Related Experiment Video
Updated: Mar 12, 2026

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Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption
Published on: June 20, 2025
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Aerobic system analysis based on oxygen uptake and hip acceleration during random over-ground walking activities.
Thomas Beltrame1,2, Richard L Hughson3
1Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada; and.
Summary
Wearable technology can assess aerobic response during walking, correlating with maximal oxygen uptake. This method offers a realistic way to monitor cardiorespiratory health outside clinical settings.
Area of Science:
- Cardiorespiratory Physiology
- Exercise Science
- Biomedical Engineering
Background:
- Deteriorated aerobic response may precede noncommunicable disease symptoms.
- Assessing aerobic response in realistic settings is crucial for early detection.
- Current methods often lack ecological validity.
Purpose of the Study:
- To validate wearable technology for analyzing pulmonary oxygen uptake (V̇o2) dynamics during over-ground walking.
- To investigate the suitability of a pseudorandom ternary sequence (PRTS) walking protocol for assessing aerobic response.
- To correlate findings with established exercise testing methods.
Main Methods:
- Eight adults performed PRTS over-ground walking and cycle ergometer protocols (PRBS and incremental).
- Wearable hip accelerometers measured input changes to the aerobic system.
- Pulmonary oxygen uptake (V̇o2) dynamics were quantified using mean normalized gain amplitude (MNG) in the frequency domain.
Main Results:
- MNG during PRTS walking correlated significantly with the V̇o2 time constant from cycling (r = -0.80).
- MNG estimates from PRBS and PRTS protocols showed strong agreement (r = 0.80).
- Maximal V̇o2 correlated with MNG from both PRBS and PRTS protocols (r ≈ 0.78-0.79).
Conclusions:
- The PRTS over-ground walking protocol, using wearable sensors, effectively evaluates aerobic system dynamics.
- Aerobic response dynamics measured during PRTS and PRBS correlate with maximal V̇o2.
- Wearable technology and MNG assessment enable realistic cardiorespiratory health monitoring.

