Background: The authors conducted a scoping review as a first step toward establishing harmonized (ie, consistent and compatible), empirically based best practices for validating step-counting wearable technologies. Purpose: To catalog studies validating step-counting wearable technologies during treadmill ambulation. Methods: The authors searched PubMed and SPORTDiscus in August 2019 to identify treadmill-based validation studies that employed the criterion of directly observed (including video recorded) steps and cataloged study sample characteristics, protocol details, and analytical procedures. Where reported, speed- and wear location–specific mean absolute percentage error (MAPE) values were tabulated. Weighted median MAPE values were calculated by wear location and a 0.2-m/s speed increment. Results: Seventy-seven eligible studies were identified: most had samples averaging 54% (SD = 5%) female and 27 (5) years of age, treadmill protocols consisting of 3 to 5 bouts at speeds of 0.8 (0.1) to 1.6 (0.2) m/s, and reported measures of bias. Eleven studies provided MAPE values at treadmill speeds of 1.1 to 1.8 m/s; their weighted median MAPE values were 7% to 11% for wrist-worn, 1% to 4% for waist-worn, and ≤1% for thigh-worn devices. Conclusions: Despite divergent study methodologies, the authors identified common practices and summarized MAPE values representing device step-count accuracy during treadmill walking. These initial empirical findings should be further refined to ultimately establish harmonized best practices for validating wearable technologies.
Christopher C. Moore, Aston K. McCullough, Elroy J. Aguiar, Scott W. Ducharme and Catrine Tudor-Locke
Dylan C. Perry, Christopher C. Moore, Colleen J. Sands, Elroy J. Aguiar, Zachary R. Gould, Catrine Tudor-Locke and Scott W. Ducharme
Background: While previous studies indicate an auditory metronome can entrain cadence (in steps per minute), music may also evoke prescribed cadences and metabolic intensities. Purpose: To determine how modulating the tempo of a single commercial song influences adults’ ability to entrain foot strikes while walking and how this entrainment affects metabolic intensity. Methods: Twenty healthy adults (10 men and 10 women; mean [SD]: age 23.7 [2.7] y, height 172.8 [9.0] cm, mass 71.5 [16.2] kg) walked overground on a large circular pathway for six 5-min conditions; 3 self-selected speeds (slow, normal, and fast); and 3 trials listening to a song with its tempo modulated to 80, 100, and 125 beats per minute. During music trials, participants were instructed to synchronize their step timing with the music tempo. Cadence was measured via direct observation, and metabolic intensity (metabolic equivalents) was assessed using indirect calorimetry. Results: Participants entrained their cadences to the music tempos (mean absolute percentage error = 5.3% [5.8%]). Entraining to a music tempo of 100 beats per minute yielded ≥3 metabolic equivalents in 90% of participants. Trials with music entrainment exhibited greater metabolic intensity compared with self-paced trials (repeated-measures analysis of variance, F 1,19 = 8.05, P = .01). Conclusion: This study demonstrates the potential for using music to evoke predictable metabolic intensities.