Key result
Low compression smart clothing equipped with a bending angle sensor accurately measured respiratory rate with correlation coefficients of 0.97 to 0.99 and a mean difference of less than 0.1 bpm compared to a spirometer.
Why the study?
Usability and adoption of smart clothing for respiratory rate monitoring are often compromised by discomfort from compression pressure during wear.
Does low compression smart clothing accurately measure respiratory rate compared to a spirometer in healthy male subjects?
Does low compression smart clothing accurately measure respiratory rate compared to a spirometer in healthy male subjects?
Effect estimate: r = 0.97-0.99
p-value: p=<0.001
A novel low compression smart clothing using a bending angle sensor accurately measures respiratory rate in healthy subjects without causing discomfort.
Should not yet change practice; extends wearable sensor validation for respiratory monitoring.
In chronic respiratory diseases, continuous self-monitoring of vital signs such as respiratory rate aids in the early detection of exacerbations. In recent years, the development of smart clothing, such as garments equipped with sensors to measure respiratory rate, has been a focus of research. However, the usability and adoption of smart clothing are often compromised owing to the discomfort caused by compression pressure during wear. This study developed smart clothing designed to measure respiratory rate using a low compression pressure. This was achieved by integrating a bending angle sensor, based on double-layer capacitance, into the rib cage and abdomen areas. The accuracy of the respiratory rate measurement was evaluated in 20 healthy male subjects without respiratory diseases. Breathing was measured while the subjects wore the smart clothing and performed breathing exercises in sitting, supine, and lateral postures, following a metronome set between 12 and 30 bpm. To assess accuracy, the respiratory rate measured by the smart clothing was compared with that measured by a spirometer. The recorded compression pressure was 0.77 ± 0.21 kPa, with no subjects reporting discomfort. Correlation coefficients for respiratory rate in the different postures ranged within 0.97-0.99. The mean difference between the smart clothing and spirometer measurements was less than 0.1 bpm. The low mean difference indicated that the proposed low compression pressure wearable respiration sensor, employing a bending angle sensor based on double-layer capacitance, could measure respiratory rate accurately without causing discomfort and within an acceptable error range.
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Kobayashi et al. (2025) studied Healthy (n=20). Low compression smart clothing with bending angle sensor vs. Spirometer was evaluated on Accuracy of respiratory rate measurement (correlation coefficient) (r = 0.97-0.99, p=<0.001). Low compression smart clothing equipped with a bending angle sensor accurately measured respiratory rate with correlation coefficients of 0.97 to 0.99 and a mean difference of less than 0.1 bpm compared to a spirometer.
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