Evidence map›Paper›PMID 30545810›Full record

ArticleJMIR mHealth and uHealth2018

The Accuracy of Smart Devices for Measuring Physical Activity in Daily Life: Validation Study.

Laurent Degroote, Ilse De Bourdeaudhuij, Maïté Verloigne, Louise Poppe, Geert Crombez

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Laurent DegrootePhysical Activity & Health, Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-3064-1437
Ilse De BourdeaudhuijPhysical Activity & Health, Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0001-9969-7597
Maïté VerloignePhysical Activity & Health, Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-9048-3821
Louise PoppePhysical Activity & Health, Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0001-9285-6962
Geert CrombezHealth Psychology, Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-4744-8561

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices.

objectivesThe aim of this study was, therefore, to investigate convergent validity of 3 Android Wear smartwatches-Polar M600 (Polar Electro Oy, Kempele, Finland), Huawei Watch (Huawei Technologies Co, Ltd, Shenzhen, Guangdong, China), Asus Zenwatch3 (AsusTek Computer Inc, Taipei, Taiwan)-and Fitbit Charge with an ActiGraph accelerometer for measuring steps and moderate to vigorous physical activity (MVPA) on both a day level and 15-min level.

methodsA free-living protocol was used in which 36 adults engaged in usual daily activities over 2 days while wearing 2 different wearables on the nondominant wrist and an ActiGraph GT3X+ accelerometer on the hip. Validity was evaluated on both levels by comparing each wearable with the ActiGraph GT3X+ accelerometer using correlations and Bland-Altman plots in IBM SPSS 24.0.

resultsOn a day level, all devices showed strong correlations (Spearman r=.757-.892) and good agreement (interclass correlation coefficient, ICC=.695-.885) for measuring steps, whereas moderate correlations (Spearman r=.557-.577) and low agreement (ICC=.377-.660) for measuring MVPA. Bland-Altman revealed a systematic overestimation of the wearables for measuring steps but a variation between over- and undercounting of MVPA. On a 15-min level, all devices showed strong correlations (Spearman r=.752-.917) and good agreement (ICC=.792-.887) for measuring steps, whereas weak correlations (Spearman r=.116-.208) and low agreement (ICC=.461-.577) for measuring MVPA. Bland-Altman revealed a systematic overestimation of the wearables for steps but under- or overestimation for MVPA depending on the device.

conclusionsIn sum, all 4 consumer-level devices can be considered accurate step counters in free-living conditions. This study, however, provides evidence of systematic bias for all devices in measurement of MVPA. The results on a 15-min level also indicate that these devices are not sufficiently accurate to provide correct real-time feedback.

Indexed as

accelerometryfitness trackesphysical activity

Identifiers

PMID30545810
PMCPMC6315254

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.