Apple Watch calorie tracking often inaccurate, studies find

Recent research shows that smartwatches like the Apple Watch struggle to accurately measure calorie expenditure despite reliable heart rate data.

A 2024 study by the Stanford University School of Medicine tested devices including the Apple Watch on 60 volunteers. The most accurate tracker deviated by an average of 27 percent from medical-grade measurements, while the least accurate was off by 93 percent.

Dr. Euan Ashley, senior author of the study published in the Journal of Personalized Medicine, said the energy expenditure measures were way off the mark. Assistant Professor Anna Shcherbina noted that algorithms face challenges because energy expenditure varies with factors such as fitness level, height and weight.

A separate study published in Nature reached similar conclusions. It found that multiple sensors can compound errors and that skin tone and moisture levels also affect results.

Smartwatches estimate calorie burn using motion sensors, GPS, heart rate data and machine learning algorithms, but these methods rely on proxies rather than direct metabolic measurements.

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Illustration of a smartphone calorie app underestimating the calories in a photographed meal.
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Test finds photo-based calorie apps can undercount meals by hundreds of calories

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Four popular photo-based calorie-tracking apps underestimated calories and fat by about one-third when compared with carefully prepared meals, according to findings presented at the American Society for Nutrition’s NUTRITION 2026 meeting.

Experts say health-tracking features on wearables can trigger anxiety in some users. They recommend turning off alerts and consulting physicians.

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Garmin has announced the Cirqa Smart Band, a screenless wearable for tracking health metrics. The device will be available to order starting July 24 for $200.

A small study has found that people whose biological age is younger than their chronological age lost more weight during a medically supervised fast.

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Researchers have created a handheld breathalyser that measures acetone in breath to show when the body switches to burning fat for energy. The device, called Nutrion, is already commercially available and was developed at ETH Zurich in Switzerland.

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