Data management and wearables in older adults: A systematic review

Alharbi, Muaddi; Straiton, Nicola; Smith, Susan Gower; Neubeck, Lis; Gallagher, Robyn

doi:10.1016/j.maturitas.2019.03.012

Cited by 39 publications

(45 citation statements)

References 39 publications

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“…PPG estimates HR through an optical technique that monitors changes in blood volume beneath the skin (Shin, Shin & Lee, 2011). The ability of these watches to measure important cardiovascular parameters such as SpO 2 , HR, and heart rate variability (HRV) indicates that thorough research must be conducted on this topic to determine their reliability and validity (Alharbi et al, 2019). It is imperative to inform clinicians who might prescribe these devices and populations with medical conditions on the validity and reliability of these devices.…”

Section: Introductionmentioning

confidence: 99%

Validity of the Polar Vantage M watch when measuring heart rate at different exercise intensities

Shumate

Link

Furness

et al. 2021

PeerJ

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Background The use of wrist worn wearable fitness trackers has been growing rapidly over the last decade. The growing popularity can be partly attributed to the improvements in technology, making activity trackers more affordable, comfortable and convenient for use in different fitness and environmental applications. Fitness trackers typically monitor activity level, track steps, distance, heart rate (HR), sleep, peripheral capillary oxygen saturation and more, as the technology continuously is advancing. In terms of measuring HR, photoplethysmography (PPG) is a relatively new technology utilised in wearables. PPG estimates HR through an optical technique that monitors changes in blood volume beneath the skin. With these new products becoming available it is important that the validity of these devices be evaluated. Therefore, the aim of this study was to assess the validity of the Polar Vantage M (PVM) watch to measure HR compared to medical grade ECG on a healthy population during a range of treadmill exercise intensities. Methods A total of 30 healthy participants (n = 17 males, n = 13 females) were recruited for this study. The validity of the PVM watch to measure HR was compared against the gold standard 5-lead ECG. The study was conducted on 2 separate testing days with 24–48 h between sessions. Participants completed the Bruce Treadmill Protocol, and HR was measured every 30 s. Validation of the PVM watch in comparison to the ECG was measured with an Intraclass Correlation Coefficient (ICC) and associated 95% confidence intervals (CI) and levels of agreement were identified with Bland–Altman plots with 90% limits of agreement. Linear regression analysis was performed to calculate the value of r2 computing the variation of HR obtained by the PVM watch and ECG. Results In total, 30 participants completed the protocol, with data from 28 participants utilised for statistical analysis (16 males, 14 females, 26.10 ± 3.39 years, height 52.36 m ± 7.40 cm, mass 73.59 ± 11.90 kg). A strong and significant correlation was found between the PVM watch and ECG, demonstrating good criterion validity (p < 0.05, r2 = 0.87). Good validity was seen for day 1 and day 2 for stage 0 (ICC = 0.83; 95% CI [0.63–0.92], ICC = 0.74; 95% CI [0.37–0.88]), stage 1 (ICC = 0.78; 95% CI [0.52–0.90], ICC = 0.88; 95% CI [0.74–0.95]), and stage 2 (ICC = 0.88; 95% CI [0.73–0.94], ICC = 0.80; 95% CI [0.40–0.92]). Poor validity was demonstrated on day 1 and day 2 for stages 3–5 (ICC < 0.50). Conclusion This study revealed that the PVM watch had a strong correlation with the ECG throughout the entire Bruce Protocol, however the level of agreement (LoA) becomes widely dispersed as exercise intensities increased. Due to the large LoA between the ECG and PVM watch, it is not advisable to use this device in clinical populations in which accurate HR measures are essential for patient safety; however, the watch maybe used in settings where less accurate HR is not critical to an individual’s safety while exercising.

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Section: Introductionmentioning

confidence: 99%

Validity of the Polar Vantage M watch when measuring heart rate at different exercise intensities

Shumate

Link

Furness

et al. 2021

PeerJ

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“…Surprisingly, no intervention included wearables or other technological devices to combine active self-monitoring with passive self-monitoring of additional physical information. Recent research reveals that wearables are not only easy to use for older adults, but can also improve aspects of health by, for example, encouraging participants to increase their daily level of physical activity (Alharbi et al, 2019; Grossman et al, 2018). The dichotomy of active and passive self-monitoring used in the present review might furthermore not be applicable to all technologies, as approaches can be combined (Arulnathan et al, 2019) and passively collected data could also lead to awareness for behaviors via feedback and thus health benefits (Fukuoka et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

A narrative synthesis systematic review of digital self-monitoring interventions for middle-aged and older adults

Bartels

Knippenberg

Dassen

et al. 2019

Internet Interventions

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ObjectiveSelf-monitoring is crucial to raise awareness for own behaviors and emotions, and thus facilitate self-management. The composition of self-monitoring within interventions, however, varies and guidelines are currently unavailable. This review aimed to provide a comprehensive overview of technology-based self-monitoring interventions that intend to improve health in middle-aged and older adults (>45 years).MethodsFive online databases were systematically searched and articles were independently screened. A narrative synthesis of 26 studies with 21 unique interventions was conducted. Primary focus lay on the composition of self-monitoring within interventions, including technology used, health-aspects monitored, and type of feedback provided. Secondly, the usability of/adherence to the self-monitoring treatment, intervention effects, and their sustainability were examined.FindingsStudies concentrated on middle-aged adults (mean of 51 years). Mobile technologies seem necessary to ensure flexible self-monitoring in everyday life. Social health aspects were rarely monitored. Mechanisms and the sustainability of intervention effect are understudied.ConclusionDigital self-monitoring technologies hold promise for future trials as they seem suitable to understand and support health-related self-management. Key elements including automatic and personal feedback following the blended care principle were highlighted and may guide study designs. Prospectively, research is especially needed to study sustained self-monitoring to support disease prevention and lasting lifestyle changes.

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“…Exercise-induced HRV variables provides valuable prognostic information that can contribute to establish cardiovascular risk scores. Negative exercise performance outcomes are generally associated with HRV reduction [33][34][35][36].…”

Section: Monitoring Of Cardiac Function In the Era Of Wearable Devicesmentioning

confidence: 99%

The Role of Electrocardiography in Occupational Medicine, from Einthoven’s Invention to the Digital Era of Wearable Devices

Baldassarre

Mucci

Padovan

et al. 2020

IJERPH

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Clinical-instrumental investigations, such as electrocardiography (ECG), represent a corollary of a procedures that, nowadays, is called upon as part of the principles of precision medicine. However when carrying out the professional routine examinations, most tend to ignore how a “simple” instrument can offer indispensable support in clinical practice, even in occupational medicine. The advent of the digital age, made of silicon and printed circuit boards, has allowed the miniaturization of the electronic components of these electro-medical devices. Finally, the adoption of patient wearables in medicine has been rapidly expanding worldwide for a number of years. This has been driven mainly by consumers’ demand to monitor their own health. With the ongoing research and development of new features capable of assessing and transmitting real-time biometric data, the impact of wearables on cardiovascular management has become inevitable. Despite the potential offered by this technology, as evident from the scientific literature, the application of these devices in the field of health and safety in the workplace is still limited. This may also be due to the lack of targeted scientific research. While offering great potential, it is very important to consider and evaluate ethical aspects related to the use of these smart devices, such as the management of the collected data relating to the physiological parameters and the location of the worker. This technology is to be considered as being aimed at monitoring the subject’s physiological parameters, and not at the diagnosis of any pathological condition, which should always be on charge of the medical specialist We conducted a review of the evolution of the role that electrophysiology plays as part of occupational health and safety management and on its possible future use, thanks to ongoing technological innovation.

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Data management and wearables in older adults: A systematic review

Cited by 39 publications

References 39 publications

Validity of the Polar Vantage M watch when measuring heart rate at different exercise intensities

Validity of the Polar Vantage M watch when measuring heart rate at different exercise intensities

A narrative synthesis systematic review of digital self-monitoring interventions for middle-aged and older adults

The Role of Electrocardiography in Occupational Medicine, from Einthoven’s Invention to the Digital Era of Wearable Devices

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