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Updated: Mar 19, 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
Accuracy of the vivofit activity tracker.
Sana'a A Alsubheen1, Amanda M George1, Alicia Baker1
1a School of Human Kinetics and Recreation , Memorial University of Newfoundland , St. John's , Canada.
The vivofit activity tracker accurately estimates Basal Metabolic Rate (BMR) and tracks physical activity. While it underestimates energy expenditure and step count during level walking, it shows accuracy on inclines.
Area of Science:
- Sports Medicine
- Biomedical Engineering
- Wearable Technology
Background:
- Activity trackers are increasingly used for monitoring physical activity and energy expenditure.
- Accurate assessment of energy expenditure and step count is crucial for health and fitness applications.
- The vivofit is a popular consumer-grade activity tracker whose accuracy requires validation.
Purpose of the Study:
- To evaluate the accuracy of the vivofit activity tracker in measuring energy expenditure (EE) and step count.
- To compare vivofit's Basal Metabolic Rate (BMR) estimations with indirect calorimetry (IC).
- To assess vivofit's performance across different activity types and intensities, including treadmill walking and office-type activities.
Main Methods:
- Thirteen participants wore the vivofit for five days, engaging in 1-hour daily self-selected activities.
- On day four, participants underwent BMR assessment and a treadmill-walking task (TWT) in a lab setting.
- On day five, participants performed 1-hour of office-type activities to assess sedentary behavior tracking.
Main Results:
- Vivofit's BMR estimations showed no significant difference compared to IC measurements.
- The device significantly underestimated EE during treadmill walking but accurately detected changes in inclination.
- Step count was underestimated during level walking but accurately estimated during incline walking, with a strong correlation between EE and exercise intensity.
Conclusions:
- The vivofit activity tracker demonstrates comparable accuracy to similar devices for general physical activity tracking.
- Its BMR estimation is reliable, but users should be aware of potential underestimations in EE and step count during specific activities.
- The device's responsiveness to walking inclination suggests potential for use in varied terrain monitoring.
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