Evidence map›Paper›PMID 36827427›Full record

ArticlePloS one2023

How many days are needed? Measurement reliability of wearable device data to assess physical activity.

Patrick Hilden, Joseph E Schwartz, Christian Pascual, Keith M Diaz, Jeff Goldsmith

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  7. Observational
  8. Association of genetic risk and physical activity with incident type 2 diabetes.The Journal of clinical endocrinology and metabolism · 2026
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  14. 11 million days of longitudinal wearable data reveal novel future health insights.medRxiv : the preprint server for health sciences · 2026
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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.

Patrick HildenDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
Joseph E SchwartzCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.ORCID 0000-0002-8944-3566
Christian PascualDepartment of Biostatistics, Herbert Wertheim School of Public Health, University of California, San Diego, San Diego, CA, United States of America.ORCID 0000-0002-9968-9420
Keith M DiazCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.
Jeff GoldsmithDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York, United States of America.ORCID 0000-0002-6150-8997

Funding

Ecological Link of Psychosocial Stress to Exercise: Personalized PathwaysR01HL115941 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BURG, MATTHEW M, DAVIDSON, KARINA W. · 2012 to 2014
$1.7M
NHLBI NIH HHS R01 HL115941
6 · The paper itself

Abstract

introduction/purposePhysical activity studies often utilize wearable devices to measure participants' habitual activity levels by averaging values across several valid observation days. These studies face competing demands-available resources and the burden to study participants must be balanced with the goal to obtain reliable measurements of a person's longer-term average. Information about the number of valid observation days required to reliably measure targeted metrics of habitual activity is required to inform study design.

methodsTo date, the number of days required to achieve a desired level of aggregate long-term reliability (typically 0.80) has often been estimated by applying the Spearman-Brown Prophecy formula to short-term test-retest reliability data from studies with single, relatively brief observation windows. Our work, in contrast, utilizes a resampling-based approach to quantify the long-term test-retest reliability of aggregate measures of activity in a cohort of 79 participants who were asked to wear a FitBit Flex every day for approximately one year.

resultsThe conventional approach can produce reliability estimates that substantially overestimate the actual test-retest reliability. Six or more valid days of observation for each participant appear necessary to obtain 0.80 reliability for the average amount of time spent in light physical activity; 8 and 10 valid days are needed for sedentary time and moderate/vigorous activity respectively.

conclusionProtocols that result in 7-10 valid observation days for each participant may be needed to obtain reliable measurements of key physical activity metrics.

Indexed as

Routinely Collected Health DataWearable Electronic DevicesAccelerometryExerciseHumansReproducibility of ResultsSedentary Behavior

Identifiers

PMID36827427
PMCPMC9956594

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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.