Wrist-worn accelerometers: recommending ~1.0 mg as the minimum clinically important difference (MCID) in daily average acceleration for inactive adults

Physical activity is increasingly assessed using wrist-worn accelerometry.1 The primary unit of measurement is acceleration which lacks an obvious concrete meaning in the clinical and public health settings. If the scientific community agreed on a minimum clinically important difference (MCID) that would greatly help users interpret accelerometry data in a more meaningful way. Here we present converging evidence to inform estimation of the MCID in physical activity for inactive adults, expressed as average acceleration measured from wrist-worn accelerometers.