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Updated: Jun 13, 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
Sleep and cardiorespiratory function assessed by a smart bed over 10 weeks post COVID-19 infection
Gary Garcia-Molina1,2, Dmytro Guzenko3, Susan DeFranco4
1Sleep Number Labs, 111 N Market Street, Suite 500, San Jose, CA, 95113, USA. gary.garciamolina@sleepnumber.com.
Smart beds monitored physiological changes in non-hospitalized COVID-19 patients. Some patients experienced paradoxical bradycardia, potentially indicating delayed recovery from the infection.
Area of Science:
- Biomedical Engineering
- Infectious Diseases
- Sleep Medicine
Background:
- Limited data exists on physiological alterations following COVID-19 infection in non-hospitalized individuals.
- Understanding these changes is crucial for assessing long-term health impacts and recovery trajectories.
Purpose of the Study:
- To investigate physiological changes in non-hospitalized COVID-19 patients using smart bed technology.
- To identify potential biomarkers or patterns associated with acute infection and recovery.
Main Methods:
- Smart beds were utilized to collect biometric data (sleep duration, movement, breathing rate) from 59 COVID-19 positive participants over 14 weeks.
- Data from 2020 (during infection) was compared to baseline data from 2019.
- Participants also completed surveys on demographics, health status, and symptom severity.
Main Results:
- During acute infection, increased sleep duration (64%), increased movement (51%), and increased breathing rate (64%) were observed.
- A significant subset (34%) exhibited paradoxical bradycardia (decreased heart rate with elevated breathing rate/fever), correlating with more severe symptoms.
- Smart beds effectively detected these physiological shifts.
Conclusions:
- Smart beds are a viable tool for monitoring physiological changes during COVID-19 infection in non-hospitalized individuals.
- Paradoxical bradycardia may serve as a predictor for delayed recovery from COVID-19.
- Further research is warranted to explore the long-term implications of these findings.
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