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Updated: May 14, 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
Smartwatch-Derived VO2max Prediction Model for Korean Adults: Utilizing Heart Rate and GPS Data from the 12-Minute
Kihyuk Lee1, Dohee Kim2, Sungeun Shin2
1Data Convergence Team, Seoul National University Bundang Hospital, Seongnam 13605, Republic of Korea.
Smartwatch technology accurately predicts maximal oxygen uptake (VO2max) in Korean adults using the Cooper test. This new model offers a more precise estimation of cardiorespiratory fitness compared to traditional methods.
Area of Science:
- Exercise Physiology
- Wearable Technology
- Biomedical Engineering
Background:
- Smartwatches now offer advanced sensors for tracking running metrics like distance and heart rate.
- The 12-minute Cooper test is a widely used field test for assessing cardiorespiratory fitness.
Purpose of the Study:
- To validate the use of smartwatches in the 12-minute Cooper test for estimating VO2max.
- To develop and validate a predictive equation for VO2max specifically for Korean adults using smartwatch data.
Main Methods:
- 104 Korean adults (53 male, 51 female) underwent a maximal graded treadmill test to determine VO2max.
- Participants completed the 12-minute Cooper test wearing a smartwatch to record distance, average heart rate, and peak heart rate.
- Multiple regression analysis incorporated sex, height, weight, mean HR, peak HR, and distance to create a VO2max prediction model.
Main Results:
- The developed smartwatch-based VO2max prediction equation achieved an R² of 0.853 and an SEE of 3.176 mL/kg/min.
- The intra-class correlation coefficient (ICC) between measured and predicted VO2max was 0.961, indicating high agreement.
- The smartwatch model's explanatory power (86.0%) and lower SEE (3.024 mL/kg/min) surpassed traditional methods (81.0% and 3.516 mL/kg/min).
Conclusions:
- A smartwatch-based VO2max prediction model using the Cooper test is highly accurate for Korean adults.
- This novel equation provides a more precise and accessible method for estimating cardiorespiratory fitness.
- Smartwatch technology offers a valid and superior alternative to traditional methods for VO2max assessment.
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