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1/22/13 1 COMPARISON OF PHYSICAL ACTIVITY ASSESSMENT TOOLS DANIELBERNSTEIN (DAVIDSON COLLEGE) ELENACOLEMAN (SMITH COLLEGE) ALECIALAMBERT (WESTERN STATE COLLEGE OF COLORADO) DANIEL PEACH (BATES COLLEGE) JOE SHINDLER (DE LA SALLE NORTH) HANNAH CALLENDER MEIKE NIEDERHAUSEN University of Portland REU/RET Summer 2012 IN COLLABORATION WITH: JACQUIE VAN HOOMISSEN (BIOLOGY) ANDREW LAFRENZ (BIOLOGY) DEANA JULKA (SOCIAL AND BEHAVIORAL SCIENCES) ANDREW DOWNS (SOCIAL AND BEHAVIORAL SCIENCES) Compare the physical activity measurements obtained by the Actigraph GT3X+ and the Nike FuelBand Determine whether or not physical activity is increased among college students when wearing the FuelBand vs University of Portland REU/RET 2012 Images courtesy of Nike Corp and Actigraph, Inc. Talk Overview Background info / Motivation Devices: Their Function and Output Our Research Focus Areas Next Steps / Future Plans Research in Quantifying Physical Activity Relationship between physical activity levels and physical health Obesity epidemic, particularly in children Quantifying physical activity Poor accuracy of self-reporting (UP study, 2011) Objective measures of physical activity needed Accelerometers Can be worn during daily living Provides frequency and intensity of activity (pedometer fail!) Accelerometer data can be analyzed to provide predicted energy expenditure.
Transcript

1/22/13 

COMPARISON OF PHYSICAL ACTIVITY ASSESSMENT TOOLS

DANIELBERNSTEIN (DAVIDSON COLLEGE) ELENACOLEMAN (SMITH COLLEGE)

ALECIALAMBERT (WESTERN STATE COLLEGE OF COLORADO) DANIEL PEACH (BATES COLLEGE)

JOE SHINDLER (DE LA SALLE NORTH) HANNAH CALLENDER MEIKE NIEDERHAUSEN

University of Portland REU/RET Summer 2012

IN COLLABORATION WITH: JACQUIE VAN HOOMISSEN (BIOLOGY)

ANDREW LAFRENZ (BIOLOGY) DEANA JULKA (SOCIAL AND BEHAVIORAL SCIENCES)

ANDREW DOWNS (SOCIAL AND BEHAVIORAL SCIENCES)

  Compare the physical activity measurements obtained by the Actigraph GT3X+™ and the Nike FuelBand™

  Determine whether or not physical activity is increased among college students when wearing the FuelBand™

vs

University of Portland REU/RET 2012

Images courtesy of Nike Corp and Actigraph, Inc.

Talk Overview

  Background info / Motivation  Devices: Their Function and Output

  Our Research Focus Areas   Next Steps / Future Plans

Research in Quantifying Physical Activity

  Relationship between physical activity levels and physical health  Obesity epidemic, particularly in children

  Quantifying physical activity   Poor accuracy of self-reporting (UP study, 2011)  Objective measures of physical activity needed

  Accelerometers  Can be worn during daily living   Provides frequency and intensity of activity (pedometer fail!)  Accelerometer data can be analyzed to provide predicted

energy expenditure.

1/22/13 

  3-axis orientation

+ Axis 2

+ Axis 1

- Axis 3

+ Axis 3

- Axis 1

- Axis 2

ActiGraph GT3X+™ Accelerometer Output from the GT3X+™

  Cantilever beam deviations Voltage change   Voltage Acceleration (a/g) (g = acceleration due to gravity)

  30 Hz data collection per axis (30 data points per second)

  Acceleration Activity Count  Conversion routine applies a band pass filter and converts

30 Hz acceleration values to 1 Hz activity counts, independently for each axis.

  Activity Counts Energy Expenditure   Energy expenditure: METS, Calories

  METS = Multiples of energy expenditure when at rest  Compare METS, Calories to CDC guidelines

  CDC = Centers for Disease Control and Prevention

Nike FuelBand™ Accelerometer

  “Nike+ FuelBand tracks your activity through a sport-tested accelerometer, then translates every move into NikeFuel.” – Nike Advertisement*

  Output: Nike FuelPoints™, Calories, Steps, Time.   Syncs with iPhone, iPad (Bluetooth)   Uploads to Nike web site (USB)

*Quote and Image from http://nikeplus.nike.com/plus/

Nike FuelBand™: Why study it?

  Consumer device   Important to test validity against research standard

  Potential research instrument with advantages over commonly used accelerometers  Better participant compliance due to ease of use and

comfort.  Less expensive.

  Use may provide motivation to increase physical activity

1/22/13 

Accelerometer Comparison

Actigraph GT3X+™ Nike FuelBand™

Location worn on body Waist Wrist

Data Frequency Per 1 second Per 15 minutes (900 s)

Output parameters Counts

Steps

FuelPoints™ Calories Steps

  Waist vs wrist  Can energy expenditure be accurately calculated from wrist

motion?   Adjusting activity analysis for sparse FB data   Correlation between output parameters

 Counts FuelPoints™& Calories

Talk Outline

  GT3X+™ data analysis  Converting from acceleration to activity counts (Dan)  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines (Daniel)

  GT3X+™ versus FuelBand™  Controlled physics experiments for comparing output

parameters (Alecia)   Preliminary results of pilot study on humans (Elena)

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

Talk Outline

  GT3X+™ data analysis  Converting from acceleration to activity counts (Dan)  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines (Daniel)

  GT3X+™ versus FuelBand™  Controlled physics experiments for comparing output

parameters (Alecia)   Preliminary results of pilot study on humans (Elena)

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

What does the GT3X+ report?

Raw Data Counts

Sample Rate 30 Hz 1 Hz

Units Acceleration/g (g = 9.804 m/s2)

Proprietary

  “Raw” Data   Counts

1/22/13 

Why do we care?

  Most studies on physical activity use counts––not raw data.

  The Actilife software generates counts from the raw data.  What if counts don’t accurately reflect physical activity?

Data from Spring Experiment

5 10 15 20 25 30 35 4080

90

100

110

120

130

140

150

160

170

180

Seconds

Co

un

ts

Actilife Epochs

Fractions of g at 30 Hz (raw data)

Counts at 1 Hz

30 Hz Raw Data to Epochs

Raw Data

x 2048

Raw Data x 2048

Raw Data x 2048

|Δ|

|Δ(Raw Data x 2048)|

|Δ(Raw Data x 2048)|

Mean Value Per Second.

Mean(|Δ(Raw Data x 2048)|) (These are counts!)

5 10 15 20 25 30 35 4080

90

100

110

120

130

140

150

160

170

180

Seconds

Coun

ts

Approximated EpochsActilife Epochs

What do we get?

1/22/13 

Greater inaccuracies with other activity types 30 Hz Raw Data to Epochs

Raw Data

X2048

Raw Data x 2048

Raw Data x 2048 |Δ|

|Δ(Raw Data x 2048)|

|Δ(Raw Data x 2048)|

Mean Value per Second

Mean(|Δ(Raw Data x 2048)|) (These are counts!)

Filter the Data!

Raw data input signal

y(t) is the filtered signal.

High-Q Bandpass filter

  Through correspondence with Actilife, we learned that they use a “High-Q bandpass filter”.

  What does this mean?   It means they use that spring equation from your

differential equations class.

How do we solve for y(t)?

  The filter is characterized by its impulse response––how it responds to an infinitesimal kick.   (This is straightforward.)

  Any input signal can be rewritten as a series of time-shifted and scaled infinitesimal kicks.   (This is also straightforward.)

  The y(t) is the sum of scaled and shifted impulse responses.   This is equivalent to the convolution of the impulse response

and the input signal.

1/22/13 

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The impulse response characterizes the filter––this characterization is independent of the input signal.

Impulse Response Frequency Response

o  Filters frequencies above and below the center frequency. o  Functional form of frequency response depends on filter parameters.

Filtered Data vs. Raw Data

The filter cuts high frequency noise from the signal.

Improved counts after filtration

1/22/13 

(Old Count Approximations) Why do we care?

  Depending upon the data set we used, our approximations differed from the Actilife counts by 2%-5%.

  Actilife’s algorithm for translating 30 Hz raw data to counts is non-trivial.  Do counts accurately reflect physical activity?

Talk Outline

  GT3X+™ data analysis  Converting from acceleration to activity counts (Dan)  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines (Daniel)

  GT3X+™ versus FuelBand™  Controlled physics experiments for comparing output

parameters (Alecia)   Preliminary results of pilot study on humans (Elena)

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

Fundamental Questions

  Do people get enough exercise?   How much is enough?   How do we determine how much exercise someone

is getting?   How do we improve our methods?

1/22/13 

CDC Guidelines

  150 minutes of moderate intensity physical activity each week

  1 minute of vigorous = 2 minutes of moderate   Physical activity is not counted unless it is sustained

for at least 10 minutes

Measuring Physical Activity

  Accelerometer on hip   Retrieve the data in 1s

epochs   Integrate data into

larger epochs   Identify exercise   Draw conclusions

Image courtesy of ActiGraph

Compression By Epoch

  X axis is time   Y axis is counts   Bottom line reports

counts at each second   Top line reports total

counts generated in each 5 second period

Classifying Physical Activity

  Four categories   Sedentary   Light  Moderate  Vigorous

  Each category has a corresponding range of counts per minute

  Calculate counts per minute of each epoch and label with appropriate category

1/22/13 

CDC Guidelines (recap)

  150 minutes of moderate intensity physical activity each week

  1 minute of vigorous = 2 minutes of moderate   Physical activity is not counted unless it is sustained

for at least 10 minutes

Identifying Sustained Exercise

  A bout is 10 or more minutes of uninterrupted exercise (moderate or vigorous)

  Two definitions  Strict  Forgive two degenerate minutes

CDC Guidelines (recap)

  150 minutes of moderate each week   1 minute of vigorous = 2 minutes of moderate   Physical activity is not counted unless it is sustained

for at least 10 minutes

Does our choice of epoch length effect whether or not a person is categorized to meet these

guidelines? (Ideally, no)

Method

  Get accelerometer data from old experiments  83 people wore accelerometers for 2 weeks

  Compress each person’s data 9 different ways using 9 different epoch lengths  5s, 10s, 15s, 30s, 45s, 60s, 75s, 90s, 120s

  If a person meets guidelines under one epoch, they should meet guidelines under any epoch

1/22/13 

10 

Results: Epoch Length Matters Further Projects

  Cut points should be validated for specific epoch lengths

  Make my R code available for public use

Talk Outline

  GT3X+™ data analysis  Converting from acceleration to activity counts (Dan)  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines (Daniel)

  GT3X+™ versus FuelBand™  Controlled physics experiments for comparing output

parameters (Alecia)   Preliminary results of pilot study on humans (Elena)

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

FuelBand™ Physics Experiments!

Experiment  Weights (lbs)  Heights 

Standard Group: Standard Settings 140  5’8’’ 

Weights Group: Varying Weights 100, 140 (4 reps),180, 220, 260  5’8’’ 

Heights Group: Varying Heights 140  4’8’’, 5’2’’, 5’8’’ (4 reps), 6’2’’, 6’8’’ 

12 FuelBands™: Age: 21 Gender: 6 male/6 female Wrist: 6 left/ 6 right

1/22/13 

11 

Physics Experiment Setup Physics Experiment Results

  Inconsistent results from first run of every group  Extra Group: Testing 1st Run Hypothesis

Run 1 Run 2 Run 3

Standard Group Results

Standard Group

Weights Group

Heights Group

Results from Run 3 of each Group Weights Group

Run 2

1/22/13 

12 

Heights Group

Run 3

Extra Group: First Run Hypothesis

  Run 1: Varying Weights   Supports Hypothesis (unlike previous runs)

  Run 2: Varying Heights   Does NOT support hypothesis (similar to previous runs)

  Run 3: Varying Heights   Supports Hypothesis (similar to previous runs)

Extra Group Run 1 Weights Group Run 2 Weights Group Run 3 EX:

Compiled Data

Correlation Height  Weight 

FuelPoints™  Yes R2=.906

y=3.9164x 

No R2=.0104 

Calories Yes R2=.9177

y=1.2192x 

Yes R2=.9955 y=.572x 

Steps  No R2=.0057 

No R2=.0057 

Normalized Values

1/22/13 

13 

Talk Outline

  GT3X+™ data analysis  Converting from acceleration to activity counts (Dan)  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines (Daniel)

  GT3X+™ versus FuelBand™  Controlled physics experiments for comparing output

parameters (Alecia)   Preliminary results of pilot study on humans (Elena)

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

Participant Study

  First Week: Participants wear GT3X+™

  Second Week: Participants wear both the FuelBand™ and GT3X+™

  Want to see if activity increased from the first to second week

  How closely related are FuelPoints™and counts and FuelBand™ steps and GT3X+™steps?

Percent Change of Total Counts from Wk1 to Wk2

Stars indicate Varsity Team Athletes

Weekly Total Counts

Comparing Shape from Week 1 to Week 2

1/22/13 

14 

T-Tests for Percent Change (1-sided)

T-Test Run of Percent Change  Sample Size (n)  P-Value   Average  % Change 

All Participants  12  .52  ‐.444 

Motivated by FuelBand™  6  .27  7.19 

Would continue using FuelBand™ 

3  .20  14.3 

Enjoyed usingFuelBand™  9  .67  ‐3.46 

Monitored progress on PC  4  .46  .560 

Non-Athletes  7  .13  9.20 

Athletes  5  .85  ‐14.0 

GT3X+™Steps vs FuelBand™ Steps

1:1 Ratio with standard deviation of .02

ParticipantStudy

Physics Experiments

GT3X+™ Counts vsFuelPoints™

Physics Experiments: 1008 FuelPoints™: 1Count

ParticipantStudy

Physics Experiments

15 Min FB Data vs Counts

Red = FuelPoints Black= Counts

1/22/13 

15 

Review: Current Focus Areas

  GT3X+ data analysis  Converting from acceleration to activity counts  Analyzing 1 sec counts to determine energy

expenditure and compare to guidelines   GT3X+ versus FuelBand

 Controlled physics experiments for comparing output parameters

  Preliminary results of pilot study on humans  Correlation of GT3X+ and FuelBand output  Correlation of FuelBand use and activity level

Next Steps: GT3X+ vsFuelBand

  Controlled physics experiments for comparing output parameters

  Next Steps:   Improve functional form of

 FB_FuelPoints= ƒ(Counts(x,y,z),Steps,Height)

 FB_Calories= ƒ(Counts(x,y,z),Steps,Height,Weight)

  Correlation of mechanical motion to human motion   Spring/Wheel/Pendulum Walking/Running/etc

  Deconvolute causes of GT3X+™ to FuelBand™ difference   Waist motion versus wrist motion   Device functionality (e.g., axes used)

Next Steps: Human Studies

 Correlation of GT3X+™ and FuelBand™ output  Correlation of FuelBand™ use and activity level

  Next Steps: Human Study II (Accel& FB)  Larger and more diverse college cohort  Dependence of activity levels on multiple factors:

 Athlete vs non-athlete  Age, gender, academic major  Correlation of FuelBand™use and activity level

Next Steps: Human Studies

  Next Steps: Human Study III (FB only)  Physical activity in the workplace (Hospital staff?)  Dependence of activity levels on job description  Correlation of job activity levels with physical health

1/22/13 

16 

Acknowledgements We would like to thank the following for their generous support and help:   NSF and WiVaM   The University of Portland (UP) Public Health and Behavior (PHAB) Lab:

  Dr. Jacquie Van Hoomissen (Biology)   Andrew Lafrenz (Biology)   Dr. Deana Julka (Social and Behavioral Science)   Dr. Andrew Downs (Social and Behavioral Sciences)

  UP Department of Biology for providing the GT3X+TM accelerometers and Nike FuelBandsTM

  Professors for recruiting student participants from their summer classes:   Dr. Andrew Downs (Social and Behavioral Sciences)   Dr. Andrew Guest (Social and Behavioral Sciences)   Andrew Lafrenz (Biology)

  UP Department of Physics and School of Engineering for providing experimental equipment and assistance:   Allison Lawrence (Physics)   Dr. Tim Doughty (UP School of Engineering)


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