Step Counting and Energy Expenditure Estimation in Patients With Chronic Obstructive Pulmonary Disease and Healthy Elderly: Accuracy of 2 Motion Sensors
Abstract
Objective To compare the accuracy of 2 motion sensors (a pedometer and a multisensor) in terms of step counting and estimation of energy expenditure (EE) in patients with chronic obstructive pulmonary disease (COPD) and in healthy elderly.Design In this descriptive study, all participants wore both motion sensors while performing a treadmill walking protocol at 3 different speeds corresponding to 30%, 60%, and 100% of the average speed achieved during a six-minute walk test. As criterion methods, EE was estimated by indirect calorimetry, and steps were registered by videotape.Setting Research laboratory at a university hospital.Participants Patients with COPD (n=30; 17 men; mean age +/- SD, 67+/-8 y; mean forced expiratory volume in the first second [FEV(1)] predicted +/- SD, 46%+/-17%; mean body mass index [BMI] +/- SD, 24+/-4 kg.m(2)) and matched healthy elderly (n=30; 15 men; mean age +/- SD, 68+/-7 y; mean FEV(1) predicted +/- SD, 104%+/-21%; mean BMI +/- SD, 25+/-3 kg.m(2)).Interventions Not applicable.Main outcome measure Step counting and EE estimation during a treadmill walking protocol.Results The pedometer was accurate for step counting and EE estimation in both patients with COPD and healthy elderly at the higher speed. However, it showed significant underestimation at the 2 slower speeds in both groups. The multisensor did not detect steps accurately at any speed, although it accurately estimated EE at all speeds in healthy elderly and at the intermediate and higher speeds in patients with COPD.Conclusions In both patients with COPD and healthy elderly, the multisensor showed better EE estimates during most walking speeds than the pedometer. Conversely, for step counting, accuracy is observed only with the pedometer during the higher walking speed in both groups.
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Furlanetto et al and Patel et al showed that a multi-sensor system measuring galvanic skin response, heat flow and skin temperature in addition to motion provided accurate estimates of energy expenditure.
“Furlanetto et al [116] and Patel et al. [117] showed that a multi-sensor system, which measured galvanic skin response, heat flow and skin temperature in addition to motion, provided accurate estimates of energy expenditure.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [116]
Although not accurate at step counting, the multi-sensor system outperformed step counters in estimating energy expenditure at slow walking speeds.
“Although not accurate at step counting, the multi-sensor system outperformed the step counters in estimating energy expenditure at slow walking speeds.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [116]
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- Authors
- Furlanetto, K. C., Bisca, G. W., Oldemberg, N., Sant'Anna, T. J., Morakami, F. K., Camillo, C. A., Cavalheri, V., Hernandes, N. A., Probst, V. S., Ramos, E. M., Brunetto, A. F., & Pitta, F.
- Affiliations
- Universidade Estadual de Londrina (BR)
- Universidade Estadual Paulista (Unesp) (BR)
- ORCID
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 91
- Issue
- 2
- Pages
- 261-267
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2034650040
- Cited by
- 87
- References
- 34
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 8 · 2017: 12 · 2016: 6 · 2015: 9 · 2014: 8 · 2013: 7 · 2012: 12
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Acervo Digital da Universidade Estadual Paulista (Universidade Estadual Paulista) (submittedVersion)
- UNESP Institutional Repository (São Paulo State University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Keywords
- chronic obstructive pulmonary disease, step counting, energy expenditure estimation, pedometers, walking speed, treadmill walking, 6-minute walk test, measurement accuracy, older adults, indirect calorimetry
- MeSH terms
- Acceleration, Aged, Energy Metabolism, Exercise Test, Female, Humans, Male, Middle Aged, Transducers, Reproducibility of Results, Geriatric Assessment, Walking, Outcome Assessment, Health Care, Monitoring, Ambulatory, Pulmonary Disease, Chronic Obstructive
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