Abstract

Background: Physical activity (PA) is a crucial factor in maintaining good health and preventing chronic diseases. However, accurately measuring PA is challenging. Euclidean Norm Minus One (ENMO), ActiGraph Counts, and Monitor-Independent Movement Summary (MIMS) units are processing metrics used to classify PA through accelerometry, but they employ different methods to calculate activity levels. This study aimed to compare ENMO, ActiGraph Counts, and MIMS accelerometer metrics using machine learning algorithms. Methods: Data from a smartphone accelerometer were collected from 50 participants who held the smartphone in their right hand while completing six activities. The data were used to generate ENMO, ActiGraph Counts, and MIMS acceleration metrics. Random Forest, K-Nearest Neighbor, and Support Vector Machine algorithms were applied to the data to classify PA into different levels of activity intensity and types. The algorithms’ performance was evaluated using various metrics such as accuracy, precision, and recall. Results: The results showed that both the Random Forest and K-Nearest Neighbor algorithms performed well, achieving above 80% accuracy in classifying PA into different intensity levels and types. Both the ENMO and MIMS metrics proved more accurate than ActiGraph Counts in classifying moderate to vigorous PA. Conclusions: This study provides evidence that both ENMO and MIMS metrics can accurately measure PA with accelerometry, and machine learning algorithms can classify the activity into different intensity levels. These metrics and methods are valuable tools for monitoring PA and understanding the relationship between PA and health outcomes.

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