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Accuracy and Metrological Characteristics of Wearable Devices: A Systematic Review

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Part of the book series: Lecture Notes in Electrical Engineering ((LNEE,volume 539))

Abstract

The aim of this paper is to study the state of the art about the metrological characteristics and the accuracy of wearable devices, tested in comparison to a gold standard instrument. A bibliographic research has been made on the main scientific databases (e.g. Scopus and Web of Science). Papers have been included on the basis of established criteria (e.g. the wearable device has to be commercial). At present, neither a standard protocol nor fixed metrological characteristics can be identified in the literature. Among the most discussed wearable devices, there are certainly Fitbit, Jawbone, Garmin and Polar ones. Chest-strap monitors generally result to be more accurate than wrist-worn devices, which, on the other hand, are cheaper and more comfortable. Given the lack of standards in the validation process, the data appear to be very irregular (even among studies conducted on the same device) and consequently barely comparable. It would be extremely important to conduct a pilot study on a few devices, validating them according to an established test protocol and comparing the results to a gold reference instrument (e.g. ECG for Heart Rate assessment). In this way, it would be possible to start building a database of the accuracy and the metrological characteristics of wearable devices.

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References

  1. Haskell, W.L., et al.: Physical Activity and Public Health. Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association. Circulation, Ago (2007)

    Google Scholar 

  2. Katzmarzyk, P.T.: Physical activity, sedentary behavior, and health: paradigm paralysis or paradigm shift? Diabetes 59(11), 2717–2725 (2010)

    Article  Google Scholar 

  3. Van Remoortel, H., et al.: Validity of activity monitors in health and chronic disease: a systematic review. Int. J. Behav. Nutr. Phys. Act. 9, 84 (2012)

    Google Scholar 

  4. Kurti, A., Dallery, J.: Internet-based contingency management increases walking in sedentary adults. PubMed—NCBI (2013)

    Google Scholar 

  5. Naslund, J.A., et al.: Feasibility of popular m-health technologies for activity tracking among individuals with serious mental illness. Telemed. J. E-Health Off. J. Am. Telemed. Assoc. 21(3), 213–216 (2015)

    Article  Google Scholar 

  6. Hallman, D.M., et al.: Prolonged sitting is associated with attenuated heart rate variability during sleep in blue-collar workers. Int. J. Environ. Res. Public. Health 12(11), 14811–14827 (2015)

    Article  Google Scholar 

  7. Colditz, G.A.: Economic costs of obesity and inactivity. Med. Sci. Sports Exerc. 31(11), S663–S667 (1999)

    Article  Google Scholar 

  8. Ford, E.S., Caspersen, C.J.: Sedentary behaviour and cardiovascular disease: a review of prospective studies. Int. J. Epidemiol. 41(5), 1338–1353 (2012)

    Article  Google Scholar 

  9. Owen, N., et al.: Sedentary behavior: emerging evidence for a new health risk. Mayo Clin. Proc. 85(12), 1138–1141 (2010)

    Article  Google Scholar 

  10. Tremblay, M.S., et al.: Physiological and health implications of a sedentary lifestyle. Appl. Physiol. Nutr. Metab. Physiol. Appl. Nutr. Metab. 35(6), 725–740 (2010)

    Article  Google Scholar 

  11. Meyer, J., Hein, A.: Live long and prosper: potentials of low-cost consumer devices for the prevention of cardiovascular diseases. Medicine 20(2), e7 (2013)

    Article  Google Scholar 

  12. Piwek, L., Ellis, D.A., Andrews, S., Joinson, A.: The rise of consumer health wearables: promises and barriers. PLOS Med. 13(2), e1001953 (2016)

    Article  Google Scholar 

  13. Adam Noah, J., et al.: Comparison of steps and energy expenditure assessment in adults of Fitbit Tracker and ultra to the Actical and indirect calorimetry. J. Med. Eng. Technol. 37(7), 456–462 (2013)

    Google Scholar 

  14. Dannecker, K.L., et al.: A comparison of energy expenditure estimation of several physical activity monitors. Med. Sci. Sports Exerc. 45(11), 2105–2112 (2013)

    Article  Google Scholar 

  15. Lee, J.-M., Kim, Y., Welk, G.J.: Validity of consumer-based physical activity monitors. Med. Sci. Sports Exerc. 46(9), 1840–1848 (2014)

    Article  Google Scholar 

  16. Wallen, M.P., et al.: Accuracy of heart rate watches: implications for weight management. PLoS ONE 11(5), e0154420 (2016)

    Article  Google Scholar 

  17. Ge, Z., et al.: Evaluating the accuracy of wearable heart rate monitors. In: 2016 2nd International Conference on Advances in Computing, Communication, Automation (ICACCA), pp. 1–6 (2016)

    Google Scholar 

  18. Glenn, K.: Wrist-worn Heart Rate Monitors Less Accurate Than Standard Chest Strap—American College of Cardiology (2017)

    Google Scholar 

  19. Lamkin, P.: Mio boss: Fitbit and Apple are getting heart rate monitoring wrong (2015)

    Google Scholar 

  20. El-Amrawy, F., Nounou, M.I.: Are currently available wearable devices for activity tracking and heart rate monitoring accurate, precise, and medically beneficial? Healthc. Inform. Res. 21(4), 315–320 (2015)

    Article  Google Scholar 

  21. Jo, E., et al.: Validation of biofeedback wearables for photoplethysmographic heart rate tracking. J. Sports Sci. Med. 15(3), 540–547 (2016)

    Google Scholar 

  22. Stahl, S.E., et al.: How accurate are the wrist-based heart rate monitors during walking and running activities? Are they accurate enough? BMJ Open Sport Exerc. Med. (2016)

    Google Scholar 

  23. Woodman, J., et al.: Accuracy of consumer monitors for estimating energy expenditure and activity type. PubMed—NCBI Med. Sci. Sports Exerc. (2016)

    Google Scholar 

  24. Stackpool, C.M.: Accuracy of various activity trackers in estimating steps taken and energy expenditure (2013)

    Google Scholar 

  25. Dontje, M.L., et al.: Measuring steps with the Fitbit activity tracker: an inter-device reliability study. J. Med. Eng. Technol. 39(5), 286–290 (2015)

    Article  Google Scholar 

  26. Ferguson, T., et al.: The validity of consumer-level, activity monitors in healthy adults worn in free-living conditions: a cross-sectional study. Int. J. Behav. Nutr. Phys. Act. 12, 42 (2015)

    Google Scholar 

  27. Evenson, K.R., et al.: Systematic review of the validity and reliability of consumer-wearable activity trackers. Int. J. Behav. Nutr. Phys. Act. 12, 159 (2015)

    Google Scholar 

  28. Diaz, K.M., et al.: Fitbit®: an accurate and reliable device for wireless physical activity tracking. Int. J. Cardiol. 185, 138–140 (2015)

    Article  Google Scholar 

  29. Bai, Y.: Comparison of consumer and research monitors under semistructured settings. Med Sci Sports Exerc. 48(1), 151–158 (2016)

    Article  Google Scholar 

  30. Reid, R., et al.: Validity and reliability of Fitbit activity monitors compared to ActiGraph GT3X+ with female adults in a free-living environment. J. Sci. Med. Sport (2017)

    Google Scholar 

  31. Prospero, M.: Who has the most accurate heart rate monitor?, Tom’s Guide, June 2016

    Google Scholar 

  32. Leth, S., et al.: Evaluation of commercial self-monitoring devices for clinical purposes: results from the future patient trial, Phase I. Sensors 17(1) (2017)

    Article  Google Scholar 

  33. Montgomery-Downs, H.E., Insana, S.P., Bond, J.A.: Movement toward a novel activity monitoring device. Sleep Breath. 16(3), 913–917 (2012)

    Article  Google Scholar 

  34. Parak, J., Korhonen, I.: Evaluation of wearable consumer heart rate monitors based on photopletysmography. Proc. IEEE Eng. Med. Biol. Soc. 2014, 3670–3673 (2014)

    Google Scholar 

  35. Polar | V800: Polar Italia (2017)

    Google Scholar 

  36. Giles, D., Draper, N., Neil, W.: Validity of the Polar V800 heart rate monitor to measure RR intervals at rest. Eur. J. Appl. Physiol. 116, 563–571 (2016)

    Article  Google Scholar 

  37. Stables, J.: Heart rate monitors: chest straps v wrist. Wearable (2017)

    Google Scholar 

  38. Vanderlei, L.C.M., et al.: Comparison of the Polar S810i monitor and the ECG for the analysis of heart rate variability in the time and frequency domains. Braz. J. Med. Biol. Res. Rev. Bras. Pesqui. Medicas E Biol. 41(10), 854–859 (2008)

    Article  Google Scholar 

  39. Porto, L.G.G., Junqueira, L.F.: Comparison of time-domain short-term heart interval variability analysis using a wrist-worn heart rate monitor and the conventional electrocardiogram. Pacing Clin. Electrophysiol. PACE 32(1), 43–51 (2009)

    Article  Google Scholar 

  40. Gamelin, F.X., Berthoin, S., Bosquet, L.: Validity of the polar S810 heart rate monitor to measure R-R intervals at rest. Med. Sci. Sports Exerc. 38(5), 887–893 (2006)

    Article  Google Scholar 

  41. Radespiel-Tröger, M., et al.: Agreement of two different methods for measurement of heart rate variability. Clin. Auton. Res. 13(2), 99–102 (2003)

    Google Scholar 

  42. Bouillod, A., et al.: Accuracy of the Suunto system for heart rate variability analysis during a tilt-test. Braz. J. Kinanthropometry Hum. Perform. 17(4), 409–417 (2015)

    Google Scholar 

  43. BIPM—Guide to the Expression of Uncertainty in Measurement (GUM) (2017)

    Google Scholar 

  44. Fallow, B.A., Tarumi, T., Tanaka, H.: Influence of skin type and wavelength on light wave reflectance. J. Clin. Monit. Comput. 27(3), 313–317 (2013)

    Article  Google Scholar 

  45. Takacs, J., et al.: Validation of the Fitbit One activity monitor device during treadmill walking. J. Sci. Med. Sport 17(5), 496–500 (2014)

    Article  Google Scholar 

  46. Sawh, M.: BioRing. Wearable (2016)

    Google Scholar 

  47. ComfTech—Textile sensors (2017)

    Google Scholar 

Download references

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Correspondence to Lorenzo Scalise .

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Cosoli, G., Scalise, L. (2019). Accuracy and Metrological Characteristics of Wearable Devices: A Systematic Review. In: Andò, B., et al. Sensors. CNS 2018. Lecture Notes in Electrical Engineering, vol 539. Springer, Cham. https://doi.org/10.1007/978-3-030-04324-7_47

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  • DOI: https://doi.org/10.1007/978-3-030-04324-7_47

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04323-0

  • Online ISBN: 978-3-030-04324-7

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