Energy expenditure prediction in preschool children: a machine learning approach using accelerometry and external validation.

This study aimed to develop convolutional neural networks (CNNs) models to predict the energy expenditure (EE) of children from raw accelerometer data. Additionally, this study sought to external validation of the CNN models in addition to the linear regression (LM), random forest (RF), and full connected neural network (FcNN) models published in Steenbock(201994-102).Included in this study were 41 German children (3.0-6.99 years) for the training and internal validation who were equipped with GENEActiv, GT3X+, and activPAL accelerometers. The external validation dataset consisted of 39 Canadian children (3.0-5.99 years) that were equipped with OPAL, GT9X, GENEActiv, and GT3X+ accelerometers. EE was recorded simultaneously in both datasets using a portable metabolic unit. The protocols consisted of a semi-structured activities ranging from low to high intensities. The root mean square error (RMSE) values were calculated and used to evaluate model performances.(1) The CNNs outperformed the LM (13.17%-23.81% lower mean RMSE values), FcNN (8.13%-27.27% lower RMSE values) and the RF models (3.59%-18.84% lower RMSE values) in the internal dataset. (2) In contrast, it was found that when applied to the external Canadian dataset, the CNN models had consistently higher RMSE values compared to the LM, FcNN, and RF.Although CNNs can enhance EE prediction accuracy, their ability to generalize to new datasets and accelerometer brands/models, is more limited compared to LM, RF, and FcNN models.