Evidence map›Paper›PMID 42308476›Full record

SynthesisJMIR mHealth and uHealth2026

Heart Rate Monitors for the Estimation of Physical Activity in Patients With Cardiovascular Disease: Systematic Review.

Paulien Vermunicht, Christophe Buyck, Sebastiaan Naessens, Wendy Hens, Emeline Van Craenenbroeck, Kris Laukens, Lien Desteghe, Hein Heidbuchel

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR mHealth and uHealth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Paulien VermunichtResearch Group Cardiovascular Diseases, University of Antwerp, Drie Eikenstraat 655, Antwerp, 2650, Belgium, 3238212195.ORCID 0000-0001-5922-2095
Christophe BuyckResearch Group Cardiovascular Diseases, University of Antwerp, Drie Eikenstraat 655, Antwerp, 2650, Belgium, 3238212195.ORCID 0009-0005-4214-9932
Sebastiaan NaessensDepartment of Cardiology, Antwerp University Hospital, Drie Eikenstraat 655, Antwerp, 2650, Belgium.ORCID 0009-0006-9395-2271
Wendy HensDepartment of Cardiology, Antwerp University Hospital, Drie Eikenstraat 655, Antwerp, 2650, Belgium.ORCID 0000-0002-9881-6248
Emeline Van CraenenbroeckResearch Group Cardiovascular Diseases, University of Antwerp, Drie Eikenstraat 655, Antwerp, 2650, Belgium, 3238212195.ORCID 0000-0001-7686-2668
Kris LaukensDepartment of Computer Science, University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-8217-2564
Lien DestegheResearch Group Cardiovascular Diseases, University of Antwerp, Drie Eikenstraat 655, Antwerp, 2650, Belgium, 3238212195.ORCID 0000-0001-8641-4658
Hein HeidbuchelResearch Group Cardiovascular Diseases, University of Antwerp, Drie Eikenstraat 655, Antwerp, 2650, Belgium, 3238212195.ORCID 0000-0001-9301-8127

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heart rate (HR) monitoring by wearable devices offers a physiological, personalized, and continuous method for assessing physical activity (PA) duration and intensity. However, methods to translate HR data into meaningful PA metrics are diverse and nonstandardized. Objective: This study aims to provide an overview of how HR data are used to quantify PA behavior and estimate physiological outcomes in adult patients with cardiovascular disease (CVD). Methods: A systematic search was performed in PubMed, Web of Science, and CENTRAL for studies published between 2014 and 2024. Eligible studies included adults with CVD or related risk factors wearing HR monitors to estimate PA. Data were synthesized narratively. The methodological quality of the included studies was evaluated using the Crowe Critical Appraisal Tool (CCAT; Michael Crowe). Results: Twenty studies were included, spanning four HR-based PA estimation methods: (1) HR zone analysis (n=14), which assessed time spent in moderate-to-vigorous zones to evaluate guideline or training adherence; (2) physiological modeling (n=4), estimating outcomes such as energy expenditure (physical activity level) or cardiorespiratory fitness (maximal oxygen uptake); (3) change detection (n=1), using time-series and machine learning algorithms to quantify shifts in PA behavior; and (4) a derived personalized scoring system (n=1). While each approach demonstrated clinical promise of using HR data, external validation, and methodological transparency is often lacking. Conclusions: HR-based PA estimation holds the promise of physiologically meaningful, personalized PA monitoring in CVD care. Modeling approaches and personalized scoring systems linking PA behavior to cardiovascular outcomes may provide highly needed clinical tools for PA management in patients. Research should prioritize algorithm transparency, clinical validation, and standardization.

Indexed as

Cardiovascular DiseasesExerciseHeart RateHumansMonitoring, PhysiologicWearable Electronic Devicescardiac rehabilitationexercisefitness trackersheart ratewearable electronic devices

Identifiers

PMID42308476
PMCPMC13274969

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Registered trials

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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.