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Can energy expenditure be accurately assessed using accelerometry-based wearable motion detectors for physical activity monitoring in post-stroke patients in the subacute phase?

pmid: 29067851
Background In the subacute stroke phase, the monitoring of ambulatory activity and activities of daily life with wearable sensors may have relevant clinical applications. Do current commercially available wearable activity trackers allow us to objectively assess the energy expenditure of these activities? The objective of the present study was to compare the energy expenditure evaluated by indirect calorimetry during the course of a scenario consisting of everyday activities while estimating the energy expenditure using several commercialised wearable sensors in post-stroke patients (less than six months since stroke). Method Twenty-four patients (age 68.2 ± 13.9; post-stroke delay 34 ± 25 days) voluntarily participated in this study. Each patient underwent a scenario of various everyday tasks (transfer, walking, etc.). During the implementation, patients wore 14 wearable sensors (Armband, Actigraph GT3X, Actical, pedometer) to obtain an estimate of the energy expenditure. The actual energy expenditure was concurrently determined by indirect calorimetry. Results Except for the Armband worn on the non-plegic side, the results of our study show a significant difference between the energy expenditure values estimated by the various sensors and the actual energy expenditure when the scenario is considered as a whole. Conclusion The present results suggest that, for a series of everyday tasks, the wearable sensors underestimate the actual energy expenditure values in post-stroke patients in the subacute phase and are therefore not accurate. Several factors are likely to confound the results: types of activity, prediction equations, the position of the sensor and the hemiplegia side.
- University of Grenoble France
- University of Limoges France
- Institut Universitaire de France France
- Grenoble Alpes University France
- Institut Universitaire de France France
Male, Time Factors, physical activity, MESH: Aged, 80 and over, energy expenditure, Activities of Daily Living, 80 and over, MESH: Aged, Aged, 80 and over, MESH: Middle Aged, MESH: Energy Metabolism, 600, Middle Aged, stroke, MESH: Predictive Value of Tests, MESH: Reproducibility of Results, Stroke, Female, MESH: Calorimetry, Indirect, Adult, Indirect, MESH: Actigraphy, Fitness Trackers, MESH: Stroke, Predictive Value of Tests, Humans, MESH: Fitness Trackers, MESH: Calorimetry, Wearable sensor, Exercise, Aged, MESH: Humans, 660, MESH: Activities of Daily Living, MESH: Time Factors, Reproducibility of Results, MESH: Adult, Calorimetry, Indirect, Actigraphy, MESH: Male, monitoring, MESH: Exercise, Energy Metabolism, MESH: Female, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, mesh: mesh:Energy Metabolism, mesh: mesh:Humans, mesh: mesh:Stroke, mesh: mesh:Aged, mesh: mesh:Calorimetry, Indirect, mesh: mesh:Predictive Value of Tests, mesh: mesh:Middle Aged, mesh: mesh:Actigraphy, mesh: mesh:Reproducibility of Results, mesh: mesh:Female, mesh: mesh:Aged, 80 and over, mesh: mesh:Male, mesh: mesh:Exercise, mesh: mesh:Activities of Daily Living, mesh: mesh:Time Factors, mesh: mesh:Adult, mesh: mesh:Fitness Trackers
Male, Time Factors, physical activity, MESH: Aged, 80 and over, energy expenditure, Activities of Daily Living, 80 and over, MESH: Aged, Aged, 80 and over, MESH: Middle Aged, MESH: Energy Metabolism, 600, Middle Aged, stroke, MESH: Predictive Value of Tests, MESH: Reproducibility of Results, Stroke, Female, MESH: Calorimetry, Indirect, Adult, Indirect, MESH: Actigraphy, Fitness Trackers, MESH: Stroke, Predictive Value of Tests, Humans, MESH: Fitness Trackers, MESH: Calorimetry, Wearable sensor, Exercise, Aged, MESH: Humans, 660, MESH: Activities of Daily Living, MESH: Time Factors, Reproducibility of Results, MESH: Adult, Calorimetry, Indirect, Actigraphy, MESH: Male, monitoring, MESH: Exercise, Energy Metabolism, MESH: Female, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, mesh: mesh:Energy Metabolism, mesh: mesh:Humans, mesh: mesh:Stroke, mesh: mesh:Aged, mesh: mesh:Calorimetry, Indirect, mesh: mesh:Predictive Value of Tests, mesh: mesh:Middle Aged, mesh: mesh:Actigraphy, mesh: mesh:Reproducibility of Results, mesh: mesh:Female, mesh: mesh:Aged, 80 and over, mesh: mesh:Male, mesh: mesh:Exercise, mesh: mesh:Activities of Daily Living, mesh: mesh:Time Factors, mesh: mesh:Adult, mesh: mesh:Fitness Trackers
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