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I tested four smartwatches for their health sensors, and these are the ones I recommend

Four current smartwatches go head to head on heart rate and SpO2 tracking, with a closer look at which health readings you can rely on daily.

Published on: Oct 6, 2026, 14:20:04 IST

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Every product we recommend is chosen through a combination of Primary Research and Secondary Research.

A smartwatch can tell you a lot about your body, but I have found that having more health features does not always mean getting more useful data. Heart rate and SpO2 are two readings I pay particular attention to because they are among the metrics people tend to check regularly, whether during a workout or simply going about their day.

Accurate health data can make a smartwatch far more useful beyond notifications and workouts.
Accurate health data can make a smartwatch far more useful beyond notifications and workouts.

For the past seven years, I have tracked consumer tech through constant shifts in hardware, platforms, and the way people actually use devices. Covering everything from budget gear to flagship hardware, I focus on what readers need to know, not on buzzwords or launch cycle hype. My expertise spans gaming laptops and chairs, high-performance PCs, gaming monitors, printers, smartwatches, earphones, headphones, Bluetooth speakers, tablets, and more, with a particular emphasis on how these products hold up in daily use. Reviews, explainers, buying guides, and news pieces all share the same goal: giving readers enough detail to make confident decisions without wading through fluff. Away from deadlines, I spend a lot of time gaming and watching films and anime, which naturally filters back into the work. Performance, comfort, display quality, and sound are judged the way players and viewers experience them, not just by lab numbers, which keeps my coverage grounded in real scenarios rather than just benchmarks.

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For this list, I have narrowed it down to four current smartwatches from Apple, Samsung, Google and Amazfit. The focus here is not on how many health features each watch offers, but on how seriously each one approaches heart rate and SpO2 tracking and which models I would recommend if these readings are a priority.

The Apple Watch Series 12 is the one I would pick if health tracking is a major reason for buying a smartwatch. I like how quickly it surfaces heart rate trends and other health data without making the experience complicated. The combination of heart rate monitoring, ECG, blood oxygen tracking and Vitals gives it a strong health focused approach, although the battery still needs frequent charging.

Specifications

Display
42mm or 46mm LTPO3 OLED, up to 2,000 nits
Health sensors
Optical heart sensor, electrical heart sensor, blood oxygen and temperature sensors
Heart rate
High frequency background heart rate monitoring
SpO2
Blood Oxygen tracking
ECG
Yes
Battery
Up to 24 hours

Reasons to Buy

Excellent health tracking

Useful Vitals insights

Reasons to Avoid

Short battery life

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The Galaxy Watch9 makes sense if you want a smartwatch that can cover most of your health tracking needs without feeling like a dedicated fitness watch. I like the amount of information it collects, from heart rate and blood oxygen to sleep and body composition. Samsung also does a good job of putting this information together in its health app, making it easy to track changes over time.

Specifications

Display
1.34-inch Super AMOLED, 438 x 438 pixels
Health sensors
Optical heart rate, electrical heart sensor, BIA and temperature sensor
Heart rate
Continuous heart rate monitoring
SpO2
Blood oxygen tracking
ECG
Yes
Battery
Up to 40 hours

Reasons to Buy

Lots of health metrics

Comfortable for overnight tracking

Reasons to Avoid

Some features need a Samsung phone

Pixel Watch 4 is Google's smartwatch released last year, and the reason I am recommending it compared to the Watch 5 is that there are very minimal changes except for the RAM and storage. It features a nice

Specifications

Display
Actua 360 domed display, up to 3,000 nits
Health sensors
Multi path optical heart rate, SpO2, ECG, cEDA and skin temperature
Heart rate
Continuous heart rate monitoring
SpO2
Nightly blood oxygen tracking
ECG
Yes
Battery
Up to 40 hours

Reasons to Buy

Excellent Fitbit integration

Useful health insights

Reasons to Avoid

Android phones only

The Amazfit Active 3 Premium is the most interesting option here if you want extensive health tracking without spending as much as you would on the other three watches. I found its health feature set surprisingly capable, with continuous heart rate and SpO2 monitoring alongside sleep and fitness tracking. The biggest advantage, however, is the battery life, which makes continuous tracking much easier to maintain.

Specifications

Display
1.32-inch AMOLED, 466 x 466 pixels, up to 3,000 nits
Health sensor
BioTracker PPG, 5PD + 2LED
Heart rate
24 hour monitoring
SpO2
24 hour blood oxygen monitoring
GPS
Five satellite positioning systems
Battery
Up to 12 days

Reasons to Buy

Excellent battery life

Strong health tracking for the price

Reasons to Avoid

Health readings are not medical measurements

Factors to consider before buying a smartwatch

  • Sensor accuracy: Look for watches with reliable optical heart rate sensors and consistent SpO2 tracking rather than simply counting the number of health sensors.
  • Fit and comfort: A secure fit is important for accurate readings. The watch should also be comfortable enough to wear during workouts and sleep.
  • Health insights: Check how the watch presents your data. Useful trends and alerts can be more valuable than a long list of individual readings.
  • Battery life: Frequent charging can interrupt continuous health tracking, especially for sleep and overnight SpO2 measurements.
  • Phone compatibility: Check whether all health features work with your smartphone. Some advanced features are restricted to specific phone ecosystems.

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  • Which smartwatch has the most accurate heart rate tracking?

    The Apple Watch Series 12 is a strong choice for heart rate tracking, particularly for users already in the Apple ecosystem.

  • Can smartwatches accurately measure SpO2?

    Smartwatches can provide useful SpO2 readings and trends, but they should not replace a medical pulse oximeter or professional assessment.

  • Is SpO2 tracking useful on a smartwatch?

    Yes. It can help you monitor blood oxygen trends, particularly during sleep, but individual readings can vary with fit and movement.

  • Which smartwatch is good for health tracking?

    Apple Watch Series 12, Galaxy Watch9, Pixel Watch 5 and Amazfit Active 3 Premium all offer extensive health tracking features.

  • Should I buy a smartwatch mainly for health tracking?

    Yes, if you want convenient access to health and fitness trends. However, use dedicated medical equipment when you need clinically reliable measurements.

Disclaimer: At Hindustan Times, we help you stay up-to-date with the latest trends and products. Hindustan Times has an affiliate partnership, so we may get a part of the revenue when you make a purchase. We shall not be liable for any claim under applicable laws, including but not limited to the Consumer Protection Act, 2019, with respect to the products. The products listed in this article are in no particular order of priority.

 
Stay updated with the latest Technology News, gadget launches, app updates, artificial intelligence and digital trends. Find reviews, comparisons and useful insights from the world of tech.
Stay updated with the latest Technology News, gadget launches, app updates, artificial intelligence and digital trends. Find reviews, comparisons and useful insights from the world of tech.
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