Comparison of methods to assess energy expenditure and physical activity in people with spinal cord injury
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I. P. Tanhoffer, Aldre
Raymond, Jacqueline
P. Hills, Andrew
M. Davis, Glen
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Abstract
Objective To compare different methods of assessing energy expenditure (EE) and physical activity (PA) in people with spinal cord injury (SCI) under community-dwelling conditions. Methods A reference standard encompassing the doubly labelled water (DLW) technique, heart rate monitoring (FLEX-HR), a multi-sensor armband (SenseWear Armband (SWA)), and two PA recall questionnaires were employed in 14 people with SCI to estimate EE and leisure-time PA. Results Mean total daily energy expenditure (TDEE) assessed by DLW, FLEX-HR, and SWA were 9817 ᠲ491 kJ/day, 8498 ᠱ516 kJ/day, and 11414 ᠳ242 kJ/day, respectively. Physical activity energy expenditure (PAEE) quantified by DLW was 2841 ᠱ626 kJ/day, 2935 ᠱ732 kJ/day estimated from FLEX-HR, and 2773 ᠲ966 kJ/day derived from SWA. After converting the PA recall questionnaire data to EE in kJ/day, PAEE for the Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI) was 2339 ᠱ171 kJ/day and for Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) 749 ᠱ026 kJ/day. DLW-quantified PAEE was moderately associated with PARA-SCI (R 2 = 0.62, P < 0.05), but not with the other estimates of PAEE (R 2 ranged between 0.13 and 0.30, P > 0.05). Conclusion Our findings revealed that the PARA-SCI recall questionnaire was the best estimate of PAEE compared to the reference standard DLW approach. Although the between-method variability for SWA, FLEX-HR, and PASIPD-derived PAEE was small, there was a weak association between these methods and the criterion DLW technique. The best estimate of DLW-quantified TDEE was by FLEX-HR. SWA significantly overestimated TDEE in this population.
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Journal of Spinal Cord Medicine
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35
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1
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© 2012 Maney Publishing. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
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Exercise Physiology
Clinical Sciences
Human Movement and Sports Sciences