Abstract
In the last years, commercial smartwatches have gained popularity as non-invasive and wearable devices to be exploited for the monitoring of the cardiovascular system in daily-life settings. However, their reliability is still unclear. In this preliminary study, we evaluated the accuracy of heart rate (HR) and HR variability (HRV) estimates obtained from the Samsung Galaxy Watch 5 (SGW5) compared to a common research-grade ECG sensor, i.e., the Shimmer3 ECG unit (ShimECG), during both a resting and walking conditions. For each condition, we compared HRV features of SGW5 and ShimECG extracted in time, frequency, and non-linear domains through correlation and Bland-Altman analysis. Additionally, we compared SGW5 performance with those obtained from a research-grade PPG sensor. Our results revealed an unbiased and high-quality estimate of mean HR obtained from the SGW5. Moreover, at rest, other relevant HRV features showed a significant correlation between the SGW5 and ShimECG. Conversely, during the walking condition, we found poor performances for both PPG devices for most of the HRV features. Such preliminary results confirm the reliability of SGW5 to estimate mean HR. However, the reliability of SGW5- derived PRV to extract sympathovagal correlates is still an open question and deserves further investigation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Samsung galaxy watch 5. https://www.samsung.com/it/watches/galaxy-watch/galaxy-watch5-40mm-graphite-bluetooth-sm-r900nzaaitv/. Accessed 2 Feb 2023
Beh, W.K., Wu, Y.H., Wu, A.Y.A.: Robust ppg-based mental workload assessment system using wearable devices. IEEE J. Biomed. Health Inf. (2021)
Birkhofer, A., Schmidt, G., Förstl, H.: Heart and brain–the influence of psychiatric disorders and their therapy on the heart rate variability. Fortschr. Neurol. Psychiatr. 73(4), 192–205 (2005)
Bishop, S.M., Ercole, A.: Multi-scale peak and trough detection optimised for periodic and quasi-periodic neuroscience data. In: Intracranial Pressure & Neuromonitoring XVI, pp. 189–195. Springer (2018)
Bland, J.M., Altman, D.: Statistical methods for assessing agreement between two methods of clinical measurement. The lancet 327(8476), 307–310 (1986)
Boukhechba, M., Cai, L., Wu, C., Barnes, L.E.: Actippg: using deep neural networks for activity recognition from wrist-worn photoplethysmography (ppg) sensors. Smart Health 14, 100082 (2019)
Burns, A., et al.: Shimmer™–a wireless sensor platform for noninvasive biomedical research. IEEE Sens. J. 10(9), 1527–1534 (2010)
Castaneda, D., Esparza, A., Ghamari, M., Soltanpur, C., Nazeran, H.: A review on wearable photoplethysmography sensors and their potential future applications in health care. Int. J. Biosens. & Bioelectron. 4(4), 195 (2018)
Hartikainen, S., Lipponen, J.A., Hiltunen, P., Rissanen, T.T., Kolk, I., Tarvainen, M.P., Martikainen, T.J., Castren, M., Väliaho, E.S., Jäntti, H.: Effectiveness of the chest strap electro-cardiogram to detect atrial fibrillation. Am. J. Cardiol. 123(10), 1643–1648 (2019)
He, J., Ou, J., He, A., Shu, L., Liu, T., Qu, R., Xu, X., Chen, Z., Yan, Y.: A new approach for daily life blood-pressure estimation using smart watch. Biomed. Signal Process. Control 75, 103616 (2022)
Hernando, D., Roca, S., Sancho, J., Alesanco, Á., Bailón, R.: Validation of the apple watch for heart rate variability measurements during relax and mental stress in healthy subjects. Sensors 18(8), 2619 (2018)
Lee, B.G., Lee, B.L., Chung, W.Y.: Smartwatch-based driver alertness monitoring with wearable motion and physiological sensor. In: 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 6126–6129. IEEE (2015)
Milstein, N., Gordon, I.: Validating measures of electrodermal activity and heart rate variability derived from the empatica e4 utilized in research settings that involve interactive dyadic states. Front. Behav. Neurosci. 14, 148 (2020)
Morelli, D., Bartoloni, L., Colombo, M., Plans, D., Clifton, D.A.: Profiling the propagation of error from ppg to hrv features in a wearable physiological-monitoring device. Healthc. Technol. Lett. 5(2), 59–64 (2018)
Nardelli, M., Vanello, N., Galperti, G., Greco, A., Scilingo, E.P.: Assessing the quality of heart rate variability estimated from wrist and finger ppg: a novel approach based on cross-mapping method. Sensors 20(11), 3156 (2020)
Paradiso, R., Loriga, G., Taccini, N.: A wearable health care system based on knitted integrated sensors. IEEE Trans. Inf. Technol. Biomed. 9(3), 337–344 (2005)
Roque, A.L., Valenti, V.E., Massetti, T., Da Silva, T.D., Monteiro, C.B.d.M., Oliveira, F.R., de Almeida Junior, Á.D., Lacerda, S.N.B., Pinasco, G.C., Nascimento, V.G., et al.: Chronic obstructive pulmonary disease and heart rate variability: a literature update. Int. Arch. Med. 7(1), 1–8 (2014)
Schaffarczyk, M., Rogers, B., Reer, R., Gronwald, T.: Validity of the polar h10 sensor for heart rate variability analysis during resting state and incremental exercise in recreational men and women. Sensors 22(17), 6536 (2022)
Selvaraj, N., Jaryal, A., Santhosh, J., Deepak, K.K., Anand, S.: Assessment of heart rate variability derived from finger-tip photoplethysmography as compared to electrocardiography. J. Med. Eng. Technol. 32(6), 479–484 (2008)
Shaffer, F., Ginsberg, J.P.: An overview of heart rate variability metrics and norms. Front. Public Health 258 (2017)
Sun, B., Zhang, Z.: Photoplethysmography-based heart rate monitoring using asymmetric least squares spectrum subtraction and bayesian decision theory. IEEE Sens. J. 15(12), 7161–7168 (2015)
Tajrishi, F.Z., Chitsazan, M., Chitsazan, M., Shojaei, F., Gunnam, V., Chi, G.: Smartwatch for the detection of atrial fibrillation. Crit. Pathw. Cardiol. 18(4), 176–184 (2019)
Tarvainen, M.P., Niskanen, J.P., Lipponen, J.A., Ranta-Aho, P.O., Karjalainen, P.A.: Kubios hrv–heart rate variability analysis software. Comput. Methods Programs Biomed. 113(1), 210–220 (2014)
Weiler, D.T., Villajuan, S.O., Edkins, L., Cleary, S., Saleem, J.J.: Wearable heart rate monitor technology accuracy in research: a comparative study between ppg and ecg technology. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 61, pp. 1292–1296. SAGE Publications Sage, Los Angeles, CA (2017)
Zhang, Y., Liu, B., Zhang, Z.: Combining ensemble empirical mode decomposition with spectrum subtraction technique for heart rate monitoring using wrist-type photoplethysmography. Biomed. Signal Process. Control 21, 119–125 (2015)
Zhang, Z.: Photoplethysmography-based heart rate monitoring in physical activities via joint sparse spectrum reconstruction. IEEE Trans. Biomed. Eng. 62(8), 1902–1910 (2015)
Zhang, Z., Pi, Z., Liu, B.: Troika: a general framework for heart rate monitoring using wrist-type photoplethysmographic signals during intensive physical exercise. IEEE Trans. Biomed. Eng. 62(2), 522–531 (2014)
Acknowledgment
Funded by the European Union. Views and opinions expressed are however those of the authors only and do not necessarily reflect those of the European Union. Neither the European Union nor the granting authority can be held responsible for them. The work is supported by European Union’s Horizon Europe Research and Innovation Programme under grant agreement No. 101057103 – project TOLIFE.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Rho, G. et al. (2024). Preliminary Assessment of the Samsung Galaxy Watch 5 Accuracy for the Monitoring of Heart Rate and Heart Rate Variability Parameters. In: Badnjević, A., Gurbeta Pokvić, L. (eds) MEDICON’23 and CMBEBIH’23. MEDICON CMBEBIH 2023 2023. IFMBE Proceedings, vol 93. Springer, Cham. https://doi.org/10.1007/978-3-031-49062-0_3
Download citation
DOI: https://doi.org/10.1007/978-3-031-49062-0_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-49061-3
Online ISBN: 978-3-031-49062-0
eBook Packages: EngineeringEngineering (R0)