Table 1.
Study characteristics
| Authors, year | n | Country | Study type | Device | Type of device | Measure techniques | Functions | Medical grade | MDRL |
|---|---|---|---|---|---|---|---|---|---|
| Single measurement technique | |||||||||
| Alosco et al.18 | 96 | USA | OBS | ActiGraph GT1M | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Alosco et al.16 | 65 | USA | OBS | ActiGraph GT1M | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Alosco et al.17 | 57 | USA | OBS | Actigraph GT1M | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Baril et al.21 | 50 | CAN | OBS | Fitbit Flex | Wrist-worn device | ACC | PA | - | 6 |
| Blomqvist et al.24 | 605 | SWE | OBS | ActiGraph GT9X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Braun et al.25 | 61 | DEU | OBS | wearable IMU (inertial measurement units) system (Rehagait®, Hasomed, Magdeburg, Germany | Ankles-worn | ACC | PA | - | 6 |
| Butler et al.28 | 69 | USA | RCT | ActiGraph GT9X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Da Silva et al.30 | 16 | BRA | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Dibben et al.35 | 22 | GBR | OBS | GENEActiv, Activinsights Ltd. | Wrist- and waist-worn device | ACC | PA | - | 5 |
| Dibben et al.36 | 247 | GBR | RCT | GENEActiv, Activinsights Ltd. | Wrist-worn device | ACC | PA | - | 7 |
| Dontje et al.37 | 68 | NLD | OBS | SenseWear® Pro3 Armband | Wrist-worn device | ACC | PA | - | 6 |
| Edwards et al.39 | 190 | USA | OBS | ActiGraph AM-7164 | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Evangalista et al.41 | 38 | USA | RCT | Sportline Pedometer Model 330 | Hip-worn | ACC | PA | - | 6 |
| Floegel et al.43 | 27 | USA | OBS | ActivPAL3c™ and Tractivity® | Wrist-worn device | ACC | PA | - | 6 |
| Floegel et al.42 | 29 | USA | OBS | ActivPAL3c™ and Tractivity® | Wrist-worn device | ACC | PA | - | 6 |
| Fulcher et al.44 | 93 | USA | OBS | ActiGraph GT1M | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| German et al.47 | 58 | USA | OBS | Kenz Lifecorder Ex | Hip-worn | ACC | PA | - | 6 |
| Güder et al.48 | 12 | DEU | OBS | Polar M430 | Wrist-worn device | ACC | PA | - | 6 |
| Holber et al.52 | 531 | USA | OBS | SenseWear® Pro3 | Wrist-worn device | ACC | PA | - | 7 |
| Howie-Esquivel et al.53 | 32 | USA | OBS | Micro Care Timeliness Monitors | Hip- and ankle worn | ACC | PA | - | 5 |
| Izawa et al.59 | 261 | JPN | OBS | Kenz Lifercorder | Hip-worn | ACC | PA | - | 6 |
| Izawa et al.58 | 477 | JPN | OBS | Kenz Lifercorder | Hip-worn | ACC | PA | - | 6 |
| Jehn et al.61 | 55 | DEU | OBS | StayHealthy Inc. RT3, AiperMotion 300 PfH, OMRON Walking Style Pro | Wrist-worn device | ACC | PA | - | 5 |
| Jehn et al.60 | 710 | DEU | OBSb | AiperMotion 300 PfH | Hip-worn | ACC | PA | - | 6 |
| Klompstra et al.66 | 32 | SWE | PT | DirectLife TracmorD, Philips | Wrist-worn device | ACC | PA | - | 6 |
| Klompstra et al.65 | 64 | SWE | OBSb | ActiGraph GT9X | Hip-worn | ACC | PAa | MDR C I, FDA C II | 6 |
| Li et al.69 | 1140 | USA | OBS | Actical, Philips | Patch | ACC | PA, Sleepa | FDA C II | 6 |
| Lin et al.71 | 124 | GBR | OBS | Axivity AX3 (Axivity Ltd) | Vest | ACC | PA | - | 6 |
| McCarthy et al.73 | 20 | USA | OBS | New Lifestyles NL-800 | Hip-worn | ACC | PA | - | 6 |
| Melczer et al.74 | 17 | HUN | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Melin et al.75 | 60 | SWE | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Miyahara et al.76 | 70 | JPN | OBS | Omron HJA-350IT | Hip-worn | ACC | PA | - | 6 |
| Nelson et al.79 | 93 | USA | OBS | Actigraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| O’Donnell et al.80 | 596 | GBR | OBS | Axivity AX3 | Wrist-worn device | ACC | PA | - | 6 |
| Okwose et al.81 | 20 | GBR | OBS | Omron HJ-321-E | Hip-worn | ACC | PA | - | 6 |
| Omar et al.82 | 63 | DNK | OBS | Actigraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Pozehl et al.85 | 182 | USA | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Prescher et al.86 | 155 | DEU | OBSb | AiperMotion 300 PfH | Wrist-worn device | ACC | PA | - | 6 |
| Radhakrishnan et al.87 | 10 | USA | OBS | Withings Go activity tracker | Wrist-worn device | ACC | PA | - | 6 |
| Rullman et al.89 | 94 | SWE | OBS | Actigraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Schmidt et al.92 | 22 | PRT | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Schoemaker et al.97 | 22 | USA | OBS | Stayhealthy Inc. RT3 | Hip-worn | ACC | PA | - | 5 |
| Schwendinger et al.93 | 56 | USA | OBS | GENEActiv, Activinsights Ltd. | Wrist-worn device | ACC | PA | - | 6 |
| Shen et al.95 | 40 | CHN | OBS | ActiGraph GT3X | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Shiraishi et al.96 | 31 | JPN | OBS | Active Style Pro HJA-750C | Waist-Worn | ACC | PA | - | 6 |
| Snipelisky et al.99 | 110 | USA | OBSb | Kinetic Activity Monitors | Hip-worn | ACC | PA | - | 6 |
| van den Berg-Emons et al.104 | 5 | NLD | OBS | Custom build system | Body- and hip-worn | ACC | PA | - | 5 |
| van den Berg-Emons et al.105 | 36 | NLD | OBS | Custom build system | Body- and hip-worn | ACC | PA | - | 6 |
| Vetrovsky et al.106 | 26 | CZE | OBS | Garmin vívofit | Wrist- and hip-worn device | ACC | PA | - | 6 |
| Vetrovsky et al.107 | 26 | CZE | RCT | Garmin vívofit, Actigraph wGT3X-BT | Wrist-worn device | ACC | PAa | ActiGraph: FDA C II, MDR C I | Garmin: 6, ActiGraph: 6 |
| Waring et al.109 | 50 | USA | OBS | ActiGraph GT3X+ | Wrist-worn device | ACC | PAa | MDR C I, FDA C II | 6 |
| Witham et al.110 | 82 | GBR | OBS | Stayhealthy Inc. RT3 | Hip-worn | ACC | PA | - | 6 |
| Young et al.113 | 100 | USA | OBS | Actigraph wGT3X-BT | Hip-worn | ACC | PAa | MDR C I, FDA C II | 6 |
| Alvarez-Garcia et al.19 | 100 | USA | RCT | ReDS™ Wearable System | Vest | B-IMP | CONG | FDA C II | 6 |
| Amir et al.20 | 50 | ISR | OBS | ReDS™ Wearable System | Vest | B-IMP | CONG | FDA C II | 6 |
| Bensimhon et al. 22 | 108 | USA | PT | ReDS™ Wearable System | Vest | B-IMP | CONG | FDA C II | 6 |
| Curtain et al.29 | 66 | GBR | OBS | Sensinel CPM System by Analog Devices, Inc. | Patches | B-IMP | CONG | - | 6 |
| Lala et al.68 | 220 | USA | OBS | ReDS™ Wearable System | Vest | B-IMP | CONG | FDA C II | 6 |
| Polcz et al.84 | 155 | USA | OBS | ZOE® | vest | B-IMP | CONG | - | 6 |
| Ueno et al.103 | 12 | JPN | OBS | ReDS™ Wearable System | Vest | B-IMP | CONG | FDA C II | 6 |
| Aamodt et al.15 | 10 | NOR | OBS | CardioSet Edema Guard Monitor | Vest | B-IMP | CONG | - | 6 |
| Guo et al.49 | 66 | CHN | OBS | BECG1200A, Thoth Medical Technology Co | Patch | ECG | HR | - | 6 |
| Kikuchi et al.64 | 10 | JPN | OBS | hitoe®, TORAY | Vest | ECG | HR, Rhythm | - | 5 |
| Dagan et al.31 | 29 | ISR | OBS | BB-613WP | Wrist-worn device | PPG | HR, SpO2, Respiratory Rate, PTT | - | 6 |
| Lin et al.72 | 40 | TWN | POC | Prototype of Smart Clothes | Wrist-worn device | SCG | Cardiac Time Intervals | - | 4 |
| Combined measurement techniques | |||||||||
| Yates et al.112 | 29 | USA | OBS | Actiheart, Camntech limited | Wrist-worn device | ACC, ECG | PAa | FDA C II | 7 |
| Smeets et al.98 | 36 | BEL | OBS | Wearable Bioimpedance Monitor (IMEC) | Vest | ACC, ECG, B-IMP | CONG | - | 5 |
| Stehlik et al.102 | 100 | USA | OBS | VitalPatch® RTM (VitalConnect®) | Patch | ACC, ECG, B-IMP, Thermometer | PA, HRa, HRV, RR interval, Skin humidity | FDA C II | Insufficient information |
| Kovisto et al.67 | 20 | FIN | POC | Custom-build multi-sensor device | Multi-sensor device | ACC, ECG, SCG | HR, Rhythm, CAB | - | All: 3 |
| Blockhaus et al.23 | 140 | DEU | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | PA | FDA C III | 6 |
| Burch et al.26 | 197 | USA | RCT | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | PA, HRa | FDA C III | PA:6, HR: 9 |
| Burkhoff et al.27 | 1066 | USA | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | HRa, CAB | FDA C III | HR: 9, CAB: 5 |
| Erath et al.40 | 671 | USA | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | HRa, Rhythma, CAB | FDA C III | HR, Rhythm: 9; CAB: 5 |
| Garcia et al.45 | 1013 | FRA | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | HRa | FDA C III | 9 |
| Hillmann et al.51 | 276 | DEU | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | PA, HRa | FDA C III | PA:6, HR: 9 |
| Iliodromitis et al.54 | 77 | DEU | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | PA | FDA C III | 6 |
| Jungbauer et al.62 | 1353 | DEU | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | HRa | FDA C III | 9 |
| Röger et al.88 | 105 | DEU | OBS | WCD ZOLL LifeVest® | Vest | ACC, ECG, SCG | HRa | FDA C III | 9 |
| Mlakar et al.77 | 24 | SVN | OBS | prototype of multi- sensor wearable | Multi-sensor device | ACC, ECG, Thermometer | PA, HR, Rhythm, EE, Temperature, skin-humidity | - | Insufficient information |
| Solar et al.101 | NA | ESP | POC | Wearable platform | Body- and hip-worn | ACC, ECG, Thermometer, Humidity sensor | PA, HR, HRV, Temperature, Skin humidity, Potassium, EE | - | 4 |
| Deka et al.33 | 30 | USA | OBS | Fitbit Charge HR | Wrist-worn device | ACC, PPG | PA, HRa | MDR C IIa, FDA C II | PA: 6 HR: 7 |
| Dorsch et al.38 | 83 | USA | RCT | Fitbit Charge 2 | Wrist-worn device | ACC, PPG | PA, HRa | MDR C IIa, FDA C II | All functions: 6 |
| Gardner et al.46 | 39 | USA | OBS | Nonin WristOx2 model 3150, Actisleep+ | Wrist-worn device | ACC, PPG | PAa, Sleep, SpO2a | ActiGraph: FDA CII, MDR C I; Nonin: FDA C II | All functions: 5 |
| Herkert et al.50 | 19 | NLD | OBS | Fitbit Charge 2 & Mio Slice | Wrist-worn device | ACC, PPG | PA, HRa, EE | Fitbit: MDR C IIa, FDA C II | Fitbit: PA: 6, HR: 6, EE: 5; MioSlice: PA: 6, HR: 6, EE: 5 |
| Nagatomi et al.78 | 30 | JPN | RCT | Fitbit Inspire HR | Wrist-worn device | ACC, PPG | PA, HRa | MDR C IIa, FDA C II | PA: 6 HR: 6 |
| Sohn et al.100 | 20 | USA | OBS | Fitbit Charge 2 | Wrist-worn device | ACC, PPG | PA | MDR C IIa, FDA C II | 6 |
| Vetrovsky et al.108 | 29 | CZE | OBS | Withings Go, Fitbit Charge 2, Garmin vivofit, Garmin vivofit 3, Omron HJ-322U-E, smartLAB walk+ | Wrist-worn device | ACC, PPG | PA | Fitbit: MDR C IIa, FDA C II | All devices: 6 |
| Iqbal et al.57 | NA | USA | POC | Custom-built wearable belt | Hip-worn | ACC, PPG, ECG, B-IMP | PA, HR, Sleep, Rhythm | - | All functions: 4 |
| Iqbal et al.56 | 10 | USA | POC | Custom-built wearable belt | Hip-worn | ACC, PPG, ECG, B-IMP | PA, HR, Sleep, Rhythm | - | All functions: 5 |
| Wong et al.111 | 20 | CHN | OBS | Biofourmis Everion | Armband | ACC, PPG, ECG, Thermometer, Barometer | PA, HR, HRV, Temperature, Blood pulse wave, SpO2, Respiratory Rate | - | Insufficient information |
| Darling et al.32 | 106 | USA | OBS | Philips fluid accumulation vest | Vest | B-IMP, ECG | CONG | - | 6 |
| Pan et al.83 | 37 | USA | OBS | Philips fluid accumulation vest | Vest | B-IMP, ECG | CONG | - | 5 |
| Sanchez-Perez et al.90 | 24 | USA | POC | Multimodal sensing system | Multi-sensor device | B-IMP, microphone | CONG, Rhythm | - | All functions: 5 |
| Li et al.70 | 76 | CHN | OBS | WENXIN® device | Patch | ECG, Microphone | Rhythm, CAB | - | All functions: 5 |
| Inan et al.55 | 45 | USA | OBS | Prototype sensing patch | Patch | ECG, SCG | HF status (compensated vs. decompensated) | - | 4 |
| Shandhi et al.94 | 59 | USA | OBS | Custom-built wearable patch | Patch | ECG, SCG | VO2 | - | 5 |
| Kaneko et al.63 | 49 | JPN | OBS | AUDICOR AM-RT | Patch | PPG, ECG | CONG, HR, CAB | - | All functions: 6 |
| Di Rienzo et al.34 | NA | ITA | POC | SeisMote | Vest | PPG, ECG, SCG | HR, HRV, PTT | - | All functions: 4 |
| Savoldelli et al.91 | 15 | ITA | POC | Hodwy Senior of Comftech© | Vest | PPG, ECG, Thermometer | HR, Rhythm, Temperature | - | All functions: 5 |
NOR Norway, USA United States of America, ISR Israel, SWE Sweden, DEU Germany, AUT Austria, BRA Brazil, ITA Italy, GBR United Kingdom, NLD The Netherlands, FRA France, CHN China, JPN Japan, FIN Finland, TWN Taiwan, SVN Slovenia, DNK Denmark, PRT Portugal, CZE Czech Republic, OBS Observational study, RCT Randomized controlled trial, POC Proof-of-concept, PT Pilot trial, ACC Accelerometry, B-IMP Bio-impedance, ECG Electrocardiography, SCG Seismocardiography, PPG Photoplethysmography, PA Physical activity, HR Heart rate, HRV Heart rate variability, PTT Pulse transit time, EE Energy expenditure, CONG Pulmonary Congestion, (C)HF (Chronic) heart failure, MDR Medical device regulations, FDA Food and drug administration.
aThese functions are medical graded.
bThese studies are sub-studies of randomized controlled trials in which a wearable is used as measuring device in both the intervention and the control arm.