Validation of a Noninvasive, Disposable Activity Monitor for Clinical Applications

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Greg Welk
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Youngwon Kim
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Robin P. Shook
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Laura Ellingson
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Roberto L. Lobelo
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Background:

The study evaluated the concurrent and criterion validity of a new, disposable activity monitor designed to provide objective data on physical activity and energy expenditure in clinical populations.

Methods:

A sample of healthy adults (n = 52) wore the disposable Metria IH1 along with the established Sensewear armband (SWA) monitor for a 1-week period. Concurrent validity was examined by evaluating the statistical equivalence of estimates from the Metria and the SWA. Criterion validity was examined by comparing the relative accuracy of the Metria IH1 and the SWA for assessing walking/running. The absolute validity of the 2 monitors was compared by computing correlations and mean absolute percent error (MAPE) relative to criterion data from a portable metabolic analyzer.

Results:

The output from 2 monitors was highly correlated (correlations > 0.90) and the summary measures yielded nearly identical allocations of time spent in physical activity and energy expenditure. The monitors yielded statistically equivalent estimates and had similar absolute validity relative to the criterion measure (12% to 15% error).

Conclusions:

The disposable nature of the adhesive Metria IH1 monitor offers promise for clinical evaluation of physical activity behavior in patients. Additional research is needed to test utility for counseling and behavior applications.

Welk and Ellingson are with the Dept of Kinesiology, Iowa State University, Ames, IA. Kim is with the MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom. Shook is with the Center for Children’s Healthy Lifestyles & Nutrition at Children’s Mercy, Kansas City, KS. Lobelo is with the Hubert Dept of Global Health, Emory University School of Public Health, Atlanta, GA.

Welk (gwelk@iastate.edu) is corresponding author.
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