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Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
Published on: February 21, 2025
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Estimating Heart Rate from Inertial Sensors Embedded in Smart Eyewear: A Validation Study
Sarah Solbiati1, Federica Mozzini1, Jean Sahler2
1Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milan, MI, Italy.
Sensors (Basel, Switzerland)
|August 14, 2025
Summary
Essilor Connected Glasses (SmartEW) accurately estimate heart rate (HR) during sedentary activities. Achieving 95% accuracy with a quality index of 70, SmartEW offers a reliable, unobtrusive HR monitoring solution.
Area of Science:
- Biomedical Engineering
- Wearable Technology
- Physiological Monitoring
Background:
- Continuous heart rate (HR) monitoring is crucial for health assessment.
- Smart glasses offer a novel, unobtrusive method for physiological data collection.
- Validation of HR estimation from smart glasses is needed for sedentary activities.
Purpose of the Study:
- To validate the accuracy of heart rate (HR) estimation using Essilor Connected Glasses (SmartEW).
- To assess the performance of SmartEW against ECG and a commercial smartwatch during static tasks.
- To determine the impact of the SmartEW quality index (QI) on HR estimation accuracy.
Main Methods:
- Thirty participants performed six static tasks under controlled laboratory conditions.
- HR was simultaneously measured using SmartEW, a Garmin Venu 3 smartwatch, and a Movesense Flash ECG device.
- SmartEW utilized IMU sensor data and spectral analysis (22.5s windows) for HR estimation and generated a quality index (QI).
Main Results:
- SmartEW demonstrated high agreement with ECG, with optimal performance at a QI threshold of 70.
- At QI ≥ 70, correlation (r² up to 0.96) and accuracy within ±5 bpm (95%) were high.
- A QI ≥ 70 reduced bias and narrowed limits of agreement compared to ECG, especially during standing tasks.
Conclusions:
- Essilor Connected Glasses (SmartEW) provide promising heart rate (HR) accuracy during sedentary activities.
- SmartEW shows high correlation and strong agreement with gold-standard ECG and commercial smartwatches.
- SmartEW is suitable for HR monitoring in static conditions, contingent on ensuring data quality via the QI.
Keywords:
heart rateinertial measurement unitphysiological monitoringquality indexsmart eyewearwearables
