Measuring step count: why it is important not to assume measures are reliable.


Journal

Physiotherapy
ISSN: 1873-1465
Titre abrégé: Physiotherapy
Pays: England
ID NLM: 0401223

Informations de publication

Date de publication:
03 2021
Historique:
received: 12 03 2020
pubmed: 24 11 2020
medline: 27 7 2021
entrez: 23 11 2020
Statut: ppublish

Résumé

The validity and reliability of pedometer software Apps versus the previously investigated spring lever and piezoelectric pedometers is unknown. To evaluate the validity and reliability (in adults aged 18-65) of two pedometer software Apps, the Walk Star and the Accupedo, with spring lever (Digi-Walker CW 700) and piezoelectric (Omron HJ-720ITC and Tanita PD-724) pedometers in the measurement of step count. The criterion for comparison was researcher tallied direct observation of step count using an electronic E3-EHT hand held tally counter. Eighteen participants walked for 5minutes on a treadmill at slow (2miles per hour) moderate (3miles per hour) and fast walking (4miles per hour) speeds and on urban streets and upon grass at a perceived "comfortable" walking speed. Bland and Altman plots show wide limits of agreement observed for the Yamax CW 700, Accupedo App and Walk Star App, suggesting these pedometers are unsuitable for measuring step counts in individuals due to high random error (indicating low reliability). Narrow limits of agreement were observed for the Omron HJ-720ITC and the Tanita PD-724 pedometers compared against Tally count and were considered suitable for use. The validity and reliability of pedometers cannot be assumed but must be tested and ensured before use in measuring step count.

Sections du résumé

BACKGROUND
The validity and reliability of pedometer software Apps versus the previously investigated spring lever and piezoelectric pedometers is unknown.
PURPOSE
To evaluate the validity and reliability (in adults aged 18-65) of two pedometer software Apps, the Walk Star and the Accupedo, with spring lever (Digi-Walker CW 700) and piezoelectric (Omron HJ-720ITC and Tanita PD-724) pedometers in the measurement of step count. The criterion for comparison was researcher tallied direct observation of step count using an electronic E3-EHT hand held tally counter.
METHODS
Eighteen participants walked for 5minutes on a treadmill at slow (2miles per hour) moderate (3miles per hour) and fast walking (4miles per hour) speeds and on urban streets and upon grass at a perceived "comfortable" walking speed.
RESULTS
Bland and Altman plots show wide limits of agreement observed for the Yamax CW 700, Accupedo App and Walk Star App, suggesting these pedometers are unsuitable for measuring step counts in individuals due to high random error (indicating low reliability). Narrow limits of agreement were observed for the Omron HJ-720ITC and the Tanita PD-724 pedometers compared against Tally count and were considered suitable for use.
CONCLUSION
The validity and reliability of pedometers cannot be assumed but must be tested and ensured before use in measuring step count.

Identifiants

pubmed: 33227546
pii: S0031-9406(20)30407-7
doi: 10.1016/j.physio.2020.08.003
pii:
doi:

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-4

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Auteurs

C J Minns Lowe (CJ)

Physiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford, UK. Electronic address: catherine.minnslowe@ouh.nhs.uk.

C Isaac (C)

Oxford University Hospitals NHS Foundation Trust, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford, UK.

P Kelly (P)

Physical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, UK.

K L Barker (KL)

Physiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Nuffield Orthopaedic Centre, Windmill Road, Oxford, UK.

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