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Alan Ritchson’s 2nd 2026 Box Office Flop Continues To Crash Amid Reacher Success
Alan Ritchson is riding high on streaming, but the big screen is telling a different story. His action-thriller has managed just $13.1 million worldwide since opening on September 11. It is the second...
Haaland completes Premier League scoring set with Sunderland goal
Erling Haaland has scored against every team he has faced in the Premier League after finding the net against Sunderland in Manchester City’s 5-3 victory at the Etihad Stadium.The Norwegian complete...
From Malaysia to the world: A pioneering science communicator reimagines global science communication for a digital age
y 2024, I was exhausted. For more than a decade, I had carried The Petri Dish through the realities of running a niche science publication in Malaysia.
Why Brewers Pulled Jacob Misiorowski After Pitching 3 Innings
Jacob Misiorowski must’ve wanted to watch the Sunday Night Football matchup between the Kansas City Chiefs and Indianapolis Colts. Because after pitching three innings on Sunday Night Baseball for the Milwaukee Brewers, he was pulled from the game. For those not paying more attention, it certainly could cause alarm. The Brewers are just a week […] The post Why Brewers Pulled Jacob Misiorowski After Pitching 3 Innings appeared first on HEAVY.
MALAYSIA HEALTHCARE DEEPENS BANGLADESH PRESENCE AS MEDICAL TOURISM DEMAND GROWS
/PRNewswire/ -- Malaysia Healthcare Travel Council (MHTC) deepened its engagement in Bangladesh through Malaysia Healthcare Week in Bangladesh, held from 16 to...
High School Teacher Discovers First-Ever Adult T. Rex Trackway While Fossil Hunting In US
Hups, a teacher at Northglenn High School, also became a co-author of the study published in the Journal of Vertebrate Palaeontology.
Alan Ritchson says “Reacher” planned a white supremacist storyline until ‘someone got re-elected’
The star of the hit Amazon series says there were plans at one point to adapt Lee Child’s second ‘Reacher’ novel, ‘Die Trying.’
Alan Ritchson says ‘Reacher’ planned a white supremacist storyline until ‘someone got re-elected’
Alan Ritchson says there were plans at one point to adapt Lee Child’s second ‘Jack Reacher’ novel, ‘Die Trying,’ in which the protagonist battles a white supremacist militia, ‘until someone got re-elected.’
Meg Ryan and Son Jack Quaid Mark Super Rare Joint Appearance at Lucas Museum of Narrative Art Gala
Happy birthday, Kerim!
Kerim Alajbegovic is celebrating his first birthday in black and white. Today, Monday 21 September 2026, he turns 19 years old.The young Bosnian talent, who arrived in Turin this summer, has made a to...
Oil rises after Houthi attack on Saudi capital
Oil prices rose on Monday after Yemen's Iran-backed Houthis launched missile and drone strikes at Saudi Arabia's capital Riyadh on Saturday, escalating tension in the Middle East while the US and Iran remained in stalemate.
Tarik Muharemović Reflects On Leeds Start After Crystal Palace Draw
Tarik Muharemović was pleased to help Leeds United preserve another clean sheet against Crystal Palace but admitted the Whites know they can improve after an unbeaten opening five Premier League matches.
Frank Mrvan talks steel industry, possible Chicago Bears move
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GOP Rep. Salazar says she spoke with Trump and he is ‘very receptive’ to her warning about Hispanic voters
GOP Rep. Maria Elvira Salazar Sunday said that President Donald Trump was “very receptive” to her warning that Hispanic voters feel “betrayed” by his immigration agenda ahead of the midterm elections.
Gabriel Milto's analysis after El Clásico de México
Guadalajara’s draw in El Clásico de México has different shades to it. We know the entire Red-and-White Nation was excited by what Chivas showed in the first half, but the circumstances of the mat...
Gabriel Milito's Analysis Following El Clásico de México
Guadalajara's draw in El Clásico de México has several different layers. We know that the entire Nación Rojiblanca was excited by what Chivas showed in the first half, but the circumstances of the ...
Conceicao and Bremer score in win over Atalanta
The Men's First Team head into the international break with three valuable points after beating Atalanta 2-0 at the Allianz Stadium on Serie A Matchday 5.The goals came from Chico Conceicao and Gleiso...
Reporting From Alaska- Sullivan injects Fairbanks Memorial Hospital into partisan politics
HOSPITAL CAMPAIGN: The tiny print on some new ads for Sen. Dan Sullivan featuring numerous shots of Fairbanks Memorial Hospital, says that Steve Frank is not speaking for the hospital foundation when he speaks about the hospital. But most people won’t read or notice the fine print. Frank is the tr
Rep. Salazar tells Trump on Hispanic voters: "Preserve that fortune that you have brought" the GOP
Alaskans will decide fate of ranked choice voting system after chaotic end to state's primary
The August primary revealed some of the headaches related to a major change in how Alaska voters select their candidates and was the latest example of how the real-world experience of state voting changes don't always line up neatly with expectations.
Crews battle large 3-alarm fire at Rockport business, town water supply affected
Crews are battling a large three-alarm fire at a business in Rockport, Massachusetts.
DL Kavarris Duncan flips his commitment from Tulane to Alabama
Alabama offered Winterboro, Ala. defensive lineman Kavarris Duncan before the Florida State game, and it didn't take the Tide long to flip him from Tulane. He is living out his dream.
Leeds 0-0 Crystal Palace: What Sage said
Maybe we deserved better but I remember that our goalkeeper made a big save, that's why in football when you have the opportunities you have to score. Among ever present sides in the Premier League across the calendar year of 2026, only Tottenham (18) have picked up fewer points than Crystal Palace (23). Palace's Anan Khalaili has made the most tackles of any player in the Premier League this season (21), while he won possession more times than anyone else in today's match against Leeds (11).
Leeds 0-0 Crystal Palace: What Farke said
Leeds remain unbeaten in the Premier League this season across their opening five matches (won two, drawn three), the first time they've completed that feat in the competition since 2001-02. This was Leeds' fourth 0-0 Premier League draw since the start of 2026 (25 games), though two of those have now come against Crystal Palace (also in March).
First pediatric medical-behavioral Health Unit opens, Deaconess partners with Evansville Fire Dept
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James Trafford's free-kick flashback and Crystal Palace assessment
James Trafford had a brief flashback to a previous Yéremy Pino free-kick as the Crystal Palace man shaped to shoot in the second half of Sunday's 0-0 draw.Pino found the net against Trafford's former...
Analysis: Eagles unlucky to not gain win
This was a good test for boss Pierre Sage, with the Eagles playing on Thursday in the Europa League and having three days less preparation time than Leeds. Crystal Palace created the first chance of the match, only for Quinten Timber to fire over from 25 yards, before Adam Wharton and Tyrick Mitchell had their only other chances of note in the first half, with both strikes deflected and easily dealt with. Palace had conceded a late goal to lose 3-2 to Ipswich Town last weekend and it would have been harsh on them if something similar had happened here.
Dolly Parton Gave Miley Cyrus This Key Advice After Watching Her Goddaughter Cry On Stage
Dolly offered advice to Miley on how to balance life on and off the stage.
Analysis: Farke's side defensively strong again
Leeds came into this match on the back of their best performance of the season so far as they overpowered Newcastle 4-1 on Monday, but for large parts of the match at Elland Road, Crystal Palace were the better side. Leeds go into the three-week international break having conceded just three goals, which, level with Everton, is the joint fewest in the top flight. Daniel Farke will be delighted with how his side have performed so far this season, but will also feel they could have taken all three points if his main striker had converted a glorious chance.
California Politics 360 full episode | Financial troubles ahead for CA high-speed rail
The project’s watchdog is sounding the alarm that the high-speed rail project could be out of money by December 2027.
What Chivas Femenil's Win in Tijuana Left Behind
Chivas Femenil earned a very important result for their aspirations in the Apertura 2026: they convincingly defeated Xolos on Matchday 8 and solidified their position in second place in Group B. In ad...
Takeaways from Chivas Femenil’s win in Tijuana
Chivas Femenil earned a very important result for its Apertura 2026 aspirations: it convincingly defeated Xolos on Matchday 8 and solidified its place as second in Group B. In addition, this result wi...
The Top Prospect Leading His Team to the Postseason
The San Diego Padres' magic number to clinch a playoff spot fell to three after Ethan Salas launched his first-ever walk-off hit in the 10th inning of the Friars' game against the Miami Marlins on Saturday night. In doing so, Salas (20 years, 110 days) surpassed Bryce Eldridge (21 years, 233 days) as the youngest …
Salas Joins Machado in MLB History With Walk-Off Hit
Ethan Salas became the youngest MLB player with a walk-off hit since current Padres teammate Manny Machado in 2012.
Leeds United and Crystal Palace clash ends in stalemate
Leeds United stretched their unbeaten start to the Premier League season to five games with a 0-0 draw at home against Crystal Palace on Sunday.With the side unchanged from Monday’s commanding win o...
🚨 Juventus v Atalanta XIs: Woltemade on the bench!
Juventus and Atalanta face off on Matchday 5 of Serie A.Juventus come into this after thrashing NEC in the Europa League, while the Bergamo side are coming off a home league defeat to Cagliari. Here i...
Mobile to look at expanding entertainment districts
The proposed expansion would include the new Regions Arena
Haaland completes Premier League set by scoring against Sunderland
Erling Haaland’s goal against Sunderland today means he has now scored against all 25 sides he has faced in the Premier League. Men's Team Haaland becomes top scorer in Manchester derbies in Premier...
Five takeaways from FSU's loss to Alabama
The Florida State Seminoles dropped to 1-2 on the season after falling to Alabama on Saturday. Here are five takeaways.
NFL Insider Sounds Alarm on Lions Coordinator
The calls for the Detroit Lions to fire defensive coordinator Kelvin Sheppard have gotten much louder after the team blew a fourth-quarter lead in Week 1 and allowed 41 points in Week 2. However, while most of the heat around Sheppard has been outside of the building, Albert Breer of Sports Illustrated jumped on the […] The post NFL Insider Sounds Alarm on Lions Coordinator appeared first on HEAVY.
Optimism and tight polls: Can Florida Democrats flip Sunshine State blue in 2026?
Florida Democrats gathered in Miami with renewed hope as tight polls signal potential turnarounds in key 2026 midterm races.
Union Berlin linked with Alaba and Vestergaard
With 1. FC Union Berlin having conceded 17 goals in their first four Bundesliga games following Friday’s heavy 7-0 defeat to Bayern Munich, the capital club could look to strengthen their defence du...
As states crack down on sweepstakes casinos, VGW makes $351,000 play into Alabama politics
An Australian sweepstakes casino has contributed $351,000 to Alabama politicians and political groups as other states move to ban or restrict the industry.
FULL SHOW: Inside INdiana Business 9/20/26
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Alaskans will decide fate of ranked choice voting system after chaotic end to state's primary
Alaska’s primary revealed some of the headaches related to a major change in how voters select their candidates | NewsRadio WILK
Alaskans will decide fate of ranked choice voting system after chaotic end to state's primary
Alaska’s primary revealed some of the headaches related to a major change in how voters select their candidates | NewsRadio 1080 KRLD
Alaskans will decide fate of ranked choice voting system after chaotic end to state's primary
Alaska’s primary revealed some of the headaches related to a major change in how voters select their candidates.
Squad List
The Men's First Team return to Serie A action with a Matchday 5 clash against Atalanta at the Allianz Stadium.Kick-off is scheduled for 18:00 CEST on September 20. The Bianconeri come into the match o...
Brown Health residents struggle with low pay, paid leave
A neurosurgery resident details the struggle of balancing medical training with low pay and lack of family leave.
A 60-year-old mom faces retirement with $156K in student loans
She doesn't have a college degree of her own, but she's staring down a six-figure student-loan balance she took on to give her kids a better life.
Winner and Loser of the Week in Florida politics
Susie Wiles is cancer-free, María Elvira Salazar breaks with Donald Trump and St. Pete Polls has some bombshells.
From vaudeville to Broadway, Palace Theatre has evolved for 100 years
The historic Palace Theatre is hitting the century mark this year! Celebrate with special events through early December.
[Science Through Covers] EGFR T790M mutation in US Southeast drives inherited lung cancer risk
Harvard Medical School team links 200-year-old founder effect to sharply higher lung cancer risk among non-smokers in southern Appalachia
Scotland must show more belief
Evie Gallagher says Scotland must believe they belong amongst the world's best if they are to compete against the top international sides. The number eight scored both of Scotland's tries against New Zealand but the Black Ferns were a class apart as they ran in 10 tries for a 66-14 victory at Hive Stadium. It was a second straight defeat for the Scots in the WXV Global Series following last weekend's defeat to Canada.
Liverpool eyeing fourth £100 million signing for January
One of the key weaknesses in the squad that Liverpool failed to address in the summer is the right-wing position. With Mohamed Salah no longer at Anfield and Federico Chiesa out injured, the Reds are ...
Chivas Let Victory Slip Away in El Clásico de México
Playing with intensity and fighting until the final minute, Chivas looked for the finishing touch but ultimately let the victory slip away, drawing 2-2 in El Clásico de México. With the point earned...
Colwill's 'surreal' Ronaldo and Haaland ambition
In just 12 months, the Cardiff City midfielder has gone from League One football to the prospect of facing Cristiano Ronaldo and Erling Haaland.
Alameda County health authorities alert of possible measles exposure
State and Bay Area health officials warned of a possible measles exposure Friday after a person infected with the disease traveled by train from the Midwest through California.
Florida State Football Has to Get Its Momentum Back
Despite early brilliance against Alabama, costly turnovers and a fragile grip on momentum leave the 1-2 Seminoles facing coaching rumors and a desperate need for consistency.
Seminoles Succumb to No. 10 Crimson Tide in Road Loss
Florida State looked like the better team in Tuscaloosa on Saturday, at least for the first 28 minutes of the game. But the second half belonged to the Alabama Crimson Tide, scoring 24 points and running away with a 50-36 victory over the Seminoles.
How much would it cost FSU to fire Mike Norvell?
FSU head coach Mike Norvell has one of the biggest buyouts in college football. Here is what it would cost to fire him after the Alabama loss.
A 66-million-year-old tooth reveals T. rex was nearly as warm as a human
Chemical clues preserved inside fossilized T. rex teeth reveal that the dinosaur maintained a body temperature of about 97 degrees Fahrenheit, almost identical to humans. The finding provides direct evidence that the giant predator was warm-blooded, helping explain how it stayed active and survived in chilly environments as far north as Alaska.
🚨 Alarm at River and Argentina over injury
River Plate’s match against Huracán is raising alarm both in Núñez and in the Argentina national team, as two injury absences have already been recorded.Thiago Almada came off before the first 10...
Scientists in Palau are raising heat-tolerant coral to rescue reefs damaged by warming seas
"We're trying to identify those corals that are very heat tolerant."
Nurses sound alarm on proposed healthcare cuts during Bangor bus tour stop
On Saturday, National Nurses United (NNU) made a stop at Bangor’s Cascade Park as they travel the country on its “Red Alert” bus tour, joined by the Maine State Nurses Association (MSNA).
Arsenal may move for Endrick in January
Barcelona may launch a huge offer for Haaland, Arsenal are interested in struggling Endrick, and Liverpool insist on keeping Wirtz
He’s a truly, truly special person
City No.1 Gianluigi Donnarumma has lauded new boss Enzo Maresca as a brilliant coach and wonderful person. Men's Team Haaland the cover star for Sunderland matchday programme Donnarumma linked up with...
Raphinha 10, Yamal 9 | Sevilla 1-3 Barcelona: Player Ratings
Barcelona did not have it easy against a spirited Sevilla last night, and the Ramon Sanchez Pizjuan made sure that the Catalans were made to suffer for every bout of possession.For the first time this...
LANL: Four Los Alamos Researchers Receive Laboratory Fellows’ Prizes
Virginia Manner, Dru Renner, Dan Hooks and Earl Lawrence. Photo Courtesy LANL LANL NEWS RELEASE Four Los Alamos National Laboratory researchers have been awarded Laboratory Fellows’ Prizes: Virgini…
Carrot Top is ‘recovering’ after being hospitalized in Las Vegas, rep says
Carrot Top was hospitalized in Las Vegas on Friday and was ‘recovering’ on Saturday. His scheduled shows at the Luxor over the weekend were cancelled.
Galaxy S27 Pro and S27 Ultra reportedly getting major battery upgrade
Samsung’s Galaxy S27 Ultra and S27 Pro are expected to get major battery upgrades, with certification records pointing to typical capacities of about 5,700mAh and 5,200mAh, respectively. This would mark the most significant battery upgrade since the S20.
Deals: iPhone 18 Pros launch, refurbished iPhone 17 Pros are expensive, Galaxy Z8 foldables discounted
A refurbished 17 Pro Max costs as much as when it was new. The iPhone 18 Pro and 18 Pro Max went on sale this week in the US, along with 64 other countries...
Frankie Muniz’s estranged wife shares message about ‘perspective’ after actor’s ‘rock bottom’ post
Frankie Muniz and his wife Paige Price filed for divorce earlier this year. They each shared posts about their life stages on Friday.
Peacocks vs Eagles: How to watch Leeds United this weekend!
Elland Road hosts another Premier League fixture on Sunday afternoon as Leeds United welcome Crystal Palace, with the Peacocks looking to maintain their place among the early pace-setters.Daniel Farke...
Match Preview: Fulham vs. Manchester United
The Reds are on the road and looking for a boost after losing successive matches at Old Trafford. The controversial loss to Manchester City, to an Erling Haaland goal that should have been disallowed, was followed by a Carabao Cup exit at the hands of Brighton & Hove Albion on Wednesday. After a disappointing start […]
FSU vs. Alabama: Open thread and live game discussion
Come join our live game discussion for the Week 3 FSU vs Alabama matchup
Confirmed: Injury costs Liverpool winger; Andoni Iraola forced to pivot
Liverpool don't have the winger they wanted this season thanks to injury. Andoni Iraola has been forced to pivot into something new.Liverpool quite famously lack a balanced squad right now. There are ...
Fiery hat-trick! Salah's masterclass against Galatasaray 🤩🔥
XXL performance from the Little Pharaoh!This Saturday evening, Mohamed Salah was playing his first big clash in Turkey, and he truly rose to the occasion.For the showdown against Galatasaray, the Egyp...
Analysis: O'Neil can be encouraged at team's display
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The Big Holes in Wearable Heart Rate Variability And Readiness Scores
On September 9th, Apple announced it was revamping its Apple Watch Health Sensing System, rolling out a Readiness score (0 to 10), and increasing the frequency of heart rate variability (HRV) outputs 24-fold. This can be viewed as upping its competition with various other consumer wearable sensors. These “readiness scores” as a composite of multiple metrics, with heart rate variability (HRV) being front and center for most. The majority of Americans are now using wearable sensors, which equates to well over 100 million adults. HRV and Readiness scores are increasingly being marketed as a measurement of autonomic nervous system health, a digital marker for future disease, a clock for biological age, and a holistic metric to promote healthspan and even longevity. (Apple also introduced a new longevity tab and “Health Age”.) None of this has been proven. In this edition of Ground Truths I am going to review what we know about heart rate variability and readiness scores. Heart Rate Variability HRV is the variation in normal heart cycle timing. The variability of the heart rate, the barely perceptible millisecond changes in time between consecutive heart beats (see R-R intervals in the Figure below, left panel), is due to interplay between the sympathetic and parasympathetic (vagal nerve) inputs. Distinct from heart rate, individuals with the same heart rate can have very different HRVs. It is a rough reflection of the autonomic nervous system (ANS) activity, inadequate to say whether a person’s ANS function is abnormal. For more than three decades, heart rate variability (HRV) has been measured and several studies have found an association of low HRV and clinical outcomes, particularly a link with higher all-cause and cardiovascular mortality. There have also been less well established links of low HRV to risk of early cognitive impairment, dementia, mental illness, Type 2 diabetes and substance abuse. An important reminder is that HRV is a surrogate marker without any established cause-and-effect relationship. If you increase your HRV, that doesn’t mean it will improve health outcomes. In fact, there is no hard evidence for that. All that work linking to health outcomes was done with electrocardiogram (ECG) derived HRV. Now, in the era of consumer wearables, this is getting assessed differently, by optical pulse (yes, the lights you see) plethysmography (PPG) or what is called pulse rate variability (PRV). They are not the same, as shown below (right panel) and only concordant when the delay between the ECG and pulse is kept constant, which basically means at rest. I should mention there’s also what I will call MPV, a mattress mechanical movement sensor, a derived heart rate variability, that companies like Eight Sleep use, even further away from directly measuring HRV. HRV has not one uniform measurement but many different types of quantification, such as RMSSD, the magnitude of difference between successive R-R intervals of normal sinus beats (N-N) or SDNN, the standard deviation of NN intervals, both in milliseconds. SDNN is one of the so-called frequency domain HRVs (others are LF, HF, LF/HF). Different wearable sensors use different metics; Apple has relied on SDNN and nearly all of the others use RMSSD, which is generally considered the more accurate metric. There’s also the different length of time measured, such as for a matter of minutes, all day, or an overnight’s sleep. Short measurements are especially problematic since they don’t capture enough of respiratory modulation and other factors that influence HRV. Share Ground Truths How well does HRV correlate with PRV? There are very limited studies, especially independently done. One that is commonly cited was conducted by Air Force researchers in only 13 healthy adults assessing Oura ring 3 and 4, Whoop 4.0, and Garmin Fenix 6 and showed a correlation coefficient of 0.88 to 0.97 and a mean absolute percentage error from 6 to 10%. The correlation is not a perfect 1.0, but there’s at least a fairly high level of correlation. HRV is supposed to increase during the night due to takeover of the parasympathetic nervous system, and higher during deep sleep. A recent example of my 1 week, all day “HRV,” and one during sleep is shown below. As you can see, the N of 1 data are inconsistent for the same days from different sensors (Oura, AppleWatch, Fitbit Air, and Eight Sleep) by patterns, absolute numbers, and comparison with prior days and weeks. The largest study in over 8 million Fitbit users (the old version, not Google Fitbit Air, introduced in May 2026) gives you a sense of the effect of age, sex, and the 2 different main HRV (here PRV) metrics, with RMSSD on the left and SDRR (=SDNN) on the right below. That study, from data collected in 2018, is a major outlier, since all the more recent ones are tiny with respect to sample size. Many of the companies have not had independent evaluation of their HRV, such as Eight Sleep, but have published a low standard error on their website. There are some other published studies on the correlation between HRV and PRV, but they are all small and only in healthy adults. A scoping review emphasized the lack of study in underrepresented individuals, including the aged, people of color (which affects the PPG signal), and individuals who are underweight or obese. Add the typical adult age 60 plus with one or more chronic diseases. For example, one study in over 900 adults found poor correlation of HRV and PRV, non-uniformly underestimated across many chronic diseases (cardiovascular, endocrine, neurological, respiratory, and others), concluding PRV is “an invalid surrogate for HRV.” A recent systematic review of 43 studies comparing HRV and PRV found reasonable pooled absolute standardized error (HRV as gold standard) but only 10 of the studies provided quantitative synthesis in ideal conditions. Their main conclusion was similarly cautious: “PPG-derived HRV [PRV] should not be regarded as universally interchangeable with ECG-derived HRV across all devices, populations, and recording contexts.” Factors Affecting HRV and PRV That gets me to the long list of factors that affect HRV (and PRV) besides the device, the type of measurement (RMSSD, SDNN or others), the person’s signal, the sensor site, the duration of data capture, if weighting by sleep stage is used, how artifact is processed and corrected. And this list is not complete!: Oura puts out data from their community of users (who input data) on what affects their overnight HRV. The factors currently provided are: no alcohol (increase 8%), melatonin (increase 2%, float tank (increase 2%), wine (decrease 4%), and party (decrease 14%) in overnight HRV. Must be some big parties! Subscribe What is a PRV measurement good for? It has been falsely characterized as an index of “autonomic balance” and a specific indicator of stress. A 2018 review of the studies available for HRV and its relationship to stress, not using any of the current wearables, found that stress can lower HRV. But so can many other factors. The non-specificity of the signal, indexed to the table above, is striking. Evidence from a UK Biobank study of over 46,000 participants with actual HRV looked at genetically predicted HRV, a genetic risk score, that failed to show the expected HRV-mortality link, indicating that _HRV is likely not causa_l, but rather a reflection of person’s physiologic state. A review of consumer wearable HRV data from 5 longitudinal studies showed that nighttime PRV was not associated with perceived stress, and surprisingly higher HRV, in the largest cohort (N=717 participants), was correlated with higher stress. An Oura ring cohort of 525 first-year college students found a link between overnight PRV and perceived stress, but that was also seen with resting heart rate, sleep, and respiratory rate. Several very small studies have examined the relationship of HRV and athletic injuries or guiding training with mixed, and predominantly negative results. HRV biofeedback training with paced breathing had no significant effect on reducing stress or raising HRV, as demonstrated with sham controlled trials. When HRV for multiple days showed a decline in conjunction with body temperature, the Oura ring published data for prediction of Covid. The WHOOP company sponsored an observational study, published in 2026, of 30,000 users for 72 weeks, without a control group, that reported reduced alcohol intake (5.8 % points) by self-report. That doesn’t tell us much, and particularly about the merits of HRV for behavioral change. If you use the same device and conditions as longitudinal trends for multiple (at least 2-3) weeks that may be the one way to get something useful from the measurements. Data for overnight sleep with minimal motion and using RMSSD is the best proxy for real HRV. The reason to look at trends rather than any given night is that it more likely represents something, even though you won’t know with certainty what the “it” is. Keep in mind there are no data, no peer-reviewed evidence, to show that HRV fluctuation in-person has any correlation with health outcomes. Share Readiness Scores These are proprietary scores that integrate different metrics for each of the wearables: no algorithms have been disclosed. They are unvalidated against health outcomes. In a review of 14 composite health scores of readiness and recovery, HRV contributed 86% to the scores, followed by reading heart rate (79%), physical activity and sleep duration (both at 71%). That review noted the substantial variability in measurement protools and lack of standardization. Sleep staging is notoriously inconsistent and inaccurate by these sensors, which adds further to the HRV uncertainties for what the scores, which use sleep stage data, mean. Only resting heart rate has been shown consistently across devices to be extremely accurate. I’ve made a Table to summarize what we know about which metrics are included, the scores, any peer-reviewed studies that compared the readiness score with health outcomes, and the corresponding (if any, NA-not available) citation. You will note that some companies do not use the term “readiness," such as WHOOP for recovery, and Garmin, which has 2 different scores, one of which is Body Battery. Eight Sleep uses the term “Fitness Score.” They all include HRV; Apple includes a new metric they call “Recovery HRV” which among other components uses 7-days of sleep, but it is unclear what this means or how it is differentiated from other scores (there are clearly no data for outcomes). We have no knowledge of how the different components are weighted or whether any of these scores are better than resting heart rate, HRV alone, physical activity, or any other single metric. Since none of these are standardized, they are not interchangeable, so if you get a 90 for Oura that has no relationship to a 90 on a Google Fitbit Air. Notably, the company can update its algorithm for readiness score at any point without notification to device users. Without any useful evidence of actionability for these scores or established relationship with health outcomes, it is hard to make a case for their value. At the Apple recent announcement they showed their Readiness score (0-10) on the watch (Figure below) but there are no published data on this score, not even on their website. It’s available only on their new Watch Series 12 or Ultra 4 [of course, ;-)]. That exemplifies the problems with these scores, lack of data and evidence for being meaningful to promote health. Perhaps the best study (which isn’t saying much) is the WHOOP Recovery for golfer performance, because it did correlate with an objective outcome, even though there was no control group and the authors were all from the company. Among the 389 pro golfers, an absolute 10-per cent point increase in Recovery score was associated with about 0.5 fewer strokes per round. But that’s hardly a health outcome! WHOOP is also conducting a study in over 2,700 runners to see if their recovery score will be linked to less injuries and improved performance, but that is not yet published and has no control group or randomization. Putting This in Context For two decades I’ve been enthusiastic about the potential for digital health and particularly wearable biosensors. Over the years, we’ve seen some great progress for their ability to promote physical activity and accurately detect atrial fibrillation (the first FDA cleared deep learning AI for consumers). That work was the subject of rigorous research. But there are holes in the data and evidence for other metrics. One notable one is the “VO2 max” story that I wrote about earlier this year. At that time many subscribers asked me to cover heart rate variability, which I finally got to here. When I dived into the research and publication for HRV and readiness scores, I expected to find at least some that were of high quality and demonstrated their utility by linkage to health outcomes. To my surprise, I found none. The wearable sensor measurements for HRV (PRV) are, for the most part, accurate, but that validation work has only been done in small studies of healthy adults and does not take into account the long list of factors, from the device, software side, and the user side, that affect HRV measurements. Moreover, this metric chiefly relies on optical sensing and, as we have learned for heart rate PPG sensing, may be less accurate in people of color. Keep in mind that all of the health outcome association evidence comes from ECG-derived HRV; none are from wearable sensor data. I will repeat the key point: there's no peer-reviewed evidence to show that in-person HRV fluctuation—or efforts to raise your HRV— has any correlation with health outcomes. For those of you who look at your HRV on awakening, or even 2+ week trends of it being low, I hope this context helps to relieve any anxiety. Yes, low HRV (not PRV) has been shown to increase risk of some diseases as summarized above. But efforts to raise your HRV—a surrogate metric— has not been established for improving any health outcomes. HRV does not have any evidence of causality (the genetic evidence actually goes against this possibility). In this summary, I have not included data for other wearable sensors such as Polar, Samsung, Withings, Suunto, Amazfit, Coros, Ultrahuman, or additional mattress sensors. These are beyond my first-hand experience, and as far as I know from my in-depth review none have any peer-reviewed published data that differ from the 6 sensors I’ve reviewed here. From the points I’ve gone over above, we’re not ready for readiness scores. Besides being proprietary, they are predominantly based on metrics that have their own issues. It’s compounding the problem, like building a house without a solid foundation that has never undergone a rigorous inspection, and then selling it. Like I mentioned for PRV, you can look at trends over weeks rather than any single day, to get a handle, but even that may not be helpful. There’s simply no evidence that these scores meaningfully relate to health outcomes. I’d emphasize they might, but that requires doing prospective or randomized studies to prove it. None exist. There’s great promise for HRV/PRV utility_. For example**,**_ Prof Maiken Nedergaard, who discovered the brain glymphatics that are essential in eliminating metabolic waste products from the brain during sleep, has posited that HRV could be a non-invasive marker for neuromodulator oscillations, brain-body regulatory circuits, and brain clearance. That would be extremely useful, but like everything else on HRV and readiness scores it requires solid research and validation. The lay media isn’t helping much to get the story straight. Earlier this year The Economist published a piece entitled “The most useful indicator of your overall health” which ordained HRV as an “accumulated stress score.” That’s akin to the false assertion about VO2max: “V02 max is the singular most powerful marker for longevity.” As I’ve summarized here, that is not established. The fact is that so many things can lower HRV, including physical exercise (especially an intense workout), reduced sleep quality, stress, the list above, no less the device, signal, and software. Whatever fluctuations observed have not been correlated with any health outcome. Sadly, “datamaxxers” are widely using HRV and readiness scores that have never been validated to mean anything. We already know that for some people using the sensors for sleep metrics, it can induce “orthosomnia,” an obsession to get high sleep quality, with associated high levels of anxiety. In an experiment done by a company to promote sleep quality for its employees, “For those employees who did use the trackers, many reported feeling perfectly rested until their tracker told them they had had a terrible night. Others were told that they had slept like a baby when they had actually been lying awake worrying about the quality of their sleep. “ The same problem can result from preoccupation with HRV or readiness scores, with anxiety that would lead to further reduction in both. It you are using a wearable like >100 million American adults, it’s OK to look at these data, but contextualized with the major caveats reviewed here. If you are one to require evidence that HRV or readiness scores are linked to health outcomes, you may not even want to look. The companies make it hard to turn them off! Let me end with the companies that make and sell wearables. Apple’s doubling down on HRV (24-fold more reporting and heart rate very 5 seconds) and introduction of a Readiness score tells us that consumers have bought into these metrics and they are joining the club. However, all of this is occurring with a backdrop of tens millions of users, claims about the data that are not backed up by adequate evidence, marketing way out in front of whatever limited data exists, and not being transparent about their readiness score algorithms. The companies can well afford to do the research that is needed to connect these metrics with health outcomes show, once and for all, that increasing HRV or using readiness scores promotes our health. If they believed and invested in the products they are selling, we’d not be in this position of not knowing. That’s essentially where we are with HRV and readiness scores. Perhaps someday this will change and we’ll have good reason to embrace them. NB: I wrote this post. No AI. I have no conflicts of interest with any of its content. Loading... Ground Truths has 215,000 subscribers from every US state and 214 countries. There are over 300,000 followers of Ground Truths so more than 90,000 folks who can easily convert to be free subscribers. Your subscription to these free essays and podcasts makes my work in putting them together worthwhile. If you’re not a subscriber, please join! If you found this interesting PLEASE share it! Share Ground Truths The proceeds from all voluntary paid subscriptions go to support our summer internship program. It enabled us to accept and support a record number of 62 summer interns that joined us in 2026! These are high school, college and medical students selected from thousands of applicants. We couldn’t do this expanded program without the funds coming in through Ground Truths. Thank you!
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