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Accelerometer issues SINGLE-SITE PLACEMENT; waist placement -> PA underestimate during upper limb movement, standing, vertical activity (i.e., climbing stairs, uphill walking), pushing or pulling objects, carrying loads (e.g., books or laptops), body-supported exercise (e.g., cycling), water PA (e.g., swimming), running faster than 9 km/h, horizontal speed rapid changes activities (e.g., tennis) 78

Ellis et al., 2014 79

Solution? A combination of variables describing: 1) upper limbs-focused high frequency components (upper limbs movements feature sedentary PA); 2) a trunk-focused posture variable featuring locomotion; 3) lower limbs-focused high intensity components (lower limbs have largest, most powerful muscles); 80

More than ONE accelerometer together, as well (e.g., waist TriTrac-R3D + dominant arm wrist Actiwatch, Actiwatch + Actical,...); - accelerometers based activity logger:. two (@sternum, front thigh) biaxial accelerometers + analog data-logger; Culhane et al., 2004 81

Culhane et al., 2004 82

Culhane et al., 2004 83

-> sitting, standing, lying, moving 83% detection; Culhane et al., 2004 84

. uniaxial accelerometer (@front thigh) + 2 unixial accelerometer/digital data-logger (backpack) -> sitting, standing, lying, crawling, walking, running, going on a swing 73 91% detection; Busser et al., 1997 85

. three uniaxial accelerometers (2@sternum, front thigh) + digital recorder; -> sitting, standing, lying, walking, climbing/going down stairs, cycling 80% detection (Veltink et al., 1996);. four biaxial accelerometers (@lateral thighs, sternum or front forearms) + HR monitor + digital recorder; -> more than twenty different postures/locomotions 83 88% detection; Bussmann et al., 2001 86

Introduction of another type of physical sensor:. (@sternum) two biaxial accelerometers + piezoelectric gyroscope + digital recorder (@wrist); Najafi et al., 2003 87

Najafi et al., 2003 -> posture change, walking detection; 88

Accelerometry (-> movement) + physiological measure (e.g., HR measure, thermometry, ventilation measure):. e.g., HR monitor (-> ME) + motion sensor(s) (-> motion-sensor-sensitive PA); accelerometers + inclinometers -> body position over time -> 85% unstructured exercise thermogenesis estimate:. total internal heat produced 75 80% energy intake;. partial internal heat produced <- sitting, standing, walking, working, any other unstructured exercise;. proposal: (during the day) wearing motion sensor, (structured exercise) wearing HR monitor;. i.e., motion sensor -> yes/not time to use HR monitor for ME estimate; 89

. exception: children (i.e., V O2 [ml O2/kg.75 min] correlated w/both counts, HR, but w/counts r 2 > w/hr r 2 ); Eston et al., 1998 90

(re: children HR) Treuth et al., 1998. solution: two different individual V O2 vs. HR relationships, one for inactivity, one for PA; 91

Accelerometry + HR measure:. FitSense FS-1;. Actiheart: @chest; each subject s calibration; OPEN ALGORITHM; user s models; accelerometer-, HR monitor-, accelerometer+hr monitor-driven model; 92

Giandolini et al., 2015 93

Giandolini et al., 2015 94

. SenseWear Armband: accelerometer + heat flow sensor (-> internal heat produced ) + skin galvanic response sensor (-> evaporation heat loss) + skin thermometer + instrument s shell (i.e., near-body) thermometer; gender, age, height, mass input; PROPRIETARY ALGORITHM (I.E., HOW FROM EACH SENSOR S OUTPUT TO ME? ); -> -18-7% walking, stairs climbing, cycling V O2 ME; -> -29% armergometer V O2 ME; <- investigators results driven new PROPRIETARY algorithm developed -> n.s. differences; -> underestimate of rowing V O2 ME; arm cutaneous fat issue; -> good precision of resting V O2 ME; -> good precision/low accuracy of cycloergometer V O2 ME; 95

-> +13 +27% level walking V O2 ME; -> -22% uphill walking V O2 ME; -> overestimate of walking, running V O2 ME; -> overestimate of wheelchair users activities V O2 ME; -> underestimate of obese subjects resting V O2 ME; -> overestimate of obese subjects exercise V O2 ME; -> good accuracy of daily DLW ME; -> underestimate of uphill walking, running V O2 ME 96