Wearable-derived cardiovascular fitness age and its lifestyle correlates in 442 adults - Report - MDSpire

Wearable-derived cardiovascular fitness age and its lifestyle correlates in 442 adults

  • By

  • Aditi Shanmugam

  • Kanika Gupta

  • Nihav Dhawale

  • Vatsal Singhal

  • Mohit Kumar

  • Bhuvan Srinivasan

  • Vinayak Narasimhan

  • July 7, 2026

  • 0 min

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Clinical Report: Cardiovascular Fitness Age from Wearable Devices and Its Association

Overview

This study evaluates the Cardio Age derived from wearable devices in 442 adults, revealing significant associations with various lifestyle factors.

Background

Cardiovascular age is a valuable tool for communicating risk and understanding cardiovascular health. Traditional methods of estimating cardiovascular age require clinical testing, which limits accessibility. The advent of consumer wearables that estimate cardiovascular fitness age from heart rate data allows for continuous health monitoring.

Data Highlights

MetricMean CA Gap (years)
Overall-1.84 ± 2.97
Underweight-3.73
Obese-0.52

Key Findings

  • 82.6% of participants exhibited younger estimated cardiovascular ages.
  • Significant associations were found between Cardio Age and sleep efficiency (r = -0.194, p < 0.001).
  • Users with the youngest cardiovascular ages slept 37 minutes longer than those with the oldest ages.
  • Sustained improvers over 12 months showed a mean CA reduction of 3.24 years.
  • Improving trajectories were associated with decreased resting heart rate (-0.8 bpm, p < 0.001).

Clinical Implications

The findings indicate that wearable-derived Cardio Age can provide insights into lifestyle factors affecting cardiovascular health.

Conclusion

Cardio Age derived from wearable devices reflects variations in cardiovascular fitness.

Related Resources & Content

  1. European Journal of Preventive Cardiology, Editorial, 2026 -- coming of age—wearable-measured movement patterns and cardiovascular disease
  2. Journal of Medical Internet Research (JMIR), 2026 -- Association Between Wearable Device Adoption and Health-Related Lifestyle Behaviors: Retrospective Cohort Study
  3. European Journal of Preventive Cardiology, 2026 -- Added predictive value of childhood physical fitness to traditional risk factors for adult cardiovascular disease
  4. European Journal of Preventive Cardiology, 2026 -- Coronary Artery Calcification, Physical Fitness, and Cardiovascular Outcomes in the CARDIA Study
  5. JACC, 2026 -- 2026 AHA/ACC/ADA/ASN Guideline for Cardiovascular-Kidney-Metabolic Syndrome
  6. Wearable devices and cardiovascular health: revolutionizing remote monitoring and disease prevention
  7. 26-A-12260-ACC SINGLE-LEAD ECG-AGE FROM WEARABLES AS A DEVICE-AGNOSTIC DIGITAL BIOMARKER OF CARDIOVASCULAR RISK
  8. 2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic Syndrome: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | JACC

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