Effects of Body Mass Index and Tilt Angle on Output of Two Wearable Activity Monitors
Abstract
UNLABELLED: Accelerometer-based activity monitors have been used to provide objective measures of physical activity and energy expenditure (EE) in free-living individuals. However, output from these devices has not been compared among normal, overweight, and obese individuals. PURPOSE: The purpose of this study was to examine the effects of body mass index (BMI) and device tilt angle on activity counts recorded by wearable monitors in a controlled laboratory setting. A secondary aim was to examine the effects of these variables on estimated EE. METHODS: Seventy-one healthy adults wore an Actical and an ActiGraph GT1M on the right and left hip, respectively, while walking at 40, 67, and 94 m·min. EE was measured by indirect calorimetry and compared with estimated values using published equations. Three-way repeated-measures ANOVA were used to examine differences in outcome variables (activity counts and EE) between speeds, BMI, and tilt angle for each device. RESULTS: No significant differences in activity counts were observed among BMI categories for either the Actical or ActiGraph (P>0.05). For the Actical, however, among those with an absolute tilt angle <10°, the obese group recorded higher activity counts than the normal weight group (P=0.01). Using the Heil two-regression model, the Actical overestimated EE by up to 35% at the intermediate speed and up to 12% at the fastest speed (P<0.001). The Freedson METs regression equation yielded closer estimates of EE than the Freedson kilocalorie regression equation. CONCLUSIONS: Our findings indicate that the Actical has limitations when comparing individuals with varying BMI and tilt angles in a controlled laboratory environment. The ActiGraph seems to be a more suitable device for making these comparisons.
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Waist-worn accelerometer-based step counters are generally more accurate than spring-levered pedometers.
“Waist-worn accelerometer-based step counters are generally more accurate than spring-levered pedometers.”
From Step Counting: A Review of Measurement Considerations and Health-Related Applications (2017) · cites this paper as [19]
The New Lifestyles NL-2000 and Omron HJ-720 are not impacted by obesity or tilt angle.
“Two such devices (New Lifestyles NL-2000 and Omron HJ-720) are not impacted by obesity or tilt angle [18, 19].”
From Step Counting: A Review of Measurement Considerations and Health-Related Applications (2017) · cites this paper as [19]
Cites
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,452 · see citing works
Compendium of physical activities: an update of activity codes and MET intensities
AINSWORTH, B. E., HASKELL, W. L., WHITT, M. C., IRWIN, M. L., SWARTZ, A. M., STRATH, S. J., O???BRIEN, W. L., BASSETT, D. R., SCHMITZ, K. H., EMPLAINCOURT, P. O., et al. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009001-00009 · Cited by 8,497 · see citing works
Self-citationPhysical Activity in the United States Measured by Accelerometer
TROIANO, R. P., BERRIGAN, D., DODD, K. W., MÂSSE, L. C., TILERT, T., & MCDOWELL, M. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31815a51b3 · Cited by 7,638 · see citing works
Calibration of the Computer Science and Applications, Inc. accelerometer
FREEDSON, P. S., MELANSON, E., & SIRARD, J. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199805000-00021 · Cited by 3,825 · see citing works
(1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.4.899 · Cited by 2,705 · see citing works
A new predictive equation for resting energy expenditure in healthy individuals
Mifflin, M., St Jeor, S., Hill, L., Scott, B., Daugherty, S., & Koh, Y. (1990) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.2.241 · Cited by 2,544 · see citing works
Physical activity levels and patterns of 9- and 15-yr-old European children
RIDDOCH, C. J., BO ANDERSEN, L., WEDDERKOPP, N., HARRO, M., KLASSON-HEGGEBØ, L., SARDINHA, L. B., COOPER, A. R., & EKELUND, U. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000106174.43932.92 · Cited by 900 · see citing works
Flegal, K. M., Shepherd, J. A., Looker, A. C., Graubard, B. I., Borrud, L. G., Ogden, C. L., Harris, T. B., Everhart, J. E., & Schenker, N. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.26847 · Cited by 819 · see citing works
Accuracy and Reliability of 10 Pedometers for Measuring Steps over a 400-m Walk
SCHNEIDER, P. L., Crouter, S. E., Lukajic, O., & Bassett, D. R. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000089342.96098.c4 · Cited by 634 · see citing works
Self-citationPhysical Activity and Inactivity in an Adult Population Assessed by Accelerometry
Hagströmer, M., Oja, P., & Sjöstróm, M. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180a76de5 · Cited by 396 · see citing works
Reliability of accelerometry-based activity monitors: a generalizability study.
Welk, G. J., Schaben, J. A., & Morrow, J. R. (2004) · PubMed · Cited by 394 · see citing works
Estimating energy expenditure using accelerometers
Crouter, S. E., Churilla, J. R., & Bassett, D. R. (2006) · European Journal of Applied Physiology · doi:10.1007/s00421-006-0307-5 · Cited by 366 · see citing works
Self-citationPredicting Activity Energy Expenditure Using the Actical® Activity Monitor
Heil, D. P. (2006) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2006.10599333 · Cited by 353 · see citing works
Spring-Levered versus Piezo-Electric Pedometer Accuracy in Overweight and Obese Adults
CROUTER, S. E., SCHNEIDER, P. L., & BASSETT, D. R. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000181677.36658.a8 · Cited by 295 · see citing works
Self-citationCommercially available pedometers: considerations for accurate step counting
Melanson, E. L., Knoll, J. R., Bell, M. L., Donahoo, W. T., Hill, J. O., Nysse, L. J., Lanningham‐Foster, L., Peters, J. C., & Levine, J. A. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.01.032 · Cited by 280 · see citing works
Technical Reliability Assessment of Three Accelerometer Models in a Mechanical Setup
Esliger, D., & Tremblay, M. S. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000239394.55461.08 · Cited by 244 · see citing works
Descriptive Epidemiology of Pedometer-Determined Physical Activity
Tudor-Locke, C. E., Ham, S. A., Macera, C. A., Ainsworth, B. E., Kirtland, K. A., Reis, J. P., & Kimsey, C. D. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000139806.53824.2e · Cited by 204 · see citing works
Canadian Health Measures Survey: rationale, background and overview.
Tremblay, M. S., Wolfson, M. C., & Gorber, S. C. (2007) · PubMed · Cited by 203 · see citing works
The relationship between pedometer-determined ambulatory activity and body composition variables
Tudor‐Locke, C., Ainsworth, B., Whitt, M., Thompson, R. W., Addy, C., & Jones, D. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801783 · Cited by 202 · see citing works
Comparison of the ActiGraph 7164 and the ActiGraph GT1M during Self-Paced Locomotion
Keadle, S. K., STAUDENMAYER, J. W., Troiano, R. P., & Freedson, P. S. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181c29e90 · Cited by 113 · see citing works
Validity of the Omron HJ-112 Pedometer during Treadmill Walking
Hasson, R. E., Haller, J. M., POBER, D. M., STAUDENMAYER, J. W., & Freedson, P. S. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31818d9fc2 · Cited by 111 · see citing works
Long-period accelerometer monitoring shows the role of physical activity in overweight and obesity
Yoshioka, M., Ayabe, M., Yahiro, T., Higuchi, H., Higaki, Y., St‐Amand, J., Miyazaki, H., Yoshitake, Y., Shindo, M., & Tanaka, H. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0802891 · Cited by 91 · see citing works
Patterns of physical activity in free-living adults in the Southern United States
Buchowski, M. S., Acra, S., Majchrzak, K., Sun, M., & Chen, K.-Y. (2004) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601928 · Cited by 50 · see citing works
Activity decreases as percentage overweight increases.
Tryon, W. W., Goldberg, J. L., & Df, M. (1992) · PubMed · Cited by 41 · see citing works
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Step Counting: A Review of Measurement Considerations and Health-Related Applications
Bassett, D. R., Toth, L. P., LaMunion, S. R., & Crouter, S. E. (2017) · Sports Medicine · doi:10.1007/s40279-016-0663-1 · Cited by 460 · see citing works
Self-citation
- Authors
- FEITO, Y., BASSETT, D. R., TYO, B., & THOMPSON, D. L.
- Affiliations
- University of Tennessee at Knoxville (US)
- Barry University (US)
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2011-05
- Volume
- 43
- Issue
- 5
- Pages
- 861-866
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2007787414
- Cited by
- 32
- References
- 24
- Citations by year
- 2022: 1 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 6 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 6
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- wearable activity trackers, accelerometer, body mass index, obesity, energy expenditure estimation, physical activity measurement, Actical, ActiGraph GT1M, walking speed
- MeSH terms
- Adult, Calorimetry, Energy Metabolism, Equipment Design, Exercise Test, Female, Humans, Male, Obesity, Body Mass Index, Walking, Overweight, Young Adult, Actigraphy
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