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Updated: Sep 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
Tackling inter-subject variability in smartwatch data using factorization models
Arman Naseri1,2, David M J Tax3, Ivo van der Bilt4
1Delft University of Technology, Delft, The Netherlands. a.naserijahfari@hagaziekenhuis.nl.
None:
Smartwatches enable longitudinal and continuous data acquisition. This has the potential to remotely monitor (changes) of the health of users. However, differences among subjects (inter-subject variability) limit a model to generalize to unseen subjects. This study focused on binary classification tasks using heart rate and step counter from smartwatches, including night/day and inactive/active classification, as well as sleep and SpO2-related (oxygen saturation) tasks. To address inter-subject variability, we explored different transforming and normalization regimes for time series including per-subject and population-based strategies. We propose a modified factorized autoencoder, which separates the data into two latent spaces capturing class-specific and subject-specific information. Our proposed generalized factorized autoencoder and triplet factorized autoencoder improved classification accuracy over the baseline from 74.8 (± 10.5) to 83.1 (± 5.1) and 83.4 (± 5.3), respectively, for night/day classification, gains for inactive/active classification were modest, improving from 84.3 (± 9.4) to 86.9 (± 4.4) and 86.6 (± 4.3), respectively. Our study highlights challenges of handling inter-subject variability in smartwatch data and how factorization models can be used to enable more robust and personalized health monitoring solutions for diverse populations.
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