Purpose
Accelerometers are a valuable tool for objective measurement of physical activity (PA). Wrist-worn devices may improve compliance over standard hip placement, but more research is needed to evaluate their validity for measuring PA in free-living settings. Traditional cut-point methods for accelerometers can be inaccurate, and need testing in free-living with wrist-worn devices. In this study we developed and tested the performance of machine learned (ML) algorithms for classifying PA types from both hip and wrist accelerometer data.
Methods
Forty overweight or obese women (mean age = 55.2 ±15.3 yrs; BMI = 32.0 ± 3.7) wore two ActiGraph GT3X+ accelerometers (right hip, non-dominant wrist) for seven free-living days. Wearable cameras captured ground truth activity labels. A classifier consisting of a random forest and hidden Markov model classified the accelerometer data into four activities (sitting, standing, walking/running, riding in a vehicle). Free-living wrist and hip ML classifiers were compared to each other, to traditional accelerometer cut points, and to an algorithm developed in a laboratory setting.
Results
The ML classifier obtained an average of 89.4% and 84.6% balanced accuracy over the four activities using the hip and wrist accelerometer, respectively. In our dataset with an average of 28.4 minutes of walking or running per day, the ML classifier predicted an average of 28.5 minutes and 24.5 minutes of walking or running using the hip and wrist accelerometer, respectively. Intensity-based cutpoints and the laboratory algorithm significantly underestimated walking minutes.
Conclusions
Our results demonstrate the superior performance of our PA type classification algorithm, particularly in comparison to traditional cut-points. While the hip algorithm performed better, additional compliance achieved with wrist devices might justify using a slightly lower performing algorithm.