Background: Technological advancements of remote-monitoring used in clinical-care and research require validation of model updates. Objectives: To compare the output of a newer consumer-grade accelerometer to a previous model in people with multiple sclerosis (MS) and to the ActiGraph, a waist-worn device widely used in MS research. Methods: Thirty-one individuals with MS participated in a 7-day validation by the Fitbit Flex (Flex), Fitbit Flex-2 (Flex2) and ActiGraph GT3X. Primary outcome was step count. Valid epochs of 5-min block increments, where there was overlap of ≥1 step/min for both devices were compared and summed to give a daily total for analysis. Results: Bland–Altman plots showed no systematic difference between the Flex and Flex2; mean step-count difference of 25 more steps-per-day more recorded by Flex2 (95% confidence intervals (CI) = 2, 48; p = 0.04),interclass correlation coefficient (ICC) = 1.00. Compared to the ActiGraph, Flex2 (and Flex) tended to record more steps (808 steps-per-day more than the ActiGraph (95% CI= –2380, 765; p < 0.01), although the ICC was high (0.98) indicating that the devices were likely measuring the same kind of activity. Conclusions: Steps from Flex and Flex2 can be used interchangeably. Differences in total step count between ActiGraph and Flex devices can make cross-device comparisons of numerical step-counts challenging particularly for faster walkers.
CITATION STYLE
Block, V. J., Zhao, C., Hollenbach, J. A., Olgin, J. E., Marcus, G. M., Pletcher, M. J., … Cree, B. A. C. (2019). Validation of a consumer-grade activity monitor for continuous daily activity monitoring in individuals with multiple sclerosis. Multiple Sclerosis Journal - Experimental, Translational and Clinical, 5(4). https://doi.org/10.1177/2055217319888660
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