ArticleHeart rhythm2020
Physical activity and atrial fibrillation: Data from wearable fitness trackers.
Article in Heart rhythm, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed.
- Digital Phenotyping in Health Research: Scoping Review of Methods, Gaps, and Opportunities.Journal of medical Internet research · 2026Article
- Physical activity and risk of adverse events in atrial fibrillation: evidence from European and Asian cohorts.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Article
- Article
- Developing a theory-based intervention to enhance physical activity in older adults with atrial fibrillation and frailty: a behavior change wheel approach.Frontiers in public health · 2025Article
- Using Fitness Tracker Data to Overcome Pressure Insole Wear Time Challenges for Remote Musculoskeletal Monitoring.Sensors (Basel, Switzerland) · 2024Article
- Article
- Healthcare professionals' views about delivering a rehabilitation programme for individuals living with Atrial Fibrillation: a cross - sectional survey.BMC sports science, medicine & rehabilitation · 2024Article
- Factors Associated with Quality of Life among People with Atrial Fibrillation: Jordan Atrial Fibrillation Registry Study.Medicina (Kaunas, Lithuania) · 2024Article
- Racial and Gender Differences in Cardiorespiratory Fitness and Atrial Fibrillation.Reviews in cardiovascular medicine · 2024Review
- Atrial fibrillation: comorbidities, lifestyle, and patient factors.The Lancet regional health. Europe · 2024Review
- Step Count, Self-reported Physical Activity, and Predicted 5-Year Risk of Atrial Fibrillation: Cross-sectional Analysis.Journal of medical Internet research · 2023Article
- Using wearable activity trackers for research in the global south: Lessons learned from adolescent psychotherapy research in Kenya.Global mental health (Cambridge, England) · 2023Article
- The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study.CJC open · 2022Article
- The Impact of Wearable Technologies in Health Research: Scoping Review.JMIR mHealth and uHealth · 2022Article
- Anomaly Detection Framework for Wearables Data: A Perspective Review on Data Concepts, Data Analysis Algorithms and Prospects.Sensors (Basel, Switzerland) · 2022Review
- Article
- Health benefits of physical activity for people with mental disorders: From the perspective of multidimensional subjective wellbeing.Frontiers in psychiatry · 2022Article
- Predicting atrial fibrillation episodes with rapid ventricular rates associated with low levels of activity.BMC medical informatics and decision making · 2021Article
- Day-to-day measurement of physical activity and risk of atrial fibrillation.European heart journal · 2021Article
- Physical activity, patient-reported symptoms, and clinical events: Insights into postprocedural recovery from personal digital devices.Cardiovascular digital health journal · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundRegular physical activity is an important determinant of cardiovascular health and quality of life. Previous investigations examining the association between exercise and atrial fibrillation (AF) have been limited by self-reported, retrospectively collected activity data.
objectiveThe purpose of this study was to objectively quantify differences in daily physical activity among individuals with and those without AF using electronic wearable activity trackers.
methodsDaily exercise data were directly obtained from wrist-worn activity trackers (Fitbit, San Francisco, CA) among participants in the Health eHeart (HeH) study. Average daily step count was compared between individuals with and those without AF both before and after adjusting for comorbidities. AF severity was quantified using the Atrial Fibrillation Effect on QualiTy of Life (AFEQT) survey.
resultsAmong 171,284 HeH study participants, 3333 individuals (234 with AF [7%]) submitted activity data. In unadjusted analysis, AF participants ambulated an average of 723 fewer steps per day (95% confidence interval [CI] 292-1154; P = .001) compared to individuals without AF. After adjustment for demographics and comorbid diseases, participants with AF demonstrated 591 fewer steps per day (95% CI 149-1033; P = .009). Among AF patients, AF severity was associated with less physical activity. For each single point decrease in AFEQT score (corresponding to more symptomatic AF), physical activity decreased by a mean 24 steps per day (95% CI 1-46; P = .04).
conclusionObjective, automatically collected step count data demonstrate that individuals with AF engage in significantly less average daily physical activity. In addition, worsening AF symptom severity is associated with reduced daily exercise.
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