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Accelerometers and pedometers: methodology and clinical application

Corder, Kirsten; Brage, Søren; Ekelund, Ulf

Current Opinion in Clinical Nutrition and Metabolic Care: September 2007 - Volume 10 - Issue 5 - p 597–603
doi: 10.1097/MCO.0b013e328285d883
Assessment of nutritional status and analytical methods

Purpose of review The relationship between physical activity and health varies considerably, partly due to the difficulty of assessing physical activity accurately. This review examines recent literature on the validation of movement sensors to assess habitual physical activity. Recommendations are given for the use of movement sensors during free-living conditions and methods of data analysis and interpretation are discussed.

Recent findings Recent progress in physical-activity research includes detailed comparative studies of different monitor brands. The move away from using linear-regression equations and the use of novel data-analysis strategies is increasing the accuracy with which energy expenditure can be estimated from accelerometry. New technologies, including the combination of accelerometry with the measurement of physiological parameters, have great potential for the increased accuracy of physical-activity assessment.

Summary Accelerometry is able to adequately assess physical activity and its association with health outcomes but currently methods have limited accuracy for the estimation of free-living energy expenditure. Pedometers provide an inexpensive overall measure of physical activity but are unable to assess intensity, frequency and duration of activity or to estimate energy expenditure. Interpretation of monitor output is best kept as close to the measurement domain as possible.

Medical Research Council Epidemiology Unit, Cambridge, UK

Correspondence to Ulf Ekelund, MRC Epidemiology Unit, Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge CB1 9NL, UK Tel: +44 (0)1223 330315; fax: +44 (0)1223 741464; e-mail:

© 2007 Lippincott Williams & Wilkins, Inc.