Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients.
<h4>Introduction</h4>The ActiGraph (AG) accelerometer is widely used to assess physical activity (PA) in heart failure (HF) patients. However, the validity of the AG in this population remains unexplored.<h4>Objective</h4>Therefore, this study examined the criterion validity...
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Public Library of Science (PLoS)
2024-01-01
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| Online Access: | https://doi.org/10.1371/journal.pone.0315575 |
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| author | Jisu Kim Jonathan Kenyon Hayley Billingsley Natalie Bohmke Syed Imran Ahmed Hannah Salmons Jung-Min Lee Danielle Kirkman Salvatore Carbone Youngdeok Kim |
| author_facet | Jisu Kim Jonathan Kenyon Hayley Billingsley Natalie Bohmke Syed Imran Ahmed Hannah Salmons Jung-Min Lee Danielle Kirkman Salvatore Carbone Youngdeok Kim |
| author_sort | Jisu Kim |
| collection | DOAJ |
| description | <h4>Introduction</h4>The ActiGraph (AG) accelerometer is widely used to assess physical activity (PA) in heart failure (HF) patients. However, the validity of the AG in this population remains unexplored.<h4>Objective</h4>Therefore, this study examined the criterion validity of the AG-GT9X for measuring step counts (SC) and energy expenditure (EE) among HF patients.<h4>Methods</h4>16 patients with HF with preserved ejection fraction (mean age = 60.3±12.1yrs) completed a total of 41 symptom-limited cardiopulmonary exercise tests on a treadmill across multiple time points (median (IQR) = 2.5 (1.5-3.5)). All participants wore the AG (model: GT9X) on both the right ankle and waist locations during the test. Manually counted steps and indirect calorimetry-derived EE served as criterion measures. AG-derived EE was estimated using six different prediction equations previously developed for waist-worn AG. AG-derived measurements were compared with criterion measurements by calculating correlation coefficients, equivalence tests with two one-sided tests, mean absolute percentage error (MAPE), percentage bias, and Bland-Altman plots using mixed models to account for the nested nature of repeated measures within subjects.<h4>Results</h4>Ankle-worn AG-SC was significantly equivalent to the criterion (p < .05) and had lower MAPE (<10%) compared to the waist location, regardless of PA intensity level. Sasaki-EE was significantly equivalent to the criterion (p < .05), with the lowest percentage bias overall (0.7%).<h4>Conclusions</h4>The ankle-worn AG-SC and Sasaki-EE showed better accuracy among HF patients in laboratory settings. Further research is warranted to cross-validate the results in different settings. |
| format | Article |
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| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-aa6786a49a234e3b8764065d21961b8b2025-01-17T05:31:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031557510.1371/journal.pone.0315575Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients.Jisu KimJonathan KenyonHayley BillingsleyNatalie BohmkeSyed Imran AhmedHannah SalmonsJung-Min LeeDanielle KirkmanSalvatore CarboneYoungdeok Kim<h4>Introduction</h4>The ActiGraph (AG) accelerometer is widely used to assess physical activity (PA) in heart failure (HF) patients. However, the validity of the AG in this population remains unexplored.<h4>Objective</h4>Therefore, this study examined the criterion validity of the AG-GT9X for measuring step counts (SC) and energy expenditure (EE) among HF patients.<h4>Methods</h4>16 patients with HF with preserved ejection fraction (mean age = 60.3±12.1yrs) completed a total of 41 symptom-limited cardiopulmonary exercise tests on a treadmill across multiple time points (median (IQR) = 2.5 (1.5-3.5)). All participants wore the AG (model: GT9X) on both the right ankle and waist locations during the test. Manually counted steps and indirect calorimetry-derived EE served as criterion measures. AG-derived EE was estimated using six different prediction equations previously developed for waist-worn AG. AG-derived measurements were compared with criterion measurements by calculating correlation coefficients, equivalence tests with two one-sided tests, mean absolute percentage error (MAPE), percentage bias, and Bland-Altman plots using mixed models to account for the nested nature of repeated measures within subjects.<h4>Results</h4>Ankle-worn AG-SC was significantly equivalent to the criterion (p < .05) and had lower MAPE (<10%) compared to the waist location, regardless of PA intensity level. Sasaki-EE was significantly equivalent to the criterion (p < .05), with the lowest percentage bias overall (0.7%).<h4>Conclusions</h4>The ankle-worn AG-SC and Sasaki-EE showed better accuracy among HF patients in laboratory settings. Further research is warranted to cross-validate the results in different settings.https://doi.org/10.1371/journal.pone.0315575 |
| spellingShingle | Jisu Kim Jonathan Kenyon Hayley Billingsley Natalie Bohmke Syed Imran Ahmed Hannah Salmons Jung-Min Lee Danielle Kirkman Salvatore Carbone Youngdeok Kim Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. PLoS ONE |
| title | Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. |
| title_full | Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. |
| title_fullStr | Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. |
| title_full_unstemmed | Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. |
| title_short | Validity of the Actigraph-GT9X accelerometer for measuring steps and energy expenditures in heart failure patients. |
| title_sort | validity of the actigraph gt9x accelerometer for measuring steps and energy expenditures in heart failure patients |
| url | https://doi.org/10.1371/journal.pone.0315575 |
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