“…The few previous studies that evaluated wrist-based HR accuracy using PPG revealed conflicting results (Gorny, Liew, Tan, & Muller-Riemenschneider, 2017). Movement artefacts are thought to be a problem in the wrist-worn pulse rate measurements using PPG (Tamura, Maeda, Sekine, & Yoshida, 2014;Zhang, Pi, & Liu, 2015), especially during activities with increased intensity or particular arm and wrist movements (Gorny et al, 2017;Shimazaki, Hara, Okuhata, Nakamura, & Kawabata, 2014;Spierer, Rosen, Litman, & Fujii, 2015;Stahl, An, Dinkel, Noble, & Lee, 2016). Moreover, factors such as skin colour, skin temperature or body mass index (BMI) were shown potentially to affect measurement accuracy (Khan et al, 2015;Spierer et al, 2015;Valenti & Westerterp, 2013).…”