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Validity of Consumer-Based Physical Activity Monitors for Specific Activity Types.

M Benjamin Nelson1, Leonard A Kaminsky, D Clark Dickin

  • 11Clinical Exercise Physiology Program, Human Performance Laboratory, Ball State University, Muncie, IN; 2Fisher Institute for Wellness and Gerontology, Ball State University, Muncie, IN; and 3Biomechanics Laboratory, Ball State University, Muncie, IN.

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Summary

Consumer physical activity monitors accurately track steps during walking but overestimate energy expenditure during general activities. Use these devices cautiously for energy expenditure tracking.

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Area of Science:

  • Wearable technology
  • Biomedical engineering
  • Exercise physiology

Background:

  • Consumer physical activity monitors are widely used for tracking daily activity.
  • Limited research exists on their accuracy for energy expenditure and step counts across diverse activities.

Purpose of the Study:

  • To evaluate the accuracy of Fitbit (One, Zip, Flex) and Jawbone UP24 monitors.
  • To assess energy expenditure (EE) and step count estimation for specific activities and activity categories.

Main Methods:

  • Thirty participants engaged in a protocol of sedentary, household, and ambulatory/exercise activities.
  • Indirect calorimetry and researcher-counted steps served as criterion measures.
  • Data were analyzed using Friedman's test and mean absolute percent error (MAPE).

Main Results:

  • Monitors showed high EE accuracy (within 8%) for sedentary tasks but overestimated by 16%-40% during ambulatory activities.
  • EE was underestimated by 27%-34% during household activities, except for the Fitbit Flex (within 8%).
  • Step accuracy varied, with Fitbit Flex and other monitors performing well during ambulatory activities but poorly during cycling.

Conclusions:

  • Consumer physical activity monitors should be used with caution for estimating energy expenditure.
  • These devices provide accurate step measurements for structured ambulatory activities, comparable to validated pedometers.