NOTICE. (Formulated under the cognizance of the CTA R6.4 Health & Fitness Technology Subcommittee.)

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1 CTA Standard Physical Activity Monitoring for Heart Rate CTA-2065 February 2018

2 NOTICE Consumer Technology Association (CTA) Standards, Bulletins and other technical publications are designed to serve the public interest through eliminating misunderstandings between manufacturers and purchasers, facilitating interchangeability and improvement of products, and assisting the purchaser in selecting and obtaining with minimum delay the proper product for his particular need. Existence of such Standards, Bulletins and other technical publications shall not in any respect preclude any member or nonmember of the Consumer Technology Association from manufacturing or selling products not conforming to such Standards, Bulletins or other technical publications, nor shall the existence of such Standards, Bulletins and other technical publications preclude their voluntary use by those other than Consumer Technology Association members, whether the standard is to be used either domestically or internationally. Standards, Bulletins and other technical publications are adopted by the Consumer Technology Association in accordance with the American National Standards Institute (ANSI) patent policy. By such action, the Consumer Technology Association does not assume any liability to any patent owner, nor does it assume any obligation whatever to parties adopting the Standard, Bulletin or other technical publication. This document does not purport to address all safety problems associated with its use or all applicable regulatory requirements. It is the responsibility of the user of this document to establish appropriate safety and health practices and to determine the applicability of regulatory limitations before its use. This document is copyrighted by the Consumer Technology Association (CTA) and may not be reproduced, in whole or part, without written permission. Federal copyright law prohibits unauthorized reproduction of this document by any means. Organizations may obtain permission to reproduce a limited number of copies by entering into a license agreement. Requests to reproduce text, data, charts, figures or other material should be made to the Consumer Technology Association (CTA). (Formulated under the cognizance of the CTA R6.4 Health & Fitness Technology Subcommittee.) Published by CONSUMER TECHNOLOGY ASSOCIATION 2018 Technology & Standards Department All rights reserved

3 FOREWORD This standard was developed by the Consumer Technology Association s Health, Fitness and Wellness Technology Subcommittee. i

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5 CONTENTS 1 Scope Introduction Stakeholders Purpose Other Considerations References Normative References... 2 Normative Reference List Informative References... 2 Informative Reference List Compliance Notation Definitions Testing Conditions Participant Considerations... 4 Skin Tones... 4 BMI Range... 4 Gender Balance... 4 Artifacts... 4 Age... 4 Physical Activity Readiness Questionnaire (PAR-Q) Screening Testing Environment Control Devices... 4 Control Device Configuration Physical Monitoring Device... 5 Physical Monitoring Device Configuration... 5 Device set-up Control device Physical Monitoring Device Circumstances/Activity States Heart Rate... 5 Test Preparation Heart Rate while Sedentary... 6 Protocol Heart Rate with Typical/Lifestyle Activity... 6 Protocol Heart Rate while Walking... 6 Protocol Heart Rate with Dynamic Walking and Jogging... 7 Protocol Heart Rate while Running/Jogging... 7 Protocol Heart Rate with Dynamic Indoor Cycling... 7 Protocol Performance Criteria: Data Accuracy and Availability Thresholds Data Analysis... 9 iii

6 8 Test Report Section iv

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9 Physical Activity Monitoring for Heart Rate 1 Scope This standard creates definitions and performance criteria for consumer technology that measures heart rate (HR). 2 Introduction The following assumptions are provided to users of this standard. 2.1 Stakeholders Wearable device companies who want to understand what guidelines need to be adhered to in order to meet a basic standard for HR monitoring accuracy. Wearable device companies who want to make sure that consumers or media who test their device for HR accuracy have a clear standard to test against so outcomes can be reported accurately. Consumers who want to know if a specific device meets the minimum standards for HR accuracy. Media who want to test the accuracy of a HR monitor for a specific device. Researchers who want to know if a specific device meets the minimum standards for HR accuracy. Organizations trying to make decisions on which devices to recommend to employees and patients. 2.2 Purpose Provide organizations who want to test continuous measurement HR monitoring devices with a standard process that ensures the device meets the basic standard for HR accuracy as defined by the CTA. Provide a standard protocol to test and validate the accuracy of a HR monitoring device under the conditions of everyday living. 2.3 Other Considerations This standard was produced to examine performance of devices that measure continuous HR. Participant characteristics, test conditions, and protocols were chosen to include a range of conditions that allow for examination of HR from devices utilizing varying techniques. It is acknowledged that current and future methods for monitoring HR may benefit from additional analysis beyond that recommended in this document. For example, optical techniques may be affected by ambient light, electrical techniques may be affected by external electronic sources, and audio techniques may be affected by ambient noise. Additionally, sensor location on the body may be more or less suited for particular protocols. With that in mind the following considerations are noted as potentially important while not accounted for in the current standard. Participant characteristics: specific age ranges, hair density, body composition. Test conditions: variable ambient light (e.g.,, direct, indirect, and sun/shadow transitions), wide ranging temperatures (cold and warm), wide range of ambient noises, incorporation of clothing that may have the potential to interfere with devices (e.g., tightness, thickness, or that which 1