Peer-Reviewed Publication
JMIR Form Res2026October 5, 2026Journal Article

Linking Attainment of Wearable-Derived Sleep and Physical Activity Recommendations with Cardiometabolic Biomarkers and Employer Health Care Claims: A Feasibility Study.

Gregory J Grosicki1, William von Hippel1, Finnbarr Fielding1, Lucas Holden2, Christian P Cheung1, Jenna G Cohen1, Kristen E Holmes1
1Department of Performance Science and Health Outcomes, WHOOP, Inc., One Kenmore Square, Boston, US.
2WHOOP Labs, WHOOP, Inc., Boston, US.

Abstract

Among 80 wearable members stratified into quartiles of attainment of combined physical-activity and sleep recommendations, higher attainment showed age-adjusted associations with lower resting heart rate and BMI and higher heart rate variability. The lowest-attainment quartile incurred approximately 12-fold higher annual per-member health care spending than the other quartiles.

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