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Table 4 Summary of free-living energy expenditure estimation studies in persons who use wheelchairs

From: Measurement of Physical Activity and Energy Expenditure in Wheelchair Users: Methods, Considerations and Future Directions

Study

Samplea

Reference standard

Monitoring duration

Method

Results

Tanhoffer et al. [66]

14 SCI (1 F). (C4–T12)

TDEE (DLW)

14 days

SenseWear worn on the upper arm (manufacturer’s model)

R 2 = 0.65 (P < 0.001)

Mean bias ± 95% LoA = 382 ± 898 kcal · day-1

(16% over-prediction)

FLEX-HR

R2 = 0.68 (P = 0.001)

Mean bias ± 95% LoA = -205 ± 655 kcal · day-1

(13% under-prediction)

PARA-SCI

R 2 = 0.74 (P < 0.001)

Mean bias ± 95% LoA = -133 ± 598 kcal · day-1

(6% over-prediction)

PASIPD

R 2 = 0.53 (P = 0.003)

Mean bias ± 95% LoA = - 12 ± 819 kcal · day-1

(1% over-prediction)

PAEE

(TDEE (measured by DLW) x 0.9) – RMR (IC)

SenseWear worn on the upper arm (manufacturer’s model)

R 2 = 0.16 (P = 0.159)

Mean bias ± SD = -16 ± 1292 kcal · day-1

3% under-prediction

FLEX-HR

R 2 = 0.30 (P = 0.067)

Mean bias ± SD = 22 ± 715 kcal · day-1

3% over-prediction

PARA-SCI

R 2 = 0.50 (P = 0.005)

Mean bias ± 95% LoA = - 120 ± 537 kcal · day-1

18% under-prediction

PASIPD

R 2 = 0.13 (P = 0.198)

Mean bias ± 95% LoA = − 11 ± 737 kcal · day-1

3% under-prediction

Nightingale et al. [75]

8. SCI (n = 5), SB (n = 2), CP (n = 1)

PAEE (Estimated from a physical activity log, using the adapted PA compendium (Conger and Bassett, [6])

24 h

ActiheartTM using manufacturers proprietary algorithms

R 2 = 0.16 (P = 0.24)

SEE = 365 kcal · day-1

ActiheartTM using individual heart rate calibration

R 2 = 0.50 (P = 0.03)

SEE = 269 kcal · day-1

Warms et al. [83]

50 (23 F) wheelchair users. Mixed aetiology of disabilities

Daily physical activity record scores

7 days

Activity counts from a tri-axial Actiwatch

r = 0.506 (P = 0.000)

PASIPD

r = 0.267 (P = 0.67)

  1. CP cerebral palsy, DLW doubly labelled water, LoA limits of agreement, PA physical activity, PAEE physical activity energy expenditure, PARA-SCI physical activity recall assessment for people with spinal cord injury, PASIPD physical activity scale for individuals with physical disabilities, RMR resting metabolic rate, SCI spinal cord injury, TDEE total daily energy expenditure
  2. aAll male participants unless stated otherwise