Evidence map›Paper›PMID 40599875›Full record

ReviewFrontiers in digital health2025

Privacy, ethics, transparency, and accountability in AI systems for wearable devices.

Petar Radanliev

Abstract readReview
In one paragraph

Review in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Petar RadanlievDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The integration of artificial intelligence (AI) and machine learning (ML) into wearable sensor technologies has substantially advanced health data science, enabling continuous monitoring, personalised interventions, and predictive analytics. However, the fast advancement of these technologies has raised critical ethical and regulatory concerns, particularly around data privacy, algorithmic bias, informed consent, and the opacity of automated decision-making. This study undertakes a systematic examination of these challenges, highlighting the risks posed by unregulated data aggregation, biased model training, and inadequate transparency in AI-powered health applications. Through an analysis of current privacy frameworks and empirical assessment of publicly available datasets, the study identifies significant disparities in model performance across demographic groups and exposes vulnerabilities in both technical design and ethical governance. To address these issues, this article introduces a data-driven methodological framework that embeds transparency, accountability, and regulatory alignment across all stages of AI development. The framework operationalises ethical principles through concrete mechanisms, including explainable AI, bias mitigation techniques, and consent-aware data processing pipelines, while aligning with legal standards such as the GDPR, the UK Data Protection Act, and the EU AI Act. By incorporating transparency as a structural and procedural requirement, the framework presented in this article offers a replicable model for the responsible development of AI systems in wearable healthcare. In doing so, the study advocates for a regulatory paradigm that balances technological innovation with the protection of individual rights, fostering fair, secure, and trustworthy AI-driven health monitoring.

Indexed as

artificial intelligencedata privacydigital identity systemsethical considerationshealth data sciencemachine learningwearable technology

Identifiers

PMID40599875
PMCPMC12209263

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.