To examine the comparability of the ActiGraph 7164 and wGT3X-BT wear time, count-based estimates, and average time/day in physical activity of different intensities.
We studied 87 Coronary Artery Risk Development in Young Adults (CARDIA) participants, aged 48-60 years, who simultaneously wore the 7164 and wGT3X-BT accelerometers at the waist in 2015-16, with wear time ≥4 of 7 days, ≥10 hours/day for both monitors. Freedson cutpoints (counts/min) were used to define sedentary (<100), light (100-1951), moderate (1952-5724), and vigorous activity (≥5725). Agreement was evaluated using paired difference tests, intraclass correlation coefficients and Bland-Altman plots. Given systematic differences in count-based estimates between monitors, a calibration formula applied to the wGT3X-BT values was obtained by linear regression.
Total detected wear time min/day was nearly identical between the 7164 and wGT3X-BT (881.5±70.9 vs. 880.3±78.1, p=0.72). The wGT3X-BT values were calibrated to the 7164 values by dividing counts by 1.088. After calibration, no differences were observed between the 7164 and wGT3X-BT in total counts/day (310,184±129,189 vs. 307,085±135,362, p=0.48), average counts/min/day (349.5±139.5 vs. 346.5±147.2, p = 0.54), sedentary (513.2±93.6 vs. 509.6±98.6, p=0.23), light (335.3±81.5 vs. 338.7±81.1, p=0.22), moderate (31.0±21.9 vs. 30.3±23.4, p=0.31), or moderate to vigorous min/day (33.1±24.6 vs. 32.0±26.0, p=0.13). A significant difference was observed for vigorous min/day (0.2±1.0 vs. 0.0±0.3, p<0.01); however, the absolute difference was marginal. Intraclass correlation coefficients showed excellent agreement for all measures (ICC=0.95-0.99).
After applying a calibration formula, the 7164 and wGT3X-BT were comparable for total wear time, count-based estimates, and average min/day in sedentary, light, moderate, and moderate to vigorous activity. Findings illustrate a novel methodological approach to facilitate accelerometer data harmonization.