The validity and reliability of consumer-grade activity trackers in older, community-dwelling adults : A systematic review

Journal article

Straiton, Nicola, Alharbi, Muaddi, Bauman, Adrian, Neubeck, Lis, Gullick, Janice, Bhindi, Ravinay and Gallagher, Robyn. (2018). The validity and reliability of consumer-grade activity trackers in older, community-dwelling adults : A systematic review. Maturitas. 112, pp. 85-93. https://doi.org/10.1016/j.maturitas.2018.03.016
AuthorsStraiton, Nicola, Alharbi, Muaddi, Bauman, Adrian, Neubeck, Lis, Gullick, Janice, Bhindi, Ravinay and Gallagher, Robyn
Abstract

Objective
To understand the validity and reliability of consumer-grade activity trackers (consumer wearables) in older, community-dwelling adults.

Methods
A systematic review of studies involving adults aged over 65 years who underwent physical activity monitoring with consumer wearables. A total of 7 observational studies qualified, identified from electronic databases: MEDLINE, EMBASE, Cochrane Library and others (2014–2018). Validity was interpreted using correlation coefficients (CC) and percentage error for agreement between reference devices or gold-standard validation methods Reliability was compared using mean differences or ranges (under- or overestimation) of step count and activity time.

Results
Total sample size was 290 adults, mean age of 70.2 ± 4.8 years and females constituting 46.7 ± 26.1%. The studies evaluated eight different consumer wearables used by community-dwelling adults with a range of co-morbidities. Daily step count for all consumer wearables correlated highly with validation criterion, especially the ActiGraph device: intraclass correlation coefficients (ICC) were 0.94 for Fitbit One, 0.94 for Zip, 0.86 for Charge HR and 0.96 for Misfit Shine. Slower walking pace and impaired ambulation reduced the levels of agreement. Daily step count captured by Fitbit Zip was on average 7117 (±5,880.6), which was overestimated by five of the eight consumer wearables compared with reference devices (range 167.6–2,690.3 steps/day). Measurement of activity duration was accurate compared with reference devices, yet less so than step count.

Conclusion
In older, community-dwelling adults, consumer wearables accurately measure step count and activity duration, as confirmed by reference devices and validation methods Further research is required to understand how co-morbidities, gait and activity levels interact with monitoring in free-living environments.

Keywordsolder; physical activity ; exercise; tracker; wearable ; measure
Year01 Jan 2018
JournalMaturitas
Journal citation112, pp. 85-93
PublisherElsevier Ireland, Ltd.
ISSN0378-5122
Digital Object Identifier (DOI)https://doi.org/10.1016/j.maturitas.2018.03.016
Web address (URL)https://www.sciencedirect.com/science/article/pii/S0378512218301828?via%3Dihub
Open accessPublished as non-open access
Research or scholarlyResearch
Page range85-93
Author's accepted manuscript
License
All rights reserved
File Access Level
Open
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Print30 Mar 2018
Publication process dates
Accepted29 Mar 2018
Deposited09 Sep 2024
Additional information

© 2018 Elsevier B.V. All rights reserved.

Place of publicationIreland
Permalink -

https://acuresearchbank.acu.edu.au/item/90xx8/the-validity-and-reliability-of-consumer-grade-activity-trackers-in-older-community-dwelling-adults-a-systematic-review

Log in to edit

Download files

Author's accepted manuscript
AM_Straiton_2018_The_validity_and_reliability_of_consumer_grade.pdf
License: All rights reserved
File access level: Open

Restricted files

Publisher's version

  • 7
    total views
  • 5
    total downloads
  • 1
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Effects of implementation strategies on nursing practice and patient outcomes : a comprehensive systematic review and meta‑analysis
Fontaine, Guillaume, Vinette, Billy, Weight, Charlene, Maheu‑Cadotte, Marc‑André, Lavallée, Andréane, Deschênes, Marie‑France, Lapierre, Alexandra, Castiglione, Sonia A., Chicoine, Gabrielle, Rouleau, Geneviève, Argiropoulos, Nikolas, Konnyu, Kristin, Mooney, Meagan, Mailhot, Tanya, Lavoie, Patrick, Pépin, Catherine, Cossette, Sylvie, Gagnon, Marie‑Pierre, Semenic, Sonia, ... Middleton, Sandra. (2024). Effects of implementation strategies on nursing practice and patient outcomes : a comprehensive systematic review and meta‑analysis. Implementation Science. 19(68), pp. 1-31. https://doi.org/10.1186/s13012-024-01398-0
Strategies for improving diversity, equity, and inclusion in cardiovascular research : a primer
Prichard, Roslyn, Maneze, Della, Straiton, Nicola, Inglis, Sally C. and McDonagh, Julee. (2024). Strategies for improving diversity, equity, and inclusion in cardiovascular research : a primer. European Journal of Cardiovascular Nursing. 23(3), pp. 313-322. https://doi.org/10.1093/eurjcn/zvae002
Wearable activity trackers objectively measure incidental physical activity in older adults undergoing aortic valve replacement
Straiton, Nicola, Hollings, Matthew, Gullick, Janice and Gallagher, Robyn. (2023). Wearable activity trackers objectively measure incidental physical activity in older adults undergoing aortic valve replacement. Sensors. 23(6), pp. 1-12. https://doi.org/10.3390/s23063347
Accelerating knowledge translation to improve cardiovascular outcomes and health services : opportunities for bridging science and clinical practice
Lauck, Sandra B., Saarijärvi, Markus, De Sousa, Ismália, Straiton, Nicola, Borregaard, Britt and Lewis, Krystina B.. (2023). Accelerating knowledge translation to improve cardiovascular outcomes and health services : opportunities for bridging science and clinical practice. European Journal of Cardiovascular Nursing. 22(8), pp. 125-132. https://doi.org/10.1093/eurjcn/zvad077
Development of the Consumer Involvement & Engagement Toolkit : a digital resource to build capacity for undertaking patient-centred clinical trials in Australia
Symons, Tanya, Bowden, Janelle, McKenzie, Anne, Fallon-Ferguson, Julia M., Weekes, Leanne Y., Ansell, James, Murphy, Rinki, Jesudason, Shilpanjali, Saxena, Manoj, Nichol, Alistair and Straiton, Nicola. (2023). Development of the Consumer Involvement & Engagement Toolkit : a digital resource to build capacity for undertaking patient-centred clinical trials in Australia. Public Health Research & Practice. 33(1), pp. 1-6. https://doi.org/10.17061/phrp32122209
A snapshot of consumer engagement in clinical trials in Australia : results of a national survey of clinical trial networks and research organisations
McKenzie, Anne, Bowden, Janelle, Zalcberg, John, Conroy, Karena, Fallon-Ferguson, Julia M., Jesudason, Shilpanjali, Ansell, James, Anderst, Ania and Straiton, Nicola. (2022). A snapshot of consumer engagement in clinical trials in Australia : results of a national survey of clinical trial networks and research organisations. Research Involvement and Engagement. 8(1), pp. 1-10. https://doi.org/10.1186/s40900-022-00338-w
Who’s included? The role of the Clinical Research Nurse in enabling research participation for under-represented and under-served groups
Beer, Kelly, Gentgall, Melanie, Templeton, Nicola, Whitehouse, Claire and Straiton, Nicola. (2022). Who’s included? The role of the Clinical Research Nurse in enabling research participation for under-represented and under-served groups. Journal of Research in Nursing. 27(1-2), pp. 143-154. https://doi.org/10.1177/17449871221077076
Including ethnic minorities in dementia research: Recommendations from a scoping review
Brijnath, Bianca, Croy, Samantha, Sabates, Julieta, Thodis, Antonia, Ellis, Stephanie, de Crespigny, Fleur, Moxey, Annette, Day, Robert, Dobson, Annette, Elliott, Cerise, Etherington, Cathy, Geronimo, Mary Ann, Hlis, Danijela, Lampit, A., Low, Lee-Fay, Straiton, Nicola and Temple, Jeromey. (2022). Including ethnic minorities in dementia research: Recommendations from a scoping review. Alzheimer's & Dementia: Translational Research & Clinical Interventions. 8(1), pp. 1-20. https://doi.org/10.1002/trc2.12222
Consumer perspectives on simplified, layered consent for a low risk, but complex pragmatic trial
Symons, Tanya J., Straiton, Nicola, Gagnon, Rosie, Littleford, Roberta, Campbell, Anita J., Bowen, Asha C., Stewart, Adam G., Tong, Steven Y. C. and Davis, Joshua S.. (2022). Consumer perspectives on simplified, layered consent for a low risk, but complex pragmatic trial. Trials. 23(1), pp. 1-8. https://doi.org/10.1186/s13063-022-07023-z
Normalising comparative effectiveness trials as clinical practice
Briffa, Thomas, Symons, Tanya, Zeps, Nikolajs, Straiton, Nicola, Tarnow-Mordi, William, Simes, John, Harris, Ian A., Cruz, Melinda, Webb, Steven A., Litton, Edward, Nichol, Alistair and Williams, Christopher M.. (2021). Normalising comparative effectiveness trials as clinical practice. Trials. 22(1), pp. 1-4. https://doi.org/10.1186/s13063-021-05566-1
Facing the Ethical Challenges : Consumer Involvement in COVID-19 Pandemic Research
Straiton, Nicola, McKenzie, A, Bowden, J, Nichol, A, Murphy, R, Snelling, T, Zalcberg, J, Clements, J, Stubbs, J, Economides, A, Kent, D, Ansell, J and Symons, T. (2020). Facing the Ethical Challenges : Consumer Involvement in COVID-19 Pandemic Research. Journal of Bioethical Inquiry. 17(4), pp. 743-748. https://doi.org/10.1007/s11673-020-10060-5
Data management and wearables in older adults : A systematic review
Alharbi, Muaddi, Straiton, Nicola, Smith, Sidney, Neubeck, L and Gallagher, Robyn. (2019). Data management and wearables in older adults : A systematic review. Maturitas. 124, pp. 100-110. https://doi.org/10.1016/j.maturitas.2019.03.012