Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.

<h4>Background</h4>Activity trackers such as the Fitbit Charge 2 enable users and researchers to monitor physical activity in daily life, which could be beneficial for changing behaviour. However, the accuracy of the Fitbit Charge 2 in a free-living environment is largely unknown.<h4&...

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Main Authors: Marie-Louise K Mikkelsen, Gabriele Berg-Beckhoff, Peder Frederiksen, Graham Horgan, Ruairi O'Driscoll, António L Palmeira, Sarah E Scott, James Stubbs, Berit L Heitmann, Sofus C Larsen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0234426
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author Marie-Louise K Mikkelsen
Gabriele Berg-Beckhoff
Peder Frederiksen
Graham Horgan
Ruairi O'Driscoll
António L Palmeira
Sarah E Scott
James Stubbs
Berit L Heitmann
Sofus C Larsen
author_facet Marie-Louise K Mikkelsen
Gabriele Berg-Beckhoff
Peder Frederiksen
Graham Horgan
Ruairi O'Driscoll
António L Palmeira
Sarah E Scott
James Stubbs
Berit L Heitmann
Sofus C Larsen
author_sort Marie-Louise K Mikkelsen
collection DOAJ
description <h4>Background</h4>Activity trackers such as the Fitbit Charge 2 enable users and researchers to monitor physical activity in daily life, which could be beneficial for changing behaviour. However, the accuracy of the Fitbit Charge 2 in a free-living environment is largely unknown.<h4>Objective</h4>To investigate the agreement between Fitbit Charge 2 and ActiGraph GT3X for the estimation of steps, energy expenditure, time in sedentary behaviour, and light and moderate-to-vigorous physical activity under free-living conditions, and further examine to what extent placing the ActiGraph on the wrist as opposed to the hip would affect the findings.<h4>Methods</h4>41 adults (n = 10 males, n = 31 females) were asked to wear a Fitbit Charge 2 device and two ActiGraph GT3X devices (one on the hip and one on the wrist) for seven consecutive days and fill out a log of wear times. Agreement was assessed through Bland-Altman plots combined with multilevel analysis.<h4>Results</h4>The Fitbit measured 1,492 steps/day more than the hip-worn ActiGraph (limits of agreement [LoA] = -2,250; 5,234), while for sedentary time, it measured 25 min/day less (LoA = -137; 87). Both Bland-Altman plots showed fixed bias. For time in light physical activity, the Fitbit measured 59 min/day more (LoA = -52;169). For time in moderate-to-vigorous physical activity, the Fitbit measured 31 min/day less (LoA = -132; 71) and for activity energy expenditure it measured 408 kcal/day more than the hip-worn ActiGraph (LoA = -385; 1,200). For the two latter outputs, the plots indicated proportional bias. Similar or more pronounced discrepancies, mostly in opposite direction, appeared when comparing to the wrist-worn ActiGraph.<h4>Conclusion</h4>Moderate to substantial differences between devices were found for most outputs, which could be due to differences in algorithms. Caution should be taken if replacing one device with another and when comparing results.
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spelling doaj.art-64988edcb6ee43d097f50748d68f3dfa2022-12-21T21:31:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01156e023442610.1371/journal.pone.0234426Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.Marie-Louise K MikkelsenGabriele Berg-BeckhoffPeder FrederiksenGraham HorganRuairi O'DriscollAntónio L PalmeiraSarah E ScottJames StubbsBerit L HeitmannSofus C Larsen<h4>Background</h4>Activity trackers such as the Fitbit Charge 2 enable users and researchers to monitor physical activity in daily life, which could be beneficial for changing behaviour. However, the accuracy of the Fitbit Charge 2 in a free-living environment is largely unknown.<h4>Objective</h4>To investigate the agreement between Fitbit Charge 2 and ActiGraph GT3X for the estimation of steps, energy expenditure, time in sedentary behaviour, and light and moderate-to-vigorous physical activity under free-living conditions, and further examine to what extent placing the ActiGraph on the wrist as opposed to the hip would affect the findings.<h4>Methods</h4>41 adults (n = 10 males, n = 31 females) were asked to wear a Fitbit Charge 2 device and two ActiGraph GT3X devices (one on the hip and one on the wrist) for seven consecutive days and fill out a log of wear times. Agreement was assessed through Bland-Altman plots combined with multilevel analysis.<h4>Results</h4>The Fitbit measured 1,492 steps/day more than the hip-worn ActiGraph (limits of agreement [LoA] = -2,250; 5,234), while for sedentary time, it measured 25 min/day less (LoA = -137; 87). Both Bland-Altman plots showed fixed bias. For time in light physical activity, the Fitbit measured 59 min/day more (LoA = -52;169). For time in moderate-to-vigorous physical activity, the Fitbit measured 31 min/day less (LoA = -132; 71) and for activity energy expenditure it measured 408 kcal/day more than the hip-worn ActiGraph (LoA = -385; 1,200). For the two latter outputs, the plots indicated proportional bias. Similar or more pronounced discrepancies, mostly in opposite direction, appeared when comparing to the wrist-worn ActiGraph.<h4>Conclusion</h4>Moderate to substantial differences between devices were found for most outputs, which could be due to differences in algorithms. Caution should be taken if replacing one device with another and when comparing results.https://doi.org/10.1371/journal.pone.0234426
spellingShingle Marie-Louise K Mikkelsen
Gabriele Berg-Beckhoff
Peder Frederiksen
Graham Horgan
Ruairi O'Driscoll
António L Palmeira
Sarah E Scott
James Stubbs
Berit L Heitmann
Sofus C Larsen
Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
PLoS ONE
title Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
title_full Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
title_fullStr Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
title_full_unstemmed Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
title_short Estimating physical activity and sedentary behaviour in a free-living environment: A comparative study between Fitbit Charge 2 and Actigraph GT3X.
title_sort estimating physical activity and sedentary behaviour in a free living environment a comparative study between fitbit charge 2 and actigraph gt3x
url https://doi.org/10.1371/journal.pone.0234426
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