How Does My Device Measure Stress — And What Does It Really Mean?

Why your Apple Watch, Oura Ring, WHOOP, Garmin, Samsung Galaxy Watch, or Fitbit may say you’re “stressed” — even when you don’t feel it.

Most people think stress is something you feel: anxiety, tension, overwhelm.

Your wearable thinks stress is something your nervous system is doing.

At Torre Prime, we teach clients to understand this distinction — because it’s the key to using wearables correctly instead of being confused or alarmed by them.

First: What “Stress” Actually Means in Wearables

Important: Your device is not measuring emotions.

It is estimating physiological stress, based on signals like:

  • Heart Rate Variability (HRV)

  • Resting heart rate

  • Breathing rate

  • Skin temperature

  • Activity and recovery patterns

  • Sleep quality

From a longevity perspective, this matters because chronic physiological stress accelerates aging, even when life feels “fine.”

The Core Metric Behind Almost All Stress Scores: HRV

Heart Rate Variability reflects how well your autonomic nervous system adapts.

  • Higher HRV → flexible, resilient nervous system

  • Lower HRV → sympathetic (fight-or-flight) dominance

Low HRV does not mean something is wrong — but persistent downward trends are an early warning sign we take seriously in longevity medicine.

How Each Major Device Measures Stress (And What It’s Best For)

Apple Watch

How it measures stress

  • HRV (intermittent)

  • Resting heart rate

  • Breathing rate

  • Activity load

  • Optional ECG events

What it does well

  • Detects cardiovascular strain

  • Flags abnormal heart rhythm patterns

  • Integrates stress with movement and sleep

Limitations

  • HRV measured sporadically

  • No single “stress score”

  • Requires interpretation

Torre Prime perspective:
Apple Watch is best for Sentinel-level awareness — identifying early cardiovascular and nervous system signals that warrant deeper evaluation.

Samsung Galaxy Watch

How it measures stress

  • Continuous heart rate

  • HRV-derived stress index

  • Breathing rate

  • Sleep patterns

What it does well

  • Real-time stress visualization

  • Guided breathing interventions

  • Android-friendly ecosystem

Limitations

  • Stress algorithms less transparent

  • Less validated medical data

Torre Prime perspective:
Useful for behavioral awareness, especially for clients who benefit from real-time prompts to downshift.

Ōura Ring

How it measures stress

  • Continuous overnight HRV

  • Resting heart rate

  • Body temperature deviation

  • Sleep architecture

What it does well

  • Best-in-class sleep-based stress insight

  • Detects early illness, overtraining, burnout

  • Clean trend visualization

Limitations

  • No daytime display

  • Subscription required

Torre Prime perspective:
Oura is our Lighthouse pillar favorite — ideal for understanding how stress is affecting recovery, immunity, and sleep quality over time.

WHOOP

How it measures stress

  • Continuous HRV

  • Resting heart rate

  • Respiratory rate

  • Strain vs recovery modeling

What it does well

  • Excellent nervous system modeling

  • Clear recovery readiness signals

  • No screen = fewer compulsive checks

Limitations

  • Subscription-only

  • No ECG or medical alerts

Torre Prime perspective:
WHOOP excels in Forge-phase metabolic and autonomic resilience, especially for clients training hard or recovering from burnout.

Garmin

How it measures stress

  • Continuous HRV

  • Activity-adjusted stress score

  • “Body Battery” energy modeling

  • Training load integration

What it does well

  • Links stress to physical performance

  • Excellent VO₂ max and endurance insights

  • Long battery life

Limitations

  • Interface can feel data-heavy

  • Less emotional framing

Torre Prime perspective:
Garmin is ideal for Temple-phase performance optimization, where stress is understood through physical output and recovery capacity.

Fitbit

How it measures stress

  • HRV

  • Resting heart rate

  • Sleep quality

  • Daily Stress Management Score

What it does well

  • Simple stress summaries

  • Accessible pricing

  • Easy onboarding

Limitations

  • Less granular data

  • Fewer advanced physiological insights

Torre Prime perspective:
Fitbit works well for early-stage awareness, especially for clients new to physiological self-monitoring.

What Your Device Is Not Telling You

Your wearable cannot tell:

  • Why you’re stressed

  • Whether stress is emotional, metabolic, inflammatory, or hormonal

  • If stress is adaptive or damaging

That’s where clinical context matters.

At Torre Prime, we correlate wearable data with:

  • Labs (glucose, inflammation, hormones)

  • Sleep architecture

  • Nutrition and training load

  • Life stressors and recovery capacity

How to Use Stress Data the Right Way

Think trends, not moments.

Red flags we watch for:

  • HRV steadily declining over weeks

  • Elevated resting heart rate without illness

  • Poor recovery despite “doing everything right”

  • Sleep fragmentation with daytime fatigue

These are often early warning signs — long before disease appears.

The Longevity Takeaway

Stress scores aren’t judgments.
They’re early signals.

Your device is asking:

“Is your nervous system adapting — or just enduring?”

Understanding that question is one of the most powerful tools in modern longevity medicine.

Gabriel Felsen

About Dr. Gabriel Felsen

Dr. Gabe is a board-certified specialist with 20 years of experience in rehabilitation, pain, and men’s health. Formerly Chief of Spinal Cord Injury at the Miami VA and Assistant Professor at the University of Miami, he has trained future physicians, advanced research, and led teams caring for veterans with complex needs.

Beyond his professional achievements, Dr. Gabe’s journey has been shaped by resilience and authenticity. He grew up in poverty, and later, coming out as a gay man, navigated the challenges of identity, intimacy, and finding sexual integrity. Those struggles — and the strength they required — fuel his mission today: to help you not only live longer, but live with vitality, purpose, and wholeness.

As founder of Torre Prime, Dr. Gabe unites evidence-informed longevity medicine with whole-person care, empowering you to rise higher and fully enjoy the lives you’ve worked so hard to create.

https://gabrielfelsen.com
Previous
Previous

Metabolic Health and Cancer Risk: The Hidden Connection Most People Miss

Next
Next

Why Your Bloodwork Might Be “Normal” — But You Still Feel Off