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Updated: Jun 6, 2026

Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption
Published on: June 20, 2025
Energy expenditure estimation using triaxial accelerometry and barometric pressure measurement
Matteo Voleno1, Stephen J Redmond, Sergio Cerutti
1Department of Biomedical Engineering, Politecnico di Milano, Italy.
This study improved energy expenditure (EE) estimation by adding barometric pressure data to accelerometry. This new method more accurately tracks EE during activities involving altitude changes, enhancing physical activity assessment.
Area of Science:
- Biomedical Engineering
- Sports Science
- Human Physiology
Background:
- Accurate energy expenditure (EE) assessment is crucial for physical activity studies.
- Current practical EE estimation methods struggle with altitude variations.
- Existing accelerometry-based techniques lack precision during activities like stair climbing.
Purpose of the Study:
- To evaluate the effectiveness of incorporating barometric pressure data into accelerometry for improved EE estimation.
- To assess the utility of barometric pressure as a surrogate for altitude in EE monitoring.
- To compare a combined sensor model with an accelerometry-only model for EE prediction.
Main Methods:
- Developed a wireless, waist-mounted device with a triaxial accelerometer and barometric pressure sensor.
- Extracted features from both sensor signals to train a linear EE estimation model.
- Compared the performance of the combined sensor model against an accelerometry-only model using indirect calorimetry.
Main Results:
- The model integrating barometric pressure achieved a lower mean square error (4.5 ± 1.7 (mlO(2).min(-1).kg(-1))(2)) compared to the accelerometry-only model (7.1 ± 2.3 (mlO(2).min(-1).kg(-1))(2)).
- This indicates a significant improvement in EE estimation accuracy when altitude-related data is included.
- The protocol involved healthy volunteers performing various activities including lying, sitting, standing, and walking.
Conclusions:
- Adding barometric pressure data to accelerometry significantly enhances the accuracy of energy expenditure estimation.
- This combined approach offers a more practical and precise method for monitoring physical activity in free-living conditions, especially with varying altitudes.
- Future research can leverage this integrated sensing approach for more robust physiological monitoring.
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