Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study
Concordant assessments of physical activity (PA) and related measures in cardiac rehabilitation (CR) is essential for exercise prescription. This study compared exercise measurement from an in-person walk test; wearable activity tracker; and self-report at CR entry, completion (8-weeks) and follow-u...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/4/1639 |
| _version_ | 1797476721840095232 |
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| author | Muaddi Alharbi Adrian Bauman Mohammed Alabdulaali Lis Neubeck Sidney Smith Sharon Naismith Yun-Hee Jeon Geoffrey Tofler Atef Surour Robyn Gallagher |
| author_facet | Muaddi Alharbi Adrian Bauman Mohammed Alabdulaali Lis Neubeck Sidney Smith Sharon Naismith Yun-Hee Jeon Geoffrey Tofler Atef Surour Robyn Gallagher |
| author_sort | Muaddi Alharbi |
| collection | DOAJ |
| description | Concordant assessments of physical activity (PA) and related measures in cardiac rehabilitation (CR) is essential for exercise prescription. This study compared exercise measurement from an in-person walk test; wearable activity tracker; and self-report at CR entry, completion (8-weeks) and follow-up (16-weeks). Forty patients beginning CR completed the Six-Minute Walk Test (6MWT), Physical Activity Scale for the Elderly (PASE), and wore Fitbit-Flex for four consecutive days including two weekend days. The sample mean age was 66 years; 67% were male. Increased exercise capacity at CR completion and follow-up was detected by a 6MWT change in mean distance (39 m and 42 m; <i>p</i> = 0.01, respectively). Increased PA participation at CR completion was detected by Fitbit-Flex mean change in step counts (1794; <i>p</i> = 0.01). Relative changes for Fitbit-Flex step counts and a 6MWT were consistent with previous research, demonstrating Fitbit-Flex’s potential as an outcome measure. With four days of data, Fitbit-Flex had acceptable ICC values in measuring step counts and MVPA minutes. Fitbit-Flex steps and 6MWT meters are more responsive to changes in PA patterns following exposure to a cardiac rehabilitation program than Fitbit-Flex or PASE-estimated moderate–vigorous PA (MVPA) minutes. Fitbit-Flex step counts provide a useful additional measure for assessing PA outside of the CR setting and accounts for day-to-day variations. Two weekend days and two weekdays are needed for Fitbit-Flex to estimate PA levels more precisely. |
| first_indexed | 2024-03-09T21:05:41Z |
| format | Article |
| id | doaj.art-efd39fca26604970a93ae828cce8d30f |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T21:05:41Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-efd39fca26604970a93ae828cce8d30f2023-11-23T22:02:48ZengMDPI AGSensors1424-82202022-02-01224163910.3390/s22041639Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective StudyMuaddi Alharbi0Adrian Bauman1Mohammed Alabdulaali2Lis Neubeck3Sidney Smith4Sharon Naismith5Yun-Hee Jeon6Geoffrey Tofler7Atef Surour8Robyn Gallagher9The Studies and Consulting Office at the Assistant Minister of Health, Riyadh 11176, Saudi ArabiaCharles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney 2006, AustraliaDepartment of the Assistant Minister, Ministry of Health, Riyadh 11176, Saudi ArabiaSchool of Health and Social Care, Edinburgh Napier University, Edinburgh EH14 1DJ, UKDivision of Cardiology, University of North Carolina, Chapel Hill, NC 27514, USACharles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney 2006, AustraliaCharles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney 2006, AustraliaRoyal North Shore Hospital, Sydney 2065, AustraliaThe National Association for Health Awareness (Hayatona), Riyadh 12466, Saudi ArabiaCharles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Sydney 2006, AustraliaConcordant assessments of physical activity (PA) and related measures in cardiac rehabilitation (CR) is essential for exercise prescription. This study compared exercise measurement from an in-person walk test; wearable activity tracker; and self-report at CR entry, completion (8-weeks) and follow-up (16-weeks). Forty patients beginning CR completed the Six-Minute Walk Test (6MWT), Physical Activity Scale for the Elderly (PASE), and wore Fitbit-Flex for four consecutive days including two weekend days. The sample mean age was 66 years; 67% were male. Increased exercise capacity at CR completion and follow-up was detected by a 6MWT change in mean distance (39 m and 42 m; <i>p</i> = 0.01, respectively). Increased PA participation at CR completion was detected by Fitbit-Flex mean change in step counts (1794; <i>p</i> = 0.01). Relative changes for Fitbit-Flex step counts and a 6MWT were consistent with previous research, demonstrating Fitbit-Flex’s potential as an outcome measure. With four days of data, Fitbit-Flex had acceptable ICC values in measuring step counts and MVPA minutes. Fitbit-Flex steps and 6MWT meters are more responsive to changes in PA patterns following exposure to a cardiac rehabilitation program than Fitbit-Flex or PASE-estimated moderate–vigorous PA (MVPA) minutes. Fitbit-Flex step counts provide a useful additional measure for assessing PA outside of the CR setting and accounts for day-to-day variations. Two weekend days and two weekdays are needed for Fitbit-Flex to estimate PA levels more precisely.https://www.mdpi.com/1424-8220/22/4/1639coronary heart diseasephysical activityFitbit6MWTPASEresponsiveness |
| spellingShingle | Muaddi Alharbi Adrian Bauman Mohammed Alabdulaali Lis Neubeck Sidney Smith Sharon Naismith Yun-Hee Jeon Geoffrey Tofler Atef Surour Robyn Gallagher Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study Sensors coronary heart disease physical activity Fitbit 6MWT PASE responsiveness |
| title | Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study |
| title_full | Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study |
| title_fullStr | Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study |
| title_full_unstemmed | Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study |
| title_short | Comparison of Different Physical Activity Measures in a Cardiac Rehabilitation Program: A Prospective Study |
| title_sort | comparison of different physical activity measures in a cardiac rehabilitation program a prospective study |
| topic | coronary heart disease physical activity Fitbit 6MWT PASE responsiveness |
| url | https://www.mdpi.com/1424-8220/22/4/1639 |
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