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01-12-2015 | Original Article

Energy expenditure in obese children: evaluation of a new multisensor device

Authors: Susanna Rampichini, Giampiero Merati, Chiara Mameli, Luca Agnello, Laura Schneider, Arsenio Veicsteinas, Gian Vincenzo Zuccotti

Published in: Sport Sciences for Health | Issue 3/2015

Abstract

Purpose

Overweight and obesity are increasing among Italian children, particularly due to sedentary lifestyle. The evaluation of daily energy expenditure (EE) is therefore relevant to assess the level of physical activity in subjects at risk. Portable devices could improve the free-living EE monitoring, provided they are properly calibrated and validated. The present study aimed at evaluating a new multisensor wrist monitor (WM) (E3^®, Empatica srl, Italy) in EE assessment in obese children and adolescents.

Methods

Twenty-eight participants (15 males; age 13 ± 2 years; mean ± SD) were enrolled. Nineteen subjects were obese (body mass index (BMI) >95th percentile for age and sex). Subjects were tested (1) while sitting (SIT), and during (2) walking at comfortable speed (SS) and (3) at faster speed (FS). EE was assessed in each condition by both indirect calorimetry (IC, by oxygen consumption measurement) and multisensor (accelerometry, heart rate, skin galvanic reaction, temperature) methods.

Results

EE measured during SIT, SS and FS was 1.48 ± 0.31, 4.25 ± 0.68 and 5.64 ± 0.92 METs with IC and 1.19 ± 0.11, 3.82 ± 0.77 and 5.17 ± 0.81 METs with WM, respectively. A significant difference (P < 0.01) between measurement methods in SS and FS condition (pooled data) disappeared in obese individual subgroup. The linear regression coefficient between EEs obtained by the two methods was 0.79 (P < 0.05), and the Bland–Altman plot showed a proportional bias.

Conclusions

EE estimated by the multisensor wrist monitor highly correlated with the values obtained by IC, particularly in the subgroup of obese children and adolescents, suggesting that it can be used to monitor physical activity in this specific population.

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Title: Energy expenditure in obese children: evaluation of a new multisensor device
Authors: Susanna Rampichini
Giampiero Merati
Chiara Mameli
Luca Agnello
Laura Schneider
Arsenio Veicsteinas
Gian Vincenzo Zuccotti
Publication date: 01-12-2015
Publisher: Springer Milan
Published in: Sport Sciences for Health / Issue 3/2015
Print ISSN: 1824-7490
Electronic ISSN: 1825-1234
DOI: https://doi.org/10.1007/s11332-015-0241-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Energy expenditure in obese children: evaluation of a new multisensor device

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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