Garmin Health Features

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Reference pages for Garmin’s health features: the all-day and on-demand measurements that track general health rather than training, from the calories burned each day to an ECG recording of heart rhythm.

  • Calories: Garmin’s estimate of the energy burned each day and in each activity, split into active calories from movement and resting calories from the resting metabolic rate. Heart rate, power or speed data drive the activity figure, depending on which sensors are connected.
  • ECG App: a 30-second recording of the heart’s electrical signals, similar to a Lead I ECG, that checks for signs of atrial fibrillation (AFib). It was cleared by the FDA in January 2023 and works only on compatible watches in countries where it is approved.

Related reference pages in other sections:

  • HRV Status: a seven-day average of overnight heart rate variability, set against a personal baseline range.
  • Pulse Ox (SpO2): blood oxygen saturation estimated by the wrist sensor, used mainly for altitude acclimatisation and sleep.

How Health Features Differ from Training Metrics

Garmin Connect Health Stats screen with Body Battery, HRV Status and respiration rate

Garmin’s training metrics are built from recorded activities. The health features run in the background or on demand, so several of them work for wearers who never start an activity. Resting calories keep accumulating from the wearer’s profile even when the watch is off the wrist, and an ECG recording needs only 30 seconds sitting still with a thumb and finger on the metal ring around the watch face.

The two groups also differ in how far the numbers can be trusted. The ECG App is a cleared medical device in the US and a Class IIa medical device in the EU, backed by Garmin’s own clinical study. Calorie estimates carry no such approval, and an independent test of a Fenix 6 against laboratory gas analysis found errors of more than 20 per cent when walking and running.

Further health pages are planned, including Stress, Resting Heart Rate, Health Status and Skin Temperature.


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

  • FreeStyle Libre 3 Plus: Shows how my blood sugar responds to diet.
  • hDrop: Measures my sweat loss in summer and indoors.
  • Fourth Frontier Zone: Checks my heart under load in hard sessions.
  • Kineon MOVE+: Red and infrared light for sore knees, Achilles and other joints after hard training. I use it.
  • Oura Ring 5: My partner’s recovery tracker of choice.
  • Eight Sleep: A cooling mattress cover my partner and I use nightly.


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