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Margaret Hollendoner // Product Lead Google & Fitbit // June 2022
Health Impact at Scale
Product Development at Google & Fitbit

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Proprietary + Confidential
Fitbit One
Fitbit Alta HR

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Environment
Medical Care
Genetics & Biology
Lifestyle & Behaviour
Exercise
Sleep
Nutrition
Alcohol
Smoking
Stress
Social Circumstances
11%
7%
36%
24%
22%

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>$1 TrillionTotal medical costs associated with obesity by 2025
>8% Portion of global deaths due to obesity, doubled in 30 years
>1 BillionAdults worldwide with Metabolic Syndrome
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-10167-3
https://ourworldindata.org/obesity
https://www.idf.org/component/attachments/attachments.html?id=705&task=download

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Consumers are confused and overwhelmed about
how to improve or manage their health due to a lack
of clarity on what matters
>50% of US adults were not able to meet physical activity guidelines
Only 1 in 379 apps accurately represented health guidelines

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Google Fit
Make health guidelines understandable
and achievable by all
Small habit changes building towards a
sustained change in behaviour

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Physical Activity Guidelines
Cardiovascular health (AHA, NHS, WHO)
150 minutes of moderate 75 minutes of vigorous exercise
OR
Weekly
Strength (and flexibility) exercises on 2 or more days a week (NHS)
Non sedentary – Move at regular intervals throughout the day
Daily

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Individuals who are more active have lower rates of:
Benefits of activity

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American Heart
Association
World Health
Organization
Avoid too much sedentary time, and get regular higher
intensity activity
150 minutes of moderate or 75 minutes or vigorous
activity per week

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Tangible & Actionable
“I’ve only got
2000 steps to go.”
“I can fit a
10 minute walk in.”

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Variety & Credit for Every Effort
Steps

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1 min > 30 steps / minute
1 min continued cycling
All manually logged physical activity
1 min > 50% HR Max = 1 Heart Minutes
1 min > 70% HR Max = 2 Heart Minutes
1 min > 100 steps / minute
1 min > determined cycling speed
Logged activities with MET value >x
10 Min Bout Length?
An Active Minute is... A Heart Point is...
Relatable, Predictable && Scientifically Valid

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Education
American Heart
Association
World Health
Organization

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Getting Motivated
Recommendations
Initial level
Step up goals

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No Lycra Required
Education Inspiration Celebration

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Build Up to Recommended Levels
HEALTH
GUIDELINES
> 150 Heart Points
per week

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22. HELP EVERYONE IN THE
WORLD BECOME HEALTHIER

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Proprietary + Confidential
Exercise Enthusiast Condition Manager
Lifestyler Future Fit
Exercise Tracker
Goal: Stay on my regime
and constantly improve
Health & Wellbeing Coach
Goal: Weave activity into daily life
Find ‘My new normal’ and stick to it
Condition Management
Goal: Manage my condition
more effectively
HIGH
MOTIVATION
MORE
INTRINSIC
LOWER
MOTIVATION
HIGH
MOTIVATION
MORE
EXTRINSIC

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Sure, what’s your reading?
Hey Google, record my blood
pressure
120 over 87
Higher than your norm - got time
for a breathing exercise?

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Thank You!