Wearables & Techn

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10 min

Dr Andrew Tan

MBBS GPST

Wearable devices: How the humble step count transformed an industry

Wearable devices: How the humble step count transformed an industry

Wearable devices: How the humble step count transformed an industry

Wearables began with step counts—but they’ve quietly evolved into powerful health companions. Discover how smart rings, clothing, and hearables are transforming daily life by putting real-time insights and personalised care within reach.

Have you noticed friends and colleagues constantly upgrading their watches, rings, and even earbuds lately? You might wonder if these changes reflect fashion trends you're not keeping up with or something more significant? The truth is, these devices have moved on from mere accessories to become increasingly sophisticated health companions, tracking everything from heart rhythms to sleep patterns and stress levels.

Welcome to the new age of wearable health technology, where everyday gadgets can meaningfully contribute to your health.

Welcome to the world of wearable tech

Once the stuff of science fiction, wearable technology has slipped quietly onto our wrists, into our shoes, and even under our jumpers — all in the name of better health, sharper insights, and, occasionally, bragging rights over one’s step count. These smart devices are designed to be worn on the body, discreetly collecting data on everything from heart rate and breathing to sleep quality and temperature. Their charm lies in how effortlessly they fit into daily life, offering real-time feedback on health, fitness and general wellbeing — no dramatic lifestyle overhaul required.

And they’ve come a long way. Beyond step counters and calorie trackers, we now have clothing embedded with sensors to monitor posture, glasses that project digital information into our field of view, and watches that track everything from stress to oxygen saturation. Modern wearable technology incorporates advanced sensors, connectivity, and biometric monitoring, supporting a wide range of health, fitness, and entertainment applications. What was once futuristic now feels almost second nature. Wearables are also increasingly crossing into new territory — from healthcare and elite sport to fashion and workplace wellness — marking a wider shift towards personalised, data-driven living.

Quietly, and often stylishly, they’re helping people make more informed choices about their bodies, one heartbeat or night’s sleep at a time. Let’s take a look at the progress we’ve made.

From pedometers to powerhouses: A brief history

Wearables may feel like a modern marvel, but its roots run deeper than most realise. The concept stretches back to the 1960s, when tinkerers and researchers began experimenting with body-worn gadgets — from rudimentary pedometers to the first wearable hearing aids and calculator watches. These early inventions, though bulky by today’s standards, laid the foundation for a new way of interacting with information: hands-free, on-the-go, and increasingly personal.

By the 1980s and ’90s, devices like heart rate monitors and wearable pagers brought wearables into the realm of fitness and communication. Then came the digital health boom of the 2000s — ushering in sleeker, smarter tools that could track activity, monitor sleep, and offer real-time health feedback without so much as a visit to the doctor.

What began as a curiosity has since become an essential part of daily life. The evolution from step counters to sophisticated biosensors reflects not just technological progress, but a shift in how we view our health — as something to be observed, understood, and managed proactively. This progression paved the way for wearable computing: advanced devices that incorporate processing, communication, and AI capabilities, enabling applications in healthcare, augmented reality, and security. Wearables didn’t arrive all at once, they crept in quietly, wrapped around our wrists, clipped to our clothing, or tucked beneath our jumpers — and today they’re changing everything.

Beyond the step count: Fitness tracking and what wearables can really do

Wearables have come a long way from simply counting steps or logging your heart rate. Today’s devices are pushing into new territory — blending clinical insight with everyday convenience in ways that feel both futuristic and remarkably practical. Many wearables now track vital signs such as heart rate, blood pressure, and respiration, providing continuous health monitoring beyond basic fitness metrics.

  • ECG monitoring has become a headline feature on premium wearables like the Apple Watch, Fitbit Sense, Samsung Galaxy Watch, and more specialised devices such as the AliveCor KardiaMobile. These tools allow users to capture a snapshot of their heart’s electrical activity, helping flag irregular rhythms — particularly atrial fibrillation — that may otherwise go unnoticed. Some devices can also monitor blood pressure as part of comprehensive health tracking. While not a substitute for clinical diagnosis, they offer an early warning system that fits neatly into your daily routine.

  • Women’s health tracking has seen impressive advances. Devices like the Oura Ring now provide personalised insights into menstrual cycles and fertility, using subtle changes in body temperature. In partnership with apps like Natural Cycles — the first FDA-cleared birth control app to use temperature for natural family planning — wearables are helping users tune in to their hormonal rhythms with new precision.

  • Menopause management is also stepping into the spotlight. Unpause, a discreet device worn at the nape of the neck, detects the early signs of a hot flush and responds with targeted cooling — offering both comfort and a reassuring sense of control.

  • Neurological support is becoming more wearable too. Charco Neurotech’s CUE, a small device worn on the chest, delivers gentle vibratory stimulation to help ease the slowness and stiffness often experienced in Parkinson’s disease. It’s a subtle intervention, but one that holds meaningful promise for day-to-day quality of life.

These innovations show that wearable technology is no longer just about general wellness. Increasingly, it’s about supporting specific health needs — making the invisible visible, helping detect early signs of health issues, and placing practical tools in the hands (or on the necks, wrists, and chests) of those who can benefit most.

Not just watches: New shapes, new possibilities

While the smartwatch once stood as the face of wearable tech, the landscape is rapidly expanding — or rather, slipping onto fingers, tucking behind ears, and even weaving into the very clothes we wear. From discreet rings to smart textiles, the next generation of wearables is as much about form as it is about function. Fashion wearables and smart jewelry, such as smart rings and stylish accessories, exemplify how these devices blend style with technology for both aesthetic appeal and practical benefits.

Here are just a few of the standout categories reshaping what it means to “wear” your health data:

  • Smart rings: Devices like the Oura Ring take a different approach to health monitoring — discreet, lightweight, and more likely to complement your outfit than clash with it. As a type of smart jewelry, these rings combine fashion with technology. Despite their minimalist design, these rings offer continuous tracking of sleep, activity, temperature, and recovery — all without demanding a wrist. Perfect for those who prefer subtlety over statement pieces.

  • Hearables: Once simply Bluetooth earbuds, hearables are now being reimagined as health devices in their own right. Apple’s AirPods Pro 2 include a built-in hearing test that can assess sound sensitivity across different frequencies, while also nudging into hearing aid territory for those with mild to moderate hearing loss. Powerbeats Pro 2, meanwhile, is pioneering heart rate monitoring during workouts — via the ears. The roots of this innovation can be traced back to the first digital hearing aids in the 1980s, which quietly marked one of the earliest entries in wearable health tech.

  • Smart clothing: Perhaps the boldest leap comes from wearables you don’t just wear — you wear into. Smart fabrics, laced with unobtrusive embedded sensors, promise larger surface areas for measurement and a more holistic view of the body in motion. Advanced textiles with embedded sensors enable real-time health monitoring and interactive features, supporting applications from fitness to assisted living. Designers now incorporate technology directly into clothing to enhance both function and aesthetics. Think respiration, posture, and muscular effort — all captured in real time. Companies like Myant are currently trialling smart garments for remote elderly care through their Skiin line, hinting at a future where your T-shirt knows more about your health than your phone does. And with jackets that shift colour or pattern depending on mood or preference, even self-expression is getting a high-tech twist.

Sport, style and screen time: Wearables beyond health

Wearable technology is no longer confined to healthcare. From boosting athletic performance to turning heads on the runway — and even transporting us into virtual worlds — wearables, as a category of electronic devices for health, entertainment, and communication, are redefining what we expect from the things we wear.

  • Sport: The sports world has embraced wearables as essential training tools. From smart clothing to sensor-enabled shoes, these devices track everything from stride efficiency and muscle activity to blood pressure and recovery. In professional sports, wearable technology provides granular data on athlete performance and health, enabling real-time analysis and tailored training. Smart shoes equipped with navigation systems are now used to track and guide athletes during training and competition. Coaches and athletes now use this data to fine-tune performance, reduce injury risk, and optimise recovery. Even smart helmets have entered the scene, delivering real-time alerts to enhance safety during high-impact sports or in hazardous environments. The result? A more intelligent approach to training, where instinct meets insight.

  • Fashion: Technology has found its way into the fabric of fashion — quite literally. Smart jackets that respond to mood or temperature shifts, jewelry that discreetly tracks health metrics, bluetooth headsets as electronic devices that combine style and function, and glasses that blend augmented reality with high design are all reshaping how we dress and express ourselves. These wearables prioritise aesthetics without compromising functionality, proving that tech can be both useful and beautiful.

  • Gaming & Entertainment: The gaming world has always had a soft spot for the cutting edge — and wearables fit right in. The gaming industry is rapidly adopting wearable devices like VR headsets and AR glasses to create immersive virtual environments for players. VR headsets and AR glasses are now common kit for immersive play, while smart rings and gloves bring added layers of interactivity and realism. As wearable tech continues to evolve, integrating AI and biometric feedback, the boundary between physical and digital experience is getting thinner by the day.

Putting insights in everyone’s hands

Wearable technologies are quietly transforming how people access and engage with their health. Once the preserve of elite athletes or clinical laboratories, advanced monitoring tools are now available to anyone with a wrist, a phone, and a bit of curiosity.

The expansion of wearable technology is democratising access to health insights previously available only to professional athletes or within clinical settings. This accessibility stems from several converging factors: decreasing device costs, improved user experience design, and the integration of increasingly sophisticated sensors into everyday consumer products, including their seamless connection with mobile devices and smart devices. Many wearables connect to a smartphone app that allows users to track data, monitor locations, and receive alerts, further enhancing safety, tracking, and user interaction. Wearable fitness trackers and such devices collect data on heart rate, physical activity, sleep patterns, and other biometrics. The data collected by these devices is used in the healthcare industry to monitor patient data, support early detection of health issues, and improve patient outcomes.

Exercise insights have reached unprecedented sophistication, transforming workouts from simple activity tracking to comprehensive performance analysis. Modern wearables now provide detailed metrics on pace analysis, aerobic and anaerobic threshold detection, terrain mapping, and workout intensity zones. Devices like Garmin’s Forerunner series and WHOOP band offer insights into your training load, recovery time recommendations, and performance predictions based on your current fitness level. These wearables can identify when you could have pushed harder during a workout, suggest optimal training zones for different fitness goals, and even provide real-time coaching prompts. When comparing different types of wearables, it’s important to note that other devices such as VR headsets may not collect as much health data, while fitness trackers and smartwatches are designed for comprehensive data tracking. The collected data provides valuable insights that help users and healthcare professionals make informed decisions in training and health management. What once required expensive laboratory testing or personal trainers is now available on your wrist, making exercise more engaging and goal-oriented for everyday fitness enthusiasts.

Mainstream adoption has been driven by the integration of wearables into consumer electronics, with devices like smart watches, smart rings, and smart jewelry becoming increasingly popular. Advanced wearables now include web enabled glasses, which offer real-time data collection and connectivity. Hands-free features, such as those enabled by virtual assistants, further enhance the user experience by providing convenient access to notifications, payments, and smart home controls.

Sleep monitoring exemplifies this democratisation. Advanced wearables now provide detailed analysis of sleep stages (light, deep, and REM sleep), sleep quality metrics, and even potential sleep disturbances. Devices can identify signs of sleep apnoea through monitoring of blood oxygen saturation levels and respiration patterns during sleep. This capability is particularly valuable given that many sleep disorders remain undiagnosed, with estimates suggesting that up to 80% of moderate to severe obstructive sleep apnoea cases go undetected in the general population, highlighting the transformative impact of wearables technology. Through remote monitoring and continuous collection of patient data, such devices support clinical research and enable healthcare providers to better understand and address sleep-related health issues.

Prevention, not reaction: The new model of care

Perhaps the most profound shift driven by wearable technology is in the way we think about health itself. Instead of waiting for symptoms to appear, we can now monitor our bodies in real time — spotting early warning signs, making timely adjustments, and embracing a more preventative approach to care.

Continuous tracking enables users to establish personal baselines for a range of health metrics and detect subtle changes before they escalate into more serious concerns. The real-time nature of the data allows both individuals and healthcare professionals to act earlier, with greater clarity and confidence. Wearable technology offers significant benefits in improving therapy accessibility, increasing patient engagement, and supporting preventative care, making it a valuable tool in modern healthcare.

Heart rate variability (HRV) monitoring is a striking example of this evolution. HRV — the variation in time between heartbeats — offers insight into the function of the autonomic nervous system and broader health status. A decline in HRV can indicate anything from rising stress to the onset of illness or overtraining, often before you feel it. Wearables that monitor HRV, blood pressure, and other vitals can nudge users to adjust their behaviour — whether that’s prioritising rest, managing stress, or seeking medical advice if something feels off. Companies like ours are working at the interface of this exercise data combined with blood results and clinical insights.

This preventative approach is also gaining traction in physical therapy. Wearables are helping to personalise recovery by providing real-time data to both patients and therapists — making rehabilitation more adaptive, measurable, and effective.

More broadly, these devices support both physical and mental health by encouraging healthy habits, flagging risks early, and even highlighting the psychological patterns that can accompany constant connectivity and self-tracking.

Under the hood: What makes wearables tick

Of course, none of this is possible without the technology working seamlessly in the background. Designing wearables that are both powerful and practical presents a host of challenges — from battery life and sensor accuracy to comfort and data security. Designers and engineers must also address concerns related to privacy, comfort, and the integration of devices with the user's body.

Energy efficiency remains a major concern, as devices need to run around the clock without frequent charging. At the same time, they must remain light, comfortable and stylish — with sensors that deliver consistently accurate readings despite movement, sweat, or the occasional tumble in the wash.

Artificial intelligence plays an increasingly central role, enabling wearables to process vast amounts of biometric data, recognise patterns, and provide personalised, actionable insights. Machine learning is helping these systems get smarter over time — not just capturing information, but interpreting it in ways that matter.

But with all this data comes responsibility. Health information is deeply personal, and users rightly expect it to be kept secure. Strong privacy protections and transparent data practices aren’t just nice to have — they’re essential to maintaining trust. As wearable technology continues to evolve, its success will depend not just on how clever it is, but how carefully it handles the sensitive information it gathers.

Making your wearable work harder

If you’re already using a wearable device — or considering investing in one — there are plenty of ways to get more out of it than just a daily step count. Here are some practical tips to help you turn your device into a genuinely useful health companion:

  • Establish your baselines: Use your device consistently for at least a month to understand your personal normal ranges for metrics like resting heart rate, HRV, and sleep patterns. Knowing what’s normal for you is key to spotting what isn’t.

  • Look for trends, not daily fluctuations: Our bodies aren’t machines — minor ups and downs are perfectly normal. It’s the longer-term shifts in your averages that offer the most meaningful insights.

  • Use sleep insights actively: If your device shows poor sleep quality, don’t ignore it. Adjust your environment, pre-bed routine, or sleep schedule to see if small changes yield better rest.

  • Respond to recovery metrics: Many wearables now offer recovery or readiness scores. Take them seriously — they can help you avoid burnout by guiding when to push and when to pause.

  • Validate the metrics with your general health: No wearable is perfect. If a reading seems off or causes concern, cross-reference with how you feel — and follow up with a healthcare professional when needed.

  • Share relevant data with healthcare providers: Increasingly, doctors welcome wearable data as part of the bigger picture. Some devices can even notify emergency contacts or automatically alert emergency services in urgent situations, providing rapid intervention when needed.

  • Enhance worker productivity: In workplace settings, wearables can support employee wellbeing, monitor fatigue, and help organisations optimise workflows — blending safety with smart performance tracking.

And when it comes to privacy, it’s worth noting that manufacturers are placing growing emphasis on data security. With most leading brands now building in robust protections, your personal health information is being taken more seriously than ever. Additionally, hands free access features in modern wearables enhance both convenience and safety, allowing users to perform tasks or respond to notifications without needing to use their hands.

The human side of high-tech health

As with any form of technology, a sense of balance is essential. Wearables offer a powerful lens into our health, but they’re best used as guides — not gospel. When treated as supportive tools rather than all-knowing arbiters, they can enhance our natural instincts and encourage smarter decisions. But some users report becoming overly reliant on the numbers, or anxious when they forget to wear their device — a reminder that even helpful data can become distracting when taken to extremes.

Privacy is another key consideration. These devices collect highly personal health data, and that information deserves robust protection. Before choosing a wearable, take a moment to explore the manufacturer’s data handling policies. Transparency, encryption, and user control should be part of the package — not optional extras.

What’s next? Three frontiers to watch

The direction of travel for wearable health technology points towards even more sophisticated — and more personalised — tools. Several areas stand out as particularly promising. Notable examples of wearable technology shaping the future include non-invasive glucose monitors, neuromodulation devices, and advanced smartwatches, which demonstrate the expanding range and innovation in this field:

  • Non-invasive glucose monitoring: Current continuous glucose monitoring (CGM) systems rely on a tiny sensor inserted beneath the skin. But researchers are hard at work developing non-invasive alternatives — approaches that could be embedded in everyday wearables and offer blood sugar insights without breaking the skin. This would be game-changing not just for people with diabetes, but for anyone interested in managing their metabolic health.

  • Continuous blood pressure monitoring: While some devices can offer occasional blood pressure estimates using optical sensors, reliable, continuous, non-invasive monitoring remains elusive. Cracking this challenge would make a major dent in cardiovascular risk — particularly for the millions living with undiagnosed or poorly managed hypertension.

  • Neuromodulation: One of the most intriguing frontiers involves wearables that do more than measure — they interact. Neuromodulation devices aim to monitor brain activity and deliver gentle electrical stimulation to help manage conditions like chronic pain, low mood, migraines or insomnia. Early models are already in use, and the potential for discreet, non-pharmaceutical interventions is immense.

Choosing your wearable: A quick comparison

Here is a breakdown of some recent models that are innovating the wearable space. While many devices track similar metrics, it's worth noting that the methods used to measure, interpret and present this data can vary widely — and so can the user experience.

Device

ECG

HRV

SpO₂ 

Battery Life

Blood Pressure Monitoring

VO₂ Max Estimation

Skin Temperature 

Respiratory Rate 

Sleep Stage Monitoring

Stress Score

Type

Apple Watch Series 10

Yes – Single‑lead (Lead I) ECG app

Yes

Yes but not in the USA

Up to 18 h normal; 36 h Low Power Mode

No

Yes

Yes 

Yes

Yes

No

Wristwatch

Fitbit Sense 2

Yes – Single‑lead ECG (FDA‑cleared)

Yes 

Yes

Up to 7 days

No

Yes 

Yes 

Yes

Yes

Yes

Wristwatch

Garmin Forerunner 965

No 

Yes

Yes

Up to 31 h GPS only; 19 h Multi‑Band + GPS

No

Yes

No

Yes

Yes 

Yes 

Wristwatch

Oura Ring Gen 4

No 

Yes 

Yes

7–8 days

No

No

Yes

Yes

Yes

Yes

Ring

WHOOP 5.0

No

Yes 

Yes

14+ days

Yes – Blood Pressure Insights (Beta)

No

Yes

Yes 

Yes

Yes 

Strap (no display)

Why it matters — and where it’s heading

At Emerald, we believe wearable technology isn’t just a trend — it’s a vital tool in shaping a more personalised, proactive approach to health. Our aim is to translate the data these devices collect into something far more meaningful: a holistic view of your wellbeing, and a health plan that genuinely reflects you.

The rapid evolution of wearables has fundamentally changed how we monitor our health. What began with step counts and calorie burns has matured into an ecosystem of intelligent tools capable of delivering insights once reserved for clinical settings. As sensors become more precise, algorithms more insightful, and designs more discreet, the boundary between lifestyle device and medical instrument is steadily dissolving. Google Glass, for example, was an early wearable augmented reality device that pioneered smart glasses with immersive content viewing, though it faced challenges such as limited commercial success and privacy concerns.

But the real power of this technology lies not in individual metrics, but in the story they tell together. Continuous data streams, when brought into context, offer an unparalleled opportunity to understand patterns, detect subtle changes, and support decisions that keep you well, not just treat you when you’re not. This is the shift — from reactive to preventative, from general advice to truly personalised care.

Wearable technology has come a long way from its humble origins. What started as simple step counters has grown into a diverse landscape of devices that not only track our movement but help us understand our physiology, optimise our routines, and engage more fully with our wellbeing.

Whether it’s monitoring blood pressure, tracking recovery, offering real-time coaching, or supporting immersive experiences through augmented reality, wearables are becoming everyday tools that sit at the crossroads of healthcare, performance, and self-expression. Smartwatches, rings, clothing, glasses — they’re not just accessories, they’re instruments of insight.

As innovation continues apace, the potential applications of wearable technology across health, sport, fashion, and beyond are expanding rapidly. Integration with broader digital health systems, improvements in accuracy and form, and more intelligent feedback loops all point to a future where wearable tech plays a central role in how we manage our lives.

The promise is clear: more informed choices, earlier interventions, and better outcomes — all made possible by technology that quietly fits into our day, while working tirelessly behind the scenes.

References

  1. IDC Worldwide Wearable Device Tracker Report

  2. PRNewswire. "Wearable Technology Market Growth Analysis"

  3. Circulation. "Accuracy of Apple Watch for Detection of Atrial Fibrillation"

  4. PubMed Central. "Mobile Health Technology for Atrial Fibrillation Screening and Management"

  5. Oura. "The Oura Difference: Why We Chose the Finger for Health Monitoring"

  6. Charco Neurotech. "CUE: Wearable Therapy for Parkinson's Disease"

  7. Apple Healthcare. "AirPods Pro Hearing Health Features"

  8. Garmin News. “Sleep Scores and All‑Day Stress Tracking on Forerunner Series”

  9. Fitbit Research. “Sleep and SpO₂ Tracking with Fitbit Sense 2”

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© 2025 Emerald Labs Ltd

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Subscribe to our newsletter

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© 2025 Emerald Labs Ltd