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Updated: Mar 31, 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
Reliability and validity of ten consumer activity trackers
Thea J M Kooiman1, Manon L Dontje2, Siska R Sprenger3
1Research group Healthy ageing, Allied health care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Most activity trackers accurately measure step count, with the Fitbit Zip showing the highest validity. However, the Nike+ Fuelband demonstrated low reliability and validity for step tracking.
Area of Science:
- Wearable technology
- Biomedical engineering
- Human movement analysis
Background:
- Consumer activity trackers aim to increase physical activity.
- Assessing the accuracy of these devices is crucial for their effectiveness.
- This study evaluates ten popular activity trackers.
Purpose of the Study:
- To determine the reliability and validity of ten consumer activity trackers.
- To assess step count measurement accuracy in both controlled and real-world settings.
Main Methods:
- Thirty-three healthy adults performed treadmill walking tests.
- Fifty-six volunteers wore trackers during a typical workday.
- Accuracy was compared against gold-standard systems (Optogait, ActivPAL).
Main Results:
- Most trackers exhibited good test-retest reliability (high ICC scores).
- The Fitbit Zip demonstrated the lowest mean absolute percentage error in both conditions.
- The Nike+ Fuelband showed significant inaccuracies and low reliability (low ICC).
Conclusions:
- The reliability and validity of most consumer activity trackers for step counting are generally good.
- Fitbit Zip is the most accurate tracker evaluated.
- Nike+ Fuelband is not recommended due to poor performance.
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