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Comparison of Wrist- and Hip-Worn Activity Monitors When Meeting Step Guidelines

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Figure 1.

Step counts detected with the Omron pedometer and Fitbit wristband activity monitors during A) treadmill exercise, treadmill walking, and treadmill exercise plus walking combined (total steps: laboratory setting); and B) treadmill exercise, activities of daily living, and treadmill exercise plus activities of daily living (total steps: real-world setting). All measurements significantly different at P< .05.

Step counts detected with the Omron pedometer and Fitbit wristband activity monitors during A) treadmill exercise, treadmill walking, and treadmill exercise plus walking combined (total steps: laboratory setting); and B) treadmill exercise, activities of daily living, and treadmill exercise plus activities of daily living (total steps: real-world setting). All measurements significantly different at P< .05.
Activity type Omron pedometer Fitbit wristband monitor
Number of steps (standard deviation)
Laboratory setting
  Treadmill exercise 3,763 (441) 3,529 (533)
  Treadmill walking 6,243 (451) 5,871 (767)
Real-world setting
  Treadmill exercise 3,763 (441) 3,529 (533)
  Activities of daily living 6,309 (1,850) 7,695 (1,062)

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The 5 graphs show the difference in steps measured by the Omron hip-worn pedometer and the Fitbit wrist-worn pedometer for treadmill exercise, treadmill walking, and ADL.

Figure 2.Bland-Altman plots representing differences between Omron pedometer and Fitbit wrist-worn activity monitor steps vs A) Omron pedometer steps during treadmill exercise, B) Omron pedometer steps during treadmill walking, C) total Omron pedometer steps during treadmill exercise plus walking (ie, laboratory setting), D) Omron pedometer steps during activities of daily living (ADL), and E) total Omron pedometer steps during treadmill exercise plus ADL (ie, real-world setting).

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