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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
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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.

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|July 22, 2025
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Summary
This summary is machine-generated.

Smartwatch data shows individual differences, but new AI models improve health monitoring accuracy. Our factorized autoencoders enhance personalized health insights from wearable sensors.

Keywords:
Inter-subject variabilityMachine learningNeural networksSmartwatch

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Area of Science:

  • Biomedical Engineering
  • Wearable Technology
  • Machine Learning for Health

Background:

  • Smartwatches offer continuous health data collection for remote monitoring.
  • Inter-subject variability in user data presents a significant challenge for generalizable AI models.
  • Accurate classification of health states from wearable sensor data is crucial for effective remote health solutions.

Purpose of the Study:

  • To address inter-subject variability in smartwatch data for improved health monitoring.
  • To evaluate the effectiveness of different data transformation and normalization strategies.
  • To propose and validate novel factorization-based autoencoder models for enhanced classification accuracy.

Main Methods:

  • Utilized heart rate and step counter data from smartwatches for binary classification tasks (night/day, inactive/active, sleep, SpO2).
  • Explored per-subject and population-based time series transforming and normalization techniques.
  • Developed and applied a modified factorized autoencoder, including generalized and triplet factorized autoencoder variants.

Main Results:

  • The proposed generalized factorized autoencoder improved night/day classification accuracy from 74.8% to 83.1%.
  • The triplet factorized autoencoder achieved a similar night/day classification accuracy of 83.4%.
  • Modest gains were observed for inactive/active classification, improving from 84.3% to 86.9% and 86.6% respectively.

Conclusions:

  • Factorization models effectively address inter-subject variability in smartwatch data.
  • The developed autoencoder models offer more robust and personalized remote health monitoring.
  • This research paves the way for more reliable health insights from diverse user populations using wearable technology.