A Critical Review of Consumer Wearables, Mobile Applications, and Equipment for Providing Biofeedback, Monitoring Stress, and Sleep in Physically Active Populations
Open accessAbstract
The commercial market for technologies to monitor and improve personal health and sports performance is ever expanding. A wide range of smart watches, bands, garments, and patches with embedded sensors, small portable devices and mobile applications now exist to record and provide users with feedback on many different physical performance variables. These variables include cardiorespiratory function, movement patterns, sweat analysis, tissue oxygenation, sleep, emotional state, and changes in cognitive function following concussion. In this review, we have summarized the features and evaluated the characteristics of a cross-section of technologies for health and sports performance according to what the technology is claimed to do, whether it has been validated and is reliable, and if it is suitable for general consumer use. Consumers who are choosing new technology should consider whether it (1) produces desirable (or non-desirable) outcomes, (2) has been developed based on real-world need, and (3) has been tested and proven effective in applied studies in different settings. Among the technologies included in this review, more than half have not been validated through independent research. Only 5% of the technologies have been formally validated. Around 10% of technologies have been developed for and used in research. The value of such technologies for consumer use is debatable, however, because they may require extra time to set up and interpret the data they produce. Looking to the future, the rapidly expanding market of health and sports performance technology has much to offer consumers. To create a competitive advantage, companies producing health and performance technologies should consult with consumers to identify real-world need, and invest in research to prove the effectiveness of their products. To get the best value, consumers should carefully select such products, not only based on their personal needs, but also according to the strength of supporting evidence and effectiveness of the products.
AI snapshot
Written from the paper’s full text.
TL;DR
This critical review surveys consumer wearables, mobile apps, and equipment for biofeedback, stress monitoring, and sleep in physically active populations, evaluating what each technology claims to do, whether it has been validated, and whether it is commercially available. It concludes that more than half of the reviewed technologies lack independent validation, with only 5% formally validated and about 10% developed for and used in research.
Key findings
- Across the reviewed technologies, more than half had not been validated through independent research, only 5% had been formally validated, and around 10% had been developed for and used in research.
- Some devices showed strong validation: BSX Insight had high to very high agreement with blood lactate (ICC >0.80) and very good reliability (ICC 0.97; CV 1.2%); Hexoskin showed very high agreement with ECG heart rate (ICC >0.95; CV <0.8%), respiration rate (ICC >0.95; CV <1.4%), and moderate-to-very-high agreement with hip motion intensity (ICC 0.80–0.96; CV <6.4%).
- Sleep trackers had mixed accuracy: UP had high sleep sensitivity (0.97) but low wake specificity (0.37), overestimated total sleep time by 26.6 ± 35.3 min, and underestimated wake after sleep onset by 31.2 ± 32.3 min; OURA had high sleep sensitivity (0.96) but lower sensitivity for light sleep (0.65), deep sleep (0.51), and REM sleep (0.61), with poor wake specificity (0.48).
- The Personal Activity Intelligence algorithm, though not the Mio SLICE™ device itself, was tested clinically: individuals with a PAI score ≥100 had a 17–23% lower risk of death from cardiovascular diseases.
Methods
- Critical review; technologies were identified by searching the internet and scientific literature databases such as PubMed using key terms including “technology,” “hydration,” “sweat analysis,” “heart rate,” “respiration,” “biofeedback,” “muscle oxygenation,” “sleep,” “cognitive function,” and “concussion.”
- Commercial technology websites were examined for links to research, and published research literature was sourced where applicable.
- Technologies were grouped into categories: hydration/metabolism; training loads, movement patterns, and injury risks; heart rate, HRV, and breathing; sleep; and psychological stress, cognitive function, and concussion. Each was assessed for claimed function, independent validation, reliability/calibration needs, and commercial availability.
Limitations
- Stated in the paper: the list of products is not exhaustive and is intended as a cross-sectional summary; many technologies have not been independently validated, and rigorous validation is difficult for some products, such as cognitive-function apps, because no single gold-standard neurological measurement exists.
- Stated in the paper: proprietary algorithms, lack of independent data access, non-random assignment of device use, and possible company budget constraints or reluctance to face public scrutiny restrict validation and open engagement.
- Evident from the text: the review is narrative and cross-sectional rather than systematic; search and inclusion methods are not reported in enough detail to reproduce the search or assess completeness, and validation status is summarized from selected sources and company websites.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 77 cited sources checked · 0 supported · 0 flagged
- Findingnone given
Around 10% of technologies included in this review have been developed for and used in research.
“Around 10% of technologies have been developed for and used in research.”
Quote in the paperNot a substantial claim - Findingnone given
Very few of the wearable and portable hardware devices developed to assess hydration status and metabolism have been independently validated to determine their accuracy and reliability.
“Very few of the devices have been independently validated to determine their accuracy and reliability.”
Quote in the paperNot a substantial claim - Findingnone given
Some data provided by the OmegaWave (e.g., energy supply, hormonal function, and detoxification) are not measured directly.
“However, one limitation of the OmegaWave is that some of the data it provides (e.g., energy supply, hormonal function, and detoxification) are not measured directly.”
Quote in the paperNot a substantial claim - Findingnone given
Only 5% of the technologies included in this review have been formally validated.
“Only 5% of the technologies have been formally validated.”
Quote in the paperSubstantial claim - Findingnone given
Among the technologies included in this review, more than half have not been validated through independent research.
“Among the technologies included in this review, more than half have not been validated through independent research.”
Quote in the paperSubstantial claim
- Findingnone given
None of the devices in Table 2 have been independently tested to determine their validity or reliability.
“None of these devices have been independently tested to determine their validity or reliability.”
Quote in the paperSubstantial claim - Findingreasoning
The HELO smart watch's claimed health benefits are not supported by published or peer-reviewed clinical studies.
“It also claims to have some more dubious health benefits, none of which are supported by published or peer-reviewed clinical studies.”
Quote in the paperNot a substantial claim - Findingnone given
The Biostrap smart watch has not obviously been validated.
“Although it has not obviously been validated, the company provides a link to research opportunities using their products, which suggests confidence in their products and a willingness to engage in research.”
Quote in the paperNot a substantial claim - Findingnone given
The Athos garments have not been properly validated.
“Likewise, the Athos garments contain EMG sensors, but the garments have not been properly validated.”
Quote in the paperNot a substantial claim - Findingnone given
The Mio SLICE wristband itself has not been validated.
“Although this device itself has not been validated, the Personal Activity Intelligence algorithm has been tested in a clinical study (Nes et al., 2017).”
Quote in the paperNot a substantial claim - Findingnone given
The Spire device has not been formally validated in the scientific literature.
“Although this device has not been formally validated in the scientific literature, it was developed through an extended period of university research.”
Quote in the paperNot a substantial claim - Findingnone given
There is no research to date evaluating cognitive load in athletes.
“Research exists on cognitive load while walking in healthy young and older adults (Mirelman et al., 2014; Beurskens et al., 2016; Fraser et al., 2016), but there does not appear to be any research to date evaluating cognitive load in athletes.”
Quote in the paperNot a substantial claim - Findingnone given
The technology for measuring EEG activity and cognitive function has not been validated against gold standards.
“Although the technology has not been validated against gold standards, there is support from the broader scientific literature for the benefits of biofeedback technology for reducing stress and anxiety (Brandmeyer and Delorme, 2013).”
Quote in the paperNot a substantial claim - Findingnone given
Several wearable sleep devices have been validated against gold-standard polysomnography.
“Several of these devices have been validated against gold-standard polysomnography.”
Quote in the paperNot a substantial claim - Findingnone given
The Withings Aura and REM Sleep Tracker, Re-Timer and AYO have not been independently validated.
“Although devices such as the Withings Aura and REM Sleep Tracker, Re-Timer and AYO have not been independently validated, other scientific research supports the benefits of applying blue light to improve sleep quality (Viola et al., 2008; Gabel et al., 2013; Geerdink et al., 2016).”
Quote in the paperNot a substantial claim - Findingreasoning
These devices all measure physiological signals directly from the brain and other parts of the body.
“These devices all measure physiological signals directly from the brain and other parts of the body.”
Quote in the paperNot a substantial claim - Findingnone given
Most of the health and performance technologies reviewed have been developed based on real-world needs.
“Most of the health and performance technologies that we have reviewed have been developed based on real-world needs, yet only a small proportion has been proven effective through rigorous, independent validation (Figure 3).”
Quote in the paperNot a substantial claim - Findingreasoning
Through regular use in academic research, it has become accepted that some technologies provide reliable and specific data on measurement items of interest.
“Some technologies included in this review have not been independently validated per se; but through regular use in academic research, it has become accepted that they provide reliable and specific data on measurement items of interest.”
Quote in the paperSubstantial claim - Findingnone given
The BrainCheck Sport mobile application has not been independently validated.
“It has not been independently validated, but is quick and uses an array of common cognitive assessment tools.”
Quote in the paperNot a substantial claim - Findingnone given
Companies are not consistently publishing data in scientific journals.
“Currently, very few companies have established such registries, and they are not consistently publishing data in scientific journals.”
Quote in the paperSubstantial claim - Findingnone given
The X-Patch Pro device has not been scientifically validated against any gold standard.
“Although it has not been scientifically validated against any gold standard, it has been used in published concussion research projects (Swartz et al., 2015; Reynolds et al., 2016), which supports its sensitivity for assessing head impact forces.”
Quote in the paperNot a substantial claim - Findingnone given
Very few companies have established registries of people who use their devices.
“Currently, very few companies have established such registries, and they are not consistently publishing data in scientific journals.”
Quote in the paperNot a substantial claim - Findingown data
Only a small proportion of the reviewed health and performance technologies has been proven effective through rigorous, independent validation.
“Most of the health and performance technologies that we have reviewed have been developed based on real-world needs, yet only a small proportion has been proven effective through rigorous, independent validation (Figure 3).”
Quote in the paperSubstantial claim - Findingreasoning
Some technologies included in this review have not been independently validated per se.
“Some technologies included in this review have not been independently validated per se; but through regular use in academic research, it has become accepted that they provide reliable and specific data on measurement items of interest.”
Quote in the paperSubstantial claim - Interpretationnone given
The main limitation of the Moxy, PortaMon, and Oxymon devices is that some expertise is required to interpret the data they produce.
“The main limitation of these devices is that some expertise is required to interpret the data that they produce.”
Quote in the paperNot a substantial claim - Premisecitation
The BSX Insight device has very good reliability (intraclass correlation coefficient 0.97; coefficient of variation 1.2%).
“It also has very good reliability (intraclass correlation coefficient 0.97; coefficient of variation 1.2%) (Borges and Driller, 2016).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Borges and Driller, 2016
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- Premisecitation
The Hexoskin device demonstrates very high agreement with respiration rate measured by turbine respirometer (intraclass correlation coefficient >0.95; coefficient of variation <1.4%).
“very high agreement with respiration rate measured by turbine respirometer (intraclass correlation coefficient >0.95; coefficient of variation <1.4%)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Villar et al., 2015 source
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- Interpretationreasoning
With the variety of metrics in mobile applications for training loads and injury records-which are generally recorded indirectly-it is difficult to perform rigorous validation studies on these products.
“With such a variety of metrics—which are generally recorded indirectly—it is difficult to perform rigorous validation studies on these products.”
Quote in the paperNot a substantial claim - Premisecitation
The BSX Insight wearable sleeve has been tested independently.
“The BSX Insight wearable sleeve has been tested independently (Borges and Driller, 2016).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Borges and Driller, 2016
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- Interpretationreasoning
Another limitation of some mobile applications for training loads and injury records is the large amount of data they record and how to make sense of all the data.
“Another limitation of some of these applications is the large amount of data they record and how to make sense of all the data.”
Quote in the paperNot a substantial claim - Interpretationnone given
Various devices and mobile applications for monitoring physiological stress and workloads during exercise offer some potential advantages and functionality over traditional heart rate monitors to assess demands on the autonomic nervous system and the cardiovascular system during and after exercise.
“The devices offer some potential advantages and functionality over traditional heart rate monitors to assess demands on the autonomic nervous system and the cardiovascular system during and after exercise.”
Quote in the paperSubstantial claim - Premisecitation
Compared with blood lactate measurements during a graded exercise test, the BSX Insight device has high to very high agreement (intraclass correlation coefficient >0.80).
“Compared with blood lactate measurements during a graded exercise test, this device has high to very high agreement (intraclass correlation coefficient >0.80).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Borges and Driller, 2016
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- Interpretationnone given
For the Humon Hex and similar muscle oxygenation devices, it is unclear how reference limits are set or established for functions such as guiding warm-ups, monitoring exercise thresholds and recovery.
“For these devices, it is unclear how reference limits are set, or established for such functions.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The validity and meaningfulness of OmegaWave data that are not measured directly is uncertain.
“Accordingly, the validity and meaningfulness of such data is uncertain.”
Quote in the paperSubstantial claim - Interpretationcitation
It is uncertain if or how the Lief patch (and other devices) distinguishes between changes in breathing rate and heart rate variability associated with resting stress as opposed to exercise stress.
“If worn continuously, it is uncertain if or how this device (and others) distinguishes between changes in breathing rate and HRV associated with “resting” stress, as opposed to exercise stress (Dupré et al., 2018).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Dupré et al., 2018 source
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- Premisecitation
The PortaMon device has been validated against phosphorus magnetic resonance spectroscopy (31P-MRS).
“The PortaMon device has been validated against phosphorus magnetic resonance spectroscopy (31P-MRS) (Ryan et al., 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ryan et al., 2013 source
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- Interpretationreasoning
Sweat pads/patches developed at academic institutions have potential applications for measuring heat stress, dehydration and metabolism in athletes, soldiers, firefighters, and industrial laborers who exercise or work in hot environments.
“These devices have potential applications for measuring heat stress, dehydration and metabolism in athletes, soldiers, firefighters, and industrial laborers who exercise or work in hot environments.”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation
The Hexoskin garment has been independently validated.
“It has been independently validated (Villar et al., 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Villar et al., 2015 source
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- Premisecitation
The Personal Activity Intelligence algorithm has been tested in a clinical study.
“Although this device itself has not been validated, the Personal Activity Intelligence algorithm has been tested in a clinical study (Nes et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nes et al., 2017 source
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- Interpretationcitation
The BSX Insight device likely offers some useful features for monitoring muscle oxygenation and lactate non-invasively during exercise.
“This device likely offers some useful features for monitoring muscle oxygenation and lactate non-invasively during exercise.”
Quote in the paperSubstantial claim - Premisecitation
The Hexoskin device demonstrates very high agreement with heart rate measured by ECG (intraclass correlation coefficient >0.95; coefficient of variation <0.8%).
“The device demonstrates very high agreement with heart rate measured by ECG (intraclass correlation coefficient >0.95; coefficient of variation <0.8%)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Villar et al., 2015 source
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- Premisecitation
Individuals with a Personal Activity Intelligence score ≥100 had a 17-23% lower risk of death from cardiovascular diseases.
“The results of this study demonstrated that individuals with a Personal Activity Intelligence score ≥100 had a 17–23% lower risk of death from cardiovascular diseases.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nes et al., 2017 source
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- Premisecitation
Other scientific research supports the benefits of applying blue light to improve sleep quality.
“Although devices such as the Withings Aura and REM Sleep Tracker, Re-Timer and AYO have not been independently validated, other scientific research supports the benefits of applying blue light to improve sleep quality (Viola et al., 2008; Gabel et al., 2013; Geerdink et al., 2016).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation
The OURA ring recorded similar sleep latency onset compared with polysomnography.
“In a validation study of the OURA ring, it was shown to record similar total sleep time, sleep latency onset and wake after sleep onset, and had high sensitivity for detecting sleep (0.96).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
Compared with polysomnography, the UP device overestimates sleep onset latency (5.2 ± 9.6 min).
“One study reported that compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97), and low specificity for detecting wake (0.37), whereas it overestimates total sleep time (26.6 ± 35.3 min) and sleep onset latency (5.2 ± 9.6 min), and underestimates wake after sleep onset (31.2 ± 32.3 min) (de Zambotti et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2015 source
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- Premisecitation
Compared with polysomnography, the UP device underestimates wake after sleep onset (31.2 ± 32.3 min).
“One study reported that compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97), and low specificity for detecting wake (0.37), whereas it overestimates total sleep time (26.6 ± 35.3 min) and sleep onset latency (5.2 ± 9.6 min), and underestimates wake after sleep onset (31.2 ± 32.3 min) (de Zambotti et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2015 source
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The OURA ring overestimated the rapid eye movement sleep stage of sleep by about 17 min.
“It also underestimated deep sleep by about 20 min, and overestimated the rapid eye movement sleep stage of sleep by about 17 min (de Zambotti et al., 2017b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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The OURA ring had high sensitivity for detecting sleep (0.96).
“In a validation study of the OURA ring, it was shown to record similar total sleep time, sleep latency onset and wake after sleep onset, and had high sensitivity for detecting sleep (0.96).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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Measurements obtained using the UP device correlate with time in bed (r = 0.79).
“Another study reported that measurements obtained using the UP device correlated with total sleep time (r = 0.63) and time in bed (r = 0.79), but did not correlate with measurements of deep sleep, light sleep or sleep efficiency (Gruwez et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruwez et al., 2017 source
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Several studies have reported similar findings for the Fitbit Flex device.
“Several studies have reported similar findings for the Fitbit Flex™ device (Montgomery-Downs et al., 2012; Mantua et al., 2016; Kang et al., 2017).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation
Measurements obtained using the UP device do not correlate with measurements of light sleep.
“Another study reported that measurements obtained using the UP device correlated with total sleep time (r = 0.63) and time in bed (r = 0.79), but did not correlate with measurements of deep sleep, light sleep or sleep efficiency (Gruwez et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruwez et al., 2017 source
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- Premisecitation
The OURA ring had lower sensitivity for detecting deep sleep (0.51).
“However, it had lower sensitivity for detecting light sleep (0.65), deep sleep (0.51) and rapid eye movement sleep (0.61), and relatively poor specificity for detecting wake (0.48).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
Measurements obtained using the UP device correlate with total sleep time (r = 0.63).
“Another study reported that measurements obtained using the UP device correlated with total sleep time (r = 0.63) and time in bed (r = 0.79), but did not correlate with measurements of deep sleep, light sleep or sleep efficiency (Gruwez et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruwez et al., 2017 source
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- Premisecitation
The OURA ring recorded similar total sleep time compared with polysomnography.
“In a validation study of the OURA ring, it was shown to record similar total sleep time, sleep latency onset and wake after sleep onset, and had high sensitivity for detecting sleep (0.96).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
The OURA ring had relatively poor specificity for detecting wake (0.48).
“However, it had lower sensitivity for detecting light sleep (0.65), deep sleep (0.51) and rapid eye movement sleep (0.61), and relatively poor specificity for detecting wake (0.48).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
The OURA ring had lower sensitivity for detecting rapid eye movement sleep (0.61).
“However, it had lower sensitivity for detecting light sleep (0.65), deep sleep (0.51) and rapid eye movement sleep (0.61), and relatively poor specificity for detecting wake (0.48).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
There is support from the broader scientific literature for the benefits of biofeedback technology for reducing stress and anxiety.
“Although the technology has not been validated against gold standards, there is support from the broader scientific literature for the benefits of biofeedback technology for reducing stress and anxiety (Brandmeyer and Delorme, 2013).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Brandmeyer and Delorme, 2013
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- Premisecitation
Similar results were recently reported for the Fitbit Charge2 device.
“Similar results were recently reported for the Fitbit Charge2™ device (de Zambotti et al., 2017a).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017a
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- Premisecitation
Compared with polysomnography, the UP device has low specificity for detecting wake (0.37).
“One study reported that compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97), and low specificity for detecting wake (0.37), whereas it overestimates total sleep time (26.6 ± 35.3 min) and sleep onset latency (5.2 ± 9.6 min), and underestimates wake after sleep onset (31.2 ± 32.3 min) (de Zambotti et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2015 source
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- Premisecitation
The Hexoskin device demonstrates moderate to very high agreement with hip motion intensity measured using a separate accelerometer placed on the hip (intraclass correlation coefficient 0.80 to 0.96; coefficient of variation <6.4%).
“moderate to very high agreement with hip motion intensity measured using a separate accelerometer placed on the hip (intraclass correlation coefficient 0.80 to 0.96; coefficient of variation <6.4%)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Villar et al., 2015 source
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- Premisecitation
Compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97).
“One study reported that compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97), and low specificity for detecting wake (0.37), whereas it overestimates total sleep time (26.6 ± 35.3 min) and sleep onset latency (5.2 ± 9.6 min), and underestimates wake after sleep onset (31.2 ± 32.3 min) (de Zambotti et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2015 source
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- Premisecitation
The OURA ring recorded similar wake after sleep onset compared with polysomnography.
“In a validation study of the OURA ring, it was shown to record similar total sleep time, sleep latency onset and wake after sleep onset, and had high sensitivity for detecting sleep (0.96).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
The OURA ring underestimated deep sleep by about 20 min.
“It also underestimated deep sleep by about 20 min, and overestimated the rapid eye movement sleep stage of sleep by about 17 min (de Zambotti et al., 2017b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
Measurements obtained using the UP device do not correlate with measurements of sleep efficiency.
“Another study reported that measurements obtained using the UP device correlated with total sleep time (r = 0.63) and time in bed (r = 0.79), but did not correlate with measurements of deep sleep, light sleep or sleep efficiency (Gruwez et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruwez et al., 2017 source
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- Premisecitation
Measurements obtained using the UP device do not correlate with measurements of deep sleep.
“Another study reported that measurements obtained using the UP device correlated with total sleep time (r = 0.63) and time in bed (r = 0.79), but did not correlate with measurements of deep sleep, light sleep or sleep efficiency (Gruwez et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruwez et al., 2017 source
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- Premisecitation
Compared with polysomnography, the UP device overestimates total sleep time (26.6 ± 35.3 min).
“One study reported that compared with polysomnography, the UP device has high sensitivity for detecting sleep (0.97), and low specificity for detecting wake (0.37), whereas it overestimates total sleep time (26.6 ± 35.3 min) and sleep onset latency (5.2 ± 9.6 min), and underestimates wake after sleep onset (31.2 ± 32.3 min) (de Zambotti et al., 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2015 source
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- Premisecitation
The OURA ring had lower sensitivity for detecting light sleep (0.65).
“However, it had lower sensitivity for detecting light sleep (0.65), deep sleep (0.51) and rapid eye movement sleep (0.61), and relatively poor specificity for detecting wake (0.48).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites de Zambotti et al., 2017b
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- Premisecitation
The Sway mobile application's balance measurements have been validated in small scale studies.
“Its balance measurements have been validated in small scale studies (Patterson et al., 2014a,b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Patterson et al., 2014a,b
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- Interpretationcitation
Use of the X-Patch Pro in published research supports its sensitivity for assessing head impact forces.
“which supports its sensitivity for assessing head impact forces.”
Quote in the paperNot a substantial claim - Premisecitation
The X-Patch Pro device has been used in published concussion research projects.
“it has been used in published concussion research projects (Swartz et al., 2015; Reynolds et al., 2016)”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
Worsening King-Devick Test scores were restricted to boxers with head trauma.
“They discovered that worsening scores for the King-Devick Test® were restricted to boxers with head trauma.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Galetta et al., 2011 source
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- Interpretationreasoning
The EyeSync device has not been validated.
“It is not yet commercially available, and has therefore not been validated.”
Quote in the paperNot a substantial claim - Premisecitation
King-Devick Test performance is significantly impaired in American football players, rugby league players, and combat soldiers experiencing concussion.
“Performance in the King-Devick Test® is significantly impaired in American football players (Seidman et al., 2015), rugby league players (King et al., 2015), and combat soldiers (Walsh et al., 2016) experiencing concussion.”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
Lack of access to data by independent scientists restricts open engagement between the technology industry and the public.
“Proprietary algorithms used for data processing, the lack of access to data by independent scientists, and non-random assignment of device use are also factors that are restricting open engagement between the technology industry and the public at the present time (Baron et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baron et al., 2017 source
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- Premisecitation
The King-Devick Test showed high test-retest reliability (ICC 0.97 [95% CI 0.90-1.0]).
“and showed high test–retest reliability (intraclass correlation coefficient 0.97 [95% confidence interval 0.90–1.0]).”
- Also stated in: § Technologies for monitoring psychological stress and evaluating cognitive function · plain
“Other studies have reported a very similar level of reliability (King et al., 2015).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Also stated in: § Technologies for monitoring psychological stress and evaluating cognitive function · plain
- Interpretationreasoning
It is unlikely that researchers would continue using technologies if they did not offer reliable and specific data.
“Even without formal independent validation, it is unlikely (in most instances at least) that researchers would continue using such technologies if they did not offer reliable and specific data.”
Quote in the paperNot a substantial claim - Premisecitation
Sway test performance was positively correlated with Biodex Balance System SD performance (r = 0.63; p < 0.01).
“and positively correlated (r = 0.63; p < 0.01) with performance in the Biodex Balance System SD (Patterson et al., 2014b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Patterson et al., 2014b
Not checked in the free run.
- Premisecitation
Non-random assignment of device use restricts open engagement between the technology industry and the public.
“Proprietary algorithms used for data processing, the lack of access to data by independent scientists, and non-random assignment of device use are also factors that are restricting open engagement between the technology industry and the public at the present time (Baron et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baron et al., 2017 source
Not checked in the free run.
- Premisecitation
King-Devick Test scores correlated with Military Acute Concussion Evaluation scores (ρ = 90; p = 0.0001).
“These scores also correlated (ρ = 90; p = 0.0001) with scores from the Military Acute Concussion Evaluation”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Galetta et al., 2011 source
Not checked in the free run.
- Premisecitation
Proprietary algorithms used for data processing restrict open engagement between the technology industry and the public.
“Proprietary algorithms used for data processing, the lack of access to data by independent scientists, and non-random assignment of device use are also factors that are restricting open engagement between the technology industry and the public at the present time (Baron et al., 2017).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Baron et al., 2017 source
Not checked in the free run.
- Interpretationnone given
Helmetless sports have fewer options for such accuracy and actionable data.
“However, helmetless sports have fewer options for such accuracy and actionable data.”
Quote in the paperNot a substantial claim - Premisecitation
Scientific validation may be more achievable in healthy populations compared with populations who have certain health conditions.
“Scientific validation may be more achievable in healthy populations compared with populations who have certain health conditions (Baron et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baron et al., 2017 source
Not checked in the free run.
- Premisecitation
The Head Impact Telemetry System (HITS) sensors detected 861 out of 896 impacts (96.1%).
“A study by Siegmund et al. (2016) reported that the Head Impact Telemetry System (HITS) sensors detected 861 out of the 896 impacts (96.1%).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Siegmund et al., 2016 source
Not checked in the free run.
- Interpretationreasoning
The King-Devick Test does not require any medical training.
“Because the King-Devick Test® is simple to use, it does not require any medical training, and is therefore suitable for use in the field by anyone.”
Quote in the paperNot a substantial claim- Rests on an assumption: The King-Devick Test is simple to use.
- Premisecitation
Sway test performance was inversely correlated with Balance Error Scoring System test performance (r = −0.77; p < 0.01).
“Performance in the Sway test was inversely correlated (r = −0.77; p < 0.01) with performance in the Balance Error Scoring System test (Patterson et al., 2014a)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Patterson et al., 2014a
Not checked in the free run.
- Interpretationreasoning
The Sway test has a risk of bias if individuals intentionally underperform during baseline testing.
“One limitation of this test is the risk of bias that may occur if individuals intentionally underperform during baseline testing to create lower scores than they may attain following a concussion (so as to avoid time out of competition after concussion).”
Quote in the paperNot a substantial claim - Premisecitation
Research using these devices has demonstrated agreement between fNIRS and fMRI measurements.
“Research using these devices has demonstrated agreement between measurements obtained from fNIRS vs. the gold standard of functional magnetic resonance imaging (Mehagnoul-Schipper et al., 2002; Huppert et al., 2006; Sato et al., 2013; Moriguchi et al., 2017).”
Quote in the paperNot a substantial claim0 of 3 sources checked
- Classified as probably not a substantial claim. 24
- May combine two claims. 18
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenThe Zephyr sensor, E4 wristband and Reign Active Recovery Band have not been validated independently.
“The Zephyr sensor, E4 wristband and Reign Active Recovery Band offer a range of physiological and biomechanical data, but these devices have not been validated independently.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenThe NeuroTracker application has not been validated.
“The NeuroTracker application has not been validated.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenAthos and DynaFeed have not been validated.
“Other garments including Athos and DynaFeed appear to perform similar functions and are integrated with smart textiles, but have not been validated.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenPortable devices listed in Table 5 measure fNIRS, and some also measure EEG and EMG.
“A number of portable devices listed in Table 5 measure fNIRS, and some also measure EEG and EMG.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe Spire device was developed through an extended period of university research.
“Although this device has not been formally validated in the scientific literature, it was developed through an extended period of university research.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Findingnone givenThe Advanced Brain Monitoring Sleep Profiler and Zmachine Synergy have been approved by the US Food and Drug Administration.
“The Advanced Brain Monitoring Sleep Profiler and Zmachine Synergy have been approved by the US Food and Drug Administration.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe EyeSync device is not yet commercially available.
“It is not yet commercially available, and has therefore not been validated.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Findingnone givenIt is relatively rare for companies producing health and performance technologies to consult with consumers and invest in research.
“It would seem advisable for companies producing health and performance technologies to consult with consumers to identify real-world needs and to invest in research to prove the effectiveness of their products. However, this seems to be relatively rare.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenMany of the sensors vary in accuracy and only record linear and rotational acceleration.
“Many of the sensors vary in accuracy, and only record linear and rotational acceleration.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationnone givenMany of the mobile applications for recording and analyzing training loads and injury records record and analyze similar metrics, so it is difficult to differentiate between them.
“Many of the applications record and analyze similar metrics, so it is difficult to differentiate between them.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe choice of one particular application for recording and analyzing training loads and injury records will most likely be dictated by individual preferences.
“The choice of one particular application will most likely be dictated by individual preferences.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningAlthough sweat pads/patches are not yet commercially available, they likely offer greater validity than existing commercial devices because they have passed through the rigorous academic peer review process for publication.
“Although these products are not yet commercially available, they likely offer greater validity than existing commercial devices because they have passed through the rigorous academic peer review process for publication.”
Quote in the paperNot a substantial claim- Rests on an assumption: Passing through the rigorous academic peer review process for publication confers greater validity on a device than not doing so.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenThe Mettis Trainer insoles (and Arion insoles in development) could provide some useful feedback on running biomechanics in the field.
“The Mettis Trainer insoles (and Arion insoles in development) could provide some useful feedback on running biomechanics in the field.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe BSX Insight sleeve is currently designed only for placement on the calf, and may therefore not be usable for measuring muscle oxygenation in other muscle groups.
“However, one limitation is that the sleeve that houses the device is currently designed only for placement on the calf, and may therefore not be usable for measuring muscle oxygenation in other muscle groups.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningNon-wearable devices for monitoring metabolism such as Breezing and the LEVL device only provide static measurements, and are therefore unlikely to be useful for measuring metabolism in athletes while they exercise.
“Other non-wearable devices for monitoring metabolism, such as Breezing and the LEVL device, only provide static measurements, and are therefore unlikely to be useful for measuring metabolism in athletes while they exercise.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe Oxymon device measuring resting cerebral oxygenation has good short-term reliability (coefficient of variation 12.5%) and long-term reliability (coefficient of variation 15%).
“Another study using the Oxymon device to measure resting cerebral oxygenation reported good reliability in the short term (coefficient of variation 12.5%) and long term (coefficient of variation 15%) (Claassen et al., 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Claassen et al., 2006
Not checked in the free run.
May combine two claims.
PremisecitationThe Oxymon device produces reliable and reproducible measurements of muscle oxygen consumption at rest (coefficient of variation 2.4%) and after exercise (coefficient of variation 10%).
“A similar device (Oxymon) produced by the same company has been proven to produce reliable and reproducible measurements of muscle oxygen consumption both at rest (coefficient of variation 2.4%) and after exercise (coefficient of variation 10%) (Ryan et al., 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ryan et al., 2012
Not checked in the free run.
May combine two claims.
InterpretationreasoningThese devices can be used by athletes, soldiers and workers involved in physically demanding jobs (e.g., firefighters) to monitor physical strain while they exercise/work, and to assess when they have recovered sufficiently.
“They can therefore be used by athletes, soldiers and workers involved in physically demanding jobs (e.g., firefighters) to monitor physical strain while they exercise/work, and to assess when they have recovered sufficiently.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe mPower device provides a simple, wireless alternative to more complex EMG equipment.
“It provides a simple, wireless alternative to more complex EMG equipment.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenAmong the devices listed in Table 2, the I Measure U device is lightweight, compact and offers the greatest versatility.
“Among these devices listed in Table 2, the I Measure U device is lightweight, compact and offers the greatest versatility.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationAlthough the Moxy, PortaMon, and Oxymon devices are based on the same scientific principles, they vary in terms of the data they produce.
“Also, although these devices are based on the same scientific principles, they do vary in terms of the data that they produce (McManus et al., 2018).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites McManus et al., 2018
Not checked in the free run.
May combine two claims.
PremisecitationSweat may be used for more detailed metabolomic profiling, but there are many technical and practical issues to consider before this mode of bioanalysis can be adopted routinely.
“Sweat may be used for more detailed metabolomic profiling, but there are many technical and practical issues to consider before this mode of bioanalysis can be adopted routinely (Hussain et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hussain et al., 2017
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe NeuroTracker application is based around the concept of multiple object tracking, which was established 30 years ago as a research tool.
“The NeuroTracker application is based around the concept of multiple object tracking, which was established 30 years ago as a research tool (Pylyshyn and Storm, 1988).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Pylyshyn and Storm, 1988
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningPolysomnography typically requires expensive equipment and technical expertise to set up, and is therefore not appropriate for regular use in a home environment.
“However, polysomnography typically requires expensive equipment and technical expertise to set up, and is therefore not appropriate for regular use in a home environment.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenThe disposable sensor pads required to measure encephalogram (EEG) signals add an extra ongoing cost.
“The disposable sensor pads required to measure encephalogram (EEG) signals add an extra ongoing cost.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNeuroTracker has since been developed as a training tool to improve cognitive functions including attention, working memory, and visual processing speed.
“NeuroTracker has since been developed as a training tool to improve cognitive functions including attention, working memory, and visual processing speed (Parsons et al., 2016).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Parsons et al., 2016
Not checked in the free run.
May combine two claims.
InterpretationreasoningThese sleep devices offer benefits for monitoring some aspects of sleep, but they also have some technical deficiencies.
“These devices therefore offer benefits for monitoring some aspects of sleep, but they also have some technical deficiencies.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenSome companies may not want to have their products tested independently out of a desire to avoid public scrutiny about their validity.
“Alternatively, some companies may not want to have their products tested independently out of a desire to avoid public scrutiny about their validity.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationConsumer health technologies can be categorized into those used in validation studies, observational studies, screening of health disorders, and intervention studies.
“From a research perspective, consumer health technologies can be categorized into those that have been used in validation studies, observational studies, screening of health disorders, and intervention studies (Baron et al., 2017).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baron et al., 2017
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPublic interest in health technologies raises several ethical issues.
“The ever-expanding public interest in health technologies raises several ethical issues (Van den Bulck, 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Van den Bulck, 2015
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationUse of technologies may create an unhealthy obsession with personal health for individuals or their family members who use such technologies.
“Last, the use of technologies may create an unhealthy (or even harmful) obsession with personal health for individuals or their family members who use such technologies (Van den Bulck, 2015).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Van den Bulck, 2015
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenBudget constraints may prevent some companies from engaging in research.
“Budget constraints may prevent some companies from engaging in research.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningIt is difficult to select a single neurological measurement to compare against for cognitive function.
“For example, cognitive function is underpinned by many different neurological processes. Accordingly, it is difficult to select a single neurological measurement to compare against.”
Quote in the paperSubstantial claim- Rests on an assumption: Cognitive function is underpinned by many different neurological processes.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMost consumer health technologies are not labeled as medical devices.
“Most of these technologies are not labeled as medical devices, yet they do convey explicit or implicit value statements about our standard of health.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Van den Bulck, 2015
Not checked in the free run.
May combine two claims.
PremisecitationThe King-Devick Test has been proven easy to use, reliable, valid, sensitive, and accurate.
“It has been tested extensively in various clinical settings, and proven to be easy to use, reliable, valid, sensitive, and accurate (Galetta et al., 2011; King et al., 2015; Seidman et al., 2015; Walsh et al., 2016).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Galetta et al., 2011
Not checked in the free run.
- cites King et al., 2015
Not checked in the free run.
- cites Seidman et al., 2015
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLarge population-level self-monitoring is likely to result in many false positives.
“Second, although self-monitoring may reveal undiagnosed health problems, such monitoring on a large population level is likely to result in many false positives.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Van den Bulck, 2015
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationSelf-diagnosis based on self-gathered data could be inconsistent with clinical diagnoses provided by medical professionals.
“First, self-diagnosis based on self-gathered data could be inconsistent with clinical diagnoses provided by medical professionals.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Van den Bulck, 2015
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningIt is not always possible to attain higher standards of validation.
“However, it is not always possible to attain higher standards of validation.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
The commercial market for technologies to monitor and improve personal health and sports performance is ever expanding.
“The commercial market for technologies to monitor and improve personal health and sports performance is ever expanding.”
The paper relies on this without support.
The number and diversity of portable devices, wearable sensors and mobile applications is ever increasing and evolving.
“However, the number and diversity of portable devices, wearable sensors and mobile applications is ever increasing and evolving.”
The paper relies on this without support.
Passing through the rigorous academic peer review process for publication confers greater validity on a device than not doing so.
“they likely offer greater validity than existing commercial devices because they have passed through the rigorous academic peer review process for publication.”
The paper relies on this without support.
Consumer technologies are at various stages of development, with some not properly tested.
“This technology is at various stages of development: some has been independently tested to determine its reliability and validity, whereas other technology has not been properly tested.”
The authors state this as an assumption.
Users will be aware of what they are doing (i.e., resting or exercising) during monitoring periods.
“But it is probably safe to assume that users will be aware of what they are doing (i.e., resting or exercising) during monitoring periods.”
The paper relies on this without support.
Sleep technologies offer benefits for anyone suffering sleep problems arising from chronic disease, anxiety, depression, medication, travel/work schedules, and environmental factors.
“Sleep technologies offer benefits for anyone suffering sleep problems arising from chronic disease (e.g., sleep apnea), anxiety, depression, medication, travel/work schedules, and environmental factors (e.g., noise, light, ambient temperature).”
The paper relies on this without support.
Biofeedback on emotional state can assist in modifying personal appraisal of situations, understanding motivation to perform, and informing emotional development.
“Biofeedback on emotional state can assist in modifying personal appraisal of situations, understanding motivation to perform, and informing emotional development.”
The paper relies on this without support.
These devices require some expertise and specialist training.
“These devices require some expertise and specialist training.”
The paper relies on this without support.
Cognitive function is underpinned by many different neurological processes.
“For example, cognitive function is underpinned by many different neurological processes.”
The paper relies on this without support.
Concussion is a common occurrence in sport, combat situations, the workplace, and in vehicular accidents.
“Concussion is a common occurrence in sport, combat situations, the workplace, and in vehicular accidents.”
The paper relies on this without support.
There is an ever-growing need for simple, valid, reliable, and objective methods to evaluate the severity of concussion, and to monitor recovery.
“There is an ever-growing need for simple, valid, reliable, and objective methods to evaluate the severity of concussion, and to monitor recovery.”
The paper relies on this without support.
The King-Devick Test is simple to use.
“Because the King-Devick Test® is simple to use, it does not require any medical training, and is therefore suitable for use in the field by anyone.”
The paper relies on this without support.
Independent scientific validation provides the strongest level of support for technology.
“Independent scientific validation provides the strongest level of support for technology.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Wearable technologies with built-in multisensors have great potential to promote individual health.
“Wearable technologies with built-in multisensors that can detect skin temperature, measure blood flow, and track movement have great potential to promote individual health (Peake et al., 2018).”
From Sociodemographics and Digital Health Literacy in Using Wearables for Health Promotion and Disease Prevention: Cross-Sectional Nationwide Survey in Germany (2025) · cites this paper as Peake et al., 2018
Questions remain as to the accuracy and validity of data collected from wearables.
“yet questions remain as to the accuracy and validity of data collected from wearables35,36.”
From Guidelines for wrist-worn consumer wearable assessment of heart rate in biobehavioral research (2020) · cites this paper as [36]
Available wearables are still not perfectly accurate for the assessment of physiology in the wild, but there are already available options to overcome this obstacle.
“Although available wearables are still not perfectly accurate for the assessment of physiology in the wild, there are already available options to hurdle this obstacle (for a review of existing wearables, see Peake et al., 2018).”
From New Technologies for the Understanding, Assessment, and Intervention of Emotion Regulation (2019) · cites this paper as Peake et al., 2018
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Fitbit Flex validation status conflicts with the text
MinorTable 4 marks the Fitbit Flex as not validated, but the text describes studies comparing it with polysomnography and reporting findings similar to those of a validated sleep tracker.
“| Wearable device | FitBit Flex™ | Wristband connected to a mobile application. Activity tracker to total sleep time, time in bed. | No | Yes | No | FitBit | Yes |”
“Several studies have reported similar findings for the Fitbit Flex™ device (Montgomery-Downs et al., 2012; Mantua et al., 2016; Kang et al., 2017).”
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“Also, although these devices are based on the same scientific principles, they do vary in terms of the data that they produce (McManus et al., 2018).”
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Evaluation of a consumer fitness-tracking device to assess sleep in adults
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- Authors
- Peake, J. M., Kerr, G., & Sullivan, J. P.
- Affiliations
- Queensland University of Technology (AU)
- Corresponding author
- Peake, Jonathan M.
- Venue
- Frontiers in Physiology
- Publisher
- Frontiers Media SA
- Published
- 2018-06-28
- Volume
- 9
- Pages
- 743-743
- ISSN
- 1664-042X (ISSN-L)
- PMC
- PMC6031746
- OpenAlex
- W2807447523
- Semantic Scholar
- 922780d352cf887774d2ed78cd1cfe28884e066b
- Cited by
- 523
- References
- 51
- Citations by year
- 2026: 44 · 2025: 59 · 2024: 62 · 2023: 57 · 2022: 63 · 2021: 95 · 2020: 82 · 2019: 48 · 2018: 12 · 2017: 1
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Physiology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Keywords
- biofeedback, stress monitoring, sleep monitoring, smartwatches, wearable sensors, mobile health apps, sports performance monitoring, technology validation, reliability statistics, physically active population, concussion, sweat analysis, cardiorespiratory monitoring, consumer product selection
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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