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Smartwatch Blood Pressure Monitoring: A Cautionary Perspective

2/17/2026, 1:04:55 AM

Research Findings on Smartwatch Efficacy

A recent study conducted by researchers at the University of Utah Health has raised concerns about the reliability of smartwatches, specifically the Apple Watch, in screening for high blood pressure. The study, published in the Journal of the American Medical Association, indicates that while smartwatches can be beneficial in engaging users with healthcare, they should not replace traditional blood pressure screenings. Adam Bress, a professor of population health sciences at the University of Utah, noted that the smartwatch alerts can mislead users, falsely indicating hypertension in individuals who do not have it while failing to alert some who do.

Implications of Smartwatch Alerts

The study highlights significant discrepancies in the accuracy of the Apple Watch's hypertension notification feature, which was approved by the U.S. Food and Drug Administration. An analysis by Apple revealed that the feature missed alerts for approximately 59% of individuals with undiagnosed hypertension and incorrectly alerted about 8% of those without the condition. The research suggests that while the smartwatch can serve as a promising public health tool, its widespread use for diagnosing hypertension could lead to serious public health issues.

For adults under 30, receiving an alert from the Apple Watch increases the likelihood of having high blood pressure from 14% to 47%. In contrast, for adults over 60, the chance rises from 45% to 81%. Conversely, not receiving an alert significantly lowers the probability of high blood pressure for older adults, from 81% to 34%. This discrepancy raises concerns about the implications of false reassurance for older adults who may be at higher risk.

Official Statements & Recommendations

University of Utah Health emphasizes that individuals using smartwatches should continue to undergo regular blood pressure screenings with traditional cuff-based methods to ensure early detection and treatment of hypertension. Bress stated, “If (use of smart watches) helps get people engaged with the health care system to diagnose and treat hypertension using cuff-based measurement methods, that's a good thing.”

Criticism & Opposition

Despite the potential benefits of smartwatch technology in health monitoring, experts caution against over-reliance on these devices. Critics argue that the inaccuracies in alerts could lead to missed diagnoses and unnecessary anxiety for users. The research team at U. Health plans to conduct follow-up studies to further investigate the demographics most affected by false negatives and positives, aiming to refine the understanding of smartwatch efficacy in hypertension screening.

What's Next

As the technology evolves, ongoing research will be crucial in determining the effectiveness of smartwatches in health monitoring. The University of Utah Health's follow-up studies will focus on identifying specific demographic factors that contribute to the inaccuracies observed in the current study, which may inform future guidelines for the use of wearable technology in health assessments.