» Articles » PMID: 39727896

Evaluation of Photoplethysmography-Based Monitoring of Respiration Rate During High-Intensity Interval Training: Implications for Healthcare Monitoring

Overview
Specialty Biotechnology
Date 2024 Dec 27
PMID 39727896
Authors
Affiliations
Soon will be listed here.
Abstract

Monitoring respiration rate (RR) is crucial in various healthcare settings, particularly during demanding (physical) activities where respiratory dynamics are critical indicators of health status. This study aimed to evaluate the accuracy of photoplethysmography (PPG)-based monitoring of RR during high-intensity interval training (HIIT) and its potential applications in healthcare. Between January and March 2024, healthy volunteers participated in a cycling HIIT session with increasing resistance levels. The RR measurements obtained using the PPG-based CardioWatch 287-2 (Corsano Health) were compared with an ECG patch-derived (Vivalink) reference. Subgroup analyses were conducted based on skin type and sex. A total of 35 participants contributed 1794 paired RR measurements. The PPG algorithm for RR monitoring showed an average root mean square (Arms) error of 2.13 breaths per minute (brpm), a bias of -0.09 brpm, and limits of agreement (LoA) from -4.28 to 4.09 brpm. Results were consistent across the different demographic subgroups. The CardioWatch 287-2 therefore demonstrated reliable RR monitoring during HIIT, supporting its potential use in healthcare settings for continuous, non-invasive respiratory monitoring, particularly in physical rehabilitation and chronic respiratory condition management.

References
1.
Shah A, Althobiani M, Saigal A, Ogbonnaya C, Hurst J, Mandal S . Wearable technology interventions in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. NPJ Digit Med. 2023; 6(1):222. PMC: 10682416. DOI: 10.1038/s41746-023-00962-0. View

2.
Fitzpatrick T . The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988; 124(6):869-71. DOI: 10.1001/archderm.124.6.869. View

3.
Mochizuki K, Shintani R, Mori K, Sato T, Sakaguchi O, Takeshige K . Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: a single-center, case-control study. Acute Med Surg. 2017; 4(2):172-178. PMC: 5667270. DOI: 10.1002/ams2.252. View

4.
Cretikos M, Bellomo R, Hillman K, Chen J, Finfer S, Flabouris A . Respiratory rate: the neglected vital sign. Med J Aust. 2008; 188(11):657-9. DOI: 10.5694/j.1326-5377.2008.tb01825.x. View

5.
Patel V, Orchanian-Cheff A, Wu R . Evaluating the Validity and Utility of Wearable Technology for Continuously Monitoring Patients in a Hospital Setting: Systematic Review. JMIR Mhealth Uhealth. 2021; 9(8):e17411. PMC: 8411322. DOI: 10.2196/17411. View