Validity of wearable activity monitors for tracking steps and estimating energy expenditure during a graded maximal treadmill test

The purpose of this study was to assess the accuracy of energy expenditure (EE) estimation and step tracking abilities of six activity monitors (AMs) in relation to indirect calorimetry and hand counted steps and assess the accuracy of the AMs between high and low fit individuals in order to assess the impact of exercise intensity. Fifty participants wore the Basis watch, Fitbit Flex, Polar FT7, Jawbone, Omron pedometer, and Actigraph during a maximal graded treadmill test. Correlations, intra-class correlations, and t-tests determined accuracy and agreement between AMs and criterions. The results indicate that the Omron, Fitbit, and Actigraph were accurate for measuring steps while the Basis and Jawbone significantly underestimated steps. All AMs were significantly correlated with indirect calorimetry, however, no devices showed agreement (p < .05). When comparing low and high fit groups, correlations between AMs and indirect calorimetry improved for the low fit group, suggesting AMs may be better at measuring EE at lower intensity exercise.