The Use of Smart Rings in Health Monitoring—A Meta-Analysis

Abstract

Smart Rings (SRs) are user-friendly devices capable of measuring various health parameters, making them suitable for remote continuous monitoring in diverse clinical settings. Since the available evidence on the accuracy of SRs recording health data is highly heterogeneous, this systematic review, conducted in accordance with PRISMA guidelines, searched for articles evaluating the efficacy of SRs for sleep, respiratory, and cardiovascular monitoring across the PubMed, SCOPUS, and ProQuest databases. Meta-analyses were conducted for health outcomes evaluated in at least three studies with a comparable study population and design, and the same comparison device. Nineteen articles were included: eleven analyses focused on sleep quality, eight on cardiovascular parameters, and one on oxygen saturation. Studies analysing cardiovascular outcomes found a good accuracy of SRs in measuring heart rate (HR) with a mean bias of −0.4 bpms (limits of agreement (LoAs): −2.7; 1.8). The meta-analyses showed variability in SRs’ efficacy in monitoring total sleep time (mean bias: −21.3 min, LoAs: −69.9, 27.4) and REM duration (mean bias: −18.2 min, LoAs: −33.3, −3.1). The results highlighted the promising potential of SRs for HR monitoring. Further research is needed to clarify the reliability of SRs in monitoring sleep quality and their use directed to a broader range of health parameters. With further development, SRs could become valuable tools for healthcare professionals.