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关于确定消费者可穿戴心率设备有效性的建议:INTERLIVE 网络的专家声明和清单。

Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network.

机构信息

Institute of Cardiovascular Research and Sports Medicine, Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany.

Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

出版信息

Br J Sports Med. 2021 Jul;55(14):767-779. doi: 10.1136/bjsports-2020-103148. Epub 2021 Jan 4.


DOI:10.1136/bjsports-2020-103148
PMID:33397674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8273688/
Abstract

Assessing vital signs such as heart rate (HR) by wearable devices in a lifestyle-related environment provides widespread opportunities for public health related research and applications. Commonly, consumer wearable devices assessing HR are based on photoplethysmography (PPG), where HR is determined by absorption and reflection of emitted light by the blood. However, methodological differences and shortcomings in the validation process hamper the comparability of the validity of various wearable devices assessing HR. Towards Intelligent Health and Well-Being: Network of Physical Activity Assessment (INTERLIVE) is a joint European initiative of six universities and one industrial partner. The consortium was founded in 2019 and strives towards developing best-practice recommendations for evaluating the validity of consumer wearables and smartphones. This expert statement presents a best-practice validation protocol for consumer wearables assessing HR by PPG. The recommendations were developed through the following multi-stage process: (1) a systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, (2) an unstructured review of the wider literature pertaining to factors that may introduce bias during the validation of these devices and (3) evidence-informed expert opinions of the INTERLIVE Network. A total of 44 articles were deemed eligible and retrieved through our systematic literature review. Based on these studies, a wider literature review and our evidence-informed expert opinions, we propose a validation framework with standardised recommendations using six domains: considerations for the target population, criterion measure, index measure, testing conditions, data processing and the statistical analysis. As such, this paper presents recommendations to standardise the validity testing and reporting of PPG-based HR wearables used by consumers. Moreover, checklists are provided to guide the validation protocol development and reporting. This will ensure that manufacturers, consumers, healthcare providers and researchers use wearables safely and to its full potential.

摘要

在与生活方式相关的环境中,使用可穿戴设备评估心率(HR)等生命体征为公共卫生相关的研究和应用提供了广泛的机会。通常,评估 HR 的消费者可穿戴设备基于光体积描记法(PPG),其中 HR 通过血液对发射光的吸收和反射来确定。然而,方法学上的差异和验证过程中的缺陷阻碍了评估 HR 的各种可穿戴设备的有效性的可比性。迈向智能健康与福祉:身体活动评估网络(INTERLIVE)是六个大学和一个工业伙伴的联合欧洲倡议。该联盟成立于 2019 年,致力于为评估消费者可穿戴设备和智能手机的有效性制定最佳实践建议。本专家声明提出了一种用于通过 PPG 评估 HR 的消费者可穿戴设备的最佳实践验证协议。该建议是通过以下多阶段过程制定的:(1)基于系统评价和荟萃分析的首选报告项目的系统文献综述,(2)对可能在这些设备验证过程中引入偏差的更广泛文献的非结构化综述,以及(3)INTERLIVE 网络的循证专家意见。通过我们的系统文献综述,共确定了 44 篇符合条件的文章并进行了检索。基于这些研究,通过更广泛的文献综述和我们循证的专家意见,我们提出了一个具有标准化建议的验证框架,使用六个领域:目标人群的考虑因素、标准测量、指标测量、测试条件、数据处理和统计分析。因此,本文提出了建议,以标准化消费者使用的基于 PPG 的 HR 可穿戴设备的有效性测试和报告。此外,还提供了检查表,以指导验证协议的制定和报告。这将确保制造商、消费者、医疗保健提供者和研究人员安全地使用可穿戴设备并充分发挥其潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc32/8273688/fcc7f947b132/bjsports-2020-103148f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc32/8273688/fcc7f947b132/bjsports-2020-103148f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc32/8273688/fcc7f947b132/bjsports-2020-103148f01.jpg

相似文献

[1]
Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network.

Br J Sports Med. 2021-7

[2]
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Br J Sports Med. 2021-7

[3]
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Sports Med. 2022-8

[4]
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[5]
The Impact of Wearable Technologies in Health Research: Scoping Review.

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[6]
Accuracy of Consumer Wearable Heart Rate Measurement During an Ecologically Valid 24-Hour Period: Intraindividual Validation Study.

JMIR Mhealth Uhealth. 2019-3-11

[7]
Validity of Wrist-Worn photoplethysmography devices to measure heart rate: A systematic review and meta-analysis.

J Sports Sci. 2020-6-19

[8]
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[9]
Using Fitness Trackers and Smartwatches to Measure Physical Activity in Research: Analysis of Consumer Wrist-Worn Wearables.

J Med Internet Res. 2018-3-22

[10]
Finite State Machine Framework for Instantaneous Heart Rate Validation Using Wearable Photoplethysmography During Intensive Exercise.

IEEE J Biomed Health Inform. 2018-9-19

引用本文的文献

[1]
Activity Type Effects Signal Quality in Electrocardiogram Devices.

Sensors (Basel). 2025-8-20

[2]
Beyond FITT: addressing density in understanding the dose-response relationships of physical activity with health-an example based on brain health.

Eur J Appl Physiol. 2025-6-26

[3]
Biostrap Kairos Wristband Versus Electrocardiography for Resting Heart Rate Variability Assessment.

Sensors (Basel). 2025-5-17

[4]
Validation of an Open-Source Smartwatch for Continuous Monitoring of Physical Activity and Heart Rate in Adults.

Sensors (Basel). 2025-5-6

[5]
Stress in action wearables database: A database of noninvasive wearable monitors with systematic technical, reliability, validity, and usability information.

Behav Res Methods. 2025-5-13

[6]
Validity of Hera Leto consumer earbuds for heart rate monitoring during stationary cycling.

Sci Rep. 2025-5-7

[7]
Wrist-Worn and Arm-Worn Wearables for Monitoring Heart Rate During Sedentary and Light-to-Vigorous Physical Activities: Device Validation Study.

JMIR Cardio. 2025-3-21

[8]
Validity and Inter-Device Reliability of the OTBeat Burn Monitor to Estimate Heart Rate During Exercise.

Sports (Basel). 2025-2-8

[9]
Validity of heart rate measurements in wrist-based monitors across skin tones during exercise.

PLoS One. 2025-2-10

[10]
Using Free-Living Heart Rate Data as an Objective Method to Assess Physical Activity: A Scoping Review and Recommendations by the INTERLIVE-Network Targeting Consumer Wearables.

Sports Med. 2025-2

本文引用的文献

[1]
Guidelines for wrist-worn consumer wearable assessment of heart rate in biobehavioral research.

NPJ Digit Med. 2020-6-26

[2]
Apple Watch detecting coronary ischaemia during chest pain episodes or an apple a day may keep myocardial infarction away.

Eur Heart J. 2020-6-14

[3]
Accuracy of Optical Heart Rate Sensing Technology in Wearable Fitness Trackers for Young and Older Adults: Validation and Comparison Study.

JMIR Mhealth Uhealth. 2020-4-28

[4]
Comparing apples and oranges or different types of citrus fruits? Using wearable versus stationary devices to analyze psychophysiological data.

Psychophysiology. 2020-5

[5]
Accuracy of Vital Signs Measurements by a Smartwatch and a Portable Health Device: Validation Study.

JMIR Mhealth Uhealth. 2020-2-12

[6]
Investigating sources of inaccuracy in wearable optical heart rate sensors.

NPJ Digit Med. 2020-2-10

[7]
Use of a Smart Watch for Early Detection of Paroxysmal Atrial Fibrillation: Validation Study.

JMIR Cardio. 2020-1-22

[8]
Photoplethysmography based atrial fibrillation detection: a review.

NPJ Digit Med. 2020-1-10

[9]
Increasing and Evolving Role of Smart Devices in Modern Medicine.

Eur Cardiol. 2019-12-18

[10]
Comprehensive Review on Current and Future Regulatory Requirements on Wearable Sensors in Preclinical and Clinical Testing.

Front Bioeng Biotechnol. 2019-11-8

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