SynthesisJMIR mHealth and uHealth2020
Reliability and Validity of Commercially Available Wearable Devices for Measuring Steps, Energy Expenditure, and Heart Rate: Systematic Review.
Synthesis in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05684367 (Center-Based and Home-Based Walking Exercise Intervention to Reduce Fatigue in Older Breast Cancer Survivors), which is not on this map. Cited by 363 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Center-Based and Home-Based Walking Exercise Intervention to Reduce Fatigue in Older Breast Cancer Survivors
Who cites it
363 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Effectiveness of exercise based on wearable electronic devices on lower limb strength and balance in older adults: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- It is Feasible for 3 to 5-Year-Old Children to Use Smartwatch Activity Trackers: A Systematic Review.Acta paediatrica (Oslo, Norway : 1992) · 2025Pooled it
- Effectiveness of wearable activity trackers on physical activity among adolescents in school-based settings: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Keeping Pace with Wearables: A Living Umbrella Review of Systematic Reviews Evaluating the Accuracy of Consumer Wearable Technologies in Health Measurement.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Momentary physiological indices related to eating disorders: A systematic and methodological review.European eating disorders review : the journal of the Eating Disorders Association · 2024Pooled it
- [eHealth applications for promotion of physical activity after visceral surgery : A systematic review].Chirurgie (Heidelberg, Germany) · 2024Pooled it
- Neuroscience meets behavior: A systematic literature review on magnetic resonance imaging of the brain combined with real-world digital phenotyping.Human brain mapping · 2024Pooled it
- Current Knowledge about ActiGraph GT9X Link Activity Monitor Accuracy and Validity in Measuring Steps and Energy Expenditure: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- A digital platform with activity tracking for energy management support in long COVID: a randomised controlled trial.Nature communications · 2026Trial
- A Multiple Technology-Based Physical Activity Intervention for Latina Adolescents: Results From the Chicas Fuertes Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- Urge Coping Mediates the Relationship Between Physical Activity and Smoking Outcomes in a Sample of Premenopausal Women Intending to Quit Smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Trial
- The impact of wearing a heart rate monitoring wristband on museum visitors' memory and emotions: a randomized controlled trial.Cognitive research: principles and implications · 2025Trial
- Isolating the role of researcher observation on reactivity to the measurement of physical activity.Applied psychology. Health and well-being · 2025Trial
- Utilization of telemedicine in conjunction with wearable devices for patients with chronic musculoskeletal pain: a randomized controlled clinical trial.Scientific reports · 2025Trial
- Association between sedentary behavior and sleep quality among urban white-collar workers with or at risk of metabolic syndrome: a secondary analysis of a randomized 3-month workplace lifestyle intervention trial.Journal of occupational health · 2025Trial
- Effectiveness of a Multifaceted Intervention (TEMP) for Prevention of Occupational Heat-Related Illness among Outdoor Workers in the Power Grid Industry: A Cluster Randomized Controlled Trial.Environmental health perspectives · 2025Trial
- Digital solutions, real-world challenges: lessons from mHealth trials in oncology.Frontiers in digital health · 2025Trial
- A Remote Patient Monitoring System With Feedback Mechanisms Using a Smartwatch: Concept, Implementation, and Evaluation Based on the activeDCM Randomized Controlled Trial.JMIR mHealth and uHealth · 2024Trial
- Resting and Physical Activity Energy Expenditure Across an Altitudinal Gradient: An Adjusted Analysis.Oxygen (Basel, Switzerland) · 2026Article
- Comparison of Consumer Smartwatch and Research-Grade Accelerometer-Derived Step Counts in Amyotrophic Lateral Sclerosis.Muscle & nerve · 2026Observational
303 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsumer-wearable activity trackers are small electronic devices that record fitness and health-related measures.
objectiveThe purpose of this systematic review was to examine the validity and reliability of commercial wearables in measuring step count, heart rate, and energy expenditure.
methodsWe identified devices to be included in the review. Database searches were conducted in PubMed, Embase, and SPORTDiscus, and only articles published in the English language up to May 2019 were considered. Studies were excluded if they did not identify the device used and if they did not examine the validity or reliability of the device. Studies involving the general population and all special populations were included. We operationalized validity as criterion validity (as compared with other measures) and construct validity (degree to which the device is measuring what it claims). Reliability measures focused on intradevice and interdevice reliability.
resultsWe included 158 publications examining nine different commercial wearable device brands. Fitbit was by far the most studied brand. In laboratory-based settings, Fitbit, Apple Watch, and Samsung appeared to measure steps accurately. Heart rate measurement was more variable, with Apple Watch and Garmin being the most accurate and Fitbit tending toward underestimation. For energy expenditure, no brand was accurate. We also examined validity between devices within a specific brand.
conclusionsCommercial wearable devices are accurate for measuring steps and heart rate in laboratory-based settings, but this varies by the manufacturer and device type. Devices are constantly being upgraded and redesigned to new models, suggesting the need for more current reviews and research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.