Thursday, October 5, 2017

Fitbits: Are you getting what you’re paying for?


            If you would have walk around and look at peoples’ wrists 30 years ago, all you would find adorning them was jewelry and wrist-watches. Fast forward to 2017, and now another item has been added to the list. Maybe it’s just because I’ve grown up in Colorado, but it seems like I see more and more people wearing fitness trackers on their wrists every day. These incredible little devices are one of America’s newest attempts to encourage physical activity, but do they help or hinder their wearers?
            A study conducted at University of Nevada Las Vegas looked into these fitness trackers, the fitbit flex specifically, in order to see how accurate they really were. The study focused on the two main values people focus on from the trackers: Step count (SC) and Energy Expenditure (EE). They recruited participants from UNLV student and staff, and had them walk at different paces (1.5, 2.5, and 3.5 mph) on a treadmill. The fitbit was worn throughout the experiment while EE was also being calculated using data from a respiratory monitor attached to the subject, and SC also being calculated with a manual counter; these values were used as the “control” against the fitbit.
            The results of the study not only shocked me, but it also went against the researchers’ hypothesis. The SC was significantly underestimated at all speeds, and the EE was significantly overestimated for two speeds, only accurate when the subject walked at 2.5 mph. These results are not only statistically significant, but the EE results also have a significant impact on society. The average fitbit wearer references their SC and EE values in tracking diet and exercise. As the paper aptly pointed out, if the fitbit is telling the wearer they’re burning more calories than they actually are, then the wearer will likely be frustrated when they don’t see expected weight loss results. Further, individuals could also believe they have a great “food allowance” than they truly due, which could lead to possible weight gain, instead of loss. While the EE results are potentially harmful, the SC results could be “helpful”. If a wearer has the goal of reaching 10,000 steps in one day, they would likely exceed that goal before the fitbit would reach 10,000 steps, therefore burning more calories.
            So, are fitbits worth it? I still believe they are, but with one exception. Wearers need to be made very aware of the potential inaccuracies, and recognize the values as approximations more than concrete numbers. The reality is that can be said of almost all fitness trackers, as the most accurate trackers likely involve a laboratory, hoses and wires, and some calculations. However, there is something to be said about the physio social impacts of fitness trackers like the fitbit. There are now a multitude of apps where wearers can upload and share the data with their friends, which in turn builds a kind of exercising community. Wearers can be inspired/motivated by others activity, and push themselves to reach their goals. America desperately needs to slim down, and something like a fitbit may certainly lead to change.

https://www.asep.org/asep/asep/JEPonlineOCTOBER_5_2017_Montes.pdf

6 comments:

  1. It is not too surprising that Fitbits would not be completely accurate, but it is interesting that the EE and the SC do not show the same trend of inaccuracy (i.e. neither are both underestimating or overestimating). I agree that full disclosure needs to happen with Fitbit customers so they are being realistic about their health goals. With that in mind, do you think it is also up to Fitbit to improve their products' accuracy?

    Looking at clinical trials.gov, there are numerous studies involving Fitbits and weight management, physical activity, and even sleep. Besides the obvious physical activity increase that can happen with wearing a Fitbit, do you see any other potential health benefits? Do you think it is a positive thing for Fitbit wearers to have all of their health information readily accessible at all times? Just like people are "plugged-in" to their smartphones a lot, could a similar phenomenon happen with Fitbits and how would this affect other aspects of people's health?

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  3. It is quite unfortunate to see how inaccurate EE and SC are monitored in fitness tracking watches like the Fitbit, since a number of individuals that I know personally would swear by the numbers produced by their watches. However, could it be possible that we are looking at the wrong variables by which we could keep track of our fitness on a daily basis? Perhaps we could be looking at something like heart rate, a variable that is easily tracked in most fitness watches, to monitor and reflect on our daily activity.

    Dr. Euan Ashley of Stanford University Medical Hospital has been conducting an experiment to determine the accuracy of several fitness tracking devices, including the Fitbit. Although he did indicate that all of the fitness trackers were significantly inaccurate in measuring caloric expenditure (the most inaccurate device was up to 93% off!), Dr. Ashley did report that most of the watches were only off by less than 5% in measuring heart rate. Keeping in mind that this is the result of only one experiment consisting of sixty volunteers, I can only hope that these results push research in the direction of creating a better consumer product that bases its fitness reporting primarily on heart rate and not using it to indirectly calculate caloric expenditure.

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    1. My apologies! I forgot to include the site that I referenced.
      https://med.stanford.edu/news/all-news/2017/05/fitness-trackers-accurately-measure-heart-rate-but-not-calories-burned.html

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  4. I am guilty of being a fitbit user. I have personally noticed a discrepancy in the accuracy. My 6’2’’ fiance will get more steps than I do on days where we have done the exact same thing. He will not just get a few more steps than me but hundreds more than I do. I realize that people can vary slightly in their count of steps when doing the same activity. I am only 5’8’’ so I would guess that I should be the one getting more steps because my stride is shorter than his (Murray, 1964). This should lead to me having to take many more steps than he does, for example, when we do the same hike. Due to this unofficial experiment we have done many times I just figured that it is an electronic device and it can not be 100% accurate because it is not counting each step it is estimating due to my height and calculated stride.
    Although it may not be accurate, I still truly enjoy my fitbit. It allows me to have a friendly competition with my fiance and my parents who live thousands of miles away. My parents need the assistance to help motivate them to take more steps. With making it friendly competition, I see it as a positive thing. Due to the article mentioned above we all may be taking more steps than it says we are but then it just pushes us a little further to reach our goal. The goal we use it for is just to encourage moving every day. Also mentioned above everyone will use it in different ways but it works just right for my family.

    Murray,Pat. Drought, Bernard. Kory, Ross. Walking Patterns of Normal Men. Journal of Bone & Joint Surgery. (1964)

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  5. Looking at my personal fitbit and its app, steps take up the most screen space by a lot. Next come the miles, calories burned and HR. Based on the unreliable SC measurements, maybe it should not be the main focus of the app. The fitbit can be used to record and keep track of many other factors, those should be a larger part of the fitbit experience. HR can be used to measure activity, fitness and sleep levels. Maybe advanced users should be able program in things like max heart rate so that the watch can tell them when they reach a certain percent of it.

    Overall, as it is now, I think fitbits are good for people looking to become more mindful of their health. It has a good system to remind users to get up and move and can be used to track weight, food and water.

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