Concurrent validity and accuracy of arm-wearable devices to detect heart rate during exercise: A systematic review

Authors

  • Teerawat Nithiatthawanon Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University
  • Nithinun Chaikeeree Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University
  • Rumpa Boonsinsukh Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwirot University

Keywords:

psychometric property, reliability, follow-up tool, aerobic exercise

Abstract

This study was systematically conducted to review research article regarding the accuracy and validity of commercial wearables in measuring heart rate during exercise. Studies published between 2014 - 2021 were searched in several databases, including ScienceDirect, PubMed, Scopus and the Web of science. Relevant studies with full text published in Thai and English were retrieved. The COSMIN and QUADAS were then used to assess the quality and risk of bias of each study. Later, data from selected studies were extracted, analyzed, and synthesized. The outcomes were divided into two categories (acceptable, unacceptable) and three (high, moderate, low) groups for accuracy and validity, respectively. There were 33 publications with Level 2, and based on the OCEBM examining 15 brands and 41 different arm-wearable devices. The data included studies illustrated that several arm-wearable devices were accurate (CCC = 0.86 - 0.96; MAPE < 5) and valid at a moderate to high level (r = 0.59 - 0.99) in measuring heart rate during both aerobic and resistance exercises. Thus, athletes, researchers, or those who were interested could apply this information on choosing a heart rate monitor for tracking heart rate while exercising. However, the study suggested that devices are consistently being developed and redesigned resulting in lower prices and using more accurate and valid technology, suggesting the need for more current reviews and further research.

References

Fuller D, Colwell E, Low J, et al. Reliability

and validity of commercially available

wearable devices for measuring Steps,

energy expenditure, and heart rate:

Systematic review. JMIR Mhealth Uhealth

; 8:e18694.

WHO guidelines approved by the

guidelines review committee. In: WHO

guidelines on physical activity and

sedentary behaviour. World Health

Organization© World Health Organization

: Geneva, 2020.

Lambrick DM, Faulkner JA, Rowlands AV,

et al. Prediction of maximal oxygen

uptake from submaximal ratings of

perceived exertion and heart rate during

a continuous exercise test: the efficacy of

RPE 13. Eur J Appl Physiol 2009;107:1-9.

Kritsana B, Ubon P, Peanchai K.

Cardiovascular response and energy

expenditure of a novel heart rate

maximizer test in healthy volunteers. Bull

Chiang Mai Assoc Med Sci 2016;49:263 -

Pasadyn SR, Soudan M, Gillinov M, et al.

Accuracy of commercially available heart

rate monitors in athletes: a prospective

study. Cardiovasc Diagn Ther 2019;9:379-

Sartor F, Gelissen J, van Dinther R, et al.

Wrist-worn optical and chest strap heart

rate comparison in A heterogeneous

sample of healthy individuals and in

coronary artery disease patients. BMC

Sports Sci Med Rehabil 2018; 10: 10.

Moher D, Shamseer L, Clarke M, et al.

Preferred reporting items for systematic

review and meta-analysis protocols

(PRISMA-P) 2015 statement. Syst Rev 2015;

: 1.

Mokkink LB, Terwee CB, Patrick DL, et al.

The COSMIN checklist for assessing the

methodological quality of studies on

measurement properties of health status

measurement instruments: an

international Delphi study. Qual Life Res

; 19: 539-49.

Kaizik MA, Garcia AN, Hancock MJ, et al.

Measurement properties of quality

assessment tools for studies of diagnostic

accuracy. Braz J Phys Ther 2020; 24: 177-84.

Swinscow T, Campbell M. Statistics at

Square One, BMJ Books: Oxford, 2009.

Altman D. Practical statistics for medical

research. , Chapman and Hall: London, 1991.

Swanson D. On the relationship among

values of the same summary measure of

error when it is used across multiple

characteristics at the same point in time:

An examination of MALPE and MAPE 1.

review of economics and finance 2015;

: 1-14.

Baek S, Ha Y, Park HW. Accuracy of

wearable devices for measuring heart rate

during conventional and Nordic walking.

Pm r 2021;13:379-86.

Bai Y, Hibbing P, Mantis C, et al. Comparative

evaluation of heart rate-based monitors:

Apple watch vs Fitbit charge HR. J Sports

Sci 2018; 36: 1734-41.

Benedetto S, Caldato C, Bazzan E, et al.

Assessment of the fitbit charge 2 for

monitoring heart rate. PLoS One

;13:e0192691.

Boudreaux BD, Hebert EP, Hollander DB,

et al. Validity of wearable activity monitors

during cycling and resistance exercise.

Med Sci Sports Exerc 2018; 50: 624-33.

Powierza CS, Clark MD, Hughes JM, et al.

Validation of a self-monitoring tool for

use in exercise therapy. Pm r 2017; 9:

-84.

Chow HW, Yang CC. Accuracy of optical

heart rate sensing technology in wearable

fitness trackers for young and older

Adults: Validation and comparison study.

JMIR Mhealth Uhealth 2020; 8: e14707.

Claes J, Buys R, Avila A, et al. Validity of

heart rate measurements by the Garmin

Forerunner 225 at different walking

intensities. J Med Eng Technol 2017;41:480-5.

Damasceno V, Costa A, Campello M, et al.

Criterion validity and accuracy of a heart

rate monitor. Hum Mov 2022;23:60-8.

Dooley EE, Golaszewski NM, Bartholomew

JB. Estimating accuracy at exercise

intensities: A comparative study of selfmonitoring heart rate and physical activity

wearable devices. JMIR Mhealth Uhealth

; 5:e34.

Düking P, Giessing L, Frenkel MO, et al.

Wrist-Worn wearables for monitoring heart

rate and energy expenditure while Sitting

or performing light-to-vigorous physical

activity: Validation study. JMIR Mhealth

Uhealth 2020;8:e16716.

Gillinov S, Etiwy M, Wang R, et al. Variable

accuracy of wearable heart rate monitors

during aerobic exercise. Med Sci Sports

Exerc 2017;49:1697-703.

Hettiarachchi IT, Hanoun S, Nahavandi D,

et al. Validation of polar OH1 optical heart

rate sensor for moderate and high

intensity physical activities. PLoS One

;14:e0217288.

Horton JF, Stergiou P, Fung TS, et al.

Comparison of polar M600 optical heart

rate and ECG heart rate during exercise.

Med Sci Sports Exerc 2017;49:2600-7.

Khushhal A, Nichols S, Evans W, et al.

Validity and eeliability of the Apple watch

for measuring heart rate during exercise.

Sports Med Int Open 2017;1:e206-e11.

Muggeridge DJ, Hickson K, Davies AV, et

al. Measurement of heart rate using the

polar OH1 and fitbit Charge 3 wearable

devices in healthy adults during light,

moderate, vigorous, and sprint-based

exercise: Validation study. JMIR Mhealth

Uhealth 2021;9:e25313.

Müller AM, Wang NX, Yao J, et al. Heart

rate measures from wrist-worn activity

trackers in a laboratory and free-living

setting: Validation study. JMIR Mhealth

Uhealth 2019;7:e14120.

Navalta JW, Montes J, Bodell NG, et al.

Concurrent heart rate validity of wearable

technology devices during trail running.

PLoS One 2020;15:e0238569.

O’Driscoll R, Turicchi J, Hopkins M, et al.

The validity of two widely used commercial

and research-grade activity monitors,

during resting, household and activity

behaviours. health and technology 2020;

:637-48.

Olstad BH, Zinner C. Validation of the

Polar OH1 and M600 optical heart rate

sensors during front crawl swim training.

PLoS One 2020;15:e0231522.

Parak J, Korhonen I. Evaluation of wearable

consumer heart rate monitors based on

photopletysmography. Annu Int Conf IEEE

Eng Med Biol Soc 2014;2014:3670-3.

Parak J, Uuskoski M, Machek J, et al.

Estimating heart rate, energy expenditure,

and physical performance with a wrist

photoplethysmographic device during

running. JMIR Mhealth Uhealth 2017;5:e97.

Reddy RK, Pooni R, Zaharieva DP, et al.

Accuracy of wrist-worn activity monitors

during common daily physical activities

and types of structured exercise:

evaluation study. JMIR Mhealth Uhealth

;6: e10338.

Reece JD, Bunn JA, Choi M, et al. Assessing

heart rate using consumer technology

association standards. Technologies

;9:46.

Ruiz-Malagón E, Ruiz-Alias S, García-Pinillos

F, et al. Comparison between

photoplethysmographic heart rate

monitor from Polar vantage M and Polar

V800 with H10 chest strap while running

on a treadmill: Validation of the polar

precision prime TM photoplestimographic

system. Proc Inst Mech Eng P J Sport Eng

Technol 2021;235:212-8.

Shcherbina A, Mattsson CM, Waggott D,

et al. Accuracy in wrist-worn, sensor-based

measurements of heart rate and energy

expenditure in a diverse cohort. J Pers

Med 2017;24(2):3.

Shumate T, Link M, Furness J, et al. Validity

of the Polar Vantage M watch when

measuring heart rate at different exercise

intensities. PeerJ 2021;9:e10893.

Stahl SE, An HS, Dinkel DM, 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;2:e000106.

Støve MP, Holm RS, Kjaersgaard AS, et al.

Measurement latency significantly

contributes to reduced heart rate

measurement accuracy in wearable devices.

J Med Eng Technol 2020;44:125-32.

Sun J, Liu Y. Using smart bracelets to

assess heart rate among students during

physical education lessons: feasibility,

reliability, and Validity study. JMIR

Mhealth Uhealth 2020;8:e17699.

Thiebaud RS, Funk MD, Patton JC, et al.

Validity of wrist-worn consumer products

to measure heart rate and energy

expenditure. Digit Health 2018;4:

Thomson EA, Nuss K, Comstock A, et al.

Heart rate measures from the Apple watch,

fitbit charge HR 2, and electrocardiogram

across different exercise intensities. J

Sports Sci 2019;37:1411-9.

Wallen MP, Gomersall SR, Keating SE, et

al. Accuracy of heart rate watches:

Implications for weight management.

PLoS One 2016;11:e0154420.

Winkelmann RR, Kim GK, Del Rosso JQ.

Treatment of cutaneous lupus

erythematosus: Review and assessment

of treatment benefits based on oxford

centre for evidence-based medicine

criteria. J Clin Aesthet Dermatol 2013;6:

-38.

Feehan LM, Geldman J, Sayre EC, et al.

Accuracy of fitbit devices: systematic

Review and narrative Syntheses of

quantitative data. JMIR Mhealth Uhealth

;6:e10527.

Fokkema T, Kooiman TJ, Krijnen WP, et

al. Reliability and validity of ten consumer

activity trackers depend on walking speed.

Med Sci Sports Exerc 2017;49:793-800.

Downloads

Published

2023-04-28

How to Cite

1.
Nithiatthawanon T, Chaikeeree N, Boonsinsukh R. Concurrent validity and accuracy of arm-wearable devices to detect heart rate during exercise: A systematic review. J Med Health Sci [Internet]. 2023 Apr. 28 [cited 2024 Dec. 19];30(1):79-103. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/263324

Issue

Section

Original article (บทความวิจัย)