2017
DOI: 10.1371/journal.pone.0169616
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When a Step Is Not a Step! Specificity Analysis of Five Physical Activity Monitors

Abstract: IntroductionPhysical activity is an essential aspect of a healthy lifestyle for both physical and mental health states. As step count is one of the most utilized measures for quantifying physical activity it is important that activity-monitoring devices be both sensitive and specific in recording actual steps taken and disregard non-stepping body movements. The objective of this study was to assess the specificity of five activity monitors during a variety of prescribed non-stepping activities.MethodsParticipa… Show more

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Cited by 41 publications
(40 citation statements)
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“…Nevertheless, this is error prone, especially if we consider the amount of data collected. There are commercial step counting solutions that perform particularly well when the user walks ideally (with the mobile in the palm of his/her hand) but which are susceptible to false positives when the movement or position of the mobile is far from the ideal one [59]. There are also some other solutions, described in medical literature, but which we have not used since they involve sensorized environments that constrain the freedom of movement of the user [60].…”
Section: Ground Truthmentioning
confidence: 99%
“…Nevertheless, this is error prone, especially if we consider the amount of data collected. There are commercial step counting solutions that perform particularly well when the user walks ideally (with the mobile in the palm of his/her hand) but which are susceptible to false positives when the movement or position of the mobile is far from the ideal one [59]. There are also some other solutions, described in medical literature, but which we have not used since they involve sensorized environments that constrain the freedom of movement of the user [60].…”
Section: Ground Truthmentioning
confidence: 99%
“…Physical and mental health conditions benefit from physical activity. A healthy lifestyle improves both physical and mental health aspects [ 8 ]. In order to monitor the physical activity of a particular user, the counting of steps is one of the most used measures, and therefore it is important that activity-monitoring devices are both specific and sensitive in estimating the actual number of steps walked (discriminating real steps from non-stepping body movements) [ 8 ].…”
Section: Related Workmentioning
confidence: 99%
“…A healthy lifestyle improves both physical and mental health aspects [ 8 ]. In order to monitor the physical activity of a particular user, the counting of steps is one of the most used measures, and therefore it is important that activity-monitoring devices are both specific and sensitive in estimating the actual number of steps walked (discriminating real steps from non-stepping body movements) [ 8 ]. Many off-the-shelf devices register a significant number of false positive steps per minute when executing non-walking activities [ 8 ] and fail to count steps while walking at slow speeds [ 7 ].…”
Section: Related Workmentioning
confidence: 99%
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“…Although previous systematic reviews have been informative, several limitations exist within these reviews. First, two of the three systematic reviews (18,22) have included studies with very small sample sizes or compared Fitbits to questionable criterion measures, such as other wearable devices (i.e., accelerometers), instead of ground-truth or "gold-standard" measures of energy expenditure (23), heart rate (24) or steps (25) [e.g., indirect calorimetry, electrocardiogram and steps count video recorded]. Second, all previous reviews have included older versions of the Fitbit that do not use photoplethysmography combined with accelerometry, which are likely to result in more bias than more recent Fitbits (21).…”
Section: Introductionmentioning
confidence: 99%