Science says: Garmin HR 99.1% accurate. But let’s talk about HRV

The Forerunner 955 reads resting heart rate within half a beat of a laboratory ECG, a 0.9% difference across 23 adults, or 99.1% accuracy, if you prefer. Now the bad news.

  • Sitting up, a single heart rate reading could be -6.4 to +5.3 bpm.
  • HRV readings from the same sensor compared to the ECG over 2 minutes ranged from -43% to +118%
  • The HRV error is largest in the best recovered subjects.

The work comes from Universidad Miguel Hernández and was published in the journal Sensors on 15 October. Participants lay down and sat still, breathed to a metronome, and wore a Forerunner 955 on one wrist, wired to a Biopac ECG. The watch measured through Garmin’s Health Snapshot, a two-minute spot check using the old-generation Elevate 4 sensor.

Garmin-HRM-600-Review-Comparison
Wahoo TRACKR HR, Polar SENSE, Garmin HRM 600, Polar H9

Resting heart rate: as good as the lab kit

Position Average difference from ECG Range for one reading
Lying down +0.52 bpm -2.4 to +3.4 bpm
Sitting -0.55 bpm -6.4 to +5.3 bpm

The researchers set their acceptability level at ±5 bpm before testing. Lying down, the watch cleared it but exceeded it slightly when sitting.

For anyone watching a morning resting heart rate trend, half a beat of average error changes very little.

HRV: the error grows with your recovery

Position Agreement with ECG Range for one reading
Lying down Poor (0.89) -43% to +52%
Sitting Poor (0.78) -41% to +118%

The error is not random. The higher your true HRV, the more the watch under-reads it, in both positions. i.e., the fittest, best recovered athletes get the least accurate numbers.

The authors spell out the consequence.

A healthy, well-recovered athlete can see their watch HRV drop when nothing has changed in their body, and read it as fatigue.

Athletes should not measure HRV lying down. Sit up at least, and an orthostatic test is better still.

The second study this year, this time it’s peer-reviewed

An April thesis by Kayla Porter under Andrew Flatt at Georgia Southern University tested the same Health Snapshot feature on a Forerunner 265, which has the same Elevate v4 sensor as the Forerunner 955, and found the same split: accurate heart rate and inaccurate HRV. Flatt’s summary was that Garmin reads low HRV too high and high HRV too low. The Spanish data show the same pattern. That thesis has not been peer-reviewed. This study has.

An all-day clinical ECG comparison published in February found errors above 100 milliseconds in some participants, running in both directions, on an older Garmin sensor.

Garmin Forerunner 265

Garmin Forerunner 265

GPS running watch

$449.99
£430.99
Get it now Amazon logo +other retailers

Why a repeatable number can still be wrong

Take the same reading twice in a row, and the watch varies by about 3%. Lying down, it could pick up a smaller real change than the ECG could. The sensor is more consistent with itself than the gold standard is.

The two disagree for a mechanical reason. An ECG times the electrical signal that makes the heart beat. An optical sensor times the pulse arriving at the wrist, and the delay between the two changes from beat to beat with how stiff or relaxed your arteries are. That delay varies most in well-recovered people, and the wrist algorithm doesn’t correct for it.

What this means for HRV Status and Body Battery

The study tested Health Snapshot rather than the overnight HRV measurement that feeds Training Readiness and Body Battery, so nothing here measures overnight HRV accuracy directly.

It does support how Garmin frames those scores. Each is read against your own rolling baseline rather than an absolute figure, and a sensor that repeats itself to within 3% can track its own baseline. The number on the screen still means nothing compared with an ECG value, a chest strap value, or another athlete’s.

A sensor that repeats itself to within 3% can track its own baseline.

Garmin HRM 600

Garmin HRM 600

High-end, watch-free heart rate recording strap.

10% off $169.99
10% off £149.99
Get it now Amazon logo +other retailers

Where this doesn’t apply

  • Nobody moved. Every measurement was taken lying down or sitting still, breathing to a metronome, so the study says nothing about optical heart rate away from rest or during exercise.
  • Nobody stood up, where the earlier Forerunner 265 study found its biggest disagreement.
  • The cohort was 23 adults averaging 29 years old, with no elite athletes. The authors say the error may be larger still in people with HRV (rMSSD) above 150ms.
  • Everything came from one lab session, so the repeatability figures describe a single sitting rather than day-to-day consistency.

For HRV you can act on, the advice here is unchanged. Sit up, take it at rest on waking with a chest strap, and use the Polar H10 as the reference against which other devices are measured. Garmin’s top-end HRM 600 reads electrically rather than optically, which avoids the timing problem above, though testing on this site still put HRM 600’s RMSSD about 6.6ms below the H10.

Polar H10

Polar H10

ECG-grade chest strap

£76.50
$89/€89
Get it now Amazon logo +other retailers

Quick answers

Is Garmin's optical heart rate accurate?
For resting heart rate, yes. The Forerunner 955 matched a laboratory ECG within half a beat on average, and within about 3 bpm for a single reading taken lying down. The study tested nothing in motion, so it says nothing about accuracy during a run.

Can I use a Garmin instead of a chest strap for HRV?
Not if you want a figure comparable with an ECG or a strap. Individual readings ranged from -43% to +118% against the ECG value. The watch is consistent enough to track its own baseline, which is what HRV Status does, but the absolute number is unreliable.

Why does my Garmin HRV look low when I feel recovered?
The sensor under-reads HRV by more as true HRV rises, so the best recovered athletes see the largest underestimate. A real improvement in recovery can show up on the watch as a smaller gain than it was, or as no gain at all.

Last Updated on 18 October 2026 by tfk the5krunner


Small things I always use

Watches and sensors

On the bike

Home and indoor training

  • NPE Runn: Makes my basic treadmill smart, sending more accurate speed and distance to my watch and Zwift. I use it.
  • Google Wifi: Keeps Zwift connected in my pain cave. I use it.
  • Apple TV 4K: Zwift on the big screen. I use two.
  • Google Nest Doorbell (wired, 2nd gen): My video doorbell, running in both Google Home and Apple Home. I use it.

Health, recovery and sleep



Reader-Powered Content

Buy me a coffee

This content is not sponsored. It’s mostly me behind the labour of love, which is this site, and I appreciate everyone who supports it.

Support the site: Follow (free, fewer ads) · Subscribe (paid, ad-free) · Buy Me A Coffee ❤️

Written by real people, with AI assistance. Fact-checked and verified for originality. See the Editorial Policy. FTC: Affiliate Disclosure — some links pay commission. As an Amazon Associate, I earn from qualifying purchases.

Leave a Reply

Your email address will not be published. Required fields are marked *