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Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption
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Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption

Published on: June 20, 2025

Daily physical activity assessment with accelerometers: new insights and validation studies.

G Plasqui1, A G Bonomi, K R Westerterp

  • 1Human Biology Department, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre +, Maastricht, The Netherlands. g.plasqui@maastrichtuniversity.nl

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity
|February 13, 2013
PubMed
Summary

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Accelerometers measure physical activity energy expenditure, but validation studies show varied accuracy. Doubly labelled water (DLW) remains the gold standard for assessing total energy expenditure.

Area of Science:

  • Physical Activity Measurement
  • Energy Expenditure Assessment
  • Biomedical Engineering

Background:

  • Accelerometry is increasingly used to measure physical activity and energy expenditure.
  • The doubly labelled water (DLW) method is the gold standard for validating energy expenditure measurements over extended periods.
  • Previous reviews have covered earlier accelerometer validation studies.

Purpose of the Study:

  • To systematically review recent (2007-2011) studies validating accelerometers against the DLW method.
  • To assess the current validity and variability of accelerometers in measuring daily physical activity.

Main Methods:

  • Systematic literature search of PubMed Central database.
  • Keywords used: doubly labelled water, accelerometer, accelerometry, motion sensor, activity monitor.

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  • Included articles published between 2007 and 2011; 25 of 38 identified articles contained sufficient new data.
  • Main Results:

    • Eighteen different accelerometers were evaluated in the selected studies.
    • Significant variability was observed in accelerometer output and their validity for assessing daily physical activity.
    • Limited evidence suggests that combining heart rate with accelerometry significantly improves energy expenditure estimation.

    Conclusions:

    • Accelerometer-based physical activity assessment shows considerable variability.
    • Activity type recognition holds promise for enhancing the assessment of physical activity's impact on health outcomes.
    • Further research is needed to improve the accuracy and reliability of accelerometers.