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J Appl Physiol (June 25, 2009). doi:10.1152/japplphysiol.00150.2009
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Submitted on February 11, 2009
Revised on June 18, 2009
Accepted on June 23, 2009

Improving the assessment of daily energy expenditure by identifying types of physical activity using a single accelerometer

Alberto G. Bonomi1*, Guy Plasqui1, Annelies H. C. Goris2, and Klaas R. Westerterp3

1 Maastricht University
2 Philips Research
3 University of Maastricht

* To whom correspondence should be addressed. E-mail: a.bonomi{at}hb.unimaas.nl.

BACKGROUND: Accelerometers are often used to quantify the acceleration of the body in arbitrary units (counts) to measure physical activity (PA) and to estimate energy expenditure. OBJECTIVE: The present study investigated whether the identification of types of PA using one accelerometer could improve the estimation of energy expenditure as compared to activity counts. METHOD: Total energy expenditure (TEE) of 15 subjects was measured using doubly-labeled water. The physical activity level (PAL) was derived dividing TEE by sleeping metabolic rate. Simultaneously, PA was measured using one accelerometer. Accelerometer output was processed to calculate activity counts per day (ACD) and to determine the daily duration of 6 types of common activities identified using a classification tree model. A daily metabolic value (METD) was calculated as mean of the MET compendium value of each activity type weighed by the daily duration. RESULTS: TEE was predicted by ACD and body weight and by ACD and fat free mass with a standard error of estimate (SEE) of 1.47 MJ.d-1, and 1.2 MJ.d-1, respectively. The replacement in these models of ACD with METD increased the explained variation in TEE by 9%, decreasing SEE by 0.14 MJ•d-1, and 0.18 MJ•d-1, respectively. The correlation between PAL and METD (R2=51%) was higher than PAL and ACD (R2=46%). CONCLUSION: Identification of activity types combined with MET intensity values improves the assessment of energy expenditure as compared to activity counts. Future studies could develop models to objectively assess activity type and intensity to further increase accuracy of the energy expenditure estimation.




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V. T. van Hees and U. Ekelund
Novel daily energy expenditure estimation by using objective activity type classification: where do we go from here?
J Appl Physiol, September 1, 2009; 107(3): 639 - 640.
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