Review Article

Moving beyond Karnofsky and ECOG Performance Status Assessments with New Technologies

Table 2

Accuracy of objective activity monitoring devices.

ReferencePopulation#Age (yr)Device under studyActivity monitoredMethod of confirmationOutcome

[28]Healthy volunteers14Mean (SD) = 28.1 (6.2) Pedometer, Digi-Walker SW-200 (Yamax)
Accelerometer, Zip and One (Fitbit)
Wearable devices, Flex (Fitbit), UP24 (Jawbone), FuelBand (Nike)
Mobile apps:
3iOS, Fitbit, Health Mate (Withings), Moves (ProtoGeo Oy)
Android app: Moves (ProtoGeo Oy)
Walking
500 and 1500 steps @ 3MPH
Observer counted steps using tally counterHigh accuracy confirmed for all devices

[29]Healthy volunteers15Range 21–33Wearable device, Fitbits (One, Zip, and Flex)6 activities for a 5-minute period @ 1.5, 3, and 4 MPHVideo analysis90% accuracy for all devices at all speeds

[30]Healthy volunteers89Mean (SD) = 39 (±13.1) Lumoback, Fitbit Flex, Jawbone Up, Nike+ FuelBand SE, Misfit Shine, Withings Pulse, Fitbit Zip, Omron
HJ-203, Yamax Digi-Walker SW-200, and Moves mobile application versus Optogait system for laboratory and ActivPAL for free living conditions
(A) Laboratory setting: walked twice on a treadmill (4.8 km/h) for 30 min
(B) Free living conditions, physical activity over a 24 hr period
(A) Laboratory setting, Optogait system
(B) Free living conditions,
ActivPAL
Good reliability for step count,
Lumoback,
Jawbone Up, Misfit Shine, Withings Pulse,
Fitbit Zip and Flex, and Digi-Walker
Free living conditions, Fitbit Zip highest validity, Nike+ FuelBand, lowest validity

[31]Healthy volunteers21Fitbit One, Fitbit Zip, Jawbone Up, Misfit Shine,
Nike FuelBand, Striiv Smart Pedometer, and Withings Pulse
48 hr of PA in free living conditionsResearch grade accelerometers: BodyMedia SenseWear and ActiGraph GT3X+ Strong validity between research grade accelerometers and all activity monitors for step count and sleep duration Moderate validity for MVPA and TDEE
Strongest performers, Fitbit One, Fitbit Zip, and Withings Pulse

[32]Patients with stroke and traumatic brain injury50Mean (SD) = 52.9 (±15.1)Fitbit Ultra and Nike+ FuelBandTwo-minute walk test (2MWT)Video analysis
and
research grade activity monitors: StepWatch Activity Monitor (SAM) and Yamax Digi-Walker SW-701
pedometer (YDWP)
In order of decreasing accuracy,
SAM, Fitbit Ultra, YDWP, and Nike+ FuelBand

yr: year, MPH: miles per hour, hr: hour, PA: physical activity, MVPA: moderate to vigorous physical activity, and TDEE: total daily energy expenditure.