Major Matthew J, Alford Micah
a Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine , Northwestern University Prosthetics-Orthotics Center , Chicago , IL , USA.
b Department of Veterans Affairs , Jesse Brown VA Medical Center , Chicago , IL , USA.
J Sports Sci. 2016 Dec;34(23):2160-2164. doi: 10.1080/02640414.2016.1189086. Epub 2016 May 30.
Physical activity benefits for disease prevention are well-established. Smartphones offer a convenient platform for community-based step count estimation to monitor and encourage physical activity. Accuracy is dependent on hardware-software platforms, creating a recurring challenge for validation, but the Apple iPhone® M7 motion co-processor provides a standardised method that helps address this issue. Validity of the M7 to record step count for level-ground, able-bodied walking at three self-selected speeds, and agreement with the StepWatch was assessed. Steps were measured concurrently with the iPhone® (custom application to extract step count), StepWatch and manual count. Agreement between iPhone® and manual/StepWatch count was estimated through Pearson correlation and Bland-Altman analyses. Data from 20 participants suggested that iPhone® step count correlations with manual and StepWatch were strong for customary (1.3 ± 0.1 m/s) and fast (1.8 ± 0.2 m/s) speeds, but weak for the slow (1.0 ± 0.1 m/s) speed. Mean absolute error (manual-iPhone®) was 21%, 8% and 4% for the slow, customary and fast speeds, respectively. The M7 accurately records step count during customary and fast walking speeds, but is prone to considerable inaccuracies at slow speeds which has important implications for certain patient groups. The iPhone® may be a suitable alternative to the StepWatch for only faster walking speeds.
体育活动对疾病预防的益处已得到充分证实。智能手机为基于社区的步数估计提供了一个便捷平台,用于监测和鼓励体育活动。准确性取决于硬件 - 软件平台,这给验证带来了反复出现的挑战,但苹果iPhone® M7运动协处理器提供了一种标准化方法,有助于解决这一问题。评估了M7在三种自行选择的速度下记录平地、身体健全者行走步数的有效性,以及与StepWatch的一致性。使用iPhone®(用于提取步数的自定义应用程序)、StepWatch和手动计数同时测量步数。通过Pearson相关性分析和Bland - Altman分析评估iPhone®与手动/StepWatch计数之间的一致性。来自20名参与者的数据表明,iPhone®步数与手动计数和StepWatch在习惯速度(1.3 ± 0.1 m/s)和快速速度(1.8 ± 0.2 m/s)下的相关性很强,但在慢速(1.0 ± 0.1 m/s)时较弱。慢速、习惯速度和快速速度下的平均绝对误差(手动 - iPhone®)分别为21%、8%和4%。M7在习惯速度和快速行走速度下能准确记录步数,但在慢速时容易出现较大误差,这对某些患者群体具有重要影响。仅在较快行走速度下,iPhone®可能是StepWatch的合适替代品。