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Updated: May 13, 2026

Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
Published on: February 21, 2025
Global positioning system watches for estimating energy expenditure
Nobuko Hongu1, Barron J Orr, Denise J Roe
11Department of Nutritional Sciences, the University of Arizona, Tucson, Arizona; 2Office of Arid Lands Studies, School of Natural Resources and the Environment, The University of Arizona, Tucson, Arizona; 3Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona; and 4Biostatistics and Director of Biometry, The University of Arizona, Public Health, Tucson, Arizona.
Commercial GPS watches often underestimate energy expenditure (EE) during walking, especially at higher speeds. Athletes should use caution when relying on these devices for training and testing accuracy.
Area of Science:
- Exercise Physiology
- Sports Technology
- Biomechanical Engineering
Background:
- Commercial global positioning system (GPS) watches estimate energy expenditure (EE) using time, location, speed, and elevation data.
- The accuracy of these EE estimates is crucial for effective athletic training and field-based testing.
Purpose of the Study:
- To compare the energy expenditure (EE) estimates from four different GPS watches against a reference triaxial accelerometer (RT3).
- To evaluate the reliability and accuracy of commercial GPS watches in estimating EE across various walking speeds.
Main Methods:
- Sixteen healthy adults participated in the study.
- Participants wore four distinct GPS watches and one RT3 accelerometer.
- Walking trials were conducted on an outdoor track at three speeds: 3, 5, and 7 km/hr.
Main Results:
- GPS watches exhibited lower reliability across trials compared to the RT3 accelerometer, particularly at 7 km/hr.
- Three GPS watches (Forerunner, Polar, Suunto) significantly underestimated EE compared to the RT3 reference.
- Average mean differences in EE were -50.5% (Garmin), -41.7% (Polar), and -41.7% (Suunto), all statistically significant (p < 0.001).
Conclusions:
- Commercial GPS watches may not provide accurate energy expenditure (EE) estimates for athletes during field activities.
- Caution is advised when utilizing GPS watches for EE estimations in athletic training and testing.
- Further research is needed to improve the accuracy of GPS-based EE calculations in diverse athletic populations and conditions.
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