If you thought you’d seen the last of Dr Rohin ‘Medlife Crisis’ Francis and his magnificient moustache, think again. And I’ve actually made more Medlife content since this vid so check out the smartwatches playlist for me of me and Rohin chatting wearables: kzread.info/head/PLg0VbZ0kyCHl0yKBAQZ0NaI-Gxax6_0oX

@MacellaioNero

Жыл бұрын

Really enjoying this series - could I ask, what software/apps were used in conjunction with the Polar H10 to gather the RHR data?

@DrAndrewSteele

Жыл бұрын

@@MacellaioNero Thanks, glad to hear you’re enjoying these! :) For the Polar, I used this great Android app to collect all the data as massive CSVs: play.google.com/store/apps/details?id=com.j_ware.polarsensorlogger I did the analysis with some home-made R scripts which I’m planning to tidy up and share at some point…

@MacellaioNero

Жыл бұрын

@@DrAndrewSteele Thanks so much!

@Wawet76

Жыл бұрын

HRV is what is used by Garmin for the stress level as I understand. I'm looking forward this video. Garmin seem to give this indicator a high value: Their "body battery " rate of descent seems based on that.

@rredding

5 ай бұрын

I liked what this guy does, he is measuring many kinds of smart watches and compares that with a Polar chest strap: kzread.info/dash/bejne/lHmBk89wf8fSqbw.htmlsi=xHzQUsK7Y0V8Y-uP

That moustache has it's own resting heart rate.

@idontwantahandlethough

Жыл бұрын

do you think he could fly with that thing if we go him going fast enough? I'd really like to know. Seems like it might be able to produce enough lift 😊

@evanbarnes9984

Жыл бұрын

I think it's also prehensile!

@JamesAlexander14

Жыл бұрын

Worryingly, there might be refugees hiding there…

@DrAndrewSteele

Жыл бұрын

Boom boom

@user-hq4se6ee5z

5 ай бұрын

😂😂

You can find more clarification on Apple's RHR figure in their 'Health' app. Specifically, it says "Your resting heart rate is the average heart beats per minute measured when you've been inactive or relaxed for serval minutes." and continues with "Resting heart rate does not include your heart rate while you're asleep and is validated for users over the age of 18 years."

@MrAwawe

2 ай бұрын

In that case it's just straight up inaccurate, right? His wakeful resting heart rate is far from 44 bpm, so if that's what it's supposed to be measuring, it's completely off.

@davidbraswell1481

Ай бұрын

@@MrAwawe my apple watch has never said mine was that low this dude is doing something fishy

@MrAwawe

Ай бұрын

@@davidbraswell1481 have you measured your actual resting heart rate and compared it to the results from the apple watch? Andrew is quite fit, which will exacerbate the issue. Maybe you're getting 52 while your actual resting heart rate is 60.

@KindredBrujah

18 күн бұрын

@@davidbraswell1481 Yes, this guy is lying to invalidate Apple for... reasons, rather than the notoriously inaccurate measurements from a wearable just happened to be inaccurate when he checked. Legit take, well done.

@MikeWarner75

11 күн бұрын

I came here to say this. But the strange thing is, I had a Garmin for a few years. When I bought my Apple Watch my resting heart-rate figure increased from around 52bpm to around 60bpm.

Whenever I go to the Doctor's office, my heart rate is like 20-30 BPM over what it is normally. I don't want to tell them that it's because all the nurses that work there are ridiculously attractive and I'm trying very hard not to say anything too stupid

@Fehr270

Жыл бұрын

They aren’t there to date you and giving them bad information will only hurt you.

@southface06

11 сағат бұрын

There is something called White coat syndrome - you get nervous when seeing a doctor because you are concerned about what he/she may find. You just proposed an alternative explanation, at least for men :)

Amazing breakdown of all the data points, you've displayed them all fantastically. I've gotta say, I really do think the the 'cynical' reason you started with is the real reason. But yes, I accept the alternative that it's just simpler to measure overnight, however unlike the cardiac monitors we tend to use for patients, wearable devices have a major extra feature - accelerometers. Surely it would be really easy to find a 5 minute period with minimal activity and then use that for RHR. And maybe repeat several times. I think sleeping HR is a perfectly good metric to track (as you suggest), but people should be made aware of the difference. We've been focusing on the low end, but I would hate people ignoring 90bpm overnight because they think it's in the normal range of 60-100. If someone's HR is that high at night, I'd recommend getting checked for things like sleep apnoea etc.

@DrAndrewSteele

Жыл бұрын

Thanks, doc! And very good point about patients at the higher end-it’s definitely even worse at 90 bpm! And totally agree about the accelerometers, in fact that’s exactly what I did to split the heart rate data up into active, resting and asleep…I used the Fitbit step counter and found every point where no steps were registered for at least five minutes. It wasn’t rocket surgery.

@yeetyeet7070

Жыл бұрын

UwU doctoru-san

@claudiopiccoliromera2646

Жыл бұрын

Samsung watches do exactly that. And the app shows when the measurement was taken/chosen, so you can judge for yourself if the measurement was correct.

I've been wearing a Fitbit for over 3 years, and I believe that the Fitbit resting heart rate (RHR) feature is useful for two reasons. 1). Monitoring your RHR over the past year can indicate whether your health is improving or deteriorating. For instance, I quit consuming caffeine six months ago and noticed my RHR gradually decreasing. When I contracted COVID-19 three months ago, my RHR skyrocketed during the 10-day period, even while I was asleep. As my RHR began to decline, I started recovering from COVID-19. 2). I also check the lowest heart rate during my sleep, as I find it helpful in assessing my overall well-being. I've noticed that my lowest heart rate decreases as my body becomes healthier. In my opinion, the exact RHR number doesn't matter; what's important is observing the trend, whether it's going up or down, as it provides valuable insight into your health.

@davidbraswell1481

3 күн бұрын

yes correct but , Apple is correct too, you just need folks to know how to use the watch......as most don't even show or talk about sleep focus ..which is very important !!!! for more metrics!!

That was a great video! I subscribed. As Fitbit user for years, I found their RHR an actionable insight linked to general fitness, stress, recovery and stress. And this insight really makes sense comparing to your own values, not someone else's. Then once adding HRV it's even better as the later is really representative of recovery after exercise, getting sick and stress.

As a cardiologist I can tell you *all peripherals* (including BP monitors) under-count the true *heart rate* (i.e. the number of times the heart contracts). This is different to the *pulse rate* How can this be true? Well even fit people get ectopic beats (VPC, PVCs etc) which cause a cardiac contraction, but not a strong enough pulse wave to register peripherally. I'm sure each device has a different threshold for detecting weaker pulse waves. Furthermore, these devices use temporal smoothing - some up to 10 beats at a time. That is why you don't see an instantaneous jump from 60bpm to 100bpm like you would on an ECG. The number is smoothed over time and can result in varying heart rates at any given time.

@DrAndrewSteele

Жыл бұрын

Interesting, I knew it was smoothed during the signal processing (you might enjoy the video I made with Steve Mould about how the peripheral measurements work! kzread.info/dash/bejne/dHqO2s6apczgqJM.html ) but I’d not thought of the implications of ectopic beats on that… Presumably the pulse rate is what we’ve measured for decades in studies, because you’d not feel a pulse in the ectopic case?

@peteracain

Жыл бұрын

@@DrAndrewSteele Correct. Same with palpating a pulse rate - ectopic beats are perceived as a pause rather than a beat. That's why ECG data is the correct method to assess heart rate. For example I often get my patients to purchase an AliveCor/Kardia device online or other ECG based peripheral (Withings or even Apple watch) to assess if necessary.

Very nice video mate, helps a lot, thank you. These watches are often giving people so much anxiety.

Good to know! My Garmin gives me a RHR in the low 50s, but during the day I rarely see it below 60.

I love you bro! such useful work you are doing my G

Waking resting heart rate depends on what I've been doing. If I exercised in the past 30min, probably 80. If I've been sitting for an hour, probably 70. If I've been sitting for a few hours, probably 60. If I've been relaxing for a few days, probably min-50. My sleeping heart rate is nearly the same for every one of these situations. Low 50s.

As a Garmin user I know that my resting heart rate is roughly 45 BPM and when I have went into the NHS for a check up they always correlate that my resting heart rate is in the 40's and they ask me if I am an athelete, which I do fitness train, so its not any other underlying cause. I was always told that Garmin has a 10% error factor built in.

@KindredBrujah

18 күн бұрын

So Garmin is telling you that is your sleeping heart rate, but incorrectly labelling it your RHR. Add around 10-20bpm to get your real resting heart rate.

@sepg5084

3 күн бұрын

​@@KindredBrujah did you even read the part that he went to the doctor and the numbers were similar? 🤦

@davidbraswell1481

3 күн бұрын

@@sepg5084 no they are NOT

@davidbraswell1481

3 күн бұрын

@@sepg5084 my brand new Garmin can't even get that right!! the Garmin Epix 2 pro 51... only thing its good for is to connect it to a Polar h10 chest strap to get accurate data even the highest gps tracks are shitty. They are so bad they look like a crack head running from law and I am nowhere near builds.

@KindredBrujah

2 күн бұрын

@@sepg5084 Wasn't how I interpreted it, but it could be that, yeah.

I wonder how reproducible each platform is. If I'm working toward getting more fit, I could be persuaded that it doesn't really matter if my indicated RHR is 58 or 48, as long as the trend is headed downward.

@DrAndrewSteele

Жыл бұрын

This is definitely the right way to use them! Trends are reliable, even when the numbers themselves aren’t. If you’ve not seen it you might enjoy the previous video in this series where we discuss just that!

while not backed by any data, my theory as to why the clinical world has settled on 60-100 instead of 50-90 as their RHR range, is because of the lack of time in a clinic setting. they take your heart rate & blood pressure after having gotten up, spoken with the nurses, maybe gotten nervous, walked around, etc. they don't have time to let you sit for 10 minutes in a stress-free environment just to get your heart rate.

@kingknique

Ай бұрын

Might be true

My feeling is that the conventional definition is lower quality. 5 minutes of rest just in from a long run probably settles at a significantly higher number than after a short burst of exercise or a previously rested state, etc. Overnight conditions might tend to be more consistent. Maybe?

@DrAndrewSteele

Жыл бұрын

This is my feeling too…would be great to have a few more studies to back it up! Sleep seems like a much more consistent physiological state in general… (cue furore from sleep scientists haha)

Very very interesting. Explains why I always thought my resting heart rate was 72/73 before I got a fitbit and it said it was 64.

as I sit here watching your video, I decided to look at my Fitbit Sense. It's reading about 61-62. That's pretty much exactly what it records my resting heart.

I have an Oura ring and I find the daily measurements pretty accurate after comparing it to a blood pressure cuff at multiple exercise intensity levels. I just take that resting heart rate level and use it as a minimum outlying heart rate rather than an average. I get the concern about the misleading averages though.

I used to have a Fitbit with a RHR reading 46 bpm for resting. I’m assuming that might be alright since I’m a runner in college but I have wondered the accuracy of it before.

The thing is, a traditional ‘taken by a doctor in an uncomfortable clinic chair’ HR is way less likely to be accurate - no-one is relaxing in that environment. So it might be more true to say “traditional medical science is lying to you about what a healthy HR is”. And it’s easy to verify smartwatch measurements. I’ve done this many times to verify that my ‘slobbed out of the sofa in the evening’ HR of 38 or something is accurate. It is. Just now I’ve just sat on the sofa and confirmed my watch’s reading of 43bpm. Which is actually 2 beats lower that it’s been showing me as my RHR this week and 2 beats higher than my overnight sleeping low. So I’d say the watch is doing a good job, and it’s the doctors who need to catch up!

I own none of these devices…now I’m not worried that I haven’t.

@DrAndrewSteele

Жыл бұрын

Haha

Knowing how and what your watch is measuring your RHR, your ECG, etc. is just as important as your readings. Can you do the Samsung 4 Classic? Thanks!

Andrew, where do I find table of recovery heart rate? Which value would show that I’m in the clear? And is it also affected by age or is it affected by the peak value that occurred during exercising?

Was alway wondering about this, especially after the last video when we were told that for smart watches RHR is the better predictor for long-term health compared to V02max, as it can be measured more accurately, but obviously this comes with caveats. Garmin usually reports something around 49-51 during the nighty, during the day when I e.g. sit at a desk or am at a doctor it's usually slightly above 70. Right after I woke up but didn't have my morning coffee yet it's typically closer to the sleeping heart right, then something like 59 I'd typical. That is something you _could_ in theory measure manually, but that's obviously not what the clinical studies did.

in apple health app, when you look at resting heart rate. its written that' its measured when you are at rest for a couple of minutes. and that its not a sleep measurement. so I think apple is doing a good job. my Garmin epix pro measures during the night. but in my case they provide the same resting heart rate.

Very informative 👌

As a determiner of cardiopulmonary health, recovery rate from stress to rest is far more instructive.

Resting heart and hear rate is a tough number to measure health in my mind. For someone who's numbers are in the 60s while sitting but if i try to monitor it by myself it rises in the 90s. We things called emotions (anxiety) that can alter numbers. So sleeping heart rate seems like a better metric to me.. Mine is like 48-53 while sleeping.

fwiw: have both oura v3 and fitbit. Oura for sleep and Fitbit mostly for the day Don't really care about the number but the trend. When the trend changes I look for a reason.. Lowest night time heart rate, hrv, temp and resparation are my goto. usually alcohol, stress, infection or exercise. During the day both mostly agree closely somewhere in the 60s.

Garmin algorithm is described on their webpage. They average the lowest 30 minutes and add some percentage to that, can’t remember exactly. It gives me the result in mid 40s, but it’s not unusual for me to see readings in the mid 30s when I drink my morning coffee. A cardiologist gives me 44, as measured at a visit some time ago. In my case the number seems reasonably accurate.

Using my sleeping resting heart rate, max heart rate by age and the Karvonen method helped me calculate my most accurate training zones, especially Zone 2. Far from perfect to use this method or train by heart rate zones, but it worked fairly well.

My smartmatch is lying to me. Damn you garmin. There is no standard for resting heartrate. Interesting. Manufacturers don't tell how their algorhitm works. That's annoying. But they do tell if they use sleeping heart rate. Ok, well they are not lying then, are they?

Great information When I first got my garmin it seemed to use the lowest value over 24 hours, almost always sleeping but I noticed if I had a high number from a bad night of sleep I could drop the number meditating in the afternoon. Now it seems strictly a night time measurement. So I suppose there is some risk of the algorithm changing and moving your numbers up or down. If you are on the edges of either extreme you should do some follow up. It’s been much easier to measure a resting hr after sitting 5 minutes and quickly repeatable in a medical setting rather than having someone monitor you sleeping for 8 hours so it will remain more important. Garmin could easily give you both sleeping and resting hr and maybe they will update it. Last note, I got the garmin blood pressure monitor and it also gives you a hr for the test which you do after sitting still for 5 minutes. Looking forward to the video on blood pressure.

@DrAndrewSteele

Жыл бұрын

Interesting how the algorithms seem to have changed over the years! I only got my Garmin a few months ago so it’s been consistent so far…but one frustrating thing about it is that it only seems to store your step count in 15-minute intervals (I have no idea why) which could make it pretty hard to calculate resting heart rate retrospectively…

Great video. Does anyone know of any fitness rings that rival oura?

Very interesting results. If you use sleep tracking on the Apple Watch it specifically separates between Resting Heart Rate and Sleeping Heart Rate. And for me these are about 10 beats apart and in ranges that make sense and match my expectations (by measureing myself). So for me it does not seems to factor the time asleep into the calculations for RHR. But maybe the caveat is that you actually have to use the sleep tracking feature.

@davidgeorge9233

10 сағат бұрын

Exactly, my findings are the same. I think it suggests the video was made without full understanding of the product perhaps.

I'm glad for this video because I'm not super fit and my Garmin says something about 46 bpm and I was starting to think I have a heart problem. when I sit still it is more reasonable about 55.

In the Apple health app, German version, I am told, that resting heart rate is validated for persons over 18 years old and is specifically not monitored during sleeping time. So, which is it?

Ahaaaa, so when I changed from whoop to a aemin last month... My resting heart rate went down with on average 8 beats. So unfortunately not magically more fit.... That's a shame 🤣 thanks for this great video

@DrAndrewSteele

Жыл бұрын

Haha sorry!! Glad to be of service :)

On my garmin watch it'll report a resting hr of say 58 but while im checking it in real time sitting on the couch I'll be looking at an hr of say 50. When the watch finishes syncing the reported resting hr may adjust down a bit or not. Also, my nights sleeping are often filled with higher HRs than sitting on the couch. 70s and 80s rather than 50s. I dont know why that would be.

What Fitbit did you use? The google watch takes measurements every second for heart rate so I wonder if that can be more accurate?

@DrAndrewSteele

Жыл бұрын

I did this testing with a Fitbit Charge 4, but I’ve since got a 5 and, being a nerd, wore both for a couple of weeks when I got the new one. To say they were identical in every way would be understating it… Not sure about Google watches but my understanding is that they’re very similar too. :)

My SE 2. gen Apple Watch doesn't seem to include sleeping data. I'm averaging around from 50 - 60 resting but I have below 50 when i'm sleeping.

An interesting discussion. It wouldn’t be the first time that technology forces the well known medical gold standard to be reevaluated. One thing I would note, not mentioned in the discussion was the impact of “variable” HRV (heart rate variability) which could easily corrupt getting an accurate resting HR. Different manufacturers may well have chosen different algorithms to manage readings. While we all need to be aware of the limitations of these devices, I push back on them as being “fake”

I find the anatomy of that skeleton a bit disturbing!

The HR monitoring on my fitbit is nonsense. A resting heart rate based on nonsense will strangely enough always be nonsense.

Thanks for your vids. They're interesting but I find them a bit confusing and unstructured and hard to follow...

Old school, wake up and find your pulse and gosh, there it is!

A good video that Apple should review and consider the implications. They should always be trying to be more accurate with their measurements. I wonder how to send it to Apple

...to your other point though. In my data sets I have markers for which period is being measured by which device because like so many things we aren't really getting apples for apples comparisons across manufacturers of biometric data like this.

Dear Andrew....Many many many many many million times many thanks for your video. You finally hit the light switch for me to understand the RHR Value of my Garmin. Sometimes I think that the documentation for the smart watches are so low grade that it's even more confusing. You get a ton of data but it's hard to understand all of it and build a big pictue out of it. Ok, Garmin etc. have their Body Battery, etc. to give the user an easy access to the data in a overall context. But when I checked my RHR in the last days I really got nervous when seeing 45 or so as RHR. I'm by no means fit or even an athlet, but I take a Beta-Blocker. So I thought that maybe this has to be reduced to compensate the sport effects I have. But all doctors said that it's ok. I was so confused. But now that I know what the RHR really is I know that my value is more likely higher. And when I "scan" trough my day HR data I can see that I'm more in the 55 to 60 bracket. So everythin ok. But I was worried. Your video helped me a lot to understand all of that. So thank you for calming my mind and understanding my metrics better. You got a new subscriber. ;)

@DrAndrewSteele

9 ай бұрын

Thanks so much for your comment! Amazing to hear when someone gets real-world impact from a video. :) I agree it would be much better if the manufacturers made the documentation clearer-I understand some of it has to be trade secrets etc, but calculating resting heart rate is really important for people’s health. Good luck and thanks for the sub!

I don't know if it is still the case but when I was comparing FitBit vs. Garmin RHR calculations several years ago it also seemed that FitBit does a decay function rather than just taking a one day value. This lead to much smoother variations compared to what Garmin would give in times where the RHR was fluctuating a lot. IIRC it was something like a one week smoothing. I'd rather have the day value directly and do the trending myself if I so choose. Again FitBit may not be doing this any longer.

I'm still wanting to know how Samsung Galaxy Watch compares to these. Would be nice to get a followup video on that one.

Don’t wear my watch when I sleep. Easy. Not sure they are as inaccurate as you say. My Garmin if anything puts my rhr higher than what I see rested. It’s tricky to put out content on these trackers. They are regularly updated in software and tweaked to be more accurate and they take time to ‘get to know you’. Comments here suggest they are pretty good. Glad to see you finally got a Garmin.

My polar gritx pro shows low 40:s sometimes under 40. ive done ekg at hospital and that is also low in par with the watch and have been asked from the medical staff if my pulse always is so low. So it seems that my polar watch is accurate. I workout nearly daily.

I prefer to subtract my lowest heart rate from my maximum heart rate over the day. Divide this range by 6 to get the standard deviation. My estimate of my RHR is then RHR =Lowest HR + 1 Standard deviation. This is based on the assumption that my heart rate will follow a normal distribution. This way of calculating my RHR is more consistent across the various heart rate monitors that I owned.

Coros explicitly mentions RHR is measured when you are inactive while awake 👌

I have an active lifestyle; I walk 3-4 km a day and try to eat healthy. My Apple Watch gave me Low HR notification while sleeping on 2 occasions which led me to goto ER and get ECG, Echocardiogram, and Holter Monitor done. They all turned out to be normal but it increased my anxiety so much that now I have to take anxiety medication and I am really wary of my heart. Apple Watch is a curse for me. I have stopped wearing it.

Resting heart rate is only part of the metric for fitness. So when there is an inaccuracy for a single data point for an overall picture it should be scaled to its value to the picture of fitness. Simply put, if resting heart rate is 50% of ones fitness and maximum heart rate is the other 50%, then a 5% spread in readings for one of those values becomes less significant to the whole picture. Since we know that fitness is multi faceted, more than one data point, more than Resting heat rate and maximum heart rate, then the discrepancy in sensor values is less critical. Still, this is a good observation, some people are looking for 1% improvement and this certainly illustrates that could be the case.

The resting hr garmin repots is not the lowest number registered over night, it’s usually a few beats above that as I assume it has to maintain that number for some amount of time instead of just one brief moment.

@johnwrw

Жыл бұрын

I think I've read that it's the lowest average HR over a period of 30 minutes

@brianwakem7258

Жыл бұрын

Ditto my Garmin Epix Gen 2 definitely doesn't report the lowest number but some sort of lowest average period as it's usually about 2bpm higher than the low.

@DrAndrewSteele

Жыл бұрын

I think you’re right about this-when I was looking for info on how Garmin calculates RHR I also found this page support.garmin.com/en-US/?faq=F8YKCB4CJd5PG0DR9ICV3A which states ‘Daily RHR is calculated using the lowest 30 minute average in a 24 hour period.’ So it sounds like it is an average, and the lowest 30-minute period will almost certainly be while you’re asleep…

So if I never sleep with my Apple watch on, is the resting heart rate measurement going to be fairly accurate compared to the medical standard resting heart rate while awake?

@ADAMBLAZEVIC

Жыл бұрын

This was my first thought as well, I don’t want any devices in my bedroom so I take off my apple watch, in fact I take it off around 7 pm.

@DrAndrewSteele

Жыл бұрын

I don’t know actually! It would be interesting to test. The week I borrowed the Apple Watch for, I wore it 24/7 for MAXIMUM DATA but perhaps it would’ve given more reliable numbers if I’d taken it off at bedtime… Maybe if I get hold of one again I’ll try it. :)

I found that my awake RHR differs vastly depending on the time of day and what I've been doing in the last (few) hour(s). In the morning it's in the low 50s, after lunch more like 60-80 depending on what and how much I ate. In the hours before I go to bed it can drop significantly below 50 again. So measuring by 'sitting down and resting for 5 minutes' would also give me a wide range of numbers.

@DrAndrewSteele

Жыл бұрын

That’s a really interesting idea, and we must all have loads of accidentally collected data throughout the day thanks to watches…I’d be interested to see how much mine varies now!

@mikestunt77

Жыл бұрын

Did you measure it with a strap or with the watch? Cause imho the hr calculated by watches is highly unrealiable

@gizamaluke

Жыл бұрын

​ @Andrew Steele Would love to see you dive deeper into that 🙂 To elaborate a bit further: my RHR tends to be lowest if I haven't eaten in a while, haven't had a hard workout in the past few hours and wasn't stressed by anything else. If I'm doing a 40 minutes threshold run and eat a whole bunch of fat and protein rich foods afterwards, my RHR will be at around 80 for hours, even if I'm just lying around doing nothing. Same goes for stressful work days or being around a lot of people all day as an introvert 😉 So I guess there is no 'one waking RHR', but instead one needs to take the circumstances into account. Maybe that's the main reason the sleeping RHR might be a better or more stable indicator, allthough it's not completely stable as well of course (for example due to drinking alcohol in the evening, again eating too much etc.).

@gizamaluke

Жыл бұрын

@@mikestunt77 I have a Fenix 7 and a HRM Pro-Plus which I mainly use for running. I compared the readings and for me, the Fenix delivers very accurate and reliable HR data when I'm just walking, sitting or sleeping. What the OHRM really struggles with are intervals with very quickly rising and falling HR or a lot of wrist movement (for example when I do push-ups).

@DrAndrewSteele

Жыл бұрын

@@gizamaluke Ha! Being an introvert is…free exercise?! I’ve mainly noticed that my heart rate gets very low if I stay up beyond my normal bedtime, which I guess is due to my physiology going sleep-wards? And it probably is elevated post-exercise too… Fascinating and confusing stuff!

CONGRATULATIONs!!! for the ring.. :D

@DrAndrewSteele

Жыл бұрын

Haha thanks!

old school here... I take out my stopwatch, find my pulse, start the stopwatch as I start counting my pulse, stop the watch as the count reaches 30, and divide 1800 by seconds it took to reach 30. May not be able to monitor my heart BPM constantly, but as long as there is a watch, I can measure my BPM.. LOL

You should do a collaboration with the Quantified Scientist on this topic. He rigorously tests the smart watches.

@DrAndrewSteele

Жыл бұрын

Definitely on the to-do list, I love his videos :)

A good takeaway from this video is that health science is dynamic and that different studies say different things. If you have concerns about your health, you should likely pursue professional opinions for your specific situation if possible!

interesting, as I wear a basic Garmin watch, and its RHR number is consistently 7-10bpm above my measured RHR of either relaxing for 5 min or upon waking.

My heart rate is 49bpm while watching this video and I average /around 42 - 45bpm while sleeping. Interesting that mine doesn’t get much lower while I sleep haha. I must not sleep very deeply.

My resting heart rate right now is 92 bpm, but my FitBit is telling me my RHR is 70bpm, which I’m guessing was while I was asleep. FitBit tells me that I’m super fit for someone my age (73), which I can tell you is blatantly incorrect. Maybe to get a more accurate RHR I have to NOT wear my FitBit while I sleep?

Garmin is best as they don't charge you a monthly subscription to keep capturing and accessing all your own data. So no reason for them to 'flatter' you by trying to give a lower number. Yes, they may give a total based on night rate, but you can simply look at your own resting heart rate WHILE RESTING rather than relying on the device to give you a total figure.

I basically ignore the actual value my Garmin watch gives me - except the variance. I found out the hard way (Covid) that the resting heart beat value tracked very accurately the disease progress and my recovery from it.

@DrAndrewSteele

10 ай бұрын

Mine too, if anything the Fitbit I was wearing at the time _underestimated_ my covid heart rate spike because I think it does some kind of day-to-day smoothing on resting heart rate values… I was amazed how high it went though!

I recently upgraded from a Garmin Venu 2+ to a Forerunner 965 and voila! my RHR jumped from 52 to 63. So you cant even compare the results within one brand unfortunately. For reference: I am sitting here on my desk for hours now with barely any significant activity today and currently my Hr is at about 60, which aledgidly would still put me in the "excellent"" category at age 40. Nevertheless my heart rates are really high when training. Lactate threshold is at about 183 and max HR at 204. So which is it now? am I fit or unfit? its all really confusing

Just watched this video again today, and made me think about some of the different apps used to measure sleep. They very rarely guess when I'm *actually* sleeping. So the "numbers" are not really to be trusted per-se. But what I think is helpful is that the comparison is helpful! For instance, if one night is stays I slept more than the previous one, that is generally true, even if the actual number of hours are not accurate. So my question is... if we take those numbers as "arbitrary units", rather than "bpm" or "hours of sleep", is that more accurate/helpful to help people getting in better shape?

@DrAndrewSteele

8 ай бұрын

Interesting thought! I wonder if ‘arbitrary units’ might be too confusing to non-nerds, but I think emphasising the uncertainty in estimates and telling people to focus on the trend is good. It’s definitely true of sleep-my watches often get the details wrong, but the overall trend is usually instructive.

@AlanZucconi

8 ай бұрын

@@DrAndrewSteele By the way, I eventually stopped using those apps because instead of relying on my own internal feelings, I started relying on the app to decide if I had a good night sleep or not. 😅 "I feel refreshed, but the app says I slept 5 hours. So yeah, I kinda feel sleepy now that I think about it..."

@DrAndrewSteele

8 ай бұрын

@@AlanZucconi You are not alone! Studies show that people’s self-perceived tiredness can be affected by sleep data, even if it’s faked! twitter.com/statto/status/1635559652799791104

I suppose the follow-up question is - do we factor this difference between resting and sleeping heart rate into our fitness thresholds on the device or has it already done so in its algorithm? How annoying.

Interesting. I use a Apple Watch 7 and do not wear it at night. My resting heart rate that shows on my apple watch is pretty accurate. It shows typically in the 42-47 range. When I am in (college) class, sometimes I just have it on the heart rate app and it will be exactly that. I have done some informal lab tests where I lay down or sit and it will also be in the same range. Laying down typically results in the high 30s while awake and talking.

When do people have heart attacks? Do they have them when their heart rate is low during sleep or when their heart rate is high while shoveling snow?

I don't understand ... my Mi BAND 5 doesn't flatter me, on the contrary ... It "tells" me every day what the nurse told me after the ECG (you need to be carful otherwise you will not be here for long).

Apple Watch always tells me my resting heart rate is in the high 40s or low 50s. But then it says 59, measured 6m ago. I go with that 😊

I’m too smug about my low resting heart rate to share!

5:06 .. the build up... and 5:14, the punchline... hahahaha!!

My Samsung watch and fitbit say my resting heart rate has been around 54 to 62 over the last 2 years. When I manually take my hr when I'm just sitting, relaxing, etc., it seems pretty close to accurate. However, my sleep hr has been as low as 29bpm.

@DrAndrewSteele

Жыл бұрын

Interesting that your Samsung seems to be on the money! I didn’t have one to test and their website is also super-vague about how they calculate it but it sounds like they could be one of the good guys!

@henrytuttle

Жыл бұрын

@@DrAndrewSteele It's my Samsung that says my sleeping hr has been as low as 29. I am not out of shape, but I'm not marathon runner. It's actually concerned me as that's one heart beat every 2 seconds!!! In general, my Samsung hasn't been very accurate compared to my chest strap or my fitbit so I question the accuracy of the sleeping rate too.

@DrAndrewSteele

Жыл бұрын

@@henrytuttle Interesting! It’s possible that 29 is a mistake (because of how the processing is done they sometimes lock onto half the actual heart rate, so 58 is maybe more plausible?) but equally it does seem that hearts do bonkers things once in a while… :D

I use fitness tracker measurements as a RELATIVE value, i know they are not perfect. But you can compare day to day and make some conclusions how your particular lifestyle influence your heart rate etc...

I’ve been using an Apple Watch since 2021, when I was about 75 lbs heavier than I am now. I looked back at the RHR trend over the last 3 years, and the graph shape looks nearly identical to my weight loss graph. In 2021 my average RHR was near 60, then dropped to below 50 after losing all the weight in 2022, when I also greatly increased my activity levels. As of this year it’s in the low 40’s. I do keep my watch on at night so I know it’s categorizing sleep HR separately. I just checked with a pulse oximeter and the number matches my watch’s real time measurement exactly (44 at the moment). So I have no reason to doubt the accuracy of my Apple Watch’s RHR numbers.

when is the resting heartrate supposed to be measured? just when you're awake and idle not doing anything or while sleeping because my mi band shows 55-53 bpm when most of the time i get 80-90 bpm

@DrAndrewSteele

Жыл бұрын

When you’re awake and have been sat or lying still for about five minutes :)

My problem is that my watch reports heart rates almost double the measured rate. This leads to double the kcal usage predicted by Google Fit. From my own research, Google Fit is outputting a good estimate based on heart rate. But the heart rate measured by my watch sensors is too high.

I see the RHR value from my watch as a not totally accurate benchmark. I can see from one day to the next what is going on, even if I don't take the exact number as gospel. For instance it suggests early to mid 50s but the two times I got covid that daily average crept into the early 60s. Took a few weeks and ramped up then back down. Both times the same.

Interesting, so while I was in the hospital, waiting for surgery, they had me hooked to their hr monitor, and my Apple Watch is exactly the same. Hmmm. 🤔

I knew I was doing badly but then I looked at your graph.... I suppose I should buy an Apple watch & it can tell me my resting heart rate is in the low sixties...

Just looked up what my watch(Garmin) based my resting heat rate on, and they do a 24hr average 🙃

Many formulas for calculating Heart Rate Zones are based on RHR. A difference of 10 or more bpm likely leap from one zone to another. Those who do HR-based training will be greatly affected by wrong RHR measurements.

@DrAndrewSteele

Жыл бұрын

Huh, I’d not thought of that. I’ve been wearing a Fitbit and a Garmin together for a while to review the latter, and noticed that the Garmin gives me far more ‘intensity minutes’ than the Fitbit gives me ‘active zone minutes’, when they should be pretty similar-now I need to look into how they both calculate zones, and maybe this is why!

@okaydoubleu

Жыл бұрын

@@DrAndrewSteele Please look into that!!! Thank you!!!

I wonder what percentage of people wear their watch at night? I pop mine on the charger at night and wear it when I wake up. Is this a major problem, you can check your resting heart rate in real time when you've been sat for a while?

@DrAndrewSteele

Жыл бұрын

Interesting question, a few other commenters say they don’t wear it at night and (perhaps as a result?) get more normal-seeming RHR values. I don’t think it is a problem though-you can still keep an eye on the numbers. :)

@Davenjoe

Жыл бұрын

@@DrAndrewSteele thanks for the reply!

Vital signs during sleep are misleading because medicine does not have much of a history of reconciling the numbers - heart rate, oxygen saturation, blood pressure, . . ., which can all be low enough to cause emergency medical providers to begin reaching for their drugs and devices to make the person's vital signs look more like the text book vital signs. Experienced providers will assess the person (patient) to see how the lower then considered "acceptable" vital signs are tolerated. As mentioned in this video, the text book resting heart rate range for "normal" is 60-100. That will probably change, because a range of 50-90 is more appropriate. The number is supposed to indicate when the heart rate has deviated from the norm enough to be considered an indicator of a possible problem. If your heart rate at rest is in the 90s, but is not normally in the 90s, that is not a good sign and MAY indicate stress, such as an infection or some other medical condition that should be treated. The medical definition of "normal" is often just statistically where 68.8% (2 standard deviations from the mean) of people are. Much more important is what is normal for the individual being measured. Someone with a "normal for them" resting heart rate of 48 is outside of both normal ranges for the average person. A change from that person's normal range is more important than the mean average number of 48. The range (2 standard deviations for that person over many days or longer) may be 42-52. The personal range is what matters in seeing whether something has changed with the individual, but a lower heart rate MAY also indicate a problem with the heart's conduction system and may indicate the need for treatment. We can exercise to the point where our heart is not responding appropriately to the feedback mechanisms that have evolved in our bodies, because our ancestors did not exercise as much as some people do today. .

I mean, obviously this matters more for trend data than it does for raw numbers (except, as Dr Francis said, if your reported RHR from any wearable is in the 90s or whatever) but for Garmin specifically it's even more opaque in how to apply the data, but they are very transparent with how it works - the garmin reported RHR value is the lowest average over 30 minutes in a given 24 hour span (00-24). This means MOST users will get their RHR calculated in their sleeping hours, but not all. I usually see my lowest 30 minute average in the few hours before bed, when I'm just sitting about doing nothing (aka true RHR according to medical literature standards, although maybe I should ask my doc about the high sleeping heart rate...) but the fact that it can be just whenever means the usefulness of the number is even more wobbly across populations.

I’ve never paid attention to what my Apple Watch says about my heart rate, which is apparently a good thing. I use one of those fingertip pulse oxygen readers occasionally, but I’m far more concerned with my blood glucose levels - I’m a type 1 diabetic. I have a continuous glucose monitor for that, but I’m interested to know how future Apple Watches will do that. Those numbers are far more crucial when it comes to accuracy; I need to know right away if my blood glucose levels drop below 70, but a false low reading would be almost as bad because I’d take corrective action that would push my glucose level too high. I think the key takeaway here is to be wary of what the smartwatch tells you.

@DrAndrewSteele

Жыл бұрын

Agreed, definitely best to take the readings with a big pinch of salt… It will be very interesting to see if they can get accurate blood glucose measurements by some clever optical means, but it definitely needs to be dead-on before it’s ready for the prime-time!

My resting heart rate is currently between 55-58 bpm, when I was binge drinking my bpm was between 74-77 😂...

If I had the time, money, manufacturing capability, marketing expertise, design skills, and team to make a smart watch that did all the health thingies, there'd be a social media approved lowest heart rate mode and a normal mode which took the 10 second, 30 second, and 60 second averages Though, I've no clue how you're supposed to make a pulse oximeter work through a wrist so maybe that's why all these aren't the most accurate

I would like you to make next tests with a Huawei SmartWatch since a lot of people claims that it is very reliable and apparantley Huawei has been working really hard with medical certifications to get the most realiable measurenments.

I get what you have said in youre reviews. But I can tell you if it wearnt for my smart watch I would have been dead by now so so each and every watch is different. I have on my medical report saying if it wearnt for my smart watch I wouldn't have made it

I have now a new timex Ironman, it has a button to measure heartrate while you stand stil , I measure it when I’m resting , its better than all that crap .

The smartwatches are not smart enough to even tell you are sleeping or not. Of course it cannot measure non-sleep resting heart rate.

I can’t confirm the problem, my Apple Watch always shows me a RHR about 10 bpm higher than the values at night and about that what I see when I sit still for a moment. 🤔

@DrAndrewSteele

Жыл бұрын

Good to have some confirmation, thanks!