← The Clay Travis and Buck Sexton Show
The Clay Travis and Buck Sexton Show
Wellness Unmasked: The Future of Health: Wearable Trackers for All?
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Dr. Nicole Safire
Welcome to Wellness en masse. I'm Dr. Nicole Safire. Today we are going to tackle a headline that's making waves across the health and tech spaces. RFK Jr. S bold announcement that every American should be wearing a health tracker within the next four years. Boy did my ex feed light up with this. Some people loved it, some people hated it. Will this usher in a new era of preventative health and accountability or does it raise serious questions about privacy, data and individual freedom? And do they even work? Stay tuned. We are going to break down the benefits, the concerns and what this means.
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Dr. Nicole Safire
So for this conversation, because it dives into the tech realm, everyone who knows me knows that I am probably the least tech savvy person that there ever was. However, despite the fact that I'm a radiologist and I'm constantly using tech and AI and on a computer, for conversation I'm bringing In my husband, Dr. Paul Safire, endovascular neurosurgeon, who is incredibly tech savvy and has some very interesting opinions and perspectives on these wearable trackers. Paul, thanks for joining.
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Dr. Nicole Safire
You know, here's the thing. A lot of our friends, colleagues, patients all wear these devices. You know, we're talking about Apple watches, the Fitbits, even those OURA rings. You see some people wearing the rings that, you know, monitors them and it gives information to their smart device. You know. What's your big overall opinion on these digital health trackers?
- [09:00]
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Well, first off, I think the concept of having accurate and reliable information that you can then utilize to change your habits, whether to exercise more sleep, you know, modify your sleep regimen to get better sleep enhancement, so on and so forth, you know, changing the way you may have your diet to lower your glycemic index, how sugar's in your body. I understand that and I applaud that. And I think that conceptually that's a great idea. The question, of course, is how accurate and reliable and usable is that information? Where are we garnering that information, how are we deriving that information and then how do you use it?
- [09:36]
Dr. Nicole Safire
Well, so one of the things, you know, my concern is. Let me go back up for a second. In about 2023, about 45% of Americans owned some sort of fitness or smartwatch, making them really a mainstream gadget. But when you look at the data on These in a 2022 meta analysis, a really big study, I think it had about 7,500 participants published in the British Journal of Sports Medicine, they found activity trackers did boost activity by roughly 1800 steps per day. And this led to modest weight loss. That would be a good Thing if people are actively monitoring their movements and they're seeing maybe they were below, you know, their goal for the day, for the week, for even the month, if that gave them an incentive, how could that not be a good thing?
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Well, I think you're looking at a very self selecting population. Right. The people that are purchasing and utilizing these personal trackers have an objective in mind. Either they're not feeling great and they want to modify what they're doing in their lives to feel better. Maybe they are slightly overweight and they're trying to lose weight or, or maybe they're incredibly health conscious to begin with and they're already, you know, some type of, you know, either recreational or amateur, you know, performance athlete and they want to enhance their performance. So I think that you're, you know, there is a very self selecting population at play there in my opinion. Again, the biggest thing that I, that I always wonder about is how accurate and reliable is the information that we're garnering. And certainly we see that not only in and in recreational devices such as these trackers, but also in every aspect in healthcare that you and I use every day, how accurate and reliable is safe. For instance, like a 12 lead EKG so that we use to check the heart rate on somebody. You know, there's different levels of invasiveness that enhance how accurate something is in terms of the data that's called from it. You know, when I think about what I do for a living, you can do what's called a spot EEG where you essentially tape little electrolytes onto somebody's scalp and you get to see how accurate or you get to see how, how their brain waves are functioning to look for seizure activity. But then there's even further enhanced levels of interrogation. You can do what's called stereotactic depth electrode monitoring where you actually insert little probes deep into the portions of the brain. Obviously all these different levels of invasiveness come at risks and complications and also benefit. So you have to weigh that, I guess where I'm going, that is how accurate is the information that we're deriving from these trackers. And what are you doing about that information?
- [12:24]
Dr. Nicole Safire
Well, you know, it's interesting you brought up EKG different from the EEG looking for seizure monitor. But the EKG at Apple came out with their own Apple heart study. So one of the things that have proved beneficial of these health trackers is potentially increasing movement, which you pointed out. One of the limitations that it is a self selected population who are already getting these, who are probably wanting to boost their activity. But the Apple Heart study, which had over about 400,000 participants, showed that the monitor was able to detect atrial fibrillation in 0.5% of users unknowingly, meaning the users had no idea that they had this heart arrhythmia, which obviously, you know, being a stroke specialist, the atrial fibrillation causes an increased risk of stroke. So this allowed these patients to have early medical intervention. So on one hand, I mean, if it is able to detect irregular heart rhythms and potentially alert you, so you can alert your clinician, that might be a good thing. May be saving lives from all the arrhythmias, not just atrial fibrillation, but other ones that may be leading to a heart attack.
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Hey, listen, I think having more data and applying that data for either for monitoring or screening purposes is incredibly useful. Certainly as a clinician myself, the more data that I have that I can offer my patients to help guide their treatment, their care, so on and so forth certainly is invaluable. And I think that's really quite interesting. You know, can we use these trackers to, to pick up to your point a cardiac dysrhythmia, an irregular heartbeat before it actually becomes a problem, and put them on some type of therapy that decreases the risk of stroke and so on and so forth? Again, the fundamental question that I have, and I'm not certainly arbitrating at that judgment here, but the fundamental question that I have is how accurate is the data and what are you doing with that data? How often are you changing what you do?
- [14:26]
Dr. Nicole Safire
Yeah, no, you bring up very valid concerns there. Before we get into what happens with the data, because I definitely want to pick your brain on that, I just want to also highlight a couple of other things that they're saying could be beneficial for having these trackers. One is monitoring real time blood glucose. I think RFK Jr. Is saying if someone is able to see that after, I don't know, a big meal of hamburger and fries, they see their, you know, their blood sugar shoot up, they may then be able to take that information and perhaps at the next meal, they're not eating such a carbohydrate, heavy meal. I think he's trying to give the power back to the people in that sense, that by educating them on what their actions are doing to their body, perhaps people will take that information. The skeptic in me though, however, is essentially that a tracker shines a spotlight on the habits while it can motivate and educate, especially when combined with a Game plan. A gadget is not going to ensure long term health. That's really going to be your habits. And I think yes, it's good that this tracker is going to give you information saying oh, look at your blood sugar went up after you ate this meal. But at the end of the day I'm pretty confident that most Americans know if they go out and eat a carbo heavy meal that that's probably not nearly as good for them as if they're eating the fruits and vegetables. And it's really more about access to healthier foods than educating.
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All right, that's where I was initially going when I mentioned what are you doing with that data? So if you track your, to your point, your glycemic index, oh my gosh, I have a 30% increase in my blood glucose level, which is making something up. Well these, these trackers don't measure your blood glucose level, but let's just say your glucose level in your, your body, you have a 30% increase after certain meal. If to your point you're not changing the way that you eat or you change the types of food that you're consuming, you're not really doing any of that data. Right. On an individual level. That's what I think about if you can derive that 0.5% of the people that are purchasing these trackers for just casual use, you're finding that 0.5% of them are going to have atrial fibrillation, which they didn't know. And then you institute a therapy for that person or some type of medication to reduce the risk of stroke. That's huge. That's potentially enormous. Right. So that's why that's where I'm going when I say what are you doing with that data?
- [17:03]
Dr. Nicole Safire
Yeah, but just like every other shiny new toy, I mean we have three kids, we know this, you get some fancy shiny new toy and the novelty wears off over time. And JAMA actually published a study, granted it was almost a decade ago, but it was looking at these fitness trackers when they were kind of first coming onto the market and they said, you know, it's really short lived benefits of these trackers because without persistent coaching, activity trackers really didn't drive long term weight loss, which is one of the primary reasons a lot of people got these, were to increase their activity levels. But the reality is, you know, clinically speaking there may not be a significant health impact. Meaning simply strapping on a gadget, it doesn't necessarily guarantee that you're going to have better blood pressure or lower your cholesterol. And lastly, one of the things that I'm most concerned about because we have a friend who, I'm not naming names here, but you're going to know who I'm talking about. They have what's called essentially orthosomnia, which is they are obsessed with the metrics that their fitness tracker produces and if they're not meeting it, it actually causes, it's a level of mental illness because they have this increased anxiety or guilt, this overall obsession with achieving these ideal metrics. And we already have a mental illness crisis in the country. The last thing we need is to obsess over another thing.
- [18:29]
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Well, certainly we see people obsessing over any type of technology that is intimately associated with them. Obviously the phones and the smartwatches come to mind. But I think that, you know, what you mentioned from my perspective, for any type of technology, certainly stuff that I use in my professional realm as well as personal ease of use, accessibility and then reliability, slash efficacy of those of those devices are paramount to compliance with use, right? So ease of use, you got to make it. That's why Apple in general did such a great job with all their computers, right? They, they were like hey, we're the user friendly computers and they assumed they were. So ease of use is very, you know, think of me as a country simple individual. I'm just, you know, I'm, I'm not so, so intelligent. Let me figure how to use this thing very easily. Accessibility, make sure that I can get into my hands relatively simply, make it affordable and make it ubiquitous all throughout and then reliability and efficacy, make sure that what I'm using it for is going to work. Right? So I think those, those are fundamentally how, how, how these things will actually ultimately serve a benefit.
- [19:45]
Dr. Nicole Safire
Well, truthfully I believe, and this is the reason I don't wear a health tracker is a gadget, is a tool, it's not a solution. It's not going to give you the motivation that you actually need to transform your lifestyle for long term health gains. So I will raising my hand right now. I have never worn a health tracker, although I am very much into health and wellness. And I applaud RFK Jr. With his goal that he thinks every American should be wearing one within four years. I likely will not be one of those Americans, but I will continue to talk about any data that shows that why maybe we should or why we shouldn't. But here's a question, Paul, and this is what I saw a lot on social media was as soon as this, as soon as RFK Jr made this announcement, people were like, whoa, big government coming to really oversee us. I mean we're not just talking about, I don't know, raising taxes. We're talking about they want to know intimate details about our body.
- [20:47]
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Well, I, yeah, I mean I think that raises a huge level of concern for myself. You know these, these trackers, let's just say it's tracking your, your step count. Right. Let's say that you visit, tracking your location too.
- [21:02]
Dr. Nicole Safire
Do they always know where you are?
- [21:04]
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But even before we get to that, first of all, who is using that data? Who owns that data and who and how are they using it? So now we're kind of segwaying from using that data to improve your own exercise routine or regimen to now who's using that data for debt mining purposes, are we? Right. So you, you have a device and you have a software, you have a first, you are, you have a hardware device, you have the software capability, you have who's storing that data, where's that data being transmitted? There's a lot of fingers that are touching that data. And the question ultimately is who owns that data and what can they use it for? So let's say the, let's say you're an individual. You're documented as being 20% overweight and you had, you know, a certain number of steps per year in 2024. Right. And now your health insurance company sees that your primary care physicians is recommending increased exercise. And let's say that in 2025 the number of steps you've taken actually goes down by 5%. Are they no longer going to pay for some of the health care that you require because you weren't meeting the goals that your primary care physician outlined for you and so you're considered a non compliant individual. I know it sounds a little bit, a little far fetched but ultimately.
- [22:20]
Dr. Nicole Safire
Well, I don't think it sounds far so far fetched because if you think about what is going on when you talk about Medicaid recipients, you know, the people who can't afford health care. So it's the state and federal government funded health care, Medicaid, they're wanting to put on work requirements saying if you are an able bodied individual then you to get Medicaid and some of the other services you need to be working as well. Are they now tracking these individuals?
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Sure. Say you have insulin dependent diabetes and you're using one of these glucose, continuous glucose monitors. Right. With the auto insulin delivery system. And let's say that for a three month time period they saw a significant surge in your glycemic index. Are they going to now assume that your eating habits are are contrary to what would be advisable for someone with insulin defendant diabetes? And now they're going to start cutting back how much they're going to cover your cost for expensive medication? I mean, I get that. I could see a world in which some of these, some of these health carriers would actually potentially do that More.
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Dr. Nicole Safire
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Dr. Nicole Safire
So data privacy is an issue. What they do with that? While in theory it sounds good and maybe in some very small pockets, you can understand why there may be some benefit. The concern is who owns the data? What do they do with the data? Do all of a Sudden, are you going to start seeing if your fitness tracker or whatever shows that you go to certain locations, are you going to start seeing ads? Because now they know your location, where you've been. RFK Jr mentioned that he wanted people to be wearing these wearable trackers because he wanted to decrease the expense of some of the medications like the GLP1s that people are taking because they're overweight. So he's thinking if people are aware of their steps, maybe they're going to lose weight and therefore maybe it'll decrease the costs on the GLP1s. I personally think this is a massive stretch. I don't think that wearing these health trackers are really going to provide the motivation that people need. I think that there are other ways to incentivize people that I laid out in my book from 2020, Make America Healthy Again. But another thing that I saw online, people very concerned about data privacy, data mining. They certainly don't want the government monitoring their every move, how they sleep, where they go, how they eat, what they do. But also a potential conflict of interest between the Secretary of Health and Human Services, RFK Jr. His senior advisor, Callie Means, and his sister who is the Surgeon General nominee, Casey Means, who owns a company that actually sells these devices. What are your thoughts on that? Right.
- [29:21]
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Well, I think there is a stretch of saying that by, by having everybody in the United States having a tracker, increasing steps and, and improving nutritional regimens is going to decrease the cost of GLP1. I think that's a stretch. I think it will definitely increase the sales of personal trackers, that's for sure. And when you have someone that is sitting as the cmo, the Chief Medical Officer for a company that's valuated at $300 million such as levels, and they are advocating for a non FDA approved app to, to monitor glucose to every, every person in the United States, for instance. Yeah, there seems to be a little bit of a conflict of interest there.
- [30:06]
Dr. Nicole Safire
Yeah. Dr. Casey means again, who's the Surgeon General nominee that RFK Jr really wanted since day one, he was from sources tell me he was very dissatisfied with the initial nominee, Dr. Jeanette Neshwat, whose nomination was pulled. Dr. Casey Means, the current nominee, she's the co founder of Levels Health, which is a company that develops apps to integrate continuous glucose monitor data and other wearable device metrics. So as a founder and stakeholder in a company that's reliable on these wearable devices, she certainly has financial interests in promoting their use. So this role obviously creates a potential conflict of interest when making recommendations about wearable devices. And that is the role of surgeon General is to put forth recommendations for the health of our nation. So it's really important for audiences and patients to be aware of this potential financial conflict when assessing her recommendations and just Overall commentary on wearables.
- [31:09]
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100 I mean, I believe that levels raised $100 million last year alone. Investors. So if all of a sudden their sales skyrocket, which they already have, or they continue to skyrocket because there's, you know, to quote rfk, there will be a marketing blitzkrieg to the United States in order to disseminate any type of wearable or every type of work, I should say to everybody in the United States, well, sales will absolutely shoot up and the valuation of the company will in turn rise.
- [31:40]
Dr. Nicole Safire
I mean, I don't love that he did come out and say there's going to be a massive one like you've never seen before. It sounded very Trump esque that he's they're going to do a massive campaign to get people to wear these wearables and they're going to be that campaign will be funded by tax dollars. So our tax dollars are going to fund this campaign which is ult going to financially benefit the private sector of which the surgeon general nominee has a big stake in. I don't know. That raises some massive red flags to me.
- [32:11]
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I mean, I think there's certain things that are inarguable about what he says. Do we have an obesity problem in the United States? Yes. Should we have a national agenda to improve physical mental health as well as nutritional health? Yes, inarguably. I think those, those types of statements I 100% support. And I think ultimately if people wish to, you know, take control of their health, they should focus in on modifying their behaviors, not just, you know, slapping a wrist monitor or ring on you. I mean those, if they ultimately are proven to have a significant and reliable and effective measure and change how people's health is delivered. Absolutely. I mean, then maybe that can be a useful tool. But there is no substitute for if you have a nutritional issue, seeing a nutritionist, working with your physician, working on your own terms to, you know, modify your behavior, if physical activity is an issue as well and you have limitations, you know, finding some type of regimen that's going to work with you, you know, physical therapy, physiatry, so on and so forth.
- [33:18]
Dr. Nicole Safire
Right. Well, a tracker can track, but it can't transform. And real health will come from habits support and making that data work for you if you are someone who wants to wear these trackers. Paul, thanks so much for joining us on Wellness Unmass.
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Thank you so much for having me.
- [33:33]
Dr. Nicole Safire
That's it for today's episode of Wellness Unmass. The idea of a health tracker on every American's risk is both intriguing and controversial, and it forces us to ask ourselves how far we're willing to go for better health and where we draw the line for privacy and personal choice. Thanks for joining me. I'm Dr. Nicole Safire and thanks for listening to Wellness unmass on America's number one podcast network, iHeart. Follow Wellness unmasked with Dr. Nicole Safire and start listening on the free iHeartRadio app or wherever you get your podcasts and we will catch you next time.
- [34:08]
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Sonesta Travel Pass is the most rewarding way to travel sign up@sinesta.com for instant savings, bonus points and perks like early check in and light checkout, right room upgrades and free stays. Choose from 1100 hotels across 13 brands and unlock their best rates when you book with Sonesta Travel Pass here today, Rome tomorrow. Join now@sonesta.com that's sinesta.com terms and conditions.
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Homes.com
Apply with a detailed agent directory you won't find anywhere else. Homes.com is the only place to find the in depth info home shoppers want very in depth info. Looking for a listing agent's contact info? We've got it. The agent with the most sales in your price range. Easy specialized agents with all the up to date info on your dream neighborhood. We'll know them. A Pisces who enjoys long walks on the beach. You've got other sites for that. Homes.com We've done your homework.
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LifeLock
You're great at protecting your own personal information. You probably even use things like two factor authentication, strong passwords and a vpn. But as much as you try to be in control of how your information is protected, there are lots of places that also have it and they might not be as careful as you are. That's why LifeLock monitors millions of data points every second for identity threats. If your identity is stolen, a LifeLock US based restoration specialist will help solve identity theft issues on your behalf, guaranteed or your money back. Plus, all LifeLock plans are backed by the million dollar protection package, meaning LifeLock will reimburse you up to the limits of your plan if you lose money due to identity theft. You might not be able to control how others handle your personal information, but you can help protect it with LifeLock save up to 40% your first year. Call 1-800-LIFELOCK and use promo code iheart or go to lifelock.com iheart for 40% off terms apply.
- [36:07]
Jana Kramer
As a parent, you wear many hats. At dinner, you're the chef. When your kids play, you're the ref. And let's face it, you're basically a full time chauffeur. Fortunately, when it's time to wear your teacher hat, Abeka makes things easy. Our proven flexible homeschool curriculum is designed to let your kids retain and build on the knowledge they acquire, setting them up for success later in life. Abeka Learning for life begins with the right homeschool education. Learn more@abekahomeschool.com this is Jana Kramer from Wind down with Jana Kramer. When we were deciding on our appliances for the house, Samsung was at the top of our list. And I love my Samsung appliances, especially because they're so reliable. And with my busy schedule, having reliable appliances has been a game changer. It's no wonder Samsung is the number one brand for customer satisfaction. That's why I'm excited to tell you all about Samsung's new line of smart appliances. Featuring their brand new Bespoke AI laundry combo. This incredible magic machine washes and dries in one machine, one load. No transfers, no timers, no rewashing needed. New Bespoke AI appliances this is home living made simple. For more information visit samsung.com bespoke 68.
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VGW Group
Minute cycle based on 27 inch combos based on using a super speed cycle only with a 10 pound doe load cotton 50% plus polyester 50%. Individual results may vary based on actual load content.