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Predicting ambulatory energy expenditure in lower limb amputees using multi-sensor methods

Peter Ladlow, Tom E Nightingale, M Polly McGuigan, Alexander N Bennett, Rhodri D Phillip and James L J Bilzon

PLOS ONE, 2019, vol. 14, issue 1, 1-18

Abstract: Purpose: To assess the validity of a derived algorithm, combining tri-axial accelerometry and heart rate (HR) data, compared to a research-grade multi-sensor physical activity device, for the estimation of ambulatory physical activity energy expenditure (PAEE) in individuals with traumatic lower-limb amputation. Methods: Twenty-eight participants [unilateral (n = 9), bilateral (n = 10) with lower-limb amputations, and non-injured controls (n = 9)] completed eight activities; rest, ambulating at 5 progressive treadmill velocities (0.48, 0.67, 0.89, 1.12, 1.34m.s-1) and 2 gradients (3 and 5%) at 0.89m.s-1. During each task, expired gases were collected for the determination of V˙O2 and subsequent calculation of PAEE. An Actigraph GT3X+ accelerometer was worn on the hip of the shortest residual limb and, a HR monitor and an Actiheart (AHR) device were worn on the chest. Multiple linear regressions were employed to derive population-specific PAEE estimated algorithms using Actigraph GT3X+ outputs and HR signals (GT3X+HR). Mean bias±95% Limits of Agreement (LoA) and error statistics were calculated between criterion PAEE (indirect calorimetry) and PAEE predicted using GT3X+HR and AHR. Results: Both measurement approaches used to predict PAEE were significantly related (P

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0209249

DOI: 10.1371/journal.pone.0209249

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