Validation of the Fitbit Charge 2 compared to the ActiGraph GT3X+ in older adults with knee osteoarthritis in free-living conditions

Autor: Taylor P. Trentadue, Heidi Y. Yang, Elena Losina, Jamie E. Collins, Yusi Gong
Rok vydání: 2018
Předmět:
Male
Social condition
Knees
Osteoarthritis
0302 clinical medicine
Elderly
Accelerometry
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
Musculoskeletal System
Multidisciplinary
Applied Mathematics
Simulation and Modeling
Sedentary behavior
Middle Aged
Osteoarthritis
Knee

Wrist
Sports Science
Arms
Social Conditions
Physical Sciences
Legs
Engineering and Technology
Female
Independent Living
Anatomy
Cadence
Algorithms
Research Article
medicine.medical_specialty
Science
Physical activity
Monitoring
Ambulatory

Fitness Trackers
Research and Analysis Methods
Pelvis
03 medical and health sciences
Rheumatology
Humans
Sports and Exercise Medicine
Exercise
Aged
030203 arthritis & rheumatology
Sedentary time
Hip
business.industry
Arthritis
Biology and Life Sciences
Mean age
Physical Activity
Stride length
medicine.disease
Actigraphy
Physical Fitness
Age Groups
Body Limbs
People and Places
Physical therapy
Population Groupings
Electronics
Accelerometers
business
human activities
Mathematics
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 1, p e0211231 (2019)
ISSN: 1932-6203
Popis: Objective To evaluate physical activity (PA) and sedentary time in subjects with knee osteoarthritis (OA) measured by the Fitbit Charge 2 (Fitbit) and a wrist-worn ActiGraph GT3X+ (AGW) compared to the hip-worn ActiGraph (AGH). Design We recruited a cohort of subjects with knee OA from rheumatology clinics. Subjects wore the AGH for four weeks, AGW for two weeks, and Fitbit for two weeks over a four-week study period. We collected accelerometer counts (ActiGraphs) and steps (ActiGraphs, Fitbit) and calculated time spent in sedentary, light, and moderate-to-vigorous activity. We used triaxial PA intensity count cut-points from the literature for ActiGraph and a stride length-based cadence algorithm to categorize Fitbit PA. We compared Fitbit wear times calculated from a step-based algorithm and a novel algorithm that incorporates steps and heart rate (HR). Results We enrolled 15 subjects (67% female, mean age 68 years). Relative to AGH, Fitbit, on average, overestimated steps by 39% and sedentary time by 37% and underestimated MVPA by 5 minutes. Relative to AGH, AGW overestimated steps 116%, underestimated sedentary time by 66%, and captured 281 additional MVPA minutes. The step-based wear time Fitbit algorithm captured 14% less wear time than the HR-based algorithm. Conclusions Fitbit overestimates steps and underestimates MVPA in knee OA subjects. Cut-offs validated for AGW should be developed to support the use of AGW for PA assessment. The HR-based Fitbit algorithm captured more wear time than the step-based algorithm. These data provide critical insight for researchers planning to use commercially-available accelerometers in pragmatic studies.
Databáze: OpenAIRE