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Islam MR, Afroj S, Yin J, Novoselov KS, Chen J, Karim N. Advances in Printed Electronic Textiles. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024; 11:e2304140. [PMID: 38009793 PMCID: PMC10853734 DOI: 10.1002/advs.202304140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/11/2023] [Indexed: 11/29/2023]
Abstract
Electronic textiles (e-textiles) have emerged as a revolutionary solution for personalized healthcare, enabling the continuous collection and communication of diverse physiological parameters when seamlessly integrated with the human body. Among various methods employed to create wearable e-textiles, printing offers unparalleled flexibility and comfort, seamlessly integrating wearables into garments. This has spurred growing research interest in printed e-textiles, due to their vast design versatility, material options, fabrication techniques, and wide-ranging applications. Here, a comprehensive overview of the crucial considerations in fabricating printed e-textiles is provided, encompassing the selection of conductive materials and substrates, as well as the essential pre- and post-treatments involved. Furthermore, the diverse printing techniques and the specific requirements are discussed, highlighting the advantages and limitations of each method. Additionally, the multitude of wearable applications made possible by printed e-textiles is explored, such as their integration as various sensors, supercapacitors, and heated garments. Finally, a forward-looking perspective is provided, discussing future prospects and emerging trends in the realm of printed wearable e-textiles. As advancements in materials science, printing technologies, and design innovation continue to unfold, the transformative potential of printed e-textiles in healthcare and beyond is poised to revolutionize the way wearable technology interacts and benefits.
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Affiliation(s)
- Md Rashedul Islam
- Centre for Print Research (CFPR)University of the West of EnglandFrenchay CampusBristolBS16 1QYUK
| | - Shaila Afroj
- Centre for Print Research (CFPR)University of the West of EnglandFrenchay CampusBristolBS16 1QYUK
| | - Junyi Yin
- Department of BioengineeringUniversity of CaliforniaLos AngelesCA90095USA
| | - Kostya S. Novoselov
- Institute for Functional Intelligent MaterialsDepartment of Materials Science and EngineeringNational University of SingaporeSingapore117575Singapore
| | - Jun Chen
- Department of BioengineeringUniversity of CaliforniaLos AngelesCA90095USA
| | - Nazmul Karim
- Centre for Print Research (CFPR)University of the West of EnglandFrenchay CampusBristolBS16 1QYUK
- Nottingham School of Art and DesignNottingham Trent UniversityShakespeare StreetNottinghamNG1 4GGUK
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Hasan MM, Hossain MM. Nanomaterials-patterned flexible electrodes for wearable health monitoring: a review. JOURNAL OF MATERIALS SCIENCE 2021; 56:14900-14942. [PMID: 34219807 PMCID: PMC8237560 DOI: 10.1007/s10853-021-06248-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 06/08/2021] [Indexed: 06/13/2023]
Abstract
ABSTRACT Electrodes fabricated on a flexible substrate are a revolutionary development in wearable health monitoring due to their lightweight, breathability, comfort, and flexibility to conform to the curvilinear body shape. Different metallic thin-film and plastic-based substrates lack comfort for long-term monitoring applications. However, the insulating nature of different polymer, fiber, and textile substrates requires the deposition of conductive materials to render interactive functionality to substrates. Besides, the high porosity and flexibility of fiber and textile substrates pose a great challenge for the homogenous deposition of active materials. Printing is an excellent process to produce a flexible conductive textile electrode for wearable health monitoring applications due to its low cost and scalability. This article critically reviews the current state of the art of different textile architectures as a substrate for the deposition of conductive nanomaterials. Furthermore, recent progress in various printing processes of nanomaterials, challenges of printing nanomaterials on textiles, and their health monitoring applications are described systematically.
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Affiliation(s)
- Md Mehdi Hasan
- Department of Textile Engineering, Khulna University of Engineering & Technology, Khulna, 9203 Bangladesh
- UNAM – National Nanotechnology Research Center and, Institute of Materials Science and Nanotechnology, Bilkent University, Ankara, 06800 Turkey
| | - Md Milon Hossain
- Department of Textile Engineering, Khulna University of Engineering & Technology, Khulna, 9203 Bangladesh
- Department of Textile Engineering, Chemistry and Science, North Carolina State University, Raleigh, 27606 USA
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Xie L, Yang G, Xu L, Seoane F, Chen Q, Zheng L. Characterization of dry biopotential electrodes. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2015; 2013:1478-81. [PMID: 24109978 DOI: 10.1109/embc.2013.6609791] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Driven by the increased interest in wearable long-term healthcare monitoring systems, varieties of dry electrodes are proposed based on different materials with different patterns and structures. Most of the studies reported in the literature focus on proposing new electrodes and comparing its performance with commercial electrodes. Few papers are about detailed comparison among different dry electrodes. In this paper, printed metal-plate electrodes, textile based electrodes, and spiked electrodes are for the first time evaluated and compared under the same experimental setup. The contact impedance and noise characterization are measured. The in-vivo electrocardiogram (ECG) measurement is applied to evaluate the overall performance of different electrodes. Textile electrodes and printed electrodes gain comparable high-quality ECG signals. The ECG signal obtained by spiked electrodes is noisier. However, a clear ECG envelope can be observed and the signal quality can be easily improved by backend signal processing. The features of each type of electrodes are analyzed and the suitable application scenario is addressed.
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Pani D, Dessi A, Saenz-Cogollo JF, Barabino G, Fraboni B, Bonfiglio A. Fully Textile, PEDOT:PSS Based Electrodes for Wearable ECG Monitoring Systems. IEEE Trans Biomed Eng 2015; 63:540-9. [PMID: 26259215 DOI: 10.1109/tbme.2015.2465936] [Citation(s) in RCA: 131] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
GOAL To evaluate a novel kind of textile electrodes based on woven fabrics treated with PEDOT PSS, through an easy fabrication process, testing these electrodes for biopotential recordings. METHODS Fabrication is based on raw fabric soaking in PEDOT PSS using a second dopant, squeezing and annealing. The electrodes have been tested on human volunteers, in terms of both skin contact impedance and quality of the ECG signals recorded at rest and during physical activity (power spectral density, baseline wandering, QRS detectability, and broadband noise). RESULTS The electrodes are able to operate in both wet and dry conditions. Dry electrodes are more prone to noise artifacts, especially during physical exercise and mainly due to the unstable contact between the electrode and the skin. Wet (saline) electrodes present a stable and reproducible behavior, which is comparable or better than that of traditional disposable gelled Ag/AgCl electrodes. CONCLUSION The achieved results reveal the capability of this kind of electrodes to work without the electrolyte, providing a valuable interface with the skin, due to mixed electronic and ionic conductivity of PEDOT PSS. These electrodes can be effectively used for acquiring ECG signals. SIGNIFICANCE Textile electrodes based on PEDOT PSS represent an important milestone in wearable monitoring, as they present an easy and reproducible fabrication process, very good performance in wet and dry (at rest) conditions and a superior level of comfort with respect to textile electrodes proposed so far. This paves the way to their integration into smart garments.
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Tomasić I, Frljak S, Trobec R. Estimating the Universal Positions of Wireless Body Electrodes for Measuring Cardiac Electrical Activity. IEEE Trans Biomed Eng 2013; 60:3368-74. [PMID: 23925363 DOI: 10.1109/tbme.2013.2276291] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A methodology is presented for estimating the wireless body electrode (WE) positions and for calculating the linear transformations that enable the synthesis of a 12-lead ECG or a multichannel ECG from three WEs, which in turn simplifies and improves the acquisition of ECGs. We present, compare, and evaluate three approaches to the synthesis: fully personalized, fully universal, and combined with universal leads and personalized transformations. The evaluation results show that WEs are an acceptable alternative to the standard 12-lead ECG device for patients with chronic myocardial ischemia, if either the fully personalized or combined approach is used. The median correlation coefficients are all higher than 0.94 and 0.92 for the fully personalized and combined approaches, respectively. The corresponding kappa and percentual diagnostic agreements between the synthesized and target 12-lead ECGs are 0.88 (95%) and 0.83 (92%), respectively. The evaluation additionally shows that the personalization of the transformations has more impact on the quality of the synthesized ECGs than the personalization of the WEs' positions.
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Rattfält L, Björefors F, Nilsson D, Wang X, Norberg P, Ask P. Properties of screen printed electrocardiography smartware electrodes investigated in an electro-chemical cell. Biomed Eng Online 2013; 12:64. [PMID: 23827015 PMCID: PMC3716966 DOI: 10.1186/1475-925x-12-64] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Accepted: 06/30/2013] [Indexed: 11/10/2022] Open
Abstract
Background ECG (Electrocardiogram) measurements in home health care demands new sensor solutions. In this study, six different configurations of screen printed conductive ink electrodes have been evaluated with respect to electrode potential variations and electrode impedance. Methods The electrode surfaces consisted of a Ag/AgCl-based ink with a conduction line of carbon or Ag-based ink underneath. On top, a lacquer layer was used to define the electrode area and to cover the conduction lines. Measurements were performed under well-defined electro-chemical conditions in a physiologic saline solution. Results The results showed that all printed electrodes were stable and have a very small potential drift (less than 3 mV/30 min). The contribution to the total impedance was 2% of the set maximal allowed impedance (maximally 1 kΩ at 50 Hz), assuming common values of input impedance and common mode rejection ratio of a regular amplifier. Conclusion Our conclusions are that the tested electrodes show satisfying properties to be used as elements in a skin electrode design that could be suitable for further investigations by applying the electrodes on the skin.
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Cömert A, Honkala M, Hyttinen J. Effect of pressure and padding on motion artifact of textile electrodes. Biomed Eng Online 2013; 12:26. [PMID: 23565970 PMCID: PMC3637835 DOI: 10.1186/1475-925x-12-26] [Citation(s) in RCA: 70] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2012] [Accepted: 03/28/2013] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND With the aging population and rising healthcare costs, wearable monitoring is gaining importance. The motion artifact affecting dry electrodes is one of the main challenges preventing the widespread use of wearable monitoring systems. In this paper we investigate the motion artifact and ways of making a textile electrode more resilient against motion artifact. Our aim is to study the effects of the pressure exerted onto the electrode, and the effects of inserting padding between the applied pressure and the electrode. METHOD We measure real time electrode-skin interface impedance, ECG from two channels, the motion artifact related surface potential, and exerted pressure during controlled motion by a measurement setup designed to estimate the relation of motion artifact to the signals. We use different foam padding materials with various mechanical properties and apply electrode pressures between 5 and 25 mmHg to understand their effect. A QRS and noise detection algorithm based on a modified Pan-Tompkins QRS detection algorithm estimates the electrode behaviour in respect to the motion artifact from two channels; one dominated by the motion artifact and one containing both the motion artifact and the ECG. This procedure enables us to quantify a given setup's susceptibility to the motion artifact. RESULTS Pressure is found to strongly affect signal quality as is the use of padding. In general, the paddings reduce the motion artifact. However the shape and frequency components of the motion artifact vary for different paddings, and their material and physical properties. Electrode impedance at 100 kHz correlates in some cases with the motion artifact but it is not a good predictor of the motion artifact. CONCLUSION From the results of this study, guidelines for improving electrode design regarding padding and pressure can be formulated as paddings are a necessary part of the system for reducing the motion artifact, and further, their effect maximises between 15 mmHg and 20 mmHg of exerted pressure. In addition, we present new methods for evaluating electrode sensitivity to motion, utilizing the detection of noise peaks that fall into the same frequency band as R-peaks.
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Affiliation(s)
- Alper Cömert
- Department of Biomedical Engineering, Tampere University of Technology, Tampere, Finland
- Institute of Biosciences and Medical Technology, Tampere, Finland
| | - Markku Honkala
- Department of Material Science, Tampere University of Technology, Tampere, Finland
| | - Jari Hyttinen
- Department of Biomedical Engineering, Tampere University of Technology, Tampere, Finland
- Institute of Biosciences and Medical Technology, Tampere, Finland
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Hung K, Lee CC, Chan WM, Choy SO, Kwok P. Development of a wearable system integrated with novel biomedical sensors for ubiquitous healthcare. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2013; 2012:5802-5. [PMID: 23367248 DOI: 10.1109/embc.2012.6347313] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The world's ageing population has led to an urgent need for long-term and patient-centered healthcare solutions. Hence, there is a growing need for wearable systems for physiologic monitoring. While various biosignals are monitored with traditional approaches, it is worthwhile to investigate alternative sensing techniques in order to improve accessibility and understanding of patients' conditions. This paper presents our laboratory's development of such a wearable system, which makes use of unconventional techniques for physiologic monitoring. With its integrated textile electrocardiogram (ECG) electrodes, intelligent finger-ring photoplethysmogram (PPG) sensor, miniaturized optical fiber-based temperature sensor, eye dynamics monitor, global positioning system (GPS) module, and wireless capability, it demonstrates a feasible solution for ubiquitous healthcare.
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Affiliation(s)
- Kevin Hung
- School of Science & Technology, The Open University of Hong Kong (OUHK), Hong Kong.
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Chen KY, Janz KF, Zhu W, Brychta RJ. Redefining the roles of sensors in objective physical activity monitoring. Med Sci Sports Exerc 2012; 44:S13-23. [PMID: 22157770 DOI: 10.1249/mss.0b013e3182399bc8] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
BACKGROUND Because physical activity researchers are increasingly using objective portable devices, this review describes the current state of the technology to assess physical activity, with a focus on specific sensors and sensor properties currently used in monitors and their strengths and weaknesses. Additional sensors and sensor properties desirable for activity measurement and best practices for users and developers also are discussed. BEST PRACTICES We grouped current sensors into three broad categories for objectively measuring physical activity: associated body movement, physiology, and context. Desirable sensor properties for measuring physical activity and the importance of these properties in relationship to specific applications are addressed, and the specific roles of transducers and data acquisition systems within the monitoring devices are defined. Technical advancements in sensors, microcomputer processors, memory storage, batteries, wireless communication, and digital filters have made monitors more usable for subjects (smaller, more stable, and longer running time) and for researchers (less costly, higher time resolution and memory storage, shorter download time, and user-defined data features). FUTURE DIRECTIONS Users and developers of physical activity monitors should learn about the basic properties of their sensors, such as range, accuracy, and precision, while considering the data acquisition/filtering steps that may be critical to data quality and may influence the desirable measurement outcome(s).
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Affiliation(s)
- Kong Y Chen
- Diabetes, Endocrinology, and Obesity Branch, Intramural Research Program, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
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Yoo J, Yoo HJ. Fabric circuit board-based dry electrode and its characteristics for long-term physiological signal recording. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2012; 2011:2497-500. [PMID: 22254848 DOI: 10.1109/iembs.2011.6090692] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This paper presents a dry fabric electrode and its characteristics. For long-term physiological signal monitoring, conventional wet type electrode such as an Ag/AgCl electrode may not be sufficient, because captured signal strength degrades over time as its electrolyte dehydrates. Moreover, the electrolyte may cause skin irritation over a period of time. As a complement, a dry electrode can be used. In this work, fabric-based dry electrodes are introduced. Planar-Fabric Circuit Board (P-FCB) technology enables low cost and uniform productions of such electrodes; electrical properties of the electrodes with various materials, sizes, and time are shown. Both the strengths and drawbacks of the fabric-based electrodes are also discussed.
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Affiliation(s)
- Jerald Yoo
- Masdar Institute of Science and Technology, Abu Dhabi, UAE.
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Shin JH, Hwang SH, Chang MH, Park KS. Heart rate variability analysis using a ballistocardiogram during Valsalva manoeuvre and post exercise. Physiol Meas 2011; 32:1239-64. [PMID: 21743126 DOI: 10.1088/0967-3334/32/8/015] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
We introduced a novel non-constrained technique for estimating heart rate variability (HRV) using a ballistocardiogram (BCG). To assess whether the BCG signal can be used to analyse the cardiac autonomic modulation, HRV parameters derived from the BCG signal (ballistocardiographic HRV, B-HRV) were statistically compared with the HRV parameters from the ECG signal during rest and under two different experimental conditions that induce cardiac autonomic rhythm changes: the Valsalva manoeuvre and static exercise. Time domain, frequency domain and nonlinear analyses were individually performed on 15 healthy subjects to assess whether the BCG can be used to analyse the cardiac autonomic modulation under each condition. For all subjects, the proposed method had averages of relative errors of 5.01 ± 4.72, 5.64 ± 4.83 and 5.98 ± 5.80% for resting, Valsalva and post-exercise sessions, respectively, and the correlation coefficients between the reference (ECG) and proposed (BCG) methods are 0.97, 0.98 and 0.98, for resting, Valsalva and post-exercise sessions, respectively. During cardiac autonomic changes, the B-HRV parameters changed in a pattern that is very similar to the variations in the HRV parameters based on Student's t-test results. In addition, some of the B-HRV parameters changed according to cardiac autonomic rhythms controlled by sympathetic and parasympathetic activities during the experiments. These findings indicate that BCG can provide an accurate and reliable means to evaluate autonomic system activation by HRV in its unconstrained way.
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Affiliation(s)
- Jae Hyuk Shin
- Interdisciplinary program of Biomedical Engineering, Seoul National University, Seoul, Korea
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Yoo J, Long Yan, Seulki Lee, Hyejung Kim, Hoi-Jun Yoo. A Wearable ECG Acquisition System With Compact Planar-Fashionable Circuit Board-Based Shirt. ACTA ACUST UNITED AC 2009; 13:897-902. [DOI: 10.1109/titb.2009.2033053] [Citation(s) in RCA: 134] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Merritt C, Nagle H, Grant E. Fabric-Based Active Electrode Design and Fabrication for Health Monitoring Clothing. ACTA ACUST UNITED AC 2009; 13:274-80. [DOI: 10.1109/titb.2009.2012408] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Abstract
Gerontechnology can help elderly people to identify and slow down the effects of the age-related modifications of the neural and musculoskeletal systems. The seven articles in this special issue address three main topics: biomechanics and motor control; wearable technologies; and assistive technologies.
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Affiliation(s)
- Silvestro Micera
- Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, 56126 Pisa, Italy.
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Corder K, Ekelund U, Steele RM, Wareham NJ, Brage S. Assessment of physical activity in youth. J Appl Physiol (1985) 2008; 105:977-87. [PMID: 18635884 DOI: 10.1152/japplphysiol.00094.2008] [Citation(s) in RCA: 318] [Impact Index Per Article: 19.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Despite much progress with physical activity assessment, the limitations concerning the accurate measurement of physical activity are often amplified in young people due to the cognitive, physiological, and biomechanical changes that occur during natural growth as well as a more intermittent pattern of habitual physical activity in youth compared with adults. This mini-review describes and compares methods to assess habitual physical activity in youth and discusses main issues regarding the use and interpretation of data collected with these techniques. Self-report instruments and movement sensing are currently the most frequently used methods for the assessment of physical activity in epidemiological research; others include heart rate monitoring and multisensor systems. Habitual energy expenditure can be estimated from these input measures with varying degree of uncertainty. Nonlinear modeling techniques, using accelerometry perhaps in combination with physiological parameters like heart rate or temperature, have the greatest potential for increasing the prediction accuracy of habitual physical activity energy expenditure. Although multisensor systems may be more accurate, this must be balanced against feasibility, a balance that shifts with technological and scientific advances and should be considered at the beginning of every new study.
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Affiliation(s)
- Kirsten Corder
- Institute of Metabolic Science, Addenbrooke's Hospital CB2 0QQ Cambridge, UK
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