Interinstrument Reliability of the ActiGraph GT3X+ Ambulatory Activity Monitor During Free-Living Conditions in Adults

J Phys Act Health. 2015 Mar;12(3):382-7. doi: 10.1123/jpah.2013-0070. Epub 2014 May 9.


Background: Currently, no studies have investigated interinstrument reliability of the ActiGraph (AG) GT3X+ in free-living conditions.

Methods: Nineteen adults (11 males, 8 females; aged 36.8 ± 11.9 years) wore a pair of AG's (one on each hip), during all waking hours for 1 day. Raw outputs were generated for total counts, steps, wear time and mean counts per minute. Intensity outputs were derived for time (minutes) spent in <moderate, moderate, vigorous, very vigorous and moderate-to-vigorous physical activity (MVPA). Intraclass correlation (ICC), absolute percent difference (APD), coefficient of variation (CV), Bland-Altman plots, and paired t tests were used to evaluate reliability.

Results: Interinstrument reliability was high (CV < 5%) for raw count and derived intensity outputs, except vigorous and very vigorous activity. ICC, CV, and APD values for vigorous and very vigorous were .97, 12.28, 17.36% and .98, 18.15, 25.67%, respectively. Amalgamating moderate, vigorous, and very vigorous into a single MVPA category reduced the CV and APD values to 2.85 and 4.02%, and increased the ICC value to .99. No significant differences were found between contralateral units for any outputs (P > .05).

Conclusion: Reliability decreases beyond moderate intensities. MVPA displays superior interinstrument reliability than individual intensity categories. Research question permitting, reporting time in MVPA may maximize reliability.

MeSH terms

  • Actigraphy / instrumentation*
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Physiologic / instrumentation*
  • Reproducibility of Results
  • Social Conditions
  • Time Factors
  • Walking / physiology*