Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network.

Recommendations for determining the validity of consumer wearable heart rate devices: expert statement and checklist of the INTERLIVE Network.
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DOI:
10.1136/bjsports-2020-103148
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发表时间:
2021-07
影响因子:
18.4
通讯作者:
Schumann M
Schumann M
中科院分区:
医学1区
文献类型:
--
作者:
Mühlen JM;Stang J;Lykke Skovgaard E;Judice PB;Molina-Garcia P;Johnston W;Sardinha LB;Ortega FB;Caulfield B;Bloch W;Cheng S;Ekelund U;Brønd JC;Grøntved A;Schumann M

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在与生活方式相关的环境中,通过可穿戴设备评估心率(HR)等生命体征为公共卫生相关研究和应用提供了广泛的机会。通常,消费者可穿戴设备评估心率的基础是光体积描记仪(PPG),其中心率是通过血液对发出的光的吸收和反射来确定的。然而,验证过程中的方法差异和缺陷阻碍了各种可穿戴设备评估HR的有效性的可比性。走向智能健康和福祉:体力活动评估网络(INTERLIVE)是由六所大学和一个工业合作伙伴组成的欧洲联合倡议。该联盟成立于2019年,致力于为评估消费者可穿戴设备和智能手机的有效性制定最佳实践建议。这份专家声明为PPG评估人力资源的消费者可穿戴设备提供了一个最佳实践验证协议。这些建议是通过以下多阶段过程提出的:(1)基于系统审查和荟萃分析的首选报告项目的系统文献审查;(2)关于在这些设备的验证过程中可能导致偏见的因素的更广泛文献的非结构化审查;以及(3)INTERLIVE网络的循证专家意见。通过系统的文献综述,共有44篇文章被认为是合格的,并被检索到。基于这些研究、更广泛的文献回顾和我们循证的专家意见,我们提出了一个验证框架,其中包括六个领域的标准化建议:目标人群的考虑、标准衡量、指数衡量、测试条件、数据处理和统计分析。因此,本文提出了标准化消费者使用的基于PPG的人力资源可穿戴设备有效性测试和报告的建议。此外,还提供了核对表,以指导验证协议的制定和报告。这将确保制造商、消费者、医疗保健提供者和研究人员安全地、充分发挥其潜力使用可穿戴设备。
Assessing vital signs such as heart rate (HR) by wearable devices in a lifestyle-related environment provides widespread opportunities for public health related research and applications. Commonly, consumer wearable devices assessing HR are based on photoplethysmography (PPG), where HR is determined by absorption and reflection of emitted light by the blood. However, methodological differences and shortcomings in the validation process hamper the comparability of the validity of various wearable devices assessing HR. Towards Intelligent Health and Well-Being: Network of Physical Activity Assessment (INTERLIVE) is a joint European initiative of six universities and one industrial partner. The consortium was founded in 2019 and strives towards developing best-practice recommendations for evaluating the validity of consumer wearables and smartphones. This expert statement presents a best-practice validation protocol for consumer wearables assessing HR by PPG. The recommendations were developed through the following multi-stage process: (1) a systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, (2) an unstructured review of the wider literature pertaining to factors that may introduce bias during the validation of these devices and (3) evidence-informed expert opinions of the INTERLIVE Network. A total of 44 articles were deemed eligible and retrieved through our systematic literature review. Based on these studies, a wider literature review and our evidence-informed expert opinions, we propose a validation framework with standardised recommendations using six domains: considerations for the target population, criterion measure, index measure, testing conditions, data processing and the statistical analysis. As such, this paper presents recommendations to standardise the validity testing and reporting of PPG-based HR wearables used by consumers. Moreover, checklists are provided to guide the validation protocol development and reporting. This will ensure that manufacturers, consumers, healthcare providers and researchers use wearables safely and to its full potential.
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