A pedometer with a three-axis accelerometer provides reliable step counts while worn on the wrist. Three-axis accelerometer data is combined into a single combined data stream. Each positive slope region around an inflection point in the combined data stream that has positive slope, a magnitude that exceeds an amplitude threshold value and that spans a time period that exceeds a time threshold value is identified. Each negative slope region around an inflection point in the combined data stream that has negative slope, a magnitude that exceeds an amplitude threshold value and that spans a time period that exceeds a time threshold value is identified. A step count is incremented for each occurrence of an identified positive slope region that is separated by an identified negative slope region as a step.