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Updated: Aug 28, 2025

Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
Published on: February 21, 2025
The Effect of Wearable Activity Monitor Presence on Step Counts
William B Tayler1, James D LeCheminant2, Joseph Price2
1Brigham Young University, Provo, UT, United States;,
Abstract:
Objective: In this study, we tested the effect of wearable activity monitors and tracking on physical activity over 2 weeks. Methods: Ninety young adults participated. Prior to initiation of the study, each participant was asked to download an iPhone app that tracked physical activity level (step counts) but were not told the app's purpose. Each participant was then randomly assigned to one of 3 groups (N=30/group): (1) measurement awareness, (2) measurement awareness+track/record, or (3) control. Participants in the measurement awareness and the measurement awareness+track/record groups were given a pedometer to wear for 2 weeks. Additionally, participants in the measurement awareness+track/ record group were instructed to record daily steps and submit their record after 2 weeks. Participants in the control group were not given a pedometer band nor asked track steps. Results: Neither the measurement awareness group nor the measurement awareness+track/record group were statistically different than controls during the intervention (p>.05). However, collapsing the intervention groups and comparing to the control group resulted in a 388.3 (SE=-186.9) higher daily step count during the intervention (p<.05). Conclusion: Wearable monitors modestly increases daily step count. However, the addition of recording daily step counts does not appear to provide an additional benefit in our study.
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