Smart Watch Blood Pressure Accuracy – How accurate they are?

Are you one of the millions of people who own a smartwatch? If so, have you ever wondered how accurate the blood pressure readings are on your watch? Recent studies have shown that the accuracy of smartwatch blood pressure readings can vary significantly.

In some cases, they may be as accurate as traditional blood pressure monitors, while in other cases they may be off by as much as 20 points. So, what does this mean for you? If you’re relying on your smartwatch to give you accurate blood pressure readings, you may want to think again. Instead, use it as a tool to help track your overall progress over time and consult with your doctor if you have any concerns.

Difference between heart rate and blood pressure


You might be wondering are the heart rate and blood pressure same things? I also thought so. But they’re different! The differences between heart rate and blood pressure are essential to understand before talking about accuracy.

The heart rate (also known as a “pulse”) is the number of times your heart beats per minute. Blood pressure is a measure of the force with which your heart pumps blood throughout your entire body.

Can a smartwatch monitor blood pressure?

Though smartwatches track your Heart Rate accurately, they can not estimate high fluid levels in our body as we do with regular upper arm cuff-style blood pressure monitors at home or when visiting the doctor’s office for an appointment.


How does a smartwatch measure blood pressure?

Smartwatches can measure blood pressure with the help of an Electrocardiogram (ECG) sensor, Optical Heart Rate Sensor(PPG), and PTT (Pulse Transit Time) technology.

The Pulse Transit Time or PTT is a measure of how quickly your blood pressure changes with respect to the passage of time. The ECG gives us information about when you’re heart beats each beat, while this later sensor on our wrist can tell if it has been accelerating or decelerating for more than 1 second.

Read Also: Garmin Instinct 2 (All Editions): Specifications and Comparison

How accurate is Smart watch’s blood pressure?

In one word, they are not accurate! It is very simple to understand that the wrist is not the best spot to measure blood pressure. Your upper arm may give more accurate measurements.

You may get an estimated result but they are never 100% accurate. The variance may go as much as 20%. As a result, relying just on your smartwatch to keep track of your blood pressure would not be advisable.

Research about the smartwatch’s blood pressure accuracy:

The average differences between the Everlast watch and reference were 16.9 (13.5) mm Hg for SBP and 8.3 (6.1) mm Hg for DBP. The average difference between the Bodimetrics performance monitor and the reference was 5.3 (4.7) mm Hg for SBP. Conclusions: The Everlast smartwatch and the BodiMetrics Performance Monitor we tested are not accurate enough to be used as BP measurement devices.

Van Helmond, Noud & Freeman, Cecilia & Hahnen, Christina & Haldar, Nilanjan & Hamati, Jacquelyn & Bard, Dylan & Murali, Vignesh & Merli, Geno & Joseph, Jeffrey. (2019). The accuracy of blood pressure measurement by a smartwatch and a portable health device. Hospital Practice. 47. 10.1080/21548331.2019.1656991.

Read Also: Garmin Latest Smartwatches

Is it worth investing in a smartwatch to track your blood pressure levels?

The answer is No. You should not invest a large amount in a smartwatch to track your blood pressure. It is better to use the regular upper arm cuff style to get accurate results. Rather than blood pressure, you can monitor your heartbeat rate accurately with a smartwatch Heart Monitor Sensor.

Read Also: Does Fitbit Track Blood Pressure?

While smartwatch technology may be increasing in popularity for its ability to track other health metrics such as heart rate, it is still not accurate enough to rely on solely for tracking blood pressure levels. The study found that the average difference between the Everlast watch and reference was 16.9 (13.5) mm Hg for SBP and 8.3 (6.1) mm Hg for DBP. The average difference between the Bodimetrics performance monitor and the reference was 5.3 (4.7) mm Hg for SBP.

Therefore, it is not worth investing in a smartwatch to track your blood pressure levels at this time. However, if you are looking for a smartwatch to monitor your heart rate, there are a number of devices on the market that can do so accurately.

About The Author

2 thoughts on “Smart Watch Blood Pressure Accuracy – How accurate they are?”

  1. Da Logic Method Man

    If you will note, that paper was published in a reputable medical journal, so it might seem that “Heck ya! this is some good medical stuff right here!!!”

    But please note, the article was published in a 2019 issue of said medical journal. 3 year old data at least, right there. ‘Reputable’ medical journals often take months to review a submission, so it could even be older, say 2018 (4 years).

    There are a couple of things I have learned in my over 50 years of existence on this ball of dirt we call Earth, and if you are going to write for a technology blog/site/publication/whatever then you better learn these points too.

    1. Technology has advanced a lot over the years, and almost always continues to advance, even in ‘old’ and ‘established’ technological areas (some of those sensors that article you are quoting come from the early 1900’s !!! They have had continuing improvement since that time when they were first discovered).

    And 2, it seems that in my lifetime this technological advancement rate has been getting faster — not linear improvement but even faster like logarithmic! But maybe I am just imagining this acceleration in speed of technological advancement, or overestimating it somewhat.

    For measuring BP & other physiological conditions, the hardware is very important, and I am sure that they have been striving for improvement in the hardware and probably getting at least SOME in the past 3 to 4 years.

    And in those technologies the watches use to measure BP and pulse and other physiological parameters, it turns out that the ***software*** is quite important, because of how the hardware is used to make the measurements. Particularly the mathematics used in the software. One good mathematician or one good programmer, or one good of both mathematician and programmer, and you can get some real breakthroughs!!

    So, since that article is 3-4 years old, you might want to look for more RECENT medical literature on smart watches as they pertain to measurement of Blood Pressure — and other physiological measurements as well. Maybe there hasn’t been much progress in the last 3 or 4 years, if so then no harm no foul using an older paper. But maybe there has been improvement, maybe there are some watches that are now *quite* accurate measuring BP and other physiological measurements — in which case, you need to update this article because it comes out high in a Google search and others. Best regards.

  2. TheWatchLand Team

    I read through your whole comment, and I was surprised that you had written such a large comment. Thank you so much. I had searched for the latest journals and research before I wrote the content, but only it was the updated ones. I will update the article as soon as I get another piece of the latest research.

Leave a Comment

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

Scroll to Top