Validity of Trunk Acceleration Measurement With a Chest-worn Monitor for Assessment of Exercise Intensity

Abstract Background: Recent advancements in wearable technology has enabled easy measurement of daily activities, which can be applied in rehabilitation practice for the purposes such as maintaining and increasing the activity levels of the patients. A smart clothing system is one of the newly developed wearable systems that enables the measurement of physical activity such as heart rate and/or acceleration. In this study, we aimed to examine the validity of trunk acceleration measurement using a smart clothing system (‘hitoe’ system) in assessing the physical activity, which was measured using the expiratory gas analysis. Methods: Twelve healthy individuals participated in the study. The trunk acceleration was simultaneously measured using a triaxial accelerometer embedded in a smart clothing activity monitoring system (‘hitoe’ system), and the percent VO2 reserve (%VO2R) was determined by performing expiratory gas analysis during treadmill testing. Three parameters, that is, moving average (MA), moving standard deviation (MSD), and moving root mean square (RMS), were calculated using the norm of the trunk acceleration. The relationships between these accelerometer-based parameters and %VO2R from expiratory gas analysis for each individual were examined. Results: The values of MA, MSD, RMS, and %VO2R were significantly different between levels 1, 2, 3, and 4 in the Bruce protocol (P<0.01). The average coefficients of determination for individual regression for %VO2R vs. MA, %VO2R vs. MSD, and %VO2R vs. RMS were 0.89±0.05, 0.96±0.03 and 0.91±0.05, respectively. The parameters based on the trunk acceleration measurements were significantly correlated with %VO2R and activity levels. Among the parameters examined, MSD showed the best correlation with %VO2R, indicating high validity of the parameter for assessing physical activity. Conclusions: The present results support the validity of the MSD calculated from the trunk acceleration measured with a smart clothing system in assessing the exercise intensity.Trial registration: UMIN000034967Registered 21 November 2018 (retrospectively registered).

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Cardiovascular hemodynamics with increasing exercise intensities in postmenopausal women

Journal of Applied Physiology ◽

10.1152/jappl.1999.87.6.2334 ◽

1999 ◽

Vol 87 (6) ◽

pp. 2334-2340 ◽

Cited By ~ 23

Author(s):

Steve D. McCole ◽

Michael D. Brown ◽

Geoffrey E. Moore ◽

Joseph M. Zmuda ◽

Jeffrey D. Cwynar ◽

...

Keyword(s):

Physical Activity ◽

Cardiac Output ◽

Oxygen Consumption ◽

Postmenopausal Women ◽

Exercise Intensity ◽

Maximal Oxygen Consumption ◽

Activity Levels ◽

Physically Active ◽

Cardiovascular Hemodynamics ◽

Physical Activity Levels

We sought to determine the cardiovascular responses to increasing exercise intensities in postmenopausal women with different physical activity levels and hormone replacement therapy (HRT) status. Forty-four women (11 sedentary, 19 physically active, 14 master athletes; 24 not on HRT, 20 on HRT) completed treadmill exercise at 40, 60, 80, and 100% of maximal oxygen consumption. Oxygen consumption, heart rate, blood pressure, and cardiac output, determined via acetylene rebreathing, were measured at each exercise intensity. HRT did not affect cardiovascular hemodynamics. Stroke volume (SV) decreased significantly between 40 and 100% of maximal oxygen consumption in all groups, and the decrease did not differ among groups. The greater oxygen consumption of the athletes at each intensity was due to their significantly greater cardiac output, which was the result of a significantly greater SV, compared with both of the less active groups. The athletes had significantly lower total peripheral resistance at each exercise intensity than did the two less active groups. There were no consistent significant hemodynamic differences between the physically active and sedentary women. These results indicate that SV decreases in postmenopausal women as exercise intensity increases to maximum, regardless of their habitual physical activity levels or HRT status.

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Validity of simplified, calibration-less exercise intensity measurement using resting heart rate during sleep: a method-comparison study with respiratory gas analysis

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-019-0140-x ◽

2019 ◽

Vol 11 (1) ◽

Cited By ~ 1

Author(s):

Hirotaka Matsuura ◽

Masahiko Mukaino ◽

Yohei Otaka ◽

Hitoshi Kagaya ◽

Yasushi Aoshima ◽

...

Keyword(s):

Heart Rate ◽

Exercise Intensity ◽

Method Comparison ◽

Measurement Model ◽

Wearable Devices ◽

Gas Analysis ◽

Healthy Adults ◽

Treadmill Testing ◽

Mean Differences ◽

Method Comparison Study

Abstract Background The recent development of wearable devices has enabled easy and continuous measurement of heart rate (HR). Exercise intensity can be calculated from HR with indices such as percent HR reserve (%HRR); however, this requires an accurate measurement of resting HR, which can be time-consuming. The use of HR during sleep may be a substitute that considers the calibration-less measurement of %HRR. This study examined the validity of %HRR on resting HR during sleep in comparison to percent oxygen consumption reserve (%VO2R) as a gold standard. Additionally, a 24/7%HRR measurement using this method is demonstrated. Methods Twelve healthy adults aged 29 ± 5 years underwent treadmill testing using the Bruce protocol and a 6-min walk test (6MWT). The %VO2R during each test was calculated according to a standard protocol. The %HRR during each exercise test was calculated either from resting HR in a sitting position (%HRRsitting), when lying awake (%HRRlying), or during sleep (%HRRsleeping). Differences between %VO2R and %HRR values were examined using Bland-Altman plots. A 180-day, 24/7%HRR measurement with three healthy adults was also conducted. The %HRR values during working days and holidays were compared. Results In the treadmill testing, the mean difference between %VO2R and %HRRsleeping was 1.7% (95% confidence interval [CI], − 0.2 to 3.6%). The %HRRsitting and %HRRlying values were 10.8% (95% CI, 8.8 to 12.7%) and 7.7% (95% CI, 5.4 to 9.9%), respectively. In the 6MWT, mean differences between %VO2R and %HRRsitting, %HRRlying and %HRRsleeping were 12.7% (95% CI, 10.0 to 15.5%), 7.0% (95% CI, 4.0 to 10.0%) and − 2.9% (95% CI, − 5.0% to − 0.7%), respectively. The 180-day, 24/7%HRR measurement presented significant differences in %HRR patterns between working days and holidays in all three participants. Conclusions The results suggest %HRRsleeping is valid in comparison to %VO2R. The results may encourage a calibration-less, 24/7 measurement model of exercise intensity using wearable devices. Trial registration UMIN000034967. Registered 21 November 2018 (retrospectively registered).

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