I use my nook when i'm on the elliptical only. I've also tried using it on the treadmill (couldn't keep my balance) and on an upright bike (got sweat on it). I do use the large or extra large fonts so I can actually read - it's too hard to focus on anything smaller while moving...
As for the heart rate monitor thing... well, I used a chest strap and watch, so never had to hold on to the machine the whole time. (which, FYI, if you are holding on all the time to any machine, it's too intense for you and/or you're getting diminished returns from the effort.). So the page turning has never been an issue, though...
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