Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease
Objective To assess the accuracy of recently commercialized wearable devices in heart rate (HR) measurement during cardiopulmonary exercise test (CPX) under gradual increase in exercise intensity, while wearable devices with HR monitors are reported to be less accurate in different exercise intensit...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2023-08-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-23019.pdf |
| _version_ | 1797692837437898752 |
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| author | Chul Kim Jun Hyeong Song Seung Hyoun Kim |
| author_facet | Chul Kim Jun Hyeong Song Seung Hyoun Kim |
| author_sort | Chul Kim |
| collection | DOAJ |
| description | Objective To assess the accuracy of recently commercialized wearable devices in heart rate (HR) measurement during cardiopulmonary exercise test (CPX) under gradual increase in exercise intensity, while wearable devices with HR monitors are reported to be less accurate in different exercise intensities. Methods CPX was performed for patients with coronary artery disease (CAD). Twelve lead electrocardiograph (ECG) was the gold standard and Apple watch 7 (AW7), Galaxy watch 4 (GW4) and Bio Patch Mobicare 200 (MC200) were applied for comparison. Paired absolute difference (PAD), mean absolute percentage error (MAPE) and intraclass correlation coefficient (ICC) were evaluated for each device. Results Forty-four participants with CAD were included. All the devices showed MAPE under 2% and ICC above 0.9 in rest, exercise and recovery phases (MC200=0.999, GW4=0.997, AW7=0.998). When comparing exercise and recovery phase, PAD of MC200 and AW7 in recovery phase were significantly bigger than PAD of exercise phase (p<0.05). Although not significant, PAD of GW4 tended to be bigger in recovery phase, too. Also, when stratified by HR 20, ICC of all the devices were highest under HR of 100, and ICC decreased as HR increased. However, except for ICC of GW4 at HR above 160 (=0.867), all ICCs exceeded 0.9 indicating excellent accuracy. Conclusion The HR measurement of the devices validated in this study shows a high concordance with the ECG device, so CAD patients may benefit from the devices during high-intensity exercise under conditions where HR is measured reliably. |
| first_indexed | 2024-03-12T02:34:19Z |
| format | Article |
| id | doaj.art-ee12220a26c24fc68f25ba1f1e037016 |
| institution | Directory Open Access Journal |
| issn | 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T02:34:19Z |
| publishDate | 2023-08-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-ee12220a26c24fc68f25ba1f1e0370162023-09-05T02:08:58ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532023-08-0147426127110.5535/arm.230194315Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery DiseaseChul Kim0Jun Hyeong Song1Seung Hyoun Kim2 Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, KoreaObjective To assess the accuracy of recently commercialized wearable devices in heart rate (HR) measurement during cardiopulmonary exercise test (CPX) under gradual increase in exercise intensity, while wearable devices with HR monitors are reported to be less accurate in different exercise intensities. Methods CPX was performed for patients with coronary artery disease (CAD). Twelve lead electrocardiograph (ECG) was the gold standard and Apple watch 7 (AW7), Galaxy watch 4 (GW4) and Bio Patch Mobicare 200 (MC200) were applied for comparison. Paired absolute difference (PAD), mean absolute percentage error (MAPE) and intraclass correlation coefficient (ICC) were evaluated for each device. Results Forty-four participants with CAD were included. All the devices showed MAPE under 2% and ICC above 0.9 in rest, exercise and recovery phases (MC200=0.999, GW4=0.997, AW7=0.998). When comparing exercise and recovery phase, PAD of MC200 and AW7 in recovery phase were significantly bigger than PAD of exercise phase (p<0.05). Although not significant, PAD of GW4 tended to be bigger in recovery phase, too. Also, when stratified by HR 20, ICC of all the devices were highest under HR of 100, and ICC decreased as HR increased. However, except for ICC of GW4 at HR above 160 (=0.867), all ICCs exceeded 0.9 indicating excellent accuracy. Conclusion The HR measurement of the devices validated in this study shows a high concordance with the ECG device, so CAD patients may benefit from the devices during high-intensity exercise under conditions where HR is measured reliably.http://www.e-arm.org/upload/pdf/arm-23019.pdfwearable electronic devicescardiac rehabilitationheart rateexercise test |
| spellingShingle | Chul Kim Jun Hyeong Song Seung Hyoun Kim Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease Annals of Rehabilitation Medicine wearable electronic devices cardiac rehabilitation heart rate exercise test |
| title | Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease |
| title_full | Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease |
| title_fullStr | Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease |
| title_full_unstemmed | Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease |
| title_short | Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease |
| title_sort | validation of wearable digital devices for heart rate measurement during exercise test in patients with coronary artery disease |
| topic | wearable electronic devices cardiac rehabilitation heart rate exercise test |
| url | http://www.e-arm.org/upload/pdf/arm-23019.pdf |
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