Dr. James Shu-lei Lee M.D. is a top Cardiologist in Cullman, Alabama. With a passion for the field and an unwavering commitment to their specialty, Dr. James Shu-lei Lee M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. James Shu-lei... more
With the rise of commercially available fitness trackers which can sync with your smartphone, there has been an increased, but welcome, interest in personal fitness. Many make measurements in heart rate, step counts, calories expended, and even sleep patterns. There have been many recent scientific studies written discussing their accuracy, and a nice summary can be found here.
The inevitable question is, “Are these devices good enough to be used in the place of personal supervision?” The short answer is, “Well, it depends.” The accuracy for each of the mentioned measurements varies a quite a bit when compared against a gold standard medical device for each of the above measurements. How far off? For certain measurements, such as step count, the accuracy is quite good, generally over 95% accurate. But for other measures such as calorie expenditure, the accuracy was poor. However, in the study cited below, most of the devices studied tended to underestimate the calories burned during normal activities. So if the goal is weight loss and the desire is to not eat more calories than what was burned, then there may be some use here.
On the other hand, heart rate trackers were only fair in accuracy when compared to an electrocardiographic monitor. The fitness trackers tested all varied within 80% and the best were within 90% of the gold standard monitor. However, the problem noted is that the zone of inaccuracy generally occurred at the mid-range (between 90 to 160 beats/minute) heart rates, the zone where most exercising heart rates occur. Furthermore, overestimations were just as common as underestimations beyond 10 beats per minute from actual.
The problem then occurs for a person with heart disease who is given a prescription exercise program not to exceed 100 beats per minute, which is where the most uncertainty exists for these exercise trackers. If the tracker is reading high, say 110 when he is really going 100 beats per minute, he may slow down. Even if he does not get the full benefit of his exercise routine, at least there is not the risk of overexertion. On the other hand, if the tracker reads 90 but he is really going 100 beats per minute, then there may be at attempt at moving faster, but actually moving beyond the prescription. So how can these devices best be used? For certain what these devices have done is bring personal fitness and technology together and renewed interest in new ways of achieving exercise goals. As noted, the distance tracker is quite accurate and people can be made more aware their physical activities throughout the day. With the addition of technology allowing interaction with a health coach through a smartphone app, there lays the addition of an accountability partner.
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2500062 Accuracy of Wearable Devices for Estimating Total Energy Expenditure
https://jamanetwork.com/journals/jamacardiology/article-abstract/2566167 Accuracy of Wrist-Worn Heart Rate Monitors
More About Dr. James Shu-lei Lee, M.D.: Dr. James Shu-lei Lee M.D. is a top Cardiologist in Cullman, Alabama. With a passion for the field and an unwavering commitment to their specialty, Dr. James Shu-lei Lee M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. James Shu-lei Lee M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. James Shu-lei Lee M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Cullman, AL, Dr. James Shu-lei Lee M.D. is a true asset to their field and dedicated to the profession of medicine.