An interactive tool to personalise 24-hour activity, sitting and sleep prescription for optimal health outcomes

Personalised interventions which optimise the balance of physical activity (PA), sleep and sedentary behaviour (i.e., time use) in the 24-hr day may be more effective than one-size-fits-all approaches. We present an interactive app to personalise 24-hr time use based on individuals’ health and sociodemographic characteristics. Analyses used cross-sectional data from 53,057 UK Biobank participants. Average daily time use was measured using 7-day accelerometry data and expressed as a 24-hr composition using isometric log-ratio transformation. Five cognitive composites were derived from web-based tests. Regularized linear regression examined the relationship between 24-hr time-use composition and cognition, with sociodemographic and health characteristics as additional predictors. Model estimates were used to estimate optimized cognition based on the interaction of 24-hr time-use composition and personal characteristics. Our ‘ideal day’ app delivers personalised 24-hr time-use recommendations tailored to individual characteristics. We demonstrate that personalisation of time-use interventions can be achieved in real time using open-source software.