Modeling Physical Activity Outcomes from Wearable Monitors
Abstract
Although the measurement of physical activity with wearable monitors may be considered objective, consensus guidelines for collecting and processing these objective data are lacking. This article presents an algorithm embodying best practice recommendations for collecting, processing, and reporting physical activity data routinely collected with accelerometry-based activity monitors. This algorithm is proposed as a linear series of seven steps within three successive phases. The Precollection Phase includes two steps. Step 1 defines the population of interest, the type and intensity of physical activity behaviors to be targeted, and the preferred outcome variables, and identifies the epoch duration. In Step 2, the activity monitor is selected, and decisions about how long and where on the body the monitor is to be worn are made. The Data Collection Phase, Step 3, consists of collecting and processing activity monitor data and is dependent on decisions made previously. The Postcollection Phase consists of four steps. Step 4 involves quality and quantity control checks of the activity monitor data. In Step 5, the raw data are transformed into physiologically meaningful units using a calibration algorithm. Step 6 involves summarizing these data according to the target behavior. In Step 7, physical activity outcome variables based on time, energy expenditure, or movement type are generated. Best practice recommendations include the full disclosure of each step within the algorithm when reporting monitor-derived physical activity outcome variables in the research literature. As such, those reading and publishing within the research literature, as well as future users, will have the best chance for understanding the interactions between study methodology and activity monitor selection, as well as the best possibility for relating their own monitor-derived physical activity outcome variables to the research literature.
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While best practices and standards for accelerometer data reduction have been proposed, no consensus has been reached.
“Further, while best practices and standards have been proposed,[35-37] no consensus has been reached.”
From Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges (2014) · cites this paper as [35]
Cites
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
The evolving definition of “sedentary.”
Pate, R. R., O'Neill, J. R., & Lobelo, F. (2008) · Exercise and Sport Sciences Reviews · doi:10.1097/jes.0b013e3181877d1a · Cited by 1,280 · see citing works
Validation and Calibration of Physical Activity Monitors in Children
Puyau, M. R., Adolph, A. L., Vohra, F. A., & Butte, N. F. (2002) · Obesity Research · doi:10.1038/oby.2002.24 · Cited by 1,024 · see citing works
Brage, S., Brage, N., Franks, P. W., Ekelund, U., Wong, M.-Y., Andersen, L. B., Froberg, K., & Wareham, N. J. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00703.2003 · Cited by 473 · cited 2× · see citing works
“With regard to the first assumption, many calibration studies have reported linear relationships between activity monitor data and measures of energy expenditure (7,20), but most of the recent calibration studies have consistently described these relationships with nonlinear regression, multiple regression, or multipl…”
BackgroundSelf-citationPrediction of activity energy expenditure using accelerometers in children.
Puyau, M. R., Adolph, A. L., Vohra, F. A., Zakeri, I., & Butte, N. F. (2004) · PubMed · Cited by 472 · see citing works
A novel method for using accelerometer data to predict energy expenditure
Crouter, S. E., Clowers, K. G., & Bassett, D. R. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00818.2005 · Cited by 455 · see citing works
Staudenmayer, J., Pober, D., Crouter, S., Bassett, D., & Freedson, P. (2009) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00465.2009 · Cited by 361 · see citing works
Predicting 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
Self-citationPrinciples of Design and Analyses for the Calibration of Accelerometry-Based Activity Monitors
Welk, G. J. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185660.38335.de · Cited by 340 · see citing works
Measurement of Human Daily Physical Activity
Zhang, K., Werner, P., Sun, M., Pi-Sunyer, X., & Boozer, C. N. (2003) · Obesity Research · doi:10.1038/oby.2003.7 · Cited by 307 · see citing works
Nilsson, A. E., Ekelund, U., Yngve, A., & Söström, M. (2002) · Pediatric Exercise Science · doi:10.1123/pes.14.1.87 · Cited by 274 · see citing works
Brooks, G. A., Butte, N. F., Rand, W. M., Flatt, J. P., & Caballero, B. H. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.5.921s · Cited by 248 · see citing works
Field Validation of the MTI Actigraph and BodyMedia Armband Monitor Using the IDEEA Monitor
Welk, G. J., McClain, J. J., Eisenmann, J. C., & Wickel, E. E. (2007) · Obesity · doi:10.1038/oby.2007.624 · Cited by 242 · see citing works
Validation and Calibration of the Actical Accelerometer in Preschool Children
Pfeiffer, K. A., McIver, K. L., Dowda, M. C., Almeida, M. J., & Pate, R. R. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000183219.44127.e7 · Cited by 233 · see citing works
Improving Energy Expenditure Estimation for Physical Activity
Zhang, K., Pi‐Sunyer, F. X., & Boozer, C. N. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000126585.40962.22 · Cited by 180 · see citing works
Managed-Medicare health club benefit and reduced health care costs among older adults.
Nguyen, H. Q., Ackermann, R. T., Maciejewski, M. L., Berke, E. M., Patrick, M., Williams, B., & LoGerfo, J. P. (2008) · PubMed Central · Cited by 144 · see citing works
An artificial neural network model of energy expenditure using nonintegrated acceleration signals
Rothney, M. P., Neumann, M. M., Béziat, A., & Chen, K. Y. (2007) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00429.2007 · Cited by 144 · see citing works
Self-citationPhysical activity and obesity: problems in correcting expenditure for body size.
Prentice, A. M., Gr, G., Pr, M., & Cole, T. J. (1996) · PubMed · Cited by 56 · see citing works
Spontaneous physical activity: relationship between fidgeting and body weight control
Johannsen, D. L., & Ravussin, É. (2008) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0b013e32830b10bb · Cited by 44 · see citing works
Physical activity and obesity: Problems in correcting expenditure for body size
Prentice, A., Goldberg, G., Murgatroyd, P., et al. (1996) · UCL Discovery (University College London) · Cited by 31 · see citing works
Influence of Activity Monitor Location and Bout Duration on Free-Living Physical Activity
Heil, D. P., Bennett, G. G., Bond, K. S., Webster, M. D., & Wolin, K. Y. (2009) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2009.10599580 · Cited by 20 · see citing works
Self-citationCorrecting physical activity energy expenditure for body size in children
Abbott, R. A., & Davies, P. S. W. (2004) · Annals of Human Biology · doi:10.1080/03014460400019786 · Cited by 4 · see citing works
Heil, D. P., Hymel, A. M., & Martin, C. K. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000355911.28062.c9 · Cited by 3 · see citing works
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Accelerometry and physical activity questionnaires - a systematic review
Skender, S., Ose, J., Chang-Claude, J., Paskow, M., Brühmann, B., Siegel, E. M., Steindorf, K., & Ulrich, C. M. (2016) · BMC Public Health · doi:10.1186/s12889-016-3172-0 · Cited by 449 · see citing works
Lee, I.-M., & Shiroma, E. J. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093154 · Cited by 415 · see citing works
Natural outdoor environments and mental health: stress as a possible mechanism
Triguero-Mas, M., Donaire-Gonzalez, D., Seto, E., Valentín, A., Martínez, D., Smith, G., Hurst, G., Carrasco-Turigas, G., Masterson, D., van den Berg, M., et al. (2017) · Environmental Research · doi:10.1016/j.envres.2017.08.048 · Cited by 208 · see citing works
Noorkõiv, M., Rodgers, H., & Price, C. I. (2014) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-11-144 · Cited by 141 · see citing works
Syväoja, H. J., Kankaanpää, A., Kallio, J., Hakonen, H., Kulmala, J., Hillman, C. H., Pesonen, A.-K., & Tammelin, T. H. (2018) · Journal of Physical Activity and Health · doi:10.1123/jpah.2017-0135 · Cited by 50 · see citing works
Physical activity, screen time and the incidence of neck and shoulder pain in school-aged children
Pirnes, K. P., Kallio, J., Hakonen, H., Hautala, A., Häkkinen, A. H., & Tammelin, T. (2022) · Scientific Reports · doi:10.1038/s41598-022-14612-0 · Cited by 21 · see citing works
- Authors
- HEIL, D. P., BRAGE, S., & ROTHNEY, M. P.
- Affiliations
- Montana State University (US)
- GE Global Research (United States) (US)
- ORCID
- HEIL, DANIEL P.
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2012-01
- Volume
- 44
- Issue
- 1S
- Pages
- S50-S60
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2326204356
- Cited by
- 121
- References
- 24
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 13 · 2018: 9 · 2017: 14 · 2016: 12 · 2015: 9 · 2014: 8 · 2013: 11 · 2012: 10
- FWCI
- 6.74
- 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 › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- physical activity measurement, accelerometry, wearable activity trackers, data processing algorithms, data quality control, calibration, energy expenditure estimation, reporting guidelines, monitor placement
- MeSH terms
- Algorithms, Calibration, Data Collection, Humans, Motor Activity, Quality Control, Guidelines as Topic, Monitoring, Ambulatory
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