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WHAT THE STUDIES FOUND

Trust the steps.
Question the calories.

Your wrist tracker is better at some numbers than others.

Researchers have tested wearables against lab-grade equipment. Steps and heart rate mostly hold up. Calories burned do not, and sleep stages are hit and miss. Here is what the evidence says.

27–93% calorie error, one study

Check a number
A runner's wrist wearing a plain black fitness band with a dark screen, tying a shoelace on a park path at sunrise
AI-generated image, not a photograph of a real person or place.
  • Steps: good
  • Heart rate: mostly good
  • Calories: rough guess
  • Not every number is equal

THE SHORT ANSWER

Some numbers are measured,
others are estimated.

Heart rate is measured directly.
Calories burned are calculated from it, with assumptions about you.

STEPS

Usually close

A review of 158 studies found leading wrist devices measured steps accurately in laboratory settings, though accuracy varied by maker and model.

Check a number

CALORIES

Treat as a rough guide

In a Stanford test of seven devices, none measured energy expenditure well. The best was off by 27% on average, the worst by 93%.

See the numbers

SLEEP

Good at sleep, weaker at wake

Consumer sleep trackers were good at detecting sleep but less good at spotting time awake, and sleep stage results were inconsistent.

About sleep tracking

HOW FAR CAN YOU TRUST IT?

Pick a number
on your wrist.

Choose a measurement to see what independent studies found when they compared wearables with lab equipment. The bar shows how well the devices performed overall.

Tracker check

Choose a measurement
Step countUsually accurate

In laboratory settings several leading wrist devices measured steps accurately, according to a systematic review of 158 studies.

Heart rateMostly within 5%

Six of seven devices tested at Stanford measured heart rate with an error under 5%. The review found heart rate more variable between brands than steps.

Asleep or awakeGood at sleep

Sleep trackers detected sleep well, and most matched or beat research actigraphy at detecting wake. Performance was worse on nights of disrupted sleep.

Sleep stagesInconsistent

Compared with lab sleep recordings, the devices' light, deep and REM sleep results were inconsistent.

Calories burnedOff by 27–93%

No device measured energy expenditure accurately. The researchers said calorie formulas make assumptions that do not fit individuals well.

Sources: Fuller et al. (2020), JMIR mHealth and uHealth; Stanford Medicine (2017); Chinoy et al. (2021), Sleep.

Based on laboratory studies of specific models. Devices change often, and results vary by maker, model and person. Not medical advice.

TWO NUMBERS WORTH KNOWING

Pulse holds up,
calories do not.

Both from a Stanford study of seven wrist devices
worn by 60 volunteers on treadmills and exercise bikes.

6 of 7

Devices measuring heart rate within 5%

Compared with a medical-grade electrocardiograph, six of the seven devices measured heart rate with an error rate of less than 5 percent.

HEART RATE · STANFORD 2017

27–93%

Average error in energy expenditure

Compared with breath analysis, the most accurate device was off by an average of 27 percent and the least accurate by 93 percent.

CALORIES · STANFORD 2017

A Stanford researcher said that for a lay user in a non-medical setting, the aim would be to keep error under 10 percent.

MAKING THE NUMBERS USEFUL

Use the trends,
not the decimals.

A tracker can still be a useful nudge. These tips follow what the studies found and the NHS activity guidelines.

  • Count active minutes

    The NHS suggests adults aim for at least 150 minutes of moderate activity a week, or 75 minutes of vigorous activity.

  • Use the talk test too

    Moderate activity raises your heart rate and breathing. The NHS says you can still talk, but not sing.

  • Do not eat to the calorie count

    Energy figures were the least accurate measure in the studies, so treat them as a rough guide, not a budget.

  • Break up sitting

    The NHS also advises reducing time spent sitting or lying down and breaking up long periods of not moving with some activity.

A fitness band with a dark screen lying on a bedside table beside a lamp and a glass of water at dawn
AI-generated image, not a photograph of a real person or place.
A person seen from behind walking on a treadmill in a bright room, wearing a fitness band on one wrist
AI-generated image, not a photograph of a real person or place.

SLEEP TRACKING

It knows you slept.
It is less sure how.

A 2021 study tested seven consumer sleep trackers on 34 healthy young adults over three nights in a sleep laboratory, against polysomnography, the standard lab sleep test. Sensitivity for detecting sleep was high in every device, at 0.93 or above.

Spotting time awake was harder, with specificity of 0.18 to 0.54, and devices did worse on nights of disrupted sleep. The authors called the sleep stage results inconsistent, and said devices should be tested in more groups of people and settings.

Questions

Questions people ask

Are fitness trackers accurate for steps?

Mostly, in lab tests. A 2020 systematic review of 158 studies found several leading brands measured steps accurately in laboratory settings, though accuracy varied by manufacturer and device type.

Can I trust my tracker's heart rate?

Usually for general use. In a Stanford study, six of seven wrist devices measured heart rate within 5% of an electrocardiograph. Skin colour and body mass index affected some measurements.

Why are calorie counts so far off?

Heart rate is measured directly, but energy expenditure is calculated. Stanford researchers said each device uses its own formula, and it is hard to make one that fits people of different fitness, height and weight.

Do sleep trackers work?

They are good at detecting when you are asleep and most matched or beat research-grade actigraphy at detecting wake. Their breakdown of sleep stages was inconsistent in a 2021 laboratory study.

How much activity should I aim for?

The NHS says adults should aim for at least 150 minutes of moderate activity or 75 minutes of vigorous activity a week, plus strengthening activities on at least 2 days.

References

  1. Fuller et al. (2020): Reliability and validity of commercially available wearable devices, systematic review, JMIR mHealth and uHealth
  2. Stanford Medicine: Fitness trackers accurately measure heart rate but not calories burned
  3. Chinoy et al. (2021): Performance of seven consumer sleep-tracking devices compared with polysomnography, Sleep
  4. NHS: Physical activity guidelines for adults aged 19 to 64

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