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<dc:title>Validation of ActiGraph and Fitbit in the assessment of energy expenditure in Huntington's disease</dc:title>
<dc:creator>Simón Vicente, Lucía</dc:creator>
<dc:creator>Rodríguez Fernández, Alejandro</dc:creator>
<dc:creator>Rivadeneyra Posadas, Jéssica Jannett</dc:creator>
<dc:creator>Soto Célix, María .</dc:creator>
<dc:creator>Raya-González, Javier</dc:creator>
<dc:creator>Castillo, Daniel</dc:creator>
<dc:creator>Calvo Simal, Sara</dc:creator>
<dc:creator>Mariscal, Natividad</dc:creator>
<dc:creator>García Bustillo, Álvaro</dc:creator>
<dc:creator>Aguado, Laura</dc:creator>
<dc:creator>Cubo Delgado, Esther</dc:creator>
<dc:subject>Health promotion</dc:subject>
<dc:subject>Physical activity</dc:subject>
<dc:subject>Activity monitor</dc:subject>
<dc:subject>Rehabilitation</dc:subject>
<dc:subject>Exercise</dc:subject>
<dc:subject>Validation</dc:subject>
<dcterms:abstract>Background: Consumer and research activity monitors have become popular because of their ability to quantify&#xd;
energy expenditure (EE) in free-living conditions. However, the accuracy of activity trackers in determining EE in&#xd;
people with Huntington’s Disease (HD) is unknown.&#xd;
Research question:&#xd;
Can the ActiGraph wGT3X-B or the Fitbit Charge 4 accurately measure energy expenditure during physical&#xd;
activity, in people with HD compared to Indirect Calorimetry (IC) (Medisoft Ergo Card)?&#xd;
Methods: We conducted a cross-sectional, observational study with fourteen participants with mild-moderate HD&#xd;
(mean age 55.7 ± 11.4 years). All participants wore an ActiGraph and Fitbit during an incremental test, running&#xd;
on a treadmill at 3.2 km/h and 5.2 km/h for three minutes at each speed. We analysed and compared the accuracy of EE estimates obtained by Fitbit and ActiGraph against the EE estimates obtained by a metabolic cart,&#xd;
using with Intra-class correlation (ICC), Bland-Altman analysis and correlation tests.&#xd;
Results: A significant correlation and a moderate reliability was found between ActiGraph and IC for the incremental test (r = 0.667)(ICC=0.633). There was a significant correlation between Fitbit and IC during the incremental test (r = 0.701), but the reliability was poor at all tested speeds in the treadmill walk. Fitbit&#xd;
significantly overestimated EE, and ActiGraph underestimated EE compared to IC, but ActiGraph estimates were&#xd;
more accurate than Fitbit in all tests.&#xd;
Significance: Compared to IC, Fitbit Charge 4 and ActiGraph wGT3X-BT have reduced accuracy in estimating EE&#xd;
at slower walking speeds. These findings highlight the need for population-specific algorithms and validation of&#xd;
activity trackers.</dcterms:abstract>
<dcterms:dateAccepted>2024-03-20T11:19:13Z</dcterms:dateAccepted>
<dcterms:available>2024-03-20T11:19:13Z</dcterms:available>
<dcterms:created>2024-03-20T11:19:13Z</dcterms:created>
<dcterms:issued>2024-03</dcterms:issued>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:identifier>0966-6362</dc:identifier>
<dc:identifier>http://hdl.handle.net/10259/8857</dc:identifier>
<dc:identifier>10.1016/j.gaitpost.2024.01.028</dc:identifier>
<dc:language>spa</dc:language>
<dc:relation>Gait &amp; Posture. 2024, V. 109, p. 89-94</dc:relation>
<dc:relation>https://doi.org/10.1016/j.gaitpost.2024.01.028</dc:relation>
<dc:rights>http://creativecommons.org/licenses/by-nc/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:rights>Atribución-NoComercial 4.0 Internacional</dc:rights>
<dc:publisher>Elsevier</dc:publisher>
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