Evidence map›Paper›PMID 41526380›Full record

ArticleNature communications2026

Transforming wearable data into personal health insights using large language model agents.

Mike A Merrill, Akshay Paruchuri, Naghmeh Rezaei, Geza Kovacs, Javier Perez, Yun Liu, Erik Schenck, Nova Hammerquist, Jake Sunshine, Shyam Tailor and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Large language model-driven agents in nursing practice: A scoping review.International journal of nursing sciences · 2025
    Review
  10. Article
  11. Article
  12. A Multi-Agent LLM Network for Suggesting and Correcting Human Activity and Posture Annotations.Proceedings of the ... ACM International Conference on Ubiquitous Computing . UbiComp (Conference) · 2025
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Mike A Merrill *Google Research, Seattle, WA, USA.
Akshay Paruchuri *Google Research, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-4664-3186
Naghmeh RezaeiGoogle Research, Seattle, WA, USA.
Geza KovacsGoogle Research, Seattle, WA, USA.
Javier PerezGoogle Research, Seattle, WA, USA.ORCID http://orcid.org/0009-0009-4510-3074
Yun LiuGoogle Research, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-4079-8275
Erik SchenckGoogle Research, Seattle, WA, USA.
Nova HammerquistGoogle Research, Seattle, WA, USA.
Jake SunshineGoogle Research, Seattle, WA, USA.
Shyam TailorGoogle Research, Seattle, WA, USA.
Kumar AyushGoogle Research, Seattle, WA, USA.
Hao-Wei SuGoogle Research, Seattle, WA, USA.
Qian HeGoogle Research, Seattle, WA, USA.
Cory Y McLeanGoogle Research, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-9928-8216
Mark MalhotraGoogle Research, Seattle, WA, USA.
Shwetak PatelGoogle Research, Seattle, WA, USA.
Jiening ZhanGoogle Research, Seattle, WA, USA.
Tim AlthoffGoogle Research, Seattle, WA, USA. althoff@google.com.
Daniel McDuffGoogle Research, Seattle, WA, USA. dmcduff@google.com.ORCID http://orcid.org/0000-0001-7313-0082
Xin LiuGoogle Research, Seattle, WA, USA. xliucs@google.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deriving personalized insights from popular wearable trackers requires complex numerical reasoning that challenges standard LLMs, necessitating tool-based approaches like code generation. Large language model (LLM) agents present a promising yet largely untapped solution for this analysis at scale. We introduce the Personal Health Insights Agent (PHIA), a system leveraging multistep reasoning with code generation and information retrieval to analyze and interpret behavioral health data. To test its capabilities, we create and share two benchmark datasets with over 4000 health insights questions. A 650-hour human expert evaluation shows that PHIA significantly outperforms a strong code generation baseline, achieving 84% accuracy on objective, numerical questions and, for open-ended ones, earning 83% favorable ratings while being twice as likely to achieve the highest quality rating. This work can advance behavioral health by empowering individuals to understand their data, enabling a new era of accessible, personalized, and data-driven wellness for the wider population.

Indexed as

Large Language ModelsWearable Electronic DevicesData AnalyticsDigital HealthHumans

Identifiers

PMID41526380
PMCPMC12855967

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.