"The groundwork of all happiness is health." - Leigh Hunt

How accurate are wearable fitness trackers? Less than you think that

In 2010, Gary Wolfe, then editor of Wired magazine, Presented a TED talk. It is claimed in Cannes “Quantity itself”. It was about what he called a “new trend” amongst tech enthusiasts. These early adopters were using gadgets to watch the whole lot from their physical data to their moods, and even the variety of nappies their babies used.

Wolff acknowledges that these people were outliers — tech geeks fascinated by data — but their behavior has permeated mainstream culture.

From smartwatches that track our steps and heart rate to fitness bands that track sleep patterns and calories burned, these gadgets are actually in every single place. Their popularity is symptomatic of the trendy obsession with quantification—the concept if something isn't logged, it doesn't count.

At least Half the people In any room there’s likely a wearable device, reminiscent of a fitness tracker, that Quantifies an aspect. The wearables of their lives are being adopted. At a reminiscent pace With the cell phone boom of the late 2000s.

However, the quantified self movement remains to be stricken by a vital query: Can wearable devices truly measure what they claim?

With my colleagues Maximus Baldwin, Alison Keogh, Brian Caulfield and Rob Argent, I recently Published an umbrella review (A scientific review of systematic reviews) examined the scientific literature to find out whether consumer wearable devices can accurately measure metrics reminiscent of heart rate, aerobic capability, energy expenditure, sleep and step count.

Gary Wolff's 2010 TED talk on the rise of the “quantified self.”

At a superficial level, our results were quite positive. Accepting some error, wearable devices can measure heart rate with an error rate of plus or minus 3%, depending on aspects reminiscent of skin tone, exercise intensity and activity type. They can even accurately measure heart rate variability and show good sensitivity and specificity for detecting arrhythmia, which is an issue with an individual's heart rate.

Additionally, they will accurately assess what’s often called cardiovascular fitness, which is how well the circulatory and respiratory systems deliver oxygen to the muscles during physical activity. This might be quantified by something called VO2Max, which is a measure of how much oxygen your body uses during exercise.

The wearable's ability to accurately measure that is improved when these predictions are generated during exercise (quite than at rest). In the realm of physical activity, wearables typically underestimate step count by about 9%.

Challenging effort

However, the discrepancies were greater for energy expenditure (the calories you burn while exercising), with margins of error starting from −21.27% to 14.76% depending on the device used and the activity performed.

Results for sleep weren’t significantly better. Wearables typically account for greater than 10% of total sleep time and sleep efficiency. They also underestimate sleep onset latency (sleep latency) and wakefulness after sleep onset. Errors range from 12% to 180% when put next to the gold standard measurement utilized in sleep studies, called polysonography.

Devices often underestimate wakefulness after sleep.
New Africa / Shutterstock

The conclusion is that despite the promising potential of wearables, we found it very difficult to conduct and synthesize research on this area. One obstacle we encountered was the inconsistent methodologies utilized by different research groups when validating a given instrument.

This lack of standardization results in inconsistent results and makes it difficult to attract definitive conclusions in regards to the instrument's validity. An ideal example of our research: one study may assess heart rate accuracy during high-intensity interval training, while one other study focuses on sedentary activities, leading to such discrepancies. Which can’t be solved easily.

Other issues include various sample sizes, participant demographics, and experimental conditions—all of which add layers of complexity to the interpretation of our results.

What does this mean for me?

Perhaps most significantly, the rapid pace at which latest wearable devices are released exacerbates these problems. As most firms follow an annual release cycle, we and other researchers find it difficult to maintain up. The timeline for planning a study, obtaining ethical approval, recruiting and testing participants, analyzing results, and publication can often exceed 12 months.

By the time the study is published, the device under investigation is probably going already obsolete, replaced by a brand new model with possibly different features and performance characteristics. This is obvious from our findings. Less than 5 percent of consumer wearables Those released up to now have been validated for the range of physiological signals they’re intended to measure.

What do our results mean for you? As wearable technologies take over various elements of health and lifestyle, it's essential to view manufacturers' claims with a healthy dose of skepticism. Gaps in research, inconsistent methodologies, and the rapid pace of recent device releases underscore the necessity for more formal and standardized procedures for device validation.

The goal here is to foster collaboration between formal certification bodies, academic research consortia, popular media influencers and industry, in order that we will increase the depth and reach of wearable technology assessments.

Efforts are underway to determine A collaborative network That can foster a wealthy, multifaceted dialogue that resonates with a broad spectrum of stakeholders – ensuring that wearables should not just revolutionary gadgets, but trusted tools for health and wellness. are