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. 2026 Jan 8;15:e76601. doi: 10.2196/76601

Table 1.

The summary of included studies (N=40 studies, ranked by health condition and alphabetically by author names).

Reference Age (years), mean (SD) Age (years), range N Sensor brand/ model Number of sensors (placement) MVPAa classification technique Validation setting Ground truth Code availability
Healthy condition

Ahmadi et al [50] 4 (0.9) b 31 ActiGraph GT3X + 2 (hip, wrist) RFc and SVMd Free-living DOe No

Ahmadi et al [51] 4 (0.9) 31 ActiGraph GT3X + 2 (hip, wrist) RF Free-living DO Yes

Ahmadi et al [52] 13.9 (3) 50 ActiGraph GT3X + 1 (hip) RF Lab PREf Yes

Ahmadi et al [38] 4 (0.9) 31 ActiGraph GT3X + 2 (hip, wrist) RF Free-living DO Yes

Ahmadi et al [53] 55.8 (12.4) 102 MEMS and ActiGraph GT9X 2 (both wrists) RF Lab and free-living DO No

Ahmadi et al [53] 55.8 (12.4) 52 MEMS and ActiGraph GT9X 2 (both wrists) RF Lab and free-living DO, ICg No

Ahmadi et al [53] 18-91 151 Axivity AX3 1 (wrist) RF Free-living DO No

Andò et al [36] NRh NR LSM9DS1 1 (chest) k-NNi and RF Lab PRE No

Bai et al [54] 72.4 (7.1) 247 ActiGraph GT3X-BT 1 (wrist) XGBoostj Lab IC No

Barua et al [34] 29 (0) 18-56 42 Samsung Galaxy S7 3 (pocket, backpack, hand) 1D-CNN-LSTMk Lab PRE No

Chen et al [55] 12.3 (1.0) 18 smartwatch “mumu” 1 (wrist) SVM Free-living IC No

Chen et al [55] 24.9 (2.6) 24 smartwatch “mumu” 1 (wrist) SVM Free-living IC No

Davoudi et al [56] 55.2 (17.8) 40 ActiGraph GT3X+ and Samsung smartwatch 2 (wrist) RF Lab IC No

Doherty et al [57] 18-91 153 Axivity AX3 1 (wrist) RF Free-living DO No

Ellingson et al [58] 23.9 (5.3) 49 ActiGraph GT3X+ and actiPAL 2 (hip, thigh) ANNl and DTm Lab IC and PRE Yes

Ellingson et al [59] 23.5 (4.6) 51 ActiGraph GT3X+ 1 (hip) RF Lab IC On request

Farrahi et al [60] 27.5 (11.2); 13.7 (3.1); 27.2 (3.3) 20-30 22; 52; 9; 8 Hookie AM20; Actigraph GT3X+; Colibri inertial measurement unit; Xsens MTx inertial measurement unit 1 (hip); 2 (hip, wrist); 1 (wrist); 2 (wrists) ANN Lab DO No

Farrahi et al [31] 18-91 151 Axivity AX3 1 (wrist) BiLSTMn, RF, ANN, SVM, DT, and NBo Free-living DO No

Freedson et al [61] 38 (12.4) 277 ActiGraph GT1M 1 (hip) ANN Lab IC No

Hagenbuchner et al [29] 4.8 (0.9) 11 ActiGraph GT3X + 1 (hip) ANN Lab PRE No

Hibbing et al [62] 9.4 (2.1) 27 ActiGraph GT3X-BT 3 (hip, both wrists) ANN and DT Free-living DO On request

Hibbing et al [62] 10.0 (2.2) 54 ActiGraph GT3X+ 2 (hip, wrist) ANN and DT Lab IC On request

Li et al [63] 4.0 (0.5) 34 ActiGraph GT3X-BT 1 (wrist) k-meansp Free-living Hip cut points No

Mardini et al [64] 61.7 (17.7) 253 ActiGraph GT3X-BT 1 (wrist) DT, RF, XGBoost, and LASSOq Lab IC No

Montoye et al [65] 22.0 (4.2) 40 ActiGraph GT3X+ and GENEActiv 4 (thigh, hip, both wrists) ANN Lab PRE No

Montoye et al [66] 22.0 (4.2) 41 activPAL3 1 (thigh) ANN Lab IC No

Montoye et al [67] 40.8 (19.2) 48 ActiGraph GT9X Link 2 (hip, wrist) RF Lab and free-living DO Yes

Nawaratne et al [68] 45.0 (11.0) 119 ActiGraph GT3X + 1 (wrist) CNNr Free-living Hip cut points Yes

Nnamoko et al [69] 69.3 (8.0) 33 GENEActiv and ActiGraph 2 (wrist, hip) Additive regression tree Lab IC No

O'Driscoll et al [70] 44.4 (14.1); 31.9 (10.2) 89 ActiGraph GT3-X; SenseWear Armband 2 (wrist, upper arm) RF, ANN, k-NN, SVM, and gradient boosting Lab IC No

Pober et al [71] 24.8 (4.2) 6 Actigraph MTI 7164 1 (hip) QDAs and HMMt Lab PRE No

Skjødt et al [72] 80.2 (3.7) 67 ActiGraph GT3X +, GENEActiv, and Axivity AX3 6 (both hips, both wrists, thigh, lower back) RF Lab IC Yes

Staudenmayer et al [73] 35 (0) 21-69 48 Actigraph model 7164 1 (wrist) ANN Lab IC No

Staudenmayer et al [74] 24.1 (0) 20-39 20 ActiGraph GT3X+ 1 (wrist) RF and DT Lab IC No

Trost et al [19] 11 (2.7) 100 ActiGraph GT1M 1 (hip) ANN Lab IC No

Trost et al [19] 11 (2.7) 100 ActiGraph GT1M 1 (hip) ANN Lab IC No

Trost et al [28] 4.8 (0.9) 11 ActiGraph GT3X + 2 (hip, wrist) RF and SVM Lab DO, IC On request

Tsanas [75] 18-91 148 Axivity AX3 1 (wrist) RF and HMM Free-living DO No

Walmsley et al [76] 18-91 152 Axivity AX3 1 (wrist) RF and HMM Free-living DO No

Wang et al [33] 18-91 151 Axivity AX3 1 (wrist) ViT-BiLSTMu, CNN-BiLSTMv, ViTw, CNN, and BiLSTM Free-living DO No

Wullems et al [77] 73.5 (6.3) 40 GENEActiv 2 (both thighs) RF Lab IC No

Wullems et al [78] 70.0 (12.0) 20 GENEActiv 1 (thigh) RF Lab DO, IC No

Zhou et al [79] 5.0 (0.9) 24 Custom inertial measurement unit sensor 1 (arm) BiLSTM Lab and free-living IC No
Clinical conditions

Bianchim et al [37] 12.0 (2.8) 35CF; 28hy GENEActiv and ActiGraph 5 (both wrists, waist, both wrists) k-NN, RF, and XGBoost Lab IC No

Cescon et al [80] 44.9 (5.0) 20T1Dz Empatica E4 wristband 1 (wrist) RF Free-living NR No

aMVPA: moderate-to-vigorous physical activity.

bNot applicable.

cRF: random forest.

dSVM: support vector machine.

eDO: direct observation.

fPRE: predefined activity schedule.

gIC: indirect calorimetry.

hNR: not reported.

ik-NN: k-nearest neighbor.

jXGBoost: extreme gradient boosting.

k1D-CNN-LSTM: one directional CNN-LSTM.

lANN: artificial neural network.

mDT: decision tree.

nBiLSTM: bidirectional long short-term memory.

oNB: naive Bayes.

pk-means: k-means cluster analysis.

qLASSO: least absolute shrinkage and selection operator.

rCNN: convolutional neural network.

sQDA: quadratic discriminant analysis.

tHMM: hidden Markov model.

uViT-BiLSTM: vision transformer bidirectional long short-term memory.

vCNN-BiLSTM: convolutional neural network and bidirectional long short-term memory.

wViT: vision transformer.

x35CF: 35 participants with cystic fibrosis.

y28h: 28 healthy participants in the study.

z20T1D: 20 participants with type 1 diabetes.