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Apple Watch's healthcare run can go on for miles

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The Apple Watch's path into healthcare is a different route from its original fashion focus, but the pivot has led to the prospect of future designs loaded with even more fitness-related features

The Apple Watch has received praise for helping many people take more care of themselves, as well as potentially saving lives in the process. Frequent reports have surfaced over the years covering events where people were alerted to possible issues, such as heart conditions via the ECG function, which prompted users to seek advice from medical professionals.

However, this healthcare-focus of the Apple Watch wasn't its original intention, a report into the future of the wearable device by Wired reminds.

"We never sat back, as a company, and said "Let's do healthcare," said Apple VP Sumbul Desai, who joined Apple's health team in 2017. "Our journey in health started with the Health app, and that was really our first step," Desai proposes, rather than the Apple Watch.

A change in the usage of the optical heart rate sensor in the Apple Watch Series 3 to more accurately measure heart rate is credited by Desai as being the main reason behind the Apple Watch's pivot.

"We put the PPG sensor on the watch to actually make sure that we were accurate in our calculation of calories because, using heart rate top be able to drive the accuracy of the calorie calculations, is the right way to do it," admits Desai. "We never had the intention to measure heart rate."

Feedback provided to the team in 2017 relating to how the Apple Watch helped reveal undiagnosed medical conditions led to a focal change, and the development of new features. These included the high heart rate notification, the development of irregular heart rhythm notifications, and an ECG in the Apple Watch Series 4.

Changes to watchOS have also added improvements to what people can monitor, including menstrual cycle tracking and the Noise app. Clinical trials have also taken place, centering on the Apple Watch and the data it collects.

The ongoing development of the Apple Watch and its capabilities has led to many rumors about it being able to measure glucose levels in a user in the future, along with oxygenation levels and blood pressure. When combined, these could provide greater insights into fitness in general and the human body, as well as guiding physicians and medical professionals about a user's underlying conditions.

For example, the blood pressure monitoring feature, as revealed in a May patent filing, could enable users to test their levels without requiring a separate cuff or other device. Measuring blood pressure could be used to determine instances of hypertension that could indicate health issues.

An update this fall could include a swathe of mental health features and a blood oxygen sensor to detect if the user is hyperventilating, which when combined with an elevated heart rate reading could warn of a user undergoing a panic attack. By monitoring these elements over the long term, there is even the possibility of the Apple Watch warning users of an imminent panic attack ahead of time.

Anxiety monitoring and sleep tracking have been tipped for inclusion in the Apple Watch Series 6 and watchOS 7. A rumored kids mode could enable the Apple Watch to be worn by younger users, with modified Activity Rings that measure more appropriate data points for their age, rather than the current adult-centric ring system.

There has even been the proposal of a detection system for when the user is potentially drowning, and to automatically call for help.

With the continued appearance of Apple Watch patent filings pointing to potential future features, along with other leaks and rumors about upcoming additions, it's evident that Apple has a lot planned for its wearable device. Other filings have also suggested other products may gain similar health-tracking features, such as AirPods with extra sensors, which gives Apple another avenue to travel down on its healthcare journey.

The big question is working out which direction it wants to go.



17 Comments

SpamSandwich 19 Years · 32917 comments

There’s room for Apple to create other on-body monitoring devices which are just as fashion-minded as the Watch. There’s room for armbands, earrings, headbands, tiaras, clips, chokers, and so much more.

cgWerks 8 Years · 2947 comments

... "We put the PPG sensor on the watch to actually make sure that we were accurate in our calculation of calories because, using heart rate top be able to drive the accuracy of the calorie calculations, is the right way to do it," admits Desai. "We never had the intention to measure heart rate." ...

Hmm, that's interesting. I didn't know that. So, the health aspect was a bit accidental, yet IMO, has turned out to be the killer feature. (That, and cellular emergency contact.)

I predicted the cellular aspect (when it was first released), though was skeptical whether they could pull that off. (They did, but pretty short capability. That's enough for emergency, though.)

If I ever end up getting one, the health aspect will probably be the reason. IMO, that should be separated from the 'fitness' aspects, though, as I think those are based off faulty principals (aside from exercise = good, generally). Trying to measure calories is kind of pointless, or basing your health off of them. But, I'm glad that morphed into the much more useful health-tracking aspects.

eriamjh 17 Years · 1772 comments

Mine’s primary purpose is calorie-counting and exercise tracking since day one.  The messaging is great (don’t need to pull out the phone).

fashion?  Pffft!

GeorgeBMac 8 Years · 11421 comments

cgWerks said:
... "We put the PPG sensor on the watch to actually make sure that we were accurate in our calculation of calories because, using heart rate top be able to drive the accuracy of the calorie calculations, is the right way to do it," admits Desai. "We never had the intention to measure heart rate." ...
Hmm, that's interesting. I didn't know that. So, the health aspect was a bit accidental, yet IMO, has turned out to be the killer feature. (That, and cellular emergency contact.)

I predicted the cellular aspect (when it was first released), though was skeptical whether they could pull that off. (They did, but pretty short capability. That's enough for emergency, though.)

If I ever end up getting one, the health aspect will probably be the reason. IMO, that should be separated from the 'fitness' aspects, though, as I think those are based off faulty principals (aside from exercise = good, generally). Trying to measure calories is kind of pointless, or basing your health off of them. But, I'm glad that morphed into the much more useful health-tracking aspects.

Most major technical advances are similar "accidents" -- built upon earlier research and advances that were expanded and made functional.
A notable example was the MacIntosh:  What set it apart was its revolutionary GUI -- which Jobs (and later Gates) copied from Xerox.

GeorgeBMac 8 Years · 11421 comments

A major health feature missing from the article is "fall detection".
As a home health nurse I learned the devastating consequences when an older person falls and can't get up and can't call for help.   it's ugly.  Truly ugly.  And the watch is darn near perfect for that:   it can be worn 23 hours a day (so it covers the time at night when they have to get up to pee) and it can also be worn in the shower -- two of the most dangerous times for a senior.

Or even for myself:   Last fall while out on a trail running by myself I tripped on a leaf covered rock and woke up face down in the dirt with my watch asking if it should call 911 for me.

And also, as the article does mention, it is the center of a number of research studies.   I am enrolled in one of them being conducted by Apple and (I think) Stanford.   It combines data from the watch with data gleaned from my Medicare account (with my consent) to measure various health measures -- mostly arrhythmia.