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Title: Measuring physical activity with activity monitors in patients with heart failure: from literature to practice. A position paper from the Committee on Exercise Physiology and Training of the Heart Failure Association of the European Society of Cardiology
Authors: Klompstra, Leonie 
Kyriakou, Martha 
Lambrinou, Ekaterini 
Piepoli, Massimo F. 
Coats, Andrew J.S. 
Cohen-Solal, Alain 
Cornelis, Justien 
Gellen, Barnabas 
Marques-Sule, Elena 
Niederseer, David 
Orso, Francesco 
Piotrowicz, Ewa 
Van Craenenbroeck, Emeline M. 
Simonenko, Maria 
Witte, Klaus K. 
Wozniak, Anna 
Volterrani, Maurizio 
Jaarsma, Tiny 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: Accelerometer;Activity monitor;Heart failure;Motion sensor;Physical activity
Issue Date: Jan-2021
Source: European Journal of Heart Failure, 2021, vol. 23, no. 1, pp. 83-91
Volume: 23
Issue: 1
Start page: 83
End page: 91
Journal: European Journal of Heart Failure 
Abstract: The aims of this paper were to provide an overview of available activity monitors used in research in patients with heart failure and to identify the key criteria in the selection of the most appropriate activity monitor for collecting, reporting, and analysing physical activity in heart failure research. This study was conducted in three parts. First, the literature was systematically reviewed to identify physical activity concepts and activity monitors used in heart failure research. Second, an additional scoping literature search for validation of these activity monitors was conducted. Third, the most appropriate criteria in the selection of activity monitors were identified. Nine activity monitors were evaluated in terms of size, weight, placement, costs, data storage, water resistance, outcomes and validation, and cut-off points for physical activity intensity levels were discussed. The choice of a monitor should depend on the research aims, study population and design regarding physical activity. If the aim is to motivate patients to be active or set goals, a less rigorously tested tool can be considered. On the other hand, if the aim is to measure physical activity and its changes over time or following treatment adjustment, it is important to choose a valid activity monitor with a storage and battery longevity of at least one week. The device should provide raw data and valid cut-off points should be chosen for analysing physical activity intensity levels. Other considerations in choosing an activity monitor should include data storage location and ownership and the upfront costs of the device.
ISSN: 1879-0844
DOI: 10.1002/ejhf.2035
Rights: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License
Type: Article
Affiliation : Linköping University 
Cyprus University of Technology 
Nicosia General Hospital 
Cardiology, G. da Saliceto Hospital 
Monash University 
University of Warwick 
Hospital Lariboisière 
University of Antwerp 
Belgian Health Care Knowledge 
Polyclinique de Poitiers 
University of Valencia 
University of Zurich 
Careggi University Hospital 
National Institute of Cardiology 
Federal State Budgetary Institution 
University of Leeds 
Doncaster and Bassetlaw Teaching Hospitals 
IRCCS San Raffaele Pisana 
University Medical Center Utrecht 
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