TY - JOUR A1 - Düking, Peter A1 - Giessing, Laura A1 - Frenkel, Marie Ottilie A1 - Koehler, Karsten A1 - Holmberg, Hans-Christer A1 - Sperlich, Billy T1 - Wrist-Worn Wearables for Monitoring Heart Rate and Energy Expenditure While Sitting or Performing Light-to-Vigorous Physical Activity: Validation Study JF - JMIR mhealth and uhealth N2 - Background: Physical activity reduces the incidences of noncommunicable diseases, obesity, and mortality, but an inactive lifestyle is becoming increasingly common. Innovative approaches to monitor and promote physical activity are warranted. While individual monitoring of physical activity aids in the design of effective interventions to enhance physical activity, a basic prerequisite is that the monitoring devices exhibit high validity. Objective: Our goal was to assess the validity of monitoring heart rate (HR) and energy expenditure (EE) while sitting or performing light-to-vigorous physical activity with 4 popular wrist-worn wearables (Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa). Methods: While wearing the 4 different wearables, 25 individuals performed 5 minutes each of sitting, walking, and running at different velocities (ie, 1.1 m/s, 1.9 m/s, 2.7 m/s, 3.6 m/s, and 4.1 m/s), as well as intermittent sprints. HR and EE were compared to common criterion measures: Polar-H7 chest belt for HR and indirect calorimetry for EE. Results: While monitoring HR at different exercise intensities, the standardized typical errors of the estimates were 0.09-0.62, 0.13-0.88, 0.62-1.24, and 0.47-1.94 for the Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, respectively. Depending on exercise intensity, the corresponding coefficients of variation were 0.9%-4.3%, 2.2%-6.7%, 2.9%-9.2%, and 4.1%-19.1%, respectively, for the 4 wearables. While monitoring EE at different exercise intensities, the standardized typical errors of the estimates were 0.34-1.84, 0.32-1.33, 0.46-4.86, and 0.41-1.65 for the Apple Watch Series 4, Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, respectively. Depending on exercise intensity, the corresponding coefficients of variation were 13.5%-27.1%, 16.3%-28.0%, 15.9%-34.5%, and 8.0%-32.3%, respectively. Conclusions: The Apple Watch Series 4 provides the highest validity (ie, smallest error rates) when measuring HR while sitting or performing light-to-vigorous physical activity, followed by the Polar Vantage V, Garmin Fenix 5, and Fitbit Versa, in that order. The Apple Watch Series 4 and Polar Vantage V are suitable for valid HR measurements at the intensities tested, but HR data provided by the Garmin Fenix 5 and Fitbit Versa should be interpreted with caution due to higher error rates at certain intensities. None of the 4 wrist-worn wearables should be employed to monitor EE at the intensities and durations tested." KW - cardiorespiratory fitness KW - innovation KW - smartwatch KW - technology KW - wearable KW - digital health Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-229413 VL - 8 IS - 5 ER - TY - JOUR A1 - Düking, Peter A1 - Tafler, Marie A1 - Wallmann-Sperlich, Birgit A1 - Sperlich, Billy A1 - Kleih, Sonja T1 - Behavior Change Techniques in Wrist-Worn Wearables to Promote Physical Activity: Content Analysis JF - JMIR Mhealth and Uhealth N2 - Background: Decreasing levels of physical activity (PA) increase the incidences of noncommunicable diseases, obesity, and mortality. To counteract these developments, interventions aiming to increase PA are urgently needed. Mobile health (mHealth) solutions such as wearable sensors (wearables) may assist with an improvement in PA. Objective: The aim of this study is to examine which behavior change techniques (BCTs) are incorporated in currently available commercial high-end wearables that target users’ PA behavior. Methods: The BCTs incorporated in 5 different high-end wearables (Apple Watch Series 3, Garmin Vívoactive 3, Fitbit Versa, Xiaomi Amazfit Stratos 2, and Polar M600) were assessed by 2 researchers using the BCT Taxonomy version 1 (BCTTv1). Effectiveness of the incorporated BCTs in promoting PA behavior was assessed by a content analysis of the existing literature. Results: The most common BCTs were goal setting (behavior), action planning, review behavior goal(s), discrepancy between current behavior and goal, feedback on behavior, self-monitoring of behavior, and biofeedback. Fitbit Versa, Garmin Vívoactive 3, Apple Watch Series 3, Polar M600, and Xiaomi Amazfit Stratos 2 incorporated 17, 16, 12, 11, and 11 BCTs, respectively, which are proven to effectively promote PA. Conclusions: Wearables employ different numbers and combinations of BCTs, which might impact their effectiveness in improving PA. To promote PA by employing wearables, we encourage researchers to develop a taxonomy specifically designed to assess BCTs incorporated in wearables. We also encourage manufacturers to customize BCTs based on the targeted populations. KW - cardiorespiratory fitness KW - innovation KW - smartwatch KW - technology KW - wearable KW - eHealth KW - mHealth Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-230556 VL - 8 IS - 11 ER - TY - JOUR A1 - Düking, Peter A1 - Zinner, Christoph A1 - Reed, Jennifer L. A1 - Holmberg, Hans‐Christer A1 - Sperlich, Billy T1 - Predefined vs data‐guided training prescription based on autonomic nervous system variation: A systematic review JF - Scandinavian Journal of Medicine & Science in Sports N2 - Monitoring variations in the functioning of the autonomic nervous system may help personalize training of runners and provide more pronounced physiological adaptations and performance improvements. We systematically reviewed the scientific literature comparing physiological adaptations and/or improvements in performance following training based on responses of the autonomic nervous system (ie, changes in heart rate variability) and predefined training. PubMed, SPORTDiscus, and Web of Science were searched systematically in July 2019. Keywords related to endurance, running, autonomic nervous system, and training. Studies were included if they (a) involved interventions consisting predominantly of running training; (b) lasted at least 3 weeks; (c) reported pre‐ and post‐intervention assessment of running performance and/or physiological parameters; (d) included an experimental group performing training adjusted continuously on the basis of alterations in HRV and a control group; and (e) involved healthy runners. Five studies involving six interventions and 166 participants fulfilled our inclusion criteria. Four HRV‐based interventions reduced the amount of moderate‐ and/or high‐intensity training significantly. In five interventions, improvements in performance parameters (3000 m, 5000 m, Loadmax, Tlim) were more pronounced following HRV‐based training. Peak oxygen uptake (VO\(_{2peak}\)) and submaximal running parameters (eg, LT1, LT2) improved following both HRV‐based and predefined training, with no clear difference in the extent of improvement in VO\(_{2peak}\). Submaximal running parameters tended to improve more following HRV‐based training. Research findings to date have been limited and inconsistent. Both HRV‐based and predefined training improve running performance and certain submaximal physiological adaptations, with effects of the former training tending to be greater. KW - cardiorespiratory fitness KW - eHealth KW - endurance KW - innovation KW - technology KW - training KW - wearable Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-217893 VL - 30 IS - 12 SP - 2291 EP - 2304 ER - TY - CHAP A1 - Schwaneck, Stefan A1 - Glos, Michael A1 - Bofinger, Peter A1 - Straubhaar, Thomas A1 - Haase, Axel A1 - Pinkwart, Andreas A1 - Kunze, Mario A1 - Österle, Irene A1 - Seubert, Marc A1 - Nowak, Matthias A1 - Rosen, Holga A1 - Steinle, Andreas A1 - Schorr, Leander A1 - Fichtner, Caroline A1 - Fischl, Bernd A1 - Wittrock, Max A1 - Günther, Niclas A1 - Roth, Isabelle A1 - Verburg, Erik A1 - Sextl, Gerhard A1 - Heitmüller, Lars A1 - Müller, Norman A1 - Frashek, André A1 - Stetter, Ulrich T1 - Innovationen – Performancetreiber und nachhaltiger Wirtschaftsmotor in Deutschland? Festschrift zum 5. Würzburger Wirtschaftssymposium N2 - 5. Würzburger Wirtschaftssymposium, 20.11.2008 Deutsche Erfindungen verändern die Welt - heute wie vor 500 Jahren. Von Buchdruck, über Dieselmotor, Glühbirne bis hin zu Airbag, Aspirin, Dübel, Fernseher und mp3-Format. Alleine dieser bescheidene Überblick des Phänomens “Made in Germany” lässt den Betrachter die Bedeutung und das Potenzial von Innovationen am Standort Deutschland schnell erkennen. Experten aus Wirtschaft, Politik und Gesellschaft setzten sich am 20.11.2008 unter der Leitfrage: “Innovationen – Performancetreiber und nachhaltiger Wirtschaftsmotor in Deutschland?” mit der Bedeutung von Innovationen für den Standort Deutschland auseinander. Die Festschrift rundet - neben Interviews mit und Gastbeiträgen von Referenten der Veranstaltung - das 5. Würzburger Wirtschaftssymposium mit Stellungnahmen und Beiträgen renommierter Experten ab. Zu Wort kommen dabei Jungunternehmer ebenso wie Wissenschaftler der Universität Würzburg und Vertreter externer Organisationen. KW - Innovationsforschung KW - Innovationsmanagement KW - Innovationspotenzial KW - Sozialinnovation KW - Produktinnovation KW - Technische Innovation KW - Würzburg KW - Wirtschaft KW - Partner für Innovation KW - Entrepreneurship KW - Universität KW - economics KW - innovation KW - entrepreneurship Y1 - 2008 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-53559 SN - 978-3-923959-58-7 ER - TY - THES A1 - Plagens, Manfred T1 - Innovationsprozesse in der Medizintechnik in Deutschland T1 - Processes of economic innovation in the German medical device industry N2 - Diese Arbeit beschäftigt sich mit Innovationsprozessen der medizintechnischen Industrie in Deutschland am Beispiel der bildgebenden Verfahren. Einen geeigneten Analyserahmen, um die komplexen Verflechtungen und Erfolgs-determinanten zu erfassen, bietet der Clusteransatz Michael Porters. Der Clusteransatz wird um wachstumstheoretische, politökonomische Ansätze ergänzt und erweitert, um die Medizintechnikbranche quantitativ und qualitativ zu untersuchen und die Wechselwirkungen zwischen Medizintechniknetzwerk, Innovationen und staatlichem Sozialsystem in Deutschland aufzuzeigen. Es wird geklärt, welche Auswirkungen Innovationen für die medizintechnische Branche haben und welche institutionellen und politischen Bedingungen Innovationen begünstigen, welche wirtschaftspolitischen Handlungsempfehlungen daraus abgeleitet werden können und wie sich die Zukunft für diese Branche gestalten könnte. Kapitel 1 spezifiziert den Untersuchungsgegenstand auf die bildgebenden Verfahren. Kapitel 2 nimmt - anhand diverser Innovationsindikatoren - eine quantitative Eingruppierung der deutschen medizintechnischen Industrie vor. In Kapitel 3 werden die bislang gewonnen Erkenntnisse mit dem Clusterkonzept Porters einer qualitativen Analyse unterzogen. Es wird der Frage nachgegangen, was die Wettbewerbsfähigkeit der Medizintechnik ausmacht. Hierbei liegt ein Schwerpunkt auf den Wechselbeziehungen von Medizin-technikbranche und staatlichem Gesundheitssystem. Kapitel 4 ergänzt die Wettbewerbsfähigkeitsanalyse um einen inter-industriellen Vergleich. Weitere international erfolgreiche deutsche Branchen werden in ihren Erfolgsfaktoren mit der Medizintechnik verglichen. Das Konzept der "Langen Wellen" präzisiert die Spezifika der Medizintechnikbranche. Kapitel 5 fasst die Ergebnisse der Untersuchung zusammen und gibt eine Prognose für die mögliche Zukunftsentwicklung der Branche. N2 - The thesis deals with processes of economic innovation in the German medical device industry. Michael Porter`s „industrial cluster model“ is used as the relevant analytical framework to deal with the complex intercourses of the different economic determinants of success. Porter`s model is enhanced by aspects of the New Growth Theory as well as Public Choice aspects that allow the examination of the medical device industry. My main focus lies on the explanation of the interaction between the medical device industry cluster, innovations and the German health care system. It is showed which impact innovations generally have in the German medical device industry and furthermore how a certain institutional and political set-up promotes these innovations. In the next step economic recommodations are deduced from the results of the thesis and there will be a forecast on the future of the German medical device industry. Chapter 1 specifies and explains the concepts „innovation“, „cluster“ and „medical device industry“. In chapter 2 the German medical device industry is examined on its different innovation indicators. Chapter 3 uses Michael Porter`s enhanced economic cluster model as the framework for a qualitative examination of the industry. The main focus lies on the interaction between medical device industry and the German national health care system. Chapter 4 completes the analysis of the competitiveness of the medical device industry by an inter-industry comparison with other successful German industry clusters such as the optical industry. The economic concept of „long waves of innovation“ gives here a helpful completion. Chapter 5 sums up the results of the thesis and gives an outlook on the future of the German medical device industry. KW - Deutschland KW - Medizintechnische Industrie KW - Innovation KW - Innovation KW - Cluster KW - Medizintechnik KW - Gesundheitssystem KW - Deutschland KW - innovation KW - cluster KW - medical device industry KW - health care system Y1 - 2001 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-619 ER -