Objective measures of physical activity include heart rate telemetry, accelerometers, pedometers, and direct observation. Heart rate telemetry uses a watch to measure heart rate during exercise to estimate energy expenditure. Accelerometers provide detailed information on frequency, duration, and intensity of activity. Pedometers count steps to measure distance walked. Direct observation is the most accurate but least practical as it involves directly observing and recording a person's physical activity. These objective measures are used to evaluate physical activity guidelines, health relationships, and the effectiveness of interventions.