Assessment of the Fitbit Charge 2 for monitoring heart rate
Open accessAbstract
Fitness trackers are devices or applications for monitoring and tracking fitness-related metrics such as distance walked or run, calorie consumption, quality of sleep and heart rate. Since accurate heart rate monitoring is essential in fitness training, the objective of this study was to assess the accuracy and precision of the Fitbit Charge 2 for measuring heart rate with respect to a gold standard electrocardiograph. Fifteen healthy participants were asked to ride a stationary bike for 10 minutes and their heart rate was simultaneously recorded from each device. Results showed that the Fitbit Charge 2 underestimates the heart rate. Although the mean bias in measuring heart rate was a modest -5.9 bpm (95% CI: -6.1 to -5.6 bpm), the limits of agreement, which indicate the precision of individual measurements, between the Fitbit Charge 2 and criterion measure were wide (+16.8 to -28.5 bpm) indicating that an individual heart rate measure could plausibly be underestimated by almost 30 bpm.
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On average, wearables slightly and negligibly underestimate absolute heart rate (−0.9 to −7.2 bpm) compared with gold-standard electrocardiogram.
“Current research verifying wearables to the gold-standard ECG, which uses electrodes to directly measure cardiac muscular contractions from electrical activity of the heart, have shown that on average wearables slightly and negligibly underestimate (−0.9 to −7.2 bpm) absolute HR40,41,44,52”
From Guidelines for wrist-worn consumer wearable assessment of heart rate in biobehavioral research (2020) · cites this paper as [52]
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Cites
Measuring agreement in method comparison studies
Bland, J. M., & Altman, D. G. (1999) · Statistical Methods in Medical Research · doi:10.1177/096228029900800204 · Cited by 9,619 · see citing works
Fully integrated wearable sensor arrays for multiplexed in situ perspiration analysis
Gao, W., Emaminejad, S., Nyein, H. Y. Y., Challa, S., Chen, K., Peck, A., Fahad, H. M., Ota, H., Shiraki, H., Kiriya, D., et al. (2016) · Nature · doi:10.1038/nature16521 · Cited by 5,087 · see citing works
Photoplethysmography and its application in clinical physiological measurement
Allen, J. (2007) · Physiological Measurement · doi:10.1088/0967-3334/28/3/r01 · Cited by 3,967 · see citing works
Agreement Between Methods of Measurement with Multiple Observations Per Individual
Bland, J. M., & Altman, D. G. (2007) · Journal of Biopharmaceutical Statistics · doi:10.1080/10543400701329422 · Cited by 1,864 · see citing works
Achten, J., & Jeukendrup, A. E. (2003) · Sports Medicine · doi:10.2165/00007256-200333070-00004 · Cited by 1,202 · see citing works
Shcherbina, A., Mattsson, C., Waggott, D., Salisbury, H., Christle, J., Hastie, T., Wheeler, M., & Ashley, E. (2017) · Journal of Personalized Medicine · doi:10.3390/jpm7020003 · Cited by 625 · see citing works
Accuracy of wrist-worn heart rate monitors
Wang, R., Blackburn, G., Desai, M., Phelan, D., Gillinov, L., Houghtaling, P., & Gillinov, M. (2017) · JAMA Cardiology · doi:10.1001/jamacardio.2016.3340 · Cited by 386 · see citing works
Utility of the Photoplethysmogram in Circulatory Monitoring
Reisner, A. T., Shaltis, P., McCombie, D. B., Asada, H. H., Warner, D. S., & Warner, M. A. A. (2008) · Anesthesiology · doi:10.1097/aln.0b013e31816c89e1 · Cited by 365 · see citing works
Variable Accuracy of Wearable Heart Rate Monitors during Aerobic Exercise
GILLINOV, S., ETIWY, M., WANG, R., BLACKBURN, G., PHELAN, D., GILLINOV, A. M., HOUGHTALING, P., JAVADIKASGARI, H., & DESAI, M. Y. (2017) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001284 · Cited by 345 · see citing works
Accuracy of Heart Rate Watches: Implications for Weight Management
Wallen, M. P., Gomersall, S. R., Keating, S. E., Wisløff, U., & Coombes, J. S. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154420 · Cited by 336 · see citing works
Validation of the Fitbit One activity monitor device during treadmill walking
Takacs, J., Pollock, C. L., Guenther, J. R., Bahar, M., Napier, C., & Hunt, M. A. (2013) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2013.10.241 · Cited by 322 · see citing works
Stahl, S. E., An, H.-S., Dinkel, D. M., Noble, J. M., & Lee, J.-M. (2016) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2015-000106 · Cited by 276 · see citing works
How consumer physical activity monitors could transform human physiology research
Wright, S. P., Hall Brown, T. S., Collier, S. R., & Sandberg, K. (2017) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00349.2016 · Cited by 234 · see citing works
de Zambotti, M., Baker, F. C., Willoughby, A. R., Godino, J. G., Wing, D., Patrick, K., & Colrain, I. M. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.03.006 · Cited by 222 · see citing works
Jin, H., Huynh, T.-P., & Haick, H. (2016) · Nano Letters · doi:10.1021/acs.nanolett.6b01066 · Cited by 167 · see citing works
Validation of Biofeedback Wearables for Photoplethysmographic Heart Rate Tracking.
(2016) · PubMed Central · Cited by 150 · see citing works
Evaluation of wearable consumer heart rate monitors based on photopletysmography
Parak, J., & Korhonen, I. (2014) · 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society · doi:10.1109/embc.2014.6944419 · Cited by 148 · see citing works
Validation of photoplethysmography as a method to detect heart rate during rest and exercise
Spierer, D. K., Rosen, Z., Litman, L. L., & Fujii, K. (2015) · Journal of Medical Engineering & Technology · doi:10.3109/03091902.2015.1047536 · Cited by 139 · see citing works
Nazari, G., MacDermid, J. C., Sinden, K. E., Richardson, J. A., & Tang, A. (2017) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001842 · Cited by 99 · see citing works
The Accuracy of Heart Rate Monitoring by Some Wrist-Worn Activity Trackers
Cadmus‐Bertram, L., Gangnon, R. E., Wirkus, E. J., Thraen-Borowski, K. M., & Gorzelitz, J. (2017) · Annals of Internal Medicine · doi:10.7326/l16-0353 · Cited by 80 · see citing works
Optical Techniques in the Assessment of Peripheral Arterial Disease
Alnaeb, M. E., Alobaid, N., Seifalian, A. M., Mikhailidis, D. P., & Hamilton, G. (2006) · Current Vascular Pharmacology · doi:10.2174/157016107779317242 · Cited by 69 · see citing works
Analysis of photoplethysmographic signals of cardiovascular patients
Murthy, V. S., Ramamoorthy, S., Srinivasan, N., Rajagopal, S., & Rao, M. M. (2005) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2001.1017209 · Cited by 57 · see citing works
Validation of a Self‐Monitoring Tool for Use in Exercise Therapy
Powierza, C. S., Clark, M., Hughes, J. M., Carneiro, K. A., & Mihalik, J. P. (2017) · PM&R · doi:10.1016/j.pmrj.2017.03.012 · Cited by 17 · see citing works
Examining The Validity Of Fitbit Charge HR For Measuring Heart Rate In Free-living Conditions
Lee, J.-M. M., An, H., Kang, S., et al. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000487361.48518.aa · Cited by 6 · see citing works
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Fuller, D., Colwell, E., Low, J., Orychock, K., Tobin, M. A., Simango, B., Buote, R., Van Heerden, D., Luan, H., Cullen, K., et al. (2020) · JMIR mHealth and uHealth · doi:10.2196/18694 · Cited by 715 · see citing works
Wearable Sleep Technology in Clinical and Research Settings
DE ZAMBOTTI, M., CELLINI, N., GOLDSTONE, A., COLRAIN, I. M., & BAKER, F. C. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001947 · Cited by 564 · see citing works
Nelson, B. W., & Allen, N. B. (2019) · JMIR mHealth and uHealth · doi:10.2196/10828 · Cited by 310 · see citing works
Guidelines for wrist-worn consumer wearable assessment of heart rate in biobehavioral research
Nelson, B. W., Low, C. A., Jacobson, N., Areán, P., Torous, J., & Allen, N. B. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0297-4 · Cited by 241 · see citing works
Taj-Eldin, M., Ryan, C., O’Flynn, B., & Galvin, P. (2018) · Sensors · doi:10.3390/s18124271 · Cited by 142 · see citing works
Chow, H.-W., & Yang, C.-C. (2020) · JMIR mHealth and uHealth · doi:10.2196/14707 · Cited by 140 · see citing works
“Similar findings were also reported in previous studies [11,12] and could represent a general characteristic of optical heart rate fitness trackers.”
InfluentialTedesco, S., Sica, M., Ancillao, A., Timmons, S., Barton, J., & O’Flynn, B. (2019) · PLOS ONE · doi:10.1371/journal.pone.0216891 · Cited by 116 · see citing works
Bentley, K. H., Kleiman, E. M., Elliott, G., Huffman, J. C., & Nock, M. K. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.11.017 · Cited by 88 · see citing works
An Ultra Low Power Personalizable Wrist Worn ECG Monitor Integrated With IoT Infrastructure
Beach, C., Krachunov, S., Pope, J., Fafoutis, X., Piechocki, R. J., Craddock, I., & Casson, A. J. (2018) · IEEE Access · doi:10.1109/access.2018.2864675 · Cited by 91 · see citing works
Zhang, Y., Weaver, R. G., Armstrong, B., Burkart, S., Zhang, S., & Beets, M. W. (2020) · Journal of Sports Sciences · doi:10.1080/02640414.2020.1767348 · Cited by 88 · see citing works
O’Mahony, A. M., Garvey, J. F., & McNicholas, W. T. (2020) · Journal of Thoracic Disease · doi:10.21037/jtd-sleep-2020-003 · Cited by 45 · see citing works
Smith, K. E., Mason, T. B., Juarascio, A., Schaefer, L. M., Crosby, R. D., Engel, S. G., & Wonderlich, S. A. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23124 · Cited by 34 · see citing works
Mind over body: interfering with the inner voice is detrimental to endurance performance
Nedergaard, J. S. K., Christensen, M. S., & Wallentin, M. (2023) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2023.102472 · Cited by 7 · see citing works
Kostrna, J., Oparina, E., Palacios, C., Rodriguez, A. J., Pei, J., Ajmal, A., & Ramella-Roman, J. C. (2026) · Sensors · doi:10.3390/s26102922 · Cited by 2 · see citing works
- Authors
- Benedetto, S., Caldato, C., Bazzan, E., Greenwood, D. C., Pensabene, V., & Actis, P.
- Affiliations
- University of Leeds (GB)
- Corresponding author
- Benedetto, Simone
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-02-28
- Volume
- 13
- Issue
- 2
- Pages
- e0192691
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5831032
- OpenAlex
- W2785539913
- Cited by
- 149
- References
- 24
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 20 · 2023: 21 · 2022: 22 · 2021: 17 · 2020: 15 · 2019: 32 · 2018: 12
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- heart rate monitoring, wearable activity trackers, wearable devices, measurement accuracy, measurement precision, electrocardiogram, stationary cycling, bias, limits of agreement
- MeSH terms
- Heart Rate, Humans, Monitoring, Physiologic, Actigraphy
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