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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Autores principales: Micah T. Eades, Athanasios Tsanas, Stephen P. Juraschek, Daniel B. Kramer, Ernest Gervino, Kenneth J. Mukamal
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/522877caf1274ec7a38424da87d5217c
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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
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