Lu Jessica K, Wang Weilan, Goh Jorming, Maier Andrea B
Healthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
NUS Academy for Healthy Longevity, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Mayo Clin Proc Digit Health. 2025 Mar 12;3(2):100202. doi: 10.1016/j.mcpdig.2025.100202. eCollection 2025 Jun.
Continuous monitoring of cardiovascular functions can provide crucial insights into the health status and lifestyle behaviors of an individual. Wearable devices offer a convenient and cost-effective solution for collecting cardiovascular measurements outside clinical settings. However, the abundance of available devices poses challenges for researchers, health care professionals, and device users in selecting the most suitable one. This article illustrates the application of a practical guide for selecting wearable devices for the continuous monitoring of cardiovascular functions in community-dwelling adults who are generally healthy or have minimal, well-managed chronic conditions. An initial systematic review of the literature revealed 216 devices, each of which were assessed on the basis of 5 core criteria from the guide: (1) continuous monitoring capability, (2) device availability and suitability, (3) technical performance (accuracy and precision), (4) feasibility of use, and (5) cost evaluation. From the 216 devices, there were 136 devices capable of continuous monitoring. After the exclusion of unavailable and unsuitable devices, 53 devices underwent validation assessment of accuracy and precision. Although COSMIN criteria were applied to evaluate technical performance, a lack of validation for certain devices limits a comprehensive evaluation. After selection of valid devices, the feasibility and cost of 20 devices were examined. Wearable devices, such as the Apple Watch Series 9, Fitbit Charge 6, Garmin vívosmart 5, and Oura Ring Gen3, emerged as suitable devices to measure cardiovascular function in community-dwelling adults. The systematic process for device selection could also be applied to select wearable devices for the measurement of other physiologic variables and lifestyle behaviors.
持续监测心血管功能能够为了解个人的健康状况和生活方式行为提供至关重要的见解。可穿戴设备为在临床环境之外收集心血管测量数据提供了一种便捷且经济高效的解决方案。然而，市面上大量的可用设备给研究人员、医疗保健专业人员以及设备用户在选择最合适的设备时带来了挑战。本文阐述了一份实用指南在为社区居住的成年人（一般健康或患有轻微且管理良好的慢性病）持续监测心血管功能选择可穿戴设备方面的应用。对文献的初步系统综述揭示了216种设备，每种设备都根据该指南的5项核心标准进行了评估：（1）持续监测能力；（2）设备可用性和适用性；（3）技术性能（准确性和精确性）；（4）使用可行性；（5）成本评估。在这216种设备中，有136种能够进行持续监测。在排除不可用和不合适的设备后，对53种设备进行了准确性和精确性的验证评估。尽管应用了COSMIN标准来评估技术性能，但某些设备缺乏验证限制了全面评估。在选择有效设备后，对20种设备的可行性和成本进行了考察。可穿戴设备，如苹果手表Series 9、Fitbit Charge 6、佳明vívosmart 5和Oura Ring Gen3，成为适合测量社区居住成年人心血管功能的设备。设备选择的系统流程也可应用于选择用于测量其他生理变量和生活方式行为的可穿戴设备。
