WearableQA: A Benchmark for Health Reasoning over Real-World Wearable Data
WearableQA benchmark introduces 4,084 questions over real longitudinal wearable data, showing 14 LLMs score 19.6-72.9% on health reasoning, far from solved.
WearableQA is a benchmark of 4,084 10-option multiple-choice questions built from wearable time series, blood biomarkers, and demographics of 200 real users with up to 500 days of daily measurements. It defines 16 question types along two axes: data versus health reasoning, and single- versus cross-signal reasoning, using a dual-grounding framework combining literature and population-validated patterns. Evaluations of 14 proprietary and open-source LLMs show accuracy ranging from 19.6% to 72.9% against a 10% chance baseline, with most models below 60%.
- 4,084 questions built from 200 real users with up to 500 days of wearable data.
- 16 question types split data versus health and single versus cross-signal reasoning.
- 14 LLMs tested; scores range 19.6%-72.9% versus a 10% chance baseline.
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Recent advances in wearable sensing enable continuous monitoring of physiological and behavioral signals, yet existing benchmarks rarely evaluate whether AI systems can reason over a real user's longitudinal wearable record. We introduce WearableQA, a benchmark comprising 4,084 10-option multiple-choice questions constructed from the wearable time series, blood biomarkers, and demographics of 200 real users, each with up to 500 days of daily measurements. WearableQA preserves authentic wearable distributions that include device noise and inter-individual variability. To evaluate distinct reasoning capabilities, we introduce 16 question types organized along two complementary axes: data versus health reasoning, which distinguishes computation over longitudinal measurements from physiological interpretation; and single- versus cross-signal reasoning, which separates reasoning about individual signals from the integration of multiple signals. To construct reliable questions at scale, we adopt a dual-grounding framework that combines literature-grounded physiological findings with statistically validated population-grounded physiological patterns. This enables the capture of meaningful relationships observed in real-world wearable data. Evaluation of 14 proprietary and open-source LLMs demonstrates that WearableQA effectively differentiates model capabilities, with performance ranging from 19.6% to 72.9% against a 10% chance baseline. Moreover, WearableQA remains far from solved: most models achieve accuracies below 60%. Overall, WearableQA provides a realistic and diagnostic benchmark for evaluating LLM reasoning over real-world wearable data.
Text extracted automatically; images, tables and formatting may be missing. Original: https://huggingface.co/papers/2609.05405