The most important number for your health (feat. @MedlifeCrisis)

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Published 2023-02-09
Go check out my chat with Dr ‪@MedlifeCrisis‬:    • How to Prevent Almost ALL Disease - T...  

The most important number for your health is how you feel. Hang on, this is a science channel, not an Instagram account for motivational wellness quotes. Let’s take a data-driven look at the numbers you can get from a smartwatch or other wearable device, and find out which is the most important one to optimise your health.

This video is part of my series on smartwatches. Go check out the rest of the videos in this playlist:    • Smartwatches series  

Chapters

00:00 Introduction
01:03 Resting heart rate
03:08 Exercise heart rate
05:47 Steps
09:30 VO₂ max
13:31 The best thing about wearables
15:03 Rohin’s most important number
16:35 Andrew’s most important number

Sources and further reading

Resting heart rate
Risk of death, cardiovascular disease and cancer vs resting heart rate pubmed.ncbi.nlm.nih.gov/28552551/

Exercise heart rate
The previous video in the series in which I tested watches’ performance during exercise    • Can you trust your smartwatch?  

Steps
Step count and all-cause mortality, including evidence for 10,000 steps as a goal, and analysis of ‘purposeful’ and ‘incidental’ steps jamanetwork.com/journals/jamainternalmedicine/full…
The same group found that doing more steps also reduces your risk of dementia! jamanetwork.com/journals/jamaneurology/fullarticle…

VO₂ max
Meta-analysis of VO₂ max in consumer devices link.springer.com/article/10.1007/s40279-021-01639…
Fitbit Charge 2 VO₂ max accuracy journals.lww.com/acsm-msse/Fulltext/2019/11000/Val…
Garmin Fenix 5 VO₂ max accuracy scholarsjournal.net/index.php/ijier/article/view/1…
Change in VO₂ max with age via
www.ncbi.nlm.nih.gov/pmc/articles/PMC4968829/
And if you write VO₂ max as ‘VO2 max’ or ‘VO2max’, this line hopefully means you’ll still find this video!

And finally…

Follow me on Twitter twitter.com/statto
Follow me on Instagram www.instagram.com/andrewjsteele
Like my page on Facebook www.facebook.com/DrAndrewSteele Follow me on Mastodon mas.to/@statto
Read my book, Ageless: The new science of getting older without getting old ageless.link/

All Comments (21)
  • Thanks to Dr Rohin Francis aka Medlife Crisis for the chat! If you’d like to watch us trade places (we literally swapped seats), there’s a video over on his channel where the doc interviews me about ageing biology. Check it out: https://www.youtube.com/watch?v=lkEHvSWeMzU And hi to anyone from Team Crisis finding this channel for the first time! I hope you’ll smash that subscribe button because I know how much you love following health influencers like me and Rohin.
  • @ann_intube
    That moustache. Wow. Not enough comments appreciate it's magnificence.
  • @alanmalarkey
    I am 74 with a resting heartrate of 55 doing about 600 mins cycling / week split equally between zone 2 and above. Favourite Garmin stat is fitness age at 61.5!
  • @luisbecerra8128
    Took me a while to notice that something was wrong with the skeleton 😂
  • @niklaskari
    My Apple Watch 4 consistently estimates my VO2max to be below average, at around 35, which is weird since I exercise quite a lot. Then I did a proper VO2max test and my result was above 50. So yes, those wearables' VO2max results can be quite off the mark.
  • @DrPingn
    My resting heart rate is 49 average over a year and my sleeping average is 43 and dips to 36 when sleeping. I cycle about 5 hours a week on average mostly high intensity. But when i used to vape my resting heart rate was 63 and i still did the same amount of exercise then. If you use nicotine daily and care for your health, you know what to do
  • @drescherjm
    At the age of 51 my resting heart rate is in the 50s. I used to see high 40s about 3 years back but that not the case now. I do cardio at least 3 days a week every single week since mid February 2015. Which was the year my father passed away from diabetes. Seeing all he went through his final year from surgeries, amputations, dementia .. was what got me started and kept me going.
  • Excellent video! I was just obsessing over my resting heart rate this week.
  • How did I not know about such a great and well put together channel? ❤
  • I'm 63 and spend about 11 hours a week at the gym doing a variety of aerobic, core, and strength classes. Plus I take frequent brisk walks of anywhere between 2-5 miles. I don't have a wearable and don't have a particular desire for one. All I know is I feel effin' fantastic. I have no idea what people my age mean when they say they feel old. I did just take my resting pulse rate and it was 59 bpm. It would be cool to know my VO2max, though.
  • @Mikeztarp
    I appreciate your attention to data and details, and I look forward to the rest of this wearables series. A fantastic resource for this is Andy Galpin. He gave great info during a recent guest episode of the Huberman Lab Podcast on how to assess your fitness: protocols, minimal and preferable numbers, etc.
  • @Hick25
    as a 25 year old smoker and non exerciser my resting heart rate was high 70s in June 2022, as of December 2022 my resting heart rate is high 50s. It’s strange because in that time period i haven’t changed a single thing, still smoking and not exercising, eating the same meals and weighing the same
  • @kelgar1
    Really useful information, thank you
  • Was looking at the numbers from my apple watch while watching this video, and it's interesting to correlate resting heart rate with what I was doing at the time
  • @dwyt
    Amazing video. Thank you for putting so much work in and making things clear
  • Almost all the times my watch has thought I'm exercising hard enough to report a VO2 max have been when I've been carrying heavy grocery bags home from the supermarket, making me seem a lot less fit than I am. Or at least, that's my story and I'm sticking to it!
  • @Mamilian
    Calculating an accurate VO2 Max using running data is inherently more difficult for the reasons you mentioned, but devices like the Garmin are getting better at it (as you note) as GPS accuracy and OHR sensors improve, but there have also improved with the introduction of algorithms to calculate running power. It's my understanding that VO2 Max estimates using cycling data are much more reliable because it requires a power meter. The device is not guessing based on pace, which can be influenced by a massive number of variables any more. It's using a metric that provides a much tighter number. Obviously, the calculation can only be as good as the data provided, a dual-sided (or total power) PM is going to have higher confidence than a one-sided. All that said, the value in almost all of the data that is captured, calculated, or estimated is in looking at the trends more than the actual number.