![]() The widely used 10,000-step recommendation may not be accurate for all users of all activity monitors, given the discrepancy in daily step count among wrist-worn and hip-worn devices. Consequently, total steps were significantly higher for wristband PA monitors than hip-worn pedometers (11,247 steps vs 10,099 steps P <. More steps were accumulated via wrist-worn PA monitors than hip-worn pedometers during ADL (7,695 steps vs 6,309 steps, P <. 01) and treadmill walking (5,877 steps vs 6,243 steps, P <. Steps were recorded for both devices after treadmill exercise, treadmill walking, and ADL for both devices.įewer steps were accumulated via wrist-worn PA monitors than via hip-worn pedometers during treadmill exercise (3,552 steps vs 3,790 steps, P <. Remaining steps needed to reach 10,000 steps (ie, 10,000 steps minus the number of pedometer steps recorded from treadmill exercise = remainder) were completed via treadmill walking or ADL. We compared step counts accumulated with hip-worn pedometers with those accumulated with wrist-worn activity monitors during 1) treadmill exercise, 2) treadmill walking, and 3) activities of daily living (ADL) to determine their accuracy in meeting step count guidelines (ie, 10,000 steps/d).Įighty-six adults (aged 18–65 y body mass index, 19–45 kg/m 2) completed 30 minutes of treadmill exercise while simultaneously using a hip-worn pedometer and wrist-worn PA monitor. Consequently, evaluating and developing guidelines for step counts using wristband PA monitors for the general population is needed. However, accumulated steps measured with wristband PA monitors may not be equal to steps measured with validated, hip-worn pedometers. Physical activity (PA) guidelines aimed at accumulating 10,000 steps per day have become increasingly common with the advent of wristband PA monitors. Recommendations about the number of steps taken per day and messaging around these recommendations with various devices should be re-evaluated in light of these discrepancies. What are the implications for public health practice? We compared the difference between number of steps taken measured using both wrist-worn and hip-worn PA monitors and found significant differences between devices as well as meaningful differences between steps accumulated compared to current PA step guidelines. However, wristband PA monitors may not be as accurate in determining the number of steps as validated, hip-worn pedometers. People commonly use wristband physical activity (PA) monitors to measure steps taken per day so they can accumulate the recommended 10,000 steps.
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