Deal
Deal

How Do Smartwatches Measure Heart Rate (HR)?

In recent years, advancements in technology are being quickly integrated into timepieces. From the traditional analog watches, we now have smartwatches that keep on packing more features than ever. From merely showing the current time (and date), timepieces now have the capability to show your messages and other notifications, track your steps and other activities, even monitor your health! Don’t worry, we won’t aim to discuss all those in this post. In fact, we already have a separate post on that.

Rather, this particular post intends to help you understand the technology integrated into various smartwatches and fitness trackers that enables them to monitor your heart rate. How does your heart rate is measured in these wearables? Can you rely on their readings? Find out the answers to these questions and many more in the succeeding sections of this post.

How Smartwatches & Fitness Trackers Measure Your Heart Rate:

Optical Heart Rate Monitoring (OHRM)

Smartwatch with heart rate monitoring
Smartwatch with heart rate monitoring (Image: Apichit)

What smartwatches and fitness trackers do essentially is called Optical Heart Rate Monitoring. For most brands, this is being done using the technology called Photoplethysmography (PPG). [Although, a few brands boast of using a different technology which we’ll discuss later.]

Basically, smartwatches and fitness trackers that utilize PPG are characterized by the green and red lights that you may see at the back of their cases. Optical heart rate monitoring utilizes these LED lights to determine how much red or green light is being detected from the skin of your wrist. Mainly, the blood beneath the skin reflects the red light and absorbs green light. As such, each heartbeat allows for more green light absorption; between heartbeats, there’s less absorption of the said green light.

🏆 #1 Best Overall
Sale
Fitness Tracker with Heart Rate/Blood Oxygen/Sleep Monitor, 20+ Sports Modes Smart Watches for Women/Men, Activity & Step Tracker Smart Watch for Android/iOS Phones (Dark Black)
  • 【24/7 Heart Rate Monitor 】This blood pressure watch supports real-time dynamic heart rate, blood oxygen, blood pressure ,Sleep Tracking,temperature monitoring so you can know more about your physical condition.
  • 【Sleep Tracking 】The Smart watches monitors your sleep and analyzes your sleep quality through Deep Sleep, Light Sleep, Awake stage, gives you a nightly sleep score in the app, leading a healthy lifestyle.
  • 【25 Sport Modes Activity Tracker】you can select any number of sports modes in the app as your exclusive sports mode to record your sports data.can record all daily health data such as steps, distance, and calorie consumption in the App "Keep Health"
  • 【1.10 inch AMOLED HD Touchscreen】 The durable stainless steel frame of C60 pairs flawlessly with the Skin-friendly fitness straps, while its 1.10 inch AMOLED HD Touch Color Screen design and multitude of invigorating watch faces blow you away any moment
  • 【Smart Functions】An easy-to-use activity fitness tracker with various intelligent features. Including Call & Message Reminder,Remote Photograph, Drink Water Reminder, Sedentary Reminder, Female Health,Family Health, Alarm Clock, Stopwatch, Find Device, etc

If you are thinking that such a way of monitoring one’s heart rate is new, then you are mistaken. The use of light to see the flow of blood and to monitor heart rate actually started in the late 1800s. What people of those days did was to hold their hands up near a candle in a dark room. This way, they were able to see the blood flow in their veins.

Later on, around the 1980s, hospitals were introduced to the first pulse oximeters. These devices are similar to the finger or ear clip devices that measure pulse and blood oxygen levels being used nowadays.

Components of PPG technology

Heart rate monitoring smartwatches
Heart rate monitoring smartwatches (Image: pearlsband)

To enable the smartwatches and fitness trackers to monitor the wearer’s heart rate using the PPG technology, they must have the following components:

1. Optical emitter

This is usually composed of at least two LEDs intended to send light waves unto the wearer’s skin. Some devices even utilize varied multiple wavelengths in consideration with the differences in skin tone, thickness, and morphology of its wearers. The different wavelengths allow for interaction with various levels of skin and tissue.

2. Digital Signal Processor (DSP)

This component is responsible for capturing the light refracted from the wearer and for translating those signals into the binary language (one’s and zero’s) that can then be translated into the heart rate data.

Rank #2
Smart Watch Fitness Tracker with 24/7 Heart Rate, Blood Oxygen Blood Pressure Monitor Sleep Tracker 120 Sports Modes Activity Trackers Step Calorie Counter IP68 Waterproof for Andriod iPhone Women Men
  • 【Superb Visual Experience & Effortless Operation】Diving into the latest 1.58'' ultra high resolution display technology, every interaction on the fitness watch is a visual delight with vibrant colors and crisp clarity. Its always on display clock makes the time conveniently visible. Experience convenience like never before with the intuitive full touch controls and the side button, switch between apps, and customize settings with seamless precision.
  • 【Comprehensive 24/7 Health Monitoring】The fitness watches for women and men packs 24/7 heart rate, 24/7 blood pressure and blood oxygen monitors. You could check those real-time health metrics anytime, anywhere on your wrist and view the data record in the App. The heart rate monitor watch also tracks different sleep stages for light and deep sleep,and the time when you wake up, helps you to get a better understanding of your sleep quality.
  • 【120+ exercise modes & All-Day Activity Tracking】There are more than 120 exercise modes available in the activity trackers and smartwatches, covering almost all daily sports activities you can imagine, gives you new ways to train and advanced metrics for more information about your workout performance. The all-day activity tracking feature monitors your steps, distance, and calories burned all the day, so you can see how much progress you've made towards your fitness goals.
  • 【Messages & Incoming Calls Notification】With this smart watch fitness trackers for iPhone and android phones, you can receive notifications for incoming calls and read messages directly from your wrist without taking out your phone. Never miss a beat, stay in touch with loved ones, and stay informed of important updates wherever you are.
  • 【Essential Assistant for Daily Life】The fitness watches for women and men provide you with more features including drinking water and sedentary reminder, women's menstrual period reminder, breath training, real-time weather display, remote camera shooting, music control,timer, stopwatch, finding phone, alarm clock, making it a considerate life assistant. With the GPS connectivity, you could get a map of your workout route in the app for outdoor activity by connecting to your phone GPS.

3. Accelerometer

It measures motion; then, the data gathered is being integrated with the DSP signal and together they serve as input data into PPG algorithms.

4. Algorithms

Basically, they process the inputs from the DSP and the accelerometer to acquire the motion-tolerant heart rate data. Although depending on the capability of the device, they may also be used to calculate VO2, calories burned, R-R interval, heart rate variability, blood metabolite concentrations, blood oxygen levels, and even blood pressure.

Obstacles to an accurate reading

However, since OHRM mainly relies on the data coming from the amount of light refracted from your skin, there are many factors that may affect the accuracy of data gathered. Here are the top four obstacles that we found.

1. Optical noise

This is considered the largest technical hurdle. Despite the close proximity of the smartwatch or fitness tracker with the skin, only a very tiny amount of light returns and is being collected by the sensor. And from this tiny amount of collected light, only about ~1/1000th of it actually indicates blood flow caused by the pumping of the heart. Other signals sent by the optical emitter are then scattered by various materials such as muscles, bones, tendons, etc.

2. Skin tone

The wearer’s skin tone may also a significant factor since different shades tend to absorb light differently from one another. Darker skin, for one, tends to absorb more green light. In relation to this is are wearers with tattoos, especially when a tattoo is located on that part of the skin where the PPG is supposed to gather data. This has caused some wearables, including some Apple watches to prevent HR monitoring from working. This resulted in a few Twitter storms and the hashtag #tattoogate.

Rank #3
Sale
Blackview 2025 Smart Watch (Answer/Make Calls), Fitness Watch for Men and Women with Heart Rate/SpO2/Sleep Monitor/2 Straps, 100+ Sports Modes, IP68 Waterproof Activity Tracker for Android/iPhone
  • 👍【Answer/Make Calls and AI Voice Assistant】Stay connected with family and friends anytime, anywhere with Blackview's built-in HiFi stereo speakers and microphone. Answer or make calls directly through the watch via Bluetooth. The "Da Fit" app stores multiple contacts and provides real-time notifications for incoming calls and messages, while the AI voice assistant can assist with quick help such as weather forecast and setting alarms.
  • 👍【DIY Watch Faces & 2 Pack Watch Straps】Personalize your watch face with your favorite photos, supplemented by over 100 watch face options. Constructed from special aluminum alloy material, it comes with two types of interchangeable watch straps - Nylon and Silicone, perfect for every occasion.
  • 👍【100+ Sports Modes】Track your daily activity with over 100 sports modes, including running, cycling, yoga, and football. Connect to GPS through the "Da Fit" app to record your training routes and fitness progress.
  • 👍【Monitor Health in Real Time】The fitness watch uses high-performance optical sensors to monitor dynamic heart rate in real-time, tracks sleep quality and stress levels to adjust your physical condition accordingly, and provides a detailed analysis report to help you achieve a healthier lifestyle.
  • 👍【More Smart Tools】Apart from the features mentioned above, this smartwatch also offers other useful daily functions such as smart notifications, music control, camera control, casual games, weather forecast, sedentary reminders, alarm clock, stopwatch, timer, etc. Compatible with most Android 6.0 and iOS 9.0 or above smartphones, it comes with a built-in large capacity battery of 350mAh, which ensures up to 7 days of use and approximately 30 days of standby with just 2 hours of charging.

3. Crossover problem

This particular obstacle usually tends to happen when you are performing a particular repetitive motion that may be at the same rate as your heart rate. One common example of this is the step rate. The algorithms of the smartwatch or fitness tracker may record the data from your step rate as your heart rate.

4. Sensor location

In relation to the first obstacle mentioned above – optical noise, it was found that (ironically,) the wrist is actually one of the worst places for OHRM because there is so much optical noise in that area – such as the muscles, tendons, bones, etc. – and because the vascular structure therein is also quite varied.

The recommended area, in fact, is the forearm because the blood vessels in this area are very near to the skin and they are of higher density.

Other Heart Rate Technologies

For the previous sections, we mainly focused on PPG technology as a means of optical heart rate monitoring. However, since there is already a wide variety of smartwatches and fitness trackers, a few mention that their OHRM capability is not through PPG. Fitbit and Jawbone, for example, use rather a different kinds of technology.

Fitbit

Rank #4
Smart Watch for Men Women, 1.85" HD Fitness Tracker with Bluetooth Calls, 120+ Sport Modes Fitness Watch, Fitness Tracker 24/7 Heart Rate/Sleep Monitor, IP68 Waterproof, Smartwatch for Android/iPhone
  • 1.85'' HD Display & 200+ Customized Dials: Smart watch features a 1.85'' HD display for excellent visual effects. Features over 200+ built-in watch face designs. You can also upload images via the Da Fit app to achieve personalized customization
  • Bluetooth 5.3 Calling and Notifications: Smart watch for men features a high-definition speaker/microphone for seamless Bluetooth 5.3 calls. Smartwatch receive all kinds of messages, including SMS, social media messages (Unable to reply to messages)
  • Intelligent Voice Assistant: Smart watches comes with an intelligent voice assistant, which can easily perform voice commands such as checking the weather, making phone calls, playing music, setting alarms and so on. Make your life more convenient
  • 120+ Sport Modes: Fitness tracker provides 120+ sport modes, including walking, hiking and yoga, to meet different exercise needs. Real-time data (calories, distance, duration) is recorded in detail and synchronized to the Da Fit app
  • 24/7 Health & Activity Monitoring: Android smart watch has an advanced sensors that track your health indicators like heart rate and sleep quality 24 hours, recording your activity data all day and sync to app to help you live a healthier life

In the specifications of Fitbit smartwatches, PPG technology is not mentioned. Rather, they said to be using “optical heart rate sensors that still maintain extended battery life.”

Fitbit has what they call the PurePulse. This technology can automatically and continuously track heart rate from the wrist making it beneficial for monitoring health data and workout intensity throughout the day.

Jawbone UP3 and UP4

These smartwatches boast of their Bioimpedance. This technology measures the resistance of body tissue to tiny electric currents. Such enables the capture of a wide range of physiological signals including one’s heart rate.

Meaning, instead of light waves (as used in PPG), bioimpedance sends electrical currents to the body tissues. This method is said to require less power compared to PPG and other light-based methods hence allow for an extended battery life of the smartwatch. The downside, however, is that this technology can only measure one’s resting and passive heart rate. It does not have yet the capability to track the wearer’s heart rate during workouts or activities.

Which Smartwatch or Fitness Tracker Is Most Accurate in Monitoring Heart Rate?

In this simple experiment conducted by Tom’s Guide, the accuracy of heart rate monitoring of a number of smartwatches fitness trackers was tested in comparison with the Polar H10 chest strap. The wearables tested are the Apple Watch Series 3, Apple Watch Series 4, Fitbit Ionic, Fitbit Charge 2, Fitbit Versa, Samsung Galaxy Watch, Samsung Gear Sport, Garmin Fenix 5, Garmin Forerunner 35, Garmin Vivoactive 3 Music, and Garmin Vivomove HR.

💰 Best Value
Sale
Smart Watch Health Fitness Tracker with 24/7 Heart Rate, Blood Oxygen Blood Pressure Sleep Monitor, 115 Sports Modes, Step Calorie Counter Pedometer IP68 Waterproof for Android and iPhone Women Men
  • 【Health Metrics Monitoring】These fitness watches for women and men pack 24/7 heart rate, blood oxygen, blood pressure monitors and sleep tracker. You could check those real-time health metrics anytime, anywhere conveniently on your wrist and check the all-day data record in the App.The sleep tracker keeps track of time spent in different sleep stages including REM, light sleep,deep sleep,and the time when you wake up, helps you to get a better understanding of your sleep quality.
  • 【115 sports modes & All-Day Activity Tracking】There are more than 115 sports modes tracking available in the activity trackers and smartwatches, covering almost all daily sports activities you can imagine, gives you new ways to train and advanced metrics for more information about your workout performance.The all-day activity tracking feature monitors your steps, distance, and calories burned all the day, so you can see how much progress you've made towards your fitness goals.
  • 【Notifications for Calls and Messages】Getting notifications for incoming calls and texts right away from your wrist while on the go, allowing you to stay connected with family and friends with calls, texts, and email, so you never miss an important call or message. You could see the caller's name, reject the call, mute the ring-tone, and read the whole text messages directly from the smart watch for android phones and iphone.
  • 【A Considerate Life Assistant】The fitness trackers for women and men provide you with more features including drinking water reminder, sedentary reminder,menstrual cycle reminder, real-time weather display, remote camera shooting, music control,timer,and do-not-disturb mode, making it a considerate life assistant.With the GPS connectivity, you could get a map of your workout route in the app for outdoor activity by connecting to your phone GPS.
  • 【1.47" HD-color Full Touch Screen】The curved-design 1.47" HD-color display and full touch screen ensures better visual and operating experience, everything is easier to see and operate, making this fitness tracker as intuitive to use as it is beautiful to look at.There are more than 150 watch face options for you to choose from in the App. You could also customize the smart watch face with photos from your own album. So it's easy to find the right look for the right moment.

Based on the said experiment, the general conclusion is that the average heart rate gathered by these smartwatches was within a few beats compared to the Polar chest strap. However, once the heart rate slows or fastens, the smartwatches tend to lag in their heart rate monitoring.

The newer devices at the time the list was compiled, i.e. Apple Watch Series 4 and the Samsung Galaxy Watch, took just a few seconds to reflect heart rate similar to the chest strap. The Fitbit Versa, on the other hand, wasn’t very responsive.

The Garmin Forerunner 35 and Fenix 5, however, were able to track the heart rate accurately during workouts. They then became inaccurate when the wearer is resting or walking. Such inaccuracy was then resolved when these smartwatches were put into workout mode.

Read about the Pros & Cons of the Apple Watch here (besides tracking HR).

Closing Words

The capabilities and technologies we find in smartwatches and fitness trackers get more interesting and complex with each new model. We hope that with this informative post, you were enlightened on how a small wearable device (especially those green lights in them) can monitor your heart rate at any given moment. 

We intend to give you more useful information about your watches with our succeeding posts so watch out for them on this website!