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Published in

MDPI, Sensors, 14(23), p. 6555, 2023

DOI: 10.3390/s23146555

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Beyond the Clinic: Maximum Free-Living Stepping as a Potential Measure of Physical Performance

Journal article published in 2023 by Craig Speirs, Mark D. Dunlop ORCID, Marc Roper, Malcolm Granat ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Data provided by SHERPA/RoMEO

Abstract

Measures of physical performance captured within a clinical setting are commonly used as a surrogate for underlying health or disease risk within an individual. By measuring physical behaviour within a free-living setting, we may be able to better quantify physical performance. In our study, we outline an approach to measure maximum free-living step count using a body-worn sensor as an indicator of physical performance. We then use this approach to characterise the maximum step count over a range of window durations within a population of older adults to identify a preferred duration over which to measure the maximum step count. We found that while almost all individuals (97%) undertook at least one instance of continuous stepping longer than two minutes, a sizeable minority of individuals (31%) had no periods of continuous stepping longer than six minutes. We suggest that the maximum step count measured over a six-minute period may be too sensitive to the adults’ lack of opportunity to undertake prolonged periods of stepping, and a two-minute window could provide a more representative measure of physical performance.