Smartphone-recorded physical activity for estimating cardiorespiratory fitness
Abstract While cardiorespiratory fitness is strongly associated with mortality and diverse outcomes, routine measurement is limited. We used smartphone-derived physical activity data to estimate fitness among 50 older adults. We recruited iPhone owners undergoing cardiac stress testing and collected...
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Nature Portfolio
2021
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oai:doaj.org-article:522877caf1274ec7a38424da87d5217c2021-12-02T17:03:50ZSmartphone-recorded physical activity for estimating cardiorespiratory fitness10.1038/s41598-021-94164-x2045-2322https://doaj.org/article/522877caf1274ec7a38424da87d5217c2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94164-xhttps://doaj.org/toc/2045-2322Abstract While cardiorespiratory fitness is strongly associated with mortality and diverse outcomes, routine measurement is limited. We used smartphone-derived physical activity data to estimate fitness among 50 older adults. We recruited iPhone owners undergoing cardiac stress testing and collected recent iPhone physical activity data. Cardiorespiratory fitness was measured as peak metabolic equivalents of task (METs) achieved on cardiac stress test. We then estimated peak METs using multivariable regression models incorporating iPhone physical activity data, and validated with bootstrapping. Individual smartphone variables most significantly correlated with peak METs (p-values both < 0.001) included daily peak gait speed averaged over the preceding 30 days (r = 0.63) and root mean square of the successive differences of daily distance averaged over 365 days (r = 0.57). The best-performing multivariable regression model included the latter variable, as well as age and body mass index. This model explained 68% of variability in observed METs (95% CI 46%, 81%), and estimated peak METs with a bootstrapped mean absolute error of 1.28 METs (95% CI 0.98, 1.60). Our model using smartphone physical activity estimated cardiorespiratory fitness with high performance. Our results suggest larger, independent samples might yield estimates accurate and precise for risk stratification and disease prognostication.Micah T. EadesAthanasios TsanasStephen P. JuraschekDaniel B. KramerErnest GervinoKenneth J. MukamalNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021) |
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Medicine R Science Q Micah T. Eades Athanasios Tsanas Stephen P. Juraschek Daniel B. Kramer Ernest Gervino Kenneth J. Mukamal Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
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Abstract While cardiorespiratory fitness is strongly associated with mortality and diverse outcomes, routine measurement is limited. We used smartphone-derived physical activity data to estimate fitness among 50 older adults. We recruited iPhone owners undergoing cardiac stress testing and collected recent iPhone physical activity data. Cardiorespiratory fitness was measured as peak metabolic equivalents of task (METs) achieved on cardiac stress test. We then estimated peak METs using multivariable regression models incorporating iPhone physical activity data, and validated with bootstrapping. Individual smartphone variables most significantly correlated with peak METs (p-values both < 0.001) included daily peak gait speed averaged over the preceding 30 days (r = 0.63) and root mean square of the successive differences of daily distance averaged over 365 days (r = 0.57). The best-performing multivariable regression model included the latter variable, as well as age and body mass index. This model explained 68% of variability in observed METs (95% CI 46%, 81%), and estimated peak METs with a bootstrapped mean absolute error of 1.28 METs (95% CI 0.98, 1.60). Our model using smartphone physical activity estimated cardiorespiratory fitness with high performance. Our results suggest larger, independent samples might yield estimates accurate and precise for risk stratification and disease prognostication. |
format |
article |
author |
Micah T. Eades Athanasios Tsanas Stephen P. Juraschek Daniel B. Kramer Ernest Gervino Kenneth J. Mukamal |
author_facet |
Micah T. Eades Athanasios Tsanas Stephen P. Juraschek Daniel B. Kramer Ernest Gervino Kenneth J. Mukamal |
author_sort |
Micah T. Eades |
title |
Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
title_short |
Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
title_full |
Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
title_fullStr |
Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
title_full_unstemmed |
Smartphone-recorded physical activity for estimating cardiorespiratory fitness |
title_sort |
smartphone-recorded physical activity for estimating cardiorespiratory fitness |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/522877caf1274ec7a38424da87d5217c |
work_keys_str_mv |
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