Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices
BackgroundPhysical activity (PA) has become an important health issue for decades. Cardiovascular implantable electronic devices (CIEDs) have built-in PA-recording functions. We aimed to compare PA measurements using an external accelerometer (ActiGraph GT3X+) and internal accelerometers (Abbott, Bi...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.898086/full |
| _version_ | 1811256192212664320 |
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| author | Chun-Kai Chen Li-Ying Cheng Li-Ying Cheng Shan-Wei Hsu Min-Tsun Liao Min-Tsun Liao Po-Wen Ku Yen-Bin Liu Yen-Bin Liu |
| author_facet | Chun-Kai Chen Li-Ying Cheng Li-Ying Cheng Shan-Wei Hsu Min-Tsun Liao Min-Tsun Liao Po-Wen Ku Yen-Bin Liu Yen-Bin Liu |
| author_sort | Chun-Kai Chen |
| collection | DOAJ |
| description | BackgroundPhysical activity (PA) has become an important health issue for decades. Cardiovascular implantable electronic devices (CIEDs) have built-in PA-recording functions. We aimed to compare PA measurements using an external accelerometer (ActiGraph GT3X+) and internal accelerometers (Abbott, Biotronik, and Medtronic CIEDs).MethodsThis was a prospective, single-center observational study. The device-measured 7-day average PA was collected, and GT3X+ -measured 7-day average PA was used as the gold-standard, including all daily observations of activity. Pearson’s correlation coefficients were used to compare the correlations between GT3X+ -measured and CIED-measured PA. Bland-Altman plots were used to analyze measurement agreement, and intraclass correlation coefficients were used to analyze reliability.ResultsIn total, 720 patients treated with CIEDs were surveyed between November 2020 and April 2021, 60 of them were analyzed after patient screening by our protocol. Each manufacturer included 20 patients for the final analysis. The CIED-measured PAs of Abbott, Biotronik, and Medtronic were 3.0 ± 1.5, 2.6 ± 1.8, and 3.8 ± 2.5 h per day, respectively; the GT3X+ -measured PAs were 6.9 ± 2.8, 6.0 ± 2.4, and 6.4 ± 2.5 h per day, respectively. Moderate and significant correlations were found in patients using Abbott, Biotronik, and Medtronic CIEDs (r = 0.534, p = 0.015; r = 0.465, p = 0.039; r = 0.677, p = 0.001, respectively). Bland-Altman plots and intraclass correlation coefficients both showed a significant correlation and reliability between the average PA measured by GT3X+ and CIEDs (hours per day).ConclusionAlthough the PA recording function of CIEDs includes a single-axis accelerometer, it has a moderate correlation compared with the triaxial accelerometer of the GT3X+. However, CIEDs seem to underestimate PA for 3–4 h compared to the GT3X+. |
| first_indexed | 2024-04-12T17:36:22Z |
| format | Article |
| id | doaj.art-0e30c4128ed140289fd62400151c8049 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-12T17:36:22Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-0e30c4128ed140289fd62400151c80492022-12-22T03:22:58ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-05-01910.3389/fcvm.2022.898086898086Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic DevicesChun-Kai Chen0Li-Ying Cheng1Li-Ying Cheng2Shan-Wei Hsu3Min-Tsun Liao4Min-Tsun Liao5Po-Wen Ku6Yen-Bin Liu7Yen-Bin Liu8Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, TaiwanDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, TaiwanSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, TaiwanDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, TaiwanDepartment of Internal Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanGraduate Institute of Sports and Health Management, National Chung Hsing University, Taichung, TaiwanDepartment of Internal Medicine, College of Medicine, National Taiwan University, Taipei, TaiwanDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanBackgroundPhysical activity (PA) has become an important health issue for decades. Cardiovascular implantable electronic devices (CIEDs) have built-in PA-recording functions. We aimed to compare PA measurements using an external accelerometer (ActiGraph GT3X+) and internal accelerometers (Abbott, Biotronik, and Medtronic CIEDs).MethodsThis was a prospective, single-center observational study. The device-measured 7-day average PA was collected, and GT3X+ -measured 7-day average PA was used as the gold-standard, including all daily observations of activity. Pearson’s correlation coefficients were used to compare the correlations between GT3X+ -measured and CIED-measured PA. Bland-Altman plots were used to analyze measurement agreement, and intraclass correlation coefficients were used to analyze reliability.ResultsIn total, 720 patients treated with CIEDs were surveyed between November 2020 and April 2021, 60 of them were analyzed after patient screening by our protocol. Each manufacturer included 20 patients for the final analysis. The CIED-measured PAs of Abbott, Biotronik, and Medtronic were 3.0 ± 1.5, 2.6 ± 1.8, and 3.8 ± 2.5 h per day, respectively; the GT3X+ -measured PAs were 6.9 ± 2.8, 6.0 ± 2.4, and 6.4 ± 2.5 h per day, respectively. Moderate and significant correlations were found in patients using Abbott, Biotronik, and Medtronic CIEDs (r = 0.534, p = 0.015; r = 0.465, p = 0.039; r = 0.677, p = 0.001, respectively). Bland-Altman plots and intraclass correlation coefficients both showed a significant correlation and reliability between the average PA measured by GT3X+ and CIEDs (hours per day).ConclusionAlthough the PA recording function of CIEDs includes a single-axis accelerometer, it has a moderate correlation compared with the triaxial accelerometer of the GT3X+. However, CIEDs seem to underestimate PA for 3–4 h compared to the GT3X+.https://www.frontiersin.org/articles/10.3389/fcvm.2022.898086/fullcardiac implantable electric devicephysical activityActiGraph GT3X+accelerometervalidation |
| spellingShingle | Chun-Kai Chen Li-Ying Cheng Li-Ying Cheng Shan-Wei Hsu Min-Tsun Liao Min-Tsun Liao Po-Wen Ku Yen-Bin Liu Yen-Bin Liu Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices Frontiers in Cardiovascular Medicine cardiac implantable electric device physical activity ActiGraph GT3X+ accelerometer validation |
| title | Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices |
| title_full | Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices |
| title_fullStr | Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices |
| title_full_unstemmed | Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices |
| title_short | Comparative Analysis of Physical Activity Detected via an External Accelerometer and Cardiac Implantable Electronic Devices |
| title_sort | comparative analysis of physical activity detected via an external accelerometer and cardiac implantable electronic devices |
| topic | cardiac implantable electric device physical activity ActiGraph GT3X+ accelerometer validation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.898086/full |
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