Energy balance
Uniaxial accelerometers (specifically the Lifecorder) significantly underestimate total energy expenditure (TEE) and physical-activity-related energy expenditure (PAEE) compared to respiratory chamber measurements, primarily due to errors in estimating basal metabolic rate and difficulty in assessing sedentary/low-intensity activities.
Do not rely on uniaxial waist-worn accelerometers (like the Lifecorder) for precise calorie counting. They systematically underestimate your true energy expenditure by about 8%. However, they are highly correlated with actual expenditure, making them useful for tracking relative changes in activity levels or for large-scale epidemiological studies, provided you understand the absolute numbers are likely too low.
The accelerometer significantly underestimated TEE and PAEE (91.9 (SD 5.4) and 92.7 (SD 17.8) % chamber value respectively); however, there was a significant correlation between the two values (r 0.928 and 0.564 respectively; P < 0.001).
Why this rating
Validation study against gold-standard respiratory chamber with a large sample size (n=79) and controlled conditions.
Source
The use of uniaxial accelerometry for the assessment of physical-activity-related energy expenditure: a validation study against whole-body indirect calorimetry
Hideaki Kumahara et al. · British Journal Of Nutrition · 2004
DOI 10.1079/bjn20031033
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