnhanespa)

study_data <- data.frame(
  id = c("P01", "P02", "P03"),
  age = c(25, 62, 84),
  sex = c("Female", "Male", "Female"),
  measure = c("mims", "ssl_steps", "AC"),
  value = c(15000, 7500, 1000000)
)

map_nhanes_pa_quantiles(study_data, id = "id")
#>    id age    sex   measure   value age_category_pa_map nhanes_quantile
#> 1 P01  25 Female      mims   15000             [20,30)       0.5349443
#> 2 P02  62   Male ssl_steps    7500             [60,70)       0.3527381
#> 3 P03  84 Female        AC 1000000             [80,85)       0.1322205

The returned age_category_pa_map column shows the NHANES age category used to select each participant’s CDF. The following example covers all nine supported summaries:

all_measures <- data.frame(
  id = rep("P01", 9),
  age = 25,
  sex = "Female",
  measure = c("total_activity_counts", "total_log10AC", "total_PAXMTSM",
              "total_log10PAXMTSM", "total_scsslsteps", "total_scrfsteps",
              "total_oaksteps", "total_vssteps", "total_vsrevsteps"),
  value = c(2773035, 3039, 14653, 1043, 8694, 11421, 12055, 9505, 9631)
)

map_nhanes_pa_quantiles(all_measures, id = "id")
#>    id age    sex               measure   value age_category_pa_map
#> 1 P01  25 Female total_activity_counts 2773035             [20,30)
#> 2 P01  25 Female         total_log10AC    3039             [20,30)
#> 3 P01  25 Female         total_PAXMTSM   14653             [20,30)
#> 4 P01  25 Female    total_log10PAXMTSM    1043             [20,30)
#> 5 P01  25 Female      total_scsslsteps    8694             [20,30)
#> 6 P01  25 Female       total_scrfsteps   11421             [20,30)
#> 7 P01  25 Female        total_oaksteps   12055             [20,30)
#> 8 P01  25 Female         total_vssteps    9505             [20,30)
#> 9 P01  25 Female      total_vsrevsteps    9631             [20,30)
#>   nhanes_quantile
#> 1       0.4852706
#> 2       0.5714842
#> 3       0.4873396
#> 4       0.5564848
#> 5       0.5872852
#> 6       0.4938108
#> 7       0.4892558
#> 8       0.5019565
#> 9       0.5158600

The complete list of accepted names and the summary used for each CDF is available from nhanes_pa_measure_map(). Other names return NA with a warning listing the unmapped measures. Each value should be calculated using the summary named in the map and supplied on that summary’s scale.

nhanes_pa_measure_map()
#>                    measure      summary
#> 1                       AC           AC
#> 2          activity_counts           AC
#> 3           activitycounts           AC
#> 4                   counts           AC
#> 5                 total_AC           AC
#> 6    total_activity_counts           AC
#> 7             total_counts           AC
#> 8                  log10AC      log10AC
#> 9    log10_activity_counts      log10AC
#> 10            log10_counts      log10AC
#> 11           total_log10AC      log10AC
#> 12                 PAXMTSM      PAXMTSM
#> 13                    mims      PAXMTSM
#> 14               mims_unit      PAXMTSM
#> 15           total_PAXMTSM      PAXMTSM
#> 16            log10PAXMTSM log10PAXMTSM
#> 17              log10_mims log10PAXMTSM
#> 18      total_log10PAXMTSM log10PAXMTSM
#> 19         log10_mims_unit log10PAXMTSM
#> 20              scsslsteps   scsslsteps
#> 21               ssl_steps   scsslsteps
#> 22            sslstepcount   scsslsteps
#> 23           sslstepcounts   scsslsteps
#> 24         total_ssl_steps   scsslsteps
#> 25        total_scsslsteps   scsslsteps
#> 26     steps_stepcount_ssl   scsslsteps
#> 27    steps_stepcounts_ssl   scsslsteps
#> 28               scrfsteps    scrfsteps
#> 29                rf_steps    scrfsteps
#> 30             rfstepcount    scrfsteps
#> 31            rfstepcounts    scrfsteps
#> 32          total_rf_steps    scrfsteps
#> 33         total_scrfsteps    scrfsteps
#> 34      steps_stepcount_rf    scrfsteps
#> 35     steps_stepcounts_rf    scrfsteps
#> 36                oaksteps     oaksteps
#> 37             foreststeps     oaksteps
#> 38               steps_oak     oaksteps
#> 39            steps_forest     oaksteps
#> 40              nsteps_oak     oaksteps
#> 41           nsteps_forest     oaksteps
#> 42          total_oaksteps     oaksteps
#> 43  steps_stepcount_forest     oaksteps
#> 44 steps_stepcounts_forest     oaksteps
#> 45                 vssteps      vssteps
#> 46        vssteps_original      vssteps
#> 47       steps_vs_original      vssteps
#> 48           total_vssteps      vssteps
#> 49              vsrevsteps   vsrevsteps
#> 50         vssteps_revised   vsrevsteps
#> 51        steps_vs_revised   vsrevsteps
#> 52        total_vsrevsteps   vsrevsteps

The measure column accepts common aliases, including total_ac and total_activity_counts for the AC CDF:

measures <- data.frame(
  id = rep("P01", 4),
  age = 25,
  sex = "Female",
  measure = c("mims", "PAXMTSM", "total_ac", "total_activity_counts"),
  value = c(15000, 15000, 2773035, 2773035)
)

map_nhanes_pa_quantiles(measures, id = "id")
#>    id age    sex               measure   value age_category_pa_map
#> 1 P01  25 Female                  mims   15000             [20,30)
#> 2 P01  25 Female               PAXMTSM   15000             [20,30)
#> 3 P01  25 Female              total_ac 2773035             [20,30)
#> 4 P01  25 Female total_activity_counts 2773035             [20,30)
#>   nhanes_quantile
#> 1       0.5349443
#> 2       0.5349443
#> 3       0.4852706
#> 4       0.4852706

# Select a CDF function directly for a supported measure and stratum.
nhanes_pa_measure_cdf("total_activity_counts", age = 25, sex = "Female")(2773035)
#> [1] 0.4852706

By default, quantiles are evaluated against the combined 2011-2012 and 2013-2014 NHANES waves:

map_nhanes_pa_quantiles(study_data, id = "id")
#>    id age    sex   measure   value age_category_pa_map nhanes_quantile
#> 1 P01  25 Female      mims   15000             [20,30)       0.5349443
#> 2 P02  62   Male ssl_steps    7500             [60,70)       0.3527381
#> 3 P03  84 Female        AC 1000000             [80,85)       0.1322205

To map against a specific NHANES wave, provide wave:

map_nhanes_pa_quantiles(study_data, id = "id", wave = "2013-2014")
#>    id age    sex   measure   value age_category_pa_map nhanes_quantile
#> 1 P01  25 Female      mims   15000             [20,30)       0.4943653
#> 2 P02  62   Male ssl_steps    7500             [60,70)       0.3820584
#> 3 P03  84 Female        AC 1000000             [80,85)       0.1181001

You can also map without sex or age stratification:

map_nhanes_pa_quantiles(study_data, id = "id", sex = NULL)
#>    id age    sex   measure   value age_category_pa_map nhanes_quantile
#> 1 P01  25 Female      mims   15000             [20,30)       0.5688587
#> 2 P02  62   Male ssl_steps    7500             [60,70)       0.4164160
#> 3 P03  84 Female        AC 1000000             [80,85)       0.1408881
map_nhanes_pa_quantiles(study_data, id = "id", age = NULL)
#>    id age    sex   measure   value age_category_pa_map nhanes_quantile
#> 1 P01  25 Female      mims   15000             Overall      0.53548286
#> 2 P02  62   Male ssl_steps    7500             Overall      0.28321363
#> 3 P03  84 Female        AC 1000000             Overall      0.01040967

For a single participant-measure value, use nhanes_pa_quantile():

nhanes_pa_quantile(
  value = 15000,
  age = 25,
  sex = "Female",
  measure = "mims"
)
#> [1] 0.5349443

If a study already has age categories, pass the column name through age_category.

Wear-time inclusion criteria

By default, the NHANES reference includes participants with at least 3 valid days of at least 1,368 wear minutes (95% of the day). If your study used different inclusion rules, choose the matching criterion with min_wear_minutes and min_valid_days. The available criteria are listed by nhanes_pa_wear_criteria():

nhanes_pa_wear_criteria()[, c("criterion", "min_wear_minutes",
                              "min_valid_days", "default")]
#>         criterion min_wear_minutes min_valid_days default
#> 1   wear600_days1              600              1   FALSE
#> 2   wear600_days3              600              3   FALSE
#> 3   wear600_days4              600              4   FALSE
#> 4   wear960_days1              960              1   FALSE
#> 5   wear960_days3              960              3   FALSE
#> 6   wear960_days4              960              4   FALSE
#> 7  wear1296_days1             1296              1   FALSE
#> 8  wear1296_days3             1296              3   FALSE
#> 9  wear1296_days4             1296              4   FALSE
#> 10 wear1368_days1             1368              1   FALSE
#> 11 wear1368_days3             1368              3    TRUE
#> 12 wear1368_days4             1368              4   FALSE
#> 13 wear1440_days1             1440              1   FALSE
#> 14 wear1440_days3             1440              3   FALSE
#> 15 wear1440_days4             1440              4   FALSE

The same value can map to a different quantile under a different criterion, because the reference population and its survey weights change:

data.frame(
  criterion = c("1368 min, 3 days (default)", "600 min, 4 days"),
  nhanes_quantile = c(
    nhanes_pa_quantile(15000, age = 25, sex = "Female", measure = "mims"),
    nhanes_pa_quantile(15000, age = 25, sex = "Female", measure = "mims",
                       min_wear_minutes = 600, min_valid_days = 4)
  )
)
#>                    criterion nhanes_quantile
#> 1 1368 min, 3 days (default)       0.5349443
#> 2            600 min, 4 days       0.6424329

Funding acknowledgement

This work was supported by NIH P30AG021334 and the Johns Hopkins Older Americans Independence Center (OAIC) Pepper Center grant.