Purpose <p>Assessing the validity of maximum oxygen uptake (V̇O₂<sub>max</sub>) estimates provided by a commercially available smartwatch (Garmin Forerunner 245, Garmin Ltd., Olathe, USA) compared to laboratory-based respiratory gas analysis in moderately-to-highly trained athletes.</p> Methods <p>Thirty-five endurance athletes (Tier 2–3 athletes, 24 males, 11 females; age: 25.1 ± 3.5 years; V̇O₂<sub>max</sub>: 60.1 ± 8.2 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup>) completed a treadmill ramp test with respiratory gas analysis to determine criterion V̇O₂<sub>max</sub>. Additionally, each athlete performed two submaximal 15-min outdoor runs at &gt; 70% of maximum heart rate, during which the smartwatch estimated V̇O₂<sub>max</sub>. Athletes were stratified into moderately trained (V̇O₂<sub>max</sub> ≤ 59.8 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup>) and highly trained (V̇O₂<sub>max</sub> &gt; 59.8 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup>) subgroups.</p> Results <p>Across all athletes, the smartwatch underestimated V̇O₂<sub>max</sub> [mean differences: − 4.73 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup> (run 1), -4.05 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup> (run 2)]. Intraclass correlation coefficients (ICC) indicated moderate agreement between smartwatch and laboratory values (run 1: ICC = 0.71 [95% CI: 0.03–0.90]; run 2: ICC = 0.75 [95% CI: 0.17–0.91]), with mean absolute percentage errors (MAPE) of 7.9% and 7.2%. Subgroup analyses revealed better accuracy of smartwatch estimated V̇O₂<sub>max</sub> in moderately trained group (MAPE: 4.1–2.8%; ICC: 0.63–0.66 [95% CI: 0.09–0.87]), whereas in highly trained athletes, the smartwatch underestimated V̇O₂<sub>max</sub> by 6.3 ml·min⁻<sup>1</sup>·kg⁻<sup>1</sup> (MAPE: 10.4–9.4%; ICC: 0.34–0.41 [95% CI: − 0.11–0.75]).</p> Conclusion <p>Smartwatch-derived V̇O₂<sub>max</sub> estimates are valid in moderately trained athletes but less valid in highly trained individuals. While smartwatches are useful for general monitoring, caution is warranted in their interpretation, particularly in highly trained individuals. Laboratory-based gas analysis remains the preferred method when precision is required.</p>

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Validity of V̇O2max estimates from the forerunner 245 smartwatch in highly vs. moderately trained endurance athletes

  • Florian A. Engel,
  • Lukas Masur,
  • Billy Sperlich,
  • Peter Düking

摘要

Purpose

Assessing the validity of maximum oxygen uptake (V̇O₂max) estimates provided by a commercially available smartwatch (Garmin Forerunner 245, Garmin Ltd., Olathe, USA) compared to laboratory-based respiratory gas analysis in moderately-to-highly trained athletes.

Methods

Thirty-five endurance athletes (Tier 2–3 athletes, 24 males, 11 females; age: 25.1 ± 3.5 years; V̇O₂max: 60.1 ± 8.2 ml·min⁻1·kg⁻1) completed a treadmill ramp test with respiratory gas analysis to determine criterion V̇O₂max. Additionally, each athlete performed two submaximal 15-min outdoor runs at > 70% of maximum heart rate, during which the smartwatch estimated V̇O₂max. Athletes were stratified into moderately trained (V̇O₂max ≤ 59.8 ml·min⁻1·kg⁻1) and highly trained (V̇O₂max > 59.8 ml·min⁻1·kg⁻1) subgroups.

Results

Across all athletes, the smartwatch underestimated V̇O₂max [mean differences: − 4.73 ml·min⁻1·kg⁻1 (run 1), -4.05 ml·min⁻1·kg⁻1 (run 2)]. Intraclass correlation coefficients (ICC) indicated moderate agreement between smartwatch and laboratory values (run 1: ICC = 0.71 [95% CI: 0.03–0.90]; run 2: ICC = 0.75 [95% CI: 0.17–0.91]), with mean absolute percentage errors (MAPE) of 7.9% and 7.2%. Subgroup analyses revealed better accuracy of smartwatch estimated V̇O₂max in moderately trained group (MAPE: 4.1–2.8%; ICC: 0.63–0.66 [95% CI: 0.09–0.87]), whereas in highly trained athletes, the smartwatch underestimated V̇O₂max by 6.3 ml·min⁻1·kg⁻1 (MAPE: 10.4–9.4%; ICC: 0.34–0.41 [95% CI: − 0.11–0.75]).

Conclusion

Smartwatch-derived V̇O₂max estimates are valid in moderately trained athletes but less valid in highly trained individuals. While smartwatches are useful for general monitoring, caution is warranted in their interpretation, particularly in highly trained individuals. Laboratory-based gas analysis remains the preferred method when precision is required.