SCIENCE SAYS FITNESS TRACKERS DON'T WORK. WEAR ONE ANYWAY
Personal Technology is getting a
bad rap these days. It keeps getting more addictive: Notifications keep
us glued to our phones.
Autoplaying episodes lure us into Netflix binges. Social awareness cues—like
the "seen-by" list on Instagram Stories—enslave us to obsessive,
ouroboric usage patterns. (Blink twice if you've ever closed Instagram, only to
re-open it reflexively.) Our devices, apps, and platforms, experts increasingly warn, have been engineered to capture our attention and
ingrain habits that are (it seems self evident) less than healthy.
Unless, that is, you're talking
about fitness trackers. For years, the problem with Fitbits, Garmins, Apple
Watches, and their ilk has been that they aren't addictive enough. About one third of
people who buy fitness trackers stop using them within six months, and more than half eventually abandon them altogether.
As for that guy at work whose Fitbit appears to be bionically
integrated with his wrist, it's unclear whether wearing the thing actually
makes him more fit. Most studies on the effectiveness of fitness trackers have
produced weak or inconclusive findings (blame short investigation windows and
small, homogenous sample sizes). In fact, two of the most well-designed studies
to date have turned up less than stellar results.
The first, a randomized controlled
trial involving 800 test subjects, was conducted between June, 2013 and August,
2014. The results, which were published lastyear in The Lancet Diabetes & Endocrinology, found that, after one
year of use, a clip-on activity tracker had no effect on test subjects' overall
health and fitness—even when it was combined with a financial incentive. (In a
perverse twist, volunteers whose incentives were removed six months into the
study fared worse, in the long run, than those who were never offered them at
all.) The second, an RCT out of the University of Pittsburgh conducted between
October 2010 and October 2012, examined whether combining a weight loss program
with a fitness tracker, worn on the upper arm, could help test subjects lose
more weight or improve their overall health. The results, published last year
in the Journal of the American Medical Association, showed that
subjects without fitness trackers lost more weight than their
gadget-wearing counterparts—a difference of about eight pounds. And while it's
true that weight is not a great proxy for health, the findings also showed that
the test subjects with fitness trackers were no more active or fit than those
without.
All of which is, frankly, pretty embarrassing for companies that
manufacture fitness devices—not to mention disquieting for the people who wear
them.
And yet, none of this means you should ditch your fancy new
fitness tracker. Have companies like Fitbit and Garmin been slow to incorporate
sticky features into their products? Yes. Unequivocally. By 2013—the year Apple
brought attention-enslaving push notifications to its phones’ lock screens, and
around the time the Lancet study was getting off the ground—fitness trackers
and their accompanying apps had only just begun to leverage theories from
psychology and behavioral economics. But today's products are different.
The fact is, most existing studies on fitness trackers—including
the two I cited above—hinge on devices that are several years old. (Think
glorified pedometers that don't connect seamlessly with the supercomputer in
your pocket.) And while peer-reviewed research on the latest wave of workout gadgets
is still sparse, signs suggest newer wearables are finally becoming more
addictive.
For starters, wearable fitness trackers themselves have turned
into wildly capable machines. It's no longer enough to measure steps and active
minutes; features like sleep-tracking and 24/7 heart rate monitoring have also
become table stakes. So, too, have the beefy batteries necessary to make
features like continuous heart-rate detection worth a damn. Fitbit's newest
"motivating timepiece," the Ionic, can go four days between charges.
The Fenix 5, Garmin's flagship fitness watch, can last up to two weeks.
"If it's comfortable, it's waterproof, the display's always
readable, and it's got a long battery life, there's less excuse for people to
take it off," says Phil McClendon, Garmin's lead product manager. For
technology companies, few metrics matter more than engagement. Application
developers call it time in app.nging."
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