It is done with the combination of basal metabolic rate(BMR) and body physiology
For example devices like fitbits combine your basal metabolic rate at which you burn calories when your body is at rest ( sleep) to maintain vital physiology of your body.(i.e breathing, blood circulation, heart rate) etc.
Researchers found that fitbits show some inaccuracies in its work. Fitbits trackers compile a bunch of data and run it through an algorithm to provide an estimation of steps.
For ex if you do not move your hands while walking then your fitbits might not register some of your steps and in this way it will give you incorrect answers.
Some obvious inaccuracies of such devices are:
1 they will not measure the metabolism of distant parts of your body accurately
2 they will not count number of steps you take if you don't move your hands while walking.
3they also not give correct pulse rate , blood pressure with full precision
Thank you.
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