Key result
Ankle-worn ActiGraph matches criterion measures for step counts and energy expenditure in HFpEF patients.
Why the study?
The ActiGraph accelerometer is widely used to assess physical activity in heart failure patients, but its validity in this population remains unexplored.
Does the ActiGraph-GT9X accelerometer accurately measure step counts and energy expenditure compared to criterion measures in patients with HFpEF?
Observational (n=16)
Does the ActiGraph-GT9X accelerometer accurately measure step counts and energy expenditure compared to criterion measures in patients with HFpEF?
Answers are grounded in this paper and cite their sources.
The ankle-worn ActiGraph-GT9X accelerometer and Sasaki energy expenditure equation provide accurate measurements of physical activity in HFpEF patients in a laboratory setting.
INTRODUCTION: The ActiGraph (AG) accelerometer is widely used to assess physical activity (PA) in heart failure (HF) patients. However, the validity of the AG in this population remains unexplored. OBJECTIVE: Therefore, this study examined the criterion validity of the AG-GT9X for measuring step counts (SC) and energy expenditure (EE) among HF patients. METHODS: 16 patients with HF with preserved ejection fraction (mean age = 60.3±12.1yrs) completed a total of 41 symptom-limited cardiopulmonary exercise tests on a treadmill across multiple time points (median (IQR) = 2.5 (1.5-3.5)). All participants wore the AG (model: GT9X) on both the right ankle and waist locations during the test. Manually counted steps and indirect calorimetry-derived EE served as criterion measures. AG-derived EE was estimated using six different prediction equations previously developed for waist-worn AG. AG-derived measurements were compared with criterion measurements by calculating correlation coefficients, equivalence tests with two one-sided tests, mean absolute percentage error (MAPE), percentage bias, and Bland-Altman plots using mixed models to account for the nested nature of repeated measures within subjects. RESULTS: Ankle-worn AG-SC was significantly equivalent to the criterion (p < .05) and had lower MAPE (<10%) compared to the waist location, regardless of PA intensity level. Sasaki-EE was significantly equivalent to the criterion (p < .05), with the lowest percentage bias overall (0.7%). CONCLUSIONS: The ankle-worn AG-SC and Sasaki-EE showed better accuracy among HF patients in laboratory settings. Further research is warranted to cross-validate the results in different settings.
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Kim et al. (2024) conducted an observational in Heart failure with preserved ejection fraction (n=16). ActiGraph-GT9X accelerometer vs. Manually counted steps and indirect calorimetry-derived energy expenditure was evaluated on Criterion validity for measuring step counts and energy expenditure (p=< .05). Ankle-worn ActiGraph step counts and Sasaki-estimated energy expenditure were significantly equivalent to criterion measures (p < 0.05) among HFpEF patients in laboratory settings.
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