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Wrist-Worn and Arm-Worn Wearables for Monitoring Heart Rate During Sedentary and Light-to-Vigorous Physical Activities: Device Validation Study

Wrist-Worn and Arm-Worn Wearables for Monitoring Heart Rate During Sedentary and Light-to-Vigorous Physical Activities: Device Validation Study

Consequently, there is growing interest in wrist-, upper arm-, or forearm-wearable devices, which use photoplethysmography (PPG) [13]. PPG is a noninvasive measurement technique that detects blood volume changes in the microvascular bed of tissue by illuminating the skin and measuring the reflected light [14].

Theresa Schweizer, Rahel Gilgen-Ammann

JMIR Cardio 2025;9:e67110

The Measurement of Vital Signs in Pediatric Patients by Lifelight Software in Comparison to the Standard of Care: Protocol for the VISION-Junior Observational Study

The Measurement of Vital Signs in Pediatric Patients by Lifelight Software in Comparison to the Standard of Care: Protocol for the VISION-Junior Observational Study

Photoplethysmography (PPG) is an optical measurement technique that records changes in the light reflected from the skin surface due to volumetric changes in the facial blood vessels; small variations in perfusion provide valuable information about the cardiovascular system [9]. PPG has been used to measure PR [10,11], oxygen saturation [12], BP [13,14], and RR [10,15] and to detect atrial fibrillation [16].

Gauri Misra, Simon Wegerif, Louise Fairlie, Melissa Kapoor, James Fok, Gemma Salt, Jay Halbert, Ian Maconochie, Niall Mullen

JMIR Res Protoc 2025;14:e58334

Effects of Missing Data on Heart Rate Variability Measured From A Smartwatch: Exploratory Observational Study

Effects of Missing Data on Heart Rate Variability Measured From A Smartwatch: Exploratory Observational Study

Wrist-worn devices most often use embedded photoplethysmography sensors that detect changes in light intensity on the skin surface due to changes in blood volume during the cardiac cycle to estimate heart rate [9]. While not all smartwatches are certified as medical devices currently, they offer a way of assessing the viability of photoplethysmography sensors, which are used in some cleared medical devices [9-11].

Hope Davis-Wilson, Meghan Hegarty-Craver, Pooja Gaur, Matthew Boyce, Jonathan R Holt, Edward Preble, Randall Eckhoff, Lei Li, Howard Walls, David Dausch, Dorota Temple

JMIR Form Res 2025;9:e53645

A Dynamic Adaptive Ensemble Learning Framework for Noninvasive Mild Cognitive Impairment Detection: Development and Validation Study

A Dynamic Adaptive Ensemble Learning Framework for Noninvasive Mild Cognitive Impairment Detection: Development and Validation Study

The Empatica 4 is a watch-like multisensor device that measures physiological data such as electrodermal activity (EDA), photoplethysmography, skin temperature, and accelerometer readings. It is compact, lightweight, and comfortable to wear, making it suitable for unobtrusive continuous monitoring during cognitive screening of older adults.

Aoyu Li, Jingwen Li, Yishan Hu, Yan Geng, Yan Qiang, Juanjuan Zhao

JMIR Med Inform 2025;13:e60250

Comparative Evaluation of Consumer Wearable Devices for Atrial Fibrillation Detection: Validation Study

Comparative Evaluation of Consumer Wearable Devices for Atrial Fibrillation Detection: Validation Study

The underlying CWD technology is mainly based on electrocardiography or photoplethysmography (PPG). While an ECG measures electrical signals from the heart using surface electrodes on the skin, PPG analyzes the heart rhythm through an optical technique that measures the peripheral pulse [10]. This PPG technology has been adopted by smartwatches and smartphones, using light-emitting diodes and sensors or smartphone flashlights and cameras to generate PPG waveforms.

Femke Wouters, Henri Gruwez, Christophe Smeets, Anessa Pijalovic, Wouter Wilms, Julie Vranken, Zoë Pieters, Hugo Van Herendael, Dieter Nuyens, Maximo Rivero-Ayerza, Pieter Vandervoort, Peter Haemers, Laurent Pison

JMIR Form Res 2025;9:e65139

Reliability and Accuracy of the Fitbit Charge 4 Photoplethysmography Heart Rate Sensor in Ecological Conditions: Validation Study

Reliability and Accuracy of the Fitbit Charge 4 Photoplethysmography Heart Rate Sensor in Ecological Conditions: Validation Study

Wrist-worn devices usually estimate continuous HR through the photoplethysmography (PPG) technique, which was first used in the late 1930s [5]. PPG involves measuring light absorption through tissues of interest [6]; red and infrared lights are emitted by an LED through the skin, and a photoreceptor captures the remaining emissions after tissue absorption [7].

Maxime Ceugniez, Hervé Devanne, Eric Hermand

JMIR Mhealth Uhealth 2025;13:e54871

Exploring Contactless Vital Signs Collection in Video Telehealth Visits Among Veterans Affairs Providers and Patients: Pilot Usability Study

Exploring Contactless Vital Signs Collection in Video Telehealth Visits Among Veterans Affairs Providers and Patients: Pilot Usability Study

A novel VVC software feature called “Vitals” uses contactless, video-based, remote photoplethysmography (r PPG) technology through the infrared camera on veterans’ smartphones (and other devices) to automatically scan their faces when incorporated into the video platform (Figure 1). Within 45 seconds, it delivers vital statistics on screen to both the provider and patient. Vitals’ statistics include blood pressure, respiratory and heart rates, pulse, and temperature.

Lynn Garvin, Eric Richardson, Leonie Heyworth, D Keith McInnes

JMIR Form Res 2024;8:e60491

Impact of Skin Pigmentation on Pulse Oximetry Blood Oxygenation and Wearable Pulse Rate Accuracy: Systematic Review and Meta-Analysis

Impact of Skin Pigmentation on Pulse Oximetry Blood Oxygenation and Wearable Pulse Rate Accuracy: Systematic Review and Meta-Analysis

Photoplethysmography (PPG) technology has been used in medicine since the 1970s to assess pulse rate (PR) and blood oxygenation (Sp O2). The accuracy of PPG-based Sp O2 and PR is critical for medical practice, clinical decision-making, and patient outcomes [1]. Technological advancements have led to rapid expansion of this technology into consumer devices [2].

Sanidhya Singh, Miles Romney Bennett, Chen Chen, Sooyoon Shin, Hamid Ghanbari, Benjamin W Nelson

J Med Internet Res 2024;26:e62769

Raw Photoplethysmography as an Enhancement for Research-Grade Wearable Activity Monitors

Raw Photoplethysmography as an Enhancement for Research-Grade Wearable Activity Monitors

Photoplethysmography (PPG) is an optical technology that may have potential to enhance physical activity measurement when combined with established inertial sensors (accelerometers and gyroscopes) [9]. Although PPG was first described nearly 90 years ago, it has only recently gained a high level of visibility for physical activity assessment [10-12]. This growth is reflected in Figure 1, which shows the results of a Scopus search for documents addressing physical activity and PPG.

Paul R Hibbing, Maryam Misal Khan

JMIR Mhealth Uhealth 2024;12:e57158

Continuous Monitoring of Heart Rate Variability in Free-Living Conditions Using Wearable Sensors: Exploratory Observational Study

Continuous Monitoring of Heart Rate Variability in Free-Living Conditions Using Wearable Sensors: Exploratory Observational Study

HRV measurement using photoplethysmography (PPG) sensors, such as those embedded in smartwatches, has been tested against and found to correspond with gold-standard electrocardiogram (ECG) measurements [5]. Although PPG- and ECG-derived HRV metrics have generally good agreement, PPG-based measures can differ from ECG-based measures in the presence of physical activity, cold exposure, and other factors [6-8].

Pooja Gaur, Dorota S Temple, Meghan Hegarty-Craver, Matthew D Boyce, Jonathan R Holt, Michael F Wenger, Edward A Preble, Randall P Eckhoff, Michelle S McCombs, Hope C Davis-Wilson, Howard J Walls, David E Dausch

JMIR Form Res 2024;8:e53977