Estimation of Daily Energy Expenditure in Pregnant and Non-Pregnant Women Using a Wrist-Worn Tri-Axial Accelerometer

• Published in: PloS one Vol. 6; no. 7; p. e22922
• Main Authors: van Hees, Vincent T., Renström, Frida, Wright, Antony, Gradmark, Anna, Catt, Michael, Chen, Kong Y., Löf, Marie, Bluck, Les, Pomeroy, Jeremy, Wareham, Nicholas J., Ekelund, Ulf, Brage, Søren, Franks, Paul W.
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 29.07.2011; Public Library of Science (PLoS)
• Subjects: Acceleration; Accelerometers; Acceptability; Activities of Daily Living; Adult; Biology; Body Weight; Clinical Medicine; Comparative analysis; Councils; Diabetes; Endocrinology and Diabetes; Endokrinologi och diabetes; Energy expenditure; Energy Metabolism - physiology; Epidemiology; Ethics; Exercise; Female; Glucose; Health care; Hip; Hospitals; Humans; Kidney diseases; Klinisk medicin; Laboratories; Medical and Health Sciences; Medical research; MEDICIN; Medicin och hälsovetenskap; MEDICINE; Metabolism; Monitoring, Physiologic; Motor Activity - physiology; Nutrition research; Obesity; Physical activity; Placement; Pregnancy; Pregnant women; Public health; Science; Studies; Womens health; Wrist; Young Adult; Sweden
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0022922

Few studies have compared the validity of objective measures of physical activity energy expenditure (PAEE) in pregnant and non-pregnant women. PAEE is commonly estimated with accelerometers attached to the hip or waist, but little is known about the validity and participant acceptability of wrist attachment. The objectives of the current study were to assess the validity of a simple summary measure derived from a wrist-worn accelerometer (GENEA, Unilever Discover, UK) to estimate PAEE in pregnant and non-pregnant women, and to evaluate participant acceptability. Non-pregnant (N = 73) and pregnant (N = 35) Swedish women (aged 20-35 yrs) wore the accelerometer on their wrist for 10 days during which total energy expenditure (TEE) was assessed using doubly-labelled water. PAEE was calculated as 0.9×TEE-REE. British participants (N = 99; aged 22-65 yrs) wore accelerometers on their non-dominant wrist and hip for seven days and were asked to score the acceptability of monitor placement (scored 1 [least] through 10 [most] acceptable). There was no significant correlation between body weight and PAEE. In non-pregnant women, acceleration explained 24% of the variation in PAEE, which decreased to 19% in leave-one-out cross-validation. In pregnant women, acceleration explained 11% of the variation in PAEE, which was not significant in leave-one-out cross-validation. Median (IQR) acceptability of wrist and hip placement was 9(8-10) and 9(7-10), respectively; there was a within-individual difference of 0.47 (p<.001). A simple summary measure derived from a wrist-worn tri-axial accelerometer adds significantly to the prediction of energy expenditure in non-pregnant women and is scored acceptable by participants.