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Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
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Validity of Wearable Activity Monitors during Cycling and Resistance Exercise
Benjamin D Boudreaux1, Edward P Hebert, Daniel B Hollander
1Department of Kinesiology and Health Studies, Southeastern Louisiana University, Hammond, LA.
Medicine and Science in Sports and Exercise
|December 1, 2017
Summary
Wearable activity monitor accuracy for heart rate (HR) varies by exercise intensity, with some devices showing validity. However, energy expenditure (EE) readings from all tested monitors were inaccurate during cycling and resistance exercise.
Area of Science:
- Exercise Physiology
- Biomedical Engineering
- Wearable Technology
Background:
- Wearable activity monitors are increasingly popular for tracking exercise.
- The accuracy of heart rate (HR) and energy expenditure (EE) readings can be influenced by exercise type and intensity.
- Limited data exists on the validity of these devices during graded cycling and resistance exercises.
Purpose of the Study:
- To assess the validity of eight wearable activity monitors for HR measurement against an ECG.
- To evaluate the accuracy of seven wearable monitors for EE estimation compared to a metabolic analyzer.
- To compare monitor performance during both graded cycling and resistance exercise protocols.
Main Methods:
- Fifty participants (28 women, 22 men) underwent separate graded cycling and resistance exercise trials.
- Eight monitors (Apple Watch Series 2, Fitbit Blaze, Fitbit Charge 2, Polar H7, Polar A360, Garmin Vivosmart HR, TomTom Touch, Bose SoundSport Pulse) were tested.
- Heart rate was recorded post-intensity/set; energy expenditure was recorded post-protocol. Validity was defined as Mean Absolute Percent Error (MAPE) ≤10%.
Main Results:
- Polar H7 and Bose SoundSport Pulse (BSP) demonstrated valid HR readings during both cycling (MAPE 6.87%) and resistance exercise (MAPE 6.31%).
- Apple Watch Series 2 showed the highest HR validity during cycling (MAPE 4.14%), while BSP was most accurate during resistance exercise (MAPE 6.24%).
- HR underestimation increased with exercise intensity across devices; no monitor provided valid EE measurements for either exercise type.
Conclusions:
- Heart rate accuracy from wearable devices varies significantly with exercise intensity.
- Energy expenditure estimates from wearable devices are generally inaccurate.
- Users should exercise caution, as these devices are not medical-grade for monitoring physiological responses to exercise.
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