Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults

Objective: The aim of this study is to evaluate accuracy of research activity monitors in measuring steps in older adults with a range of walking abilities. Method: Participants completed an initial assessment of gait speed. The accuracy of each monitor to record 100 steps was assessed across two wa...

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Main Authors: Andrea L. Hergenroeder PhD, PT, Bethany Barone Gibbs PhD, Mary P. Kotlarczyk PhD, Robert J. Kowalsky PhD, Subashan Perera PhD, Jennifer S. Brach PhD, PT
Format: Article
Language:English
Published: SAGE Publishing 2018-06-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/2333721418781126
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author Andrea L. Hergenroeder PhD, PT
Bethany Barone Gibbs PhD
Mary P. Kotlarczyk PhD
Robert J. Kowalsky PhD
Subashan Perera PhD
Jennifer S. Brach PhD, PT
author_facet Andrea L. Hergenroeder PhD, PT
Bethany Barone Gibbs PhD
Mary P. Kotlarczyk PhD
Robert J. Kowalsky PhD
Subashan Perera PhD
Jennifer S. Brach PhD, PT
author_sort Andrea L. Hergenroeder PhD, PT
collection DOAJ
description Objective: The aim of this study is to evaluate accuracy of research activity monitors in measuring steps in older adults with a range of walking abilities. Method: Participants completed an initial assessment of gait speed. The accuracy of each monitor to record 100 steps was assessed across two walking trials. Results: In all, 43 older adults (age 87 ± 5.7 years, 81.4% female) participated. Overall, the StepWatch had the highest accuracy (99.0% ± 1.5%), followed by the ActivPAL (93.7% ± 11.1%) and the Actigraph (51.4% ± 35.7%). The accuracy of the Actigraph and ActivPAL varied according to assistive device use, and the accuracy of all three monitors differed by gait speed category (all p < .05). StepWatch was highly accurate (⩾97.7) across all conditions. Discussion: The StepWatch and ActivPAL monitor were reasonably accurate in measuring steps in older adults who walk slowly and use an assistive device. The Actigraph significantly undercounted steps in those who walk slow or use an assistive device. Researchers should consider gait speed and the use of assistive devices when selecting an activity monitor.
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spelling doaj.art-11ad6d8d272349c4bc9b7a112db3ddc42022-12-21T18:57:32ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142018-06-01410.1177/2333721418781126Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older AdultsAndrea L. Hergenroeder PhD, PT0Bethany Barone Gibbs PhD1Mary P. Kotlarczyk PhD2Robert J. Kowalsky PhD3Subashan Perera PhD4Jennifer S. Brach PhD, PT5University of Pittsburgh, PA, USAUniversity of Pittsburgh, PA, USAUniversity of Pittsburgh, PA, USATexas A&M University–Kingsville, TX, USAUniversity of Pittsburgh, PA, USAUniversity of Pittsburgh, PA, USAObjective: The aim of this study is to evaluate accuracy of research activity monitors in measuring steps in older adults with a range of walking abilities. Method: Participants completed an initial assessment of gait speed. The accuracy of each monitor to record 100 steps was assessed across two walking trials. Results: In all, 43 older adults (age 87 ± 5.7 years, 81.4% female) participated. Overall, the StepWatch had the highest accuracy (99.0% ± 1.5%), followed by the ActivPAL (93.7% ± 11.1%) and the Actigraph (51.4% ± 35.7%). The accuracy of the Actigraph and ActivPAL varied according to assistive device use, and the accuracy of all three monitors differed by gait speed category (all p < .05). StepWatch was highly accurate (⩾97.7) across all conditions. Discussion: The StepWatch and ActivPAL monitor were reasonably accurate in measuring steps in older adults who walk slowly and use an assistive device. The Actigraph significantly undercounted steps in those who walk slow or use an assistive device. Researchers should consider gait speed and the use of assistive devices when selecting an activity monitor.https://doi.org/10.1177/2333721418781126
spellingShingle Andrea L. Hergenroeder PhD, PT
Bethany Barone Gibbs PhD
Mary P. Kotlarczyk PhD
Robert J. Kowalsky PhD
Subashan Perera PhD
Jennifer S. Brach PhD, PT
Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
Gerontology and Geriatric Medicine
title Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
title_full Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
title_fullStr Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
title_full_unstemmed Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
title_short Accuracy of Objective Physical Activity Monitors in Measuring Steps in Older Adults
title_sort accuracy of objective physical activity monitors in measuring steps in older adults
url https://doi.org/10.1177/2333721418781126
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