Cardio Load in exercise and everyday life: A modified TRIMP metric for continuously-sensing consumer wearables

Justin Phillips
YongSuk Cho
Robert Harle
2026
Google Scholar

Abstract

PURPOSE: To introduce Cardio Load (CL), a metric quantifying cardiovascular work from all activities across the day, and to investigate its distribution by age, gender, and workout profiles. CL adapts the Training Impulse (TRIMP) model by leveraging continuous heart rate and movement data from wearables, enabling minute-level intensity estimation. We also discuss the derivation of weekly target loads, intended to guide fitness maintenance.
METHODS: A retrospective analysis was conducted on 31.2 million hours of wrist-worn wearable data collected over a six-week period. The dataset comprised a 40,000-subject subset (37.9% female) of consenting Google Pixel Watch® users in the United States, aged 18 to 80 years (18-39: 41.8%, 40-59: 43.5%, 60+: 14.6%). Measured data included minute-interval heart rate averages, resting and maximum heart rates, minute-interval averaged accelerometer log energy, and manually-logged or auto-detected activity types. Cardio Load scores and target loads were calculated daily for each subject and compared across age and gender. We also compared the proportions of CL gained during workouts and incidental daily activities for these groups.
RESULTS: Overall, the study population's mean ± SD weekly CL scores were 221 ± 156 (female) and 259 ± 169 (male). Median weekly Cardio Load (CL) values exhibited consistency for individuals between 30 and 75 years of age. When analyzed in five-year age groups, the coefficient of variation (CV%) of median weekly CL values within this age range was less than 4.5%, with younger and older subjects demonstrating higher and lower median CL, respectively. The median proportion of CL accumulated during structured workouts versus incidental daily activity was 41.0% (female) and 49.0% (male) for all subjects, though this varied considerably with average weekly workout duration. CV% of weekly target load and daily target load over 6 weeks was 23.6% and 35.2% respectively.
CONCLUSION: Cardio Load provides a continuous quantification of activity load from wearables, acknowledging both structured workouts and everydayincidental activity. CL is equitably rewarded for age ranges spanning 30-75 years. Weekly target loads were found to have little measurement variability and be more consistent and, consequently, more practical for planning training and physical activity than daily targets.
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