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Can You Trust Your Wrist Heart Rate When Exercising? A Validation Study of the Polar Ignite and the Garmin Vivoactive 4S Cover

Can You Trust Your Wrist Heart Rate When Exercising? A Validation Study of the Polar Ignite and the Garmin Vivoactive 4S

Open Access
|Jul 2026

References

  1. Alfonso, C., Garcia-Gonzalez, M. A., Parrado, E., Gil-Rojas, J., Ramos-Castro, J., & Capdevila, L. (2022). Agreement between two photoplethysmography-based wearable devices for monitoring heart rate during different physical activity situations: a new analysis methodology. Sci Rep, 12(1), 15448. 10.1038/s41598-022-18356-9
  2. Bai, Y., Hibbing, P., Mantis, C., & Welk, G. J. (2018). Comparative evaluation of heart rate-based monitors: Apple Watch vs Fitbit Charge HR. J Sports Sci, 36(15), 17341741. 10.1080/02640414.2017.1412235
  3. Benedetto, S., Caldato, C., Bazzan, E., Greenwood, D., Pensabene, V., & Actis, P. (2018). Assessment of the fitbit charge 2 for monitoring heart rate. Plos One, 13(2), e0192691. 10.1371/journal.pone.0192691
  4. Boudreaux, B. D., Hebert, E. P., Hollander, D. B., Williams, B. M., Cormier, C. L., Naquin, M. R., Gillan, W. W., Gusew, E. E., & Kraemer, R. R. (2018). Validity of wearable activity monitors during cycling and resistance exercise. Med Sci Sports Exerc, 50(3), 624633. 10.1249/MSS.0000000000001471
  5. Budig, M., Keiner, M., Stoohs, R., Hoffmeister, M., & Höltke, V. (2021). Heart rate and distance measurement of two multisport activity trackers and a cellphone app in different sports: a cross-sectional validation and comparison field study. Sensors (Basel), 22(1), 180. 10.3390/s22010180
  6. Cabanas, A. M., Fuentes-Guajardo, M., Latorre, K., León, D., & Martín-Escudero, P. (2022). Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis. Sensors, 22(9), 3402. 10.3390/s22093402
  7. Darrow, J. J., Avorn, J., & Kesselheim, A. S. (2021). FDA regulation and approval of medical devices: 1976–2020. Jama, 326(5), 420432. 10.1001/jama.2021.11171
  8. Dooley, E. E., Golaszewski, N. M., & Bartholomew, J. B. (2017). Estimating accuracy at exercise intensities: a comparative study of self-monitoring heart rate and physical activity wearable devices. JMIR Mhealth Uhealth, 5(3), e34. 10.2196/mhealth.7043
  9. Düking, P., Giessing, L., Frenkel, M. O., Koehler, K., Holmberg, H. C., & Sperlich, B. (2020). Wrist-worn wearables for monitoring heart rate and energy expenditure while sitting or performing light-to-vigorous physical activity: validation study. JMIR Mhealth UHealth, 8(5), e16716. 10.2196/16716
  10. Faqar Uz Zaman, S. F., Sliwinski, S., Mohr-Wetzel, L., Dreilich, J., Filmann, N., Detemble, C., Zmuc, D., Chun, F., Derwich, W., Schreiner, W., Bechstein, W., Fleckenstein, J., & Schnitzbauer, A. A. (2025). Validity, accuracy, and safety assessment of an aerobic interval training using an app-based prehabilitation program (PROTEGO MAXIMA Trial) before major surgery: prospective, Interventional Pilot Study. JMIR Mhealth Uhealth, 13, e55298. 10.2196/55298.
  11. Fuller, D., Colwell, E., Low, J., Orychock, K., Tobin, M., Simango, B., Buote, R., Van Heerden, D., Luan, H., Cullen, K., Slade, L., & Taylor, N. G. A. (2020). Reliability and validity of commercially available wearable devices for measuring steps, energy expenditure, and heart rate: Systematic Review. JMIR Mhealth Uhealth, 8(9), e18694. 10.2196/18694
  12. Gorny, A. W., Liew, S. J., Tan, C. S., & Müller-Riemenschneider, F. (2017). Fitbit charge HR wireless heart rate monitor: validation study conducted under free-living conditions. JMIR Mhealth Uhealth, 5(10), e157. 10.2196/mhealth.8233
  13. Grand View Research. 2025. Global Wearable Technology Market Size & Outlook. Available at: https://www.grandviewresearch.com/horizon/outlook/wearable-technology-market-size/global (Accessed 11 August 2025).
  14. Hajj-Boutros, G., Landry-Duval, M. A., Comtois, A. S., Gouspillou, G., & Karelis, A. D. (2023). Wrist-worn devices for the measurement of heart rate and energy expenditure: A validation study for the Apple Watch 6, Polar Vantage V and Fitbit Sense. Eur J Sport Sci, 23(2), 165177. 10.1080/17461391.2021.2023656
  15. Iyriboz, Y., Powers, S., Morrow, J., Ayers, D., & Landry, G. (1991). Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. Br J Sports Med, 25(3), 162164. 10.1136/bjsm.25.3.162
  16. Jacko, T., Bartsch, J., Von Diecken, C., & Ueberschär, O. (2024). Validity of current smartwatches for triathlon training: how accurate are heart rate, distance, and swimming readings? Sensors, 24(14), 4675. 10.3390/s24144675
  17. Jo, E., Lewis, K., Directo, D., Kim, M. J., & Dolezal, B. A. (2016). Validation of biofeedback wearables for photoplethysmographic heart rate tracking. J Sports Sci Med, 15(3), 540547.
  18. Karaca, A., Demirci, V., Yılmaz, V., Hazır Aytar, S., Can, S., & Evrim, Ü. (2021). Validation of the ActiGraph wGT3X-BT accelerometer for Step counts at five different body locations in laboratory settings, Meas Phys Educ Exerc Sci, 6(1), 6372. 10.1080/1091367X.2021.1948414
  19. Kastelic, K., Dobnik, M., Löfler, S., Hofer, C., & Šarabon, N. (2021). Validity, reliability and sensitivity to change of three consumer-grade activity trackers in controlled and free-living conditions among older adults. Sensors, 21(18), 6245. 10.3390/s21186245
  20. Kayabaş, O., Cuğ, M., & Budak, C. (2022). Comparative evaluation of wearable smartwatches that measure heart rate based on photoplethysmography technology: Huawei honor band 5 Vs Xiaomi Mi smart band. Spormetre The Journal of Physical Education and Sport Sciences, 20(1), 105118. 10.33689/spormetre.1019059
  21. Kim, C., Kim, S. H., & Suh, M. R. (2022). Accuracy and validity of commercial smart bands for heart rate measurements during cardiopulmonary exercise test. Ann Rehabil Med, 46(4), 209218. 10.5535/arm.22050
  22. Lee, J. M., An, H. S., Kang, S. K., & Kim, Y. (2016). Examining the validity of Fitbit charge HR TM for measuring heart rate in free-living conditions. Research Presentations, 15. https://digitalcommons.unomaha.edu/pahppresentations/15
  23. León-Valladares, D., Barrio-Mateu, L. A., Cortés-Carmona, N., Fuentes-Lizana, G., Cabanas, A. M., Latorre-Progulakis, K., Fuentes-Guajardoet, M., & Martín-Escudero, P. (2024). Determining factors of pulse oximetry accuracy: a literature review. Rev Clín Esp (English Edition), 224(5), 314330. 10.1016/j.rceng.2024.04.005
  24. Martín-Escudero, P., Cabanas, A. M., Dotor-Castilla, M. L., Galindo-Canales, M., Miguel-Tobal, F., Fernández-Pérez, C., Fuentes-Ferrer, M., & Giannetti, R. (2023). Are activity wrist-worn devices accurate for determining heart rate during intense exercise? Bioengineering, 10(2), 254. 10.3390/bioengineering10020254
  25. Montes, J., Tandy, R., Young, J., Lee, S., & Navalta, J. (2020). Step count reliability and validity of five wearable technology devices while walking and jogging in both a free motion setting and on a treadmill. Int J Exerc Sci, 13(7), 410426. 10.70252/IZMD1804
  26. Newsome, A. M., Batrakoulis, A., Camhi, S. M., McAvoy, C., Sansone, J. S., & Reed, R. (2024). 2025 ACSM worldwide fitness trends: future directions of the health and fitness industry. ACSMs Health Fit J, 28(6), 1125. 10.1249/FIT.0000000000001017
  27. Nissen, M., Slim, S., Jäger, K., Flaucher, M., Huebner, H., Danzberger, N., Fasching, P. A., Beckmann, M. W., Gradl, S., & Eskofier, B. M. (2022). Heart rate measurement accuracy of Fitbit Charge 4 and Samsung Galaxy Watch Active2: device evaluation study. JMIR Form Res, 6(3), e33635. 10.2196/33635
  28. Pasadyn, S. R., Soudan, M., Gillinov, M., Houghtaling, P., Phelan, D., Gillinov, N., Bittel, B., & Desai, M. Y. (2019). Accuracy of commercially available heart rate monitors in athletes: a prospective study. Cardiovasc Diagn Ther, 9(4), 379385. 10.21037/cdt.2019.06.05
  29. Prieto-Avalos, G., Cruz-Ramos, N. A., Alor-Hernandez, G., Sánchez-Cervantes, J. L., Rodriguez-Mazahua, L., & Guarneros-Nolasco, L. R. (2022). Wearable devices for physical monitoring of heart: a review. Biosensors, 12(5), 292. 10.3390/bios12050292
  30. Ruiz-Malagón, E. J., Castro-Infantes, S., Ritaco-Real, M., & Soto-Hermoso, V. M. (2023). Concurrent validity of the Polar Precision Prime® photoplethysmographic system to measure heart rate during a tennis training session. Proc Inst Mech Eng P: J Sports Eng Technol, 239(3), 545551. 10.1177/17543371231165102
  31. Scalise, L., & Cosoli, G. (2018). Wearables for health and fitness: Measurement characteristics and accuracy. 2018 IEEE international instrumentation and measurement technology conference (I2MTC), 2018; 16. 10.1109/I2MTC.2018.8409635
  32. Seok, D., Lee, S., Kim, M., Cho, J., & Kim, C. (2021). Motion artifact removal techniques for wearable EEG and PPG sensor systems. Front Electron, 2, 685513. 10.3389/felec.2021.685513
  33. Shcherbina, A., Mattsson, C. M., Waggott, D., Salisbury, H., Christle, J. W., Hastie, T., Wheeler, M. T., & Ashley, E. A. (2017). Accuracy in wrist-worn, sensor-based measurements of heart rate and energy expenditure in a diverse cohort. J Pers Med, 7(2), 3. 10.3390/jpm7020003
  34. Stone, J. D., Ulman, H. K., Tran, K., Thompson, A. G., Halter, M. D., Ramadan, J. H., Stephenson, M., Finomore, V. S. Jr., Galster, S. M., Rezai, A. R. & Hagen, J. A. (2021) Assessing the accuracy of popular commercial technologies that measure resting heart rate and heart rate variability. Front Sports Act Living, 3, 585870. 10.3389/fspor.2021.585870
  35. Takacs, J., Pollock, C. L., Guenther, J. R., Bahar, M., Napier, C., & Hunt, M. A. (2014). Validation of the Fitbit One activity monitor device during treadmill walking. J Sci Med Sport, 17, 496500. 10.1016/j.jsams.2013.10.241
  36. Tedesco, S., Sica, M., Ancillao, A., Timmons, S., Barton, J., & O’Flynn, B. (2019). Validity evaluation of the Fitbit Charge2 and the Garmin vivosmart HR+ in free-living environments in an older adult cohort. JMIR Mhealth Uhealth, 7(6), e13084. 10.2196/13084
  37. Thiebaud, R. S., Funk, M. D., Patton, J. C., Massey, B. L., Shay, T. E., Schmidt, M. G., & Giovannitti, N. (2018). Validity of wrist-worn consumer products to measure heart rate and energy expenditure. Digital Health, 4. 10.1177/2055207618770322
  38. Thompson, W. R. (2019). Worldwide survey of fitness trends for 2020. ACSMs Health Fit J, 23(6), 1018. 10.1249/FIT.0000000000000526
  39. Wahl, Y., Düking, P., Droszez, A., Wahl, P., & Mester, J. (2017). Criterion-Validity of commercially available physical activity tracker to estimate step count, covered distance and energy expenditure during sports conditions. Front Physiol, 8, 725. 10.3389/fphys.2017.00725
  40. Xie, J., Wen, D., Liang, L., Jia, Y., Gao, L., & Lei, J. (2018). Evaluating the validity of current mainstream wearable devices in fitness tracking under various physical activities: comparative study. JMIR Mhealth Uhealth, 6(4), e94. 10.2196/mhealth.9754
DOI: https://doi.org/10.5334/paah.559 | Journal eISSN: 2515-2270
Language: English
Page range: 107 - 116
Submitted on: Mar 8, 2026
Accepted on: Jul 2, 2026
Published on: Jul 24, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Erbil Murat Aydın, Sema Can, Erkan Demirkan, Ali Fatih Sağlam, Burak Gündoğan, Pilar Martín Escudero, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.