The Science of Light: How Your Smartwatch Reads Your Heartbeat and Blood Oxygen
Update on Oct. 17, 2025, 1:21 p.m.
It’s a gesture repeated millions of times a day, a fleeting glance at the wrist. We check the time, dismiss a notification, or perhaps, check a more intimate metric: the steady rhythm of our own heart. In that moment, a tiny, wrist-worn device performs a minor miracle of modern science. It peers beneath our skin using nothing but light to translate the silent, vital dance of our cardiovascular system into a simple number. This isn’t magic; it’s a fascinating application of physics and biology, a field that has transformed devices like the budget-friendly Fempoin T10 Pro from simple gadgets into accessible windows to our inner wellness. But how, exactly, does a pulse of light become a pulse of life on a screen?
To understand this, we must first appreciate that our bodies, particularly our blood, interact with light in very specific ways. This interaction is the key that unlocks the ability to monitor two of our most fundamental vital signs from the wrist: our heart rate and our blood oxygen saturation (SpO2).

The Green Light of Life: Decoding Your Heartbeat with PPG
Flip over almost any modern smartwatch, and you’ll be greeted by a rhythmic flashing of green LEDs. This is the heart of the system responsible for measuring your heart rate, a technology known as photoplethysmography, or PPG. While the name is a mouthful, its core principle is elegantly simple. Think of it as a tiny, high-tech sonar system that uses light instead of sound.
The principle is this: blood is red because it absorbs green light very effectively. The soft tissue and bone in your wrist, by contrast, absorb less green light. The PPG sensor emits flashes of green light hundreds of time per second into the tissue of your wrist. A portion of this light is absorbed, and the rest is reflected back to a light-sensitive sensor sitting next to the LEDs. Here’s where the magic happens. With every heartbeat, a pressure wave from your heart propels a surge of blood through the arteries and capillaries in your wrist. This momentary increase in blood volume means more green light is absorbed. Between heartbeats, the blood volume slightly decreases, and consequently, more green light is reflected back to the sensor. By meticulously tracking this rhythmic fluctuation in the reflected light, the watch’s algorithm can identify the pattern of the blood volume pulses and calculate their frequency, giving you your heart rate in beats per minute.
But why green light, specifically? The choice is a deliberate engineering one. While other wavelengths of light could work in theory, green light has been found to be particularly robust against motion artifacts—the noise created when you move your arm during exercise. As a 2017 study in JAMA Cardiology highlighted, while most wrist-worn monitors are highly accurate at rest, their accuracy can decrease during vigorous activity. Green light sensors, being less prone to interference from arm movements than, for example, infrared light, provide a more stable signal during the everyday activities for which these devices are designed. This is a crucial trade-off; the watch is optimized to give a reliable reading whether you’re typing at a desk or out for a brisk walk.
A Deeper Look: Measuring Blood Oxygen with Red & Infrared Light
But what if we want to see more than just the rhythm of the blood flow? What if we want to understand the quality of the blood itself—specifically, how much oxygen it’s carrying? This requires a more sophisticated trick, moving beyond the green light into a different part of the light spectrum. This is the realm of SpO2 monitoring, or pulse oximetry.
The challenge here is to differentiate between two states of hemoglobin, the protein in your red blood cells that transports oxygen: oxygenated hemoglobin (HbO2), which is bright red, and deoxygenated hemoglobin (Hb), which is a darker, purplish-red. Your SpO2 level is simply the percentage of your hemoglobin that is saturated with oxygen. To measure this, devices like the Fempoin T10 Pro employ a technique called reflective pulse oximetry, which uses two different wavelengths of light: red light (typically around 660 nm) and infrared light (around 940 nm).
The reason for using two wavelengths lies in a fundamental property of these two types of hemoglobin: they absorb red and infrared light differently. Oxygenated hemoglobin (HbO2) absorbs more infrared light and allows more red light to reflect back. Deoxygenated hemoglobin (Hb) does the opposite—it absorbs more red light and lets more infrared light reflect. The watch rapidly alternates between flashing red and infrared LEDs onto your wrist and measures the amount of each wavelength that bounces back. By comparing the ratio of reflected red light to reflected infrared light, sophisticated algorithms can estimate the percentage of oxygenated hemoglobin.
This entire process is a practical application of a principle in physics known as the Beer-Lambert Law, which relates the absorption of light to the properties of the material through which the light is traveling. While you don’t need to know the equations, the core idea is that by measuring how much light is absorbed, you can determine the concentration of the substance doing the absorbing. In this case, the watch is using two colors of light to solve for two variables—the relative amounts of HbO2 and Hb—and give you that all-important SpO2 percentage.
The Reality Check: Understanding the Limits of Wrist-Worn Sensors
This ability to peek inside our own bloodstream using nothing but light feels like science fiction. However, like any powerful technology, it’s crucial to ground our expectations in reality. The journey from a reflected photon to a reliable health metric on your screen is fraught with challenges, and it’s important to understand that consumer wearables are wellness tools, not medical-grade diagnostic devices. The standards for clinical pulse oximeters, as outlined in publications like The British Journal of Anaesthesia, are far more stringent.
The accuracy of these wrist-worn sensors is influenced by several factors:
Internal Factors: An engineer at a wearable tech company would tell you that every device is a bundle of trade-offs. To keep costs down and preserve battery life, the LEDs, sensors, and processors in a consumer smartwatch are not as powerful or precise as their medical counterparts. The algorithms themselves must make assumptions and use filtering techniques to clean up “noisy” data, which can sometimes filter out real, subtle variations.
External Factors: This is where user understanding becomes critical. * Fit: If the watch is too loose, ambient light can leak in and corrupt the sensor readings. If it’s too tight, it can constrict blood flow, also affecting the signal. The fit should be snug but comfortable. * Motion: As mentioned, movement is the arch-nemesis of PPG signals. For the most accurate readings, especially for SpO2 which is far more sensitive to movement than heart rate, it’s best to remain still. * Physiology: Research published in journals like Sensors has shown that factors like dark or thick body hair, tattoos (especially with dark ink over the sensor area), and darker skin tones can affect the amount of light that reaches the blood vessels, potentially impacting accuracy. The technology has improved, but it’s a known challenge. * Temperature: Cold temperatures can reduce blood flow to the extremities, making it harder for the sensor to get a strong signal.
To get the best possible readings from your device, it’s advisable to wear it about one finger’s width above your wrist bone, ensure it’s snug, and keep your arm still and warm during a measurement.

Conclusion: From Data Points to Deeper Self-Awareness
The technology embedded in our smartwatches represents a profound shift in our relationship with our own health. The principles of photoplethysmography and pulse oximetry, once confined to the hospital, are now democratized, offering continuous insight into our bodies’ rhythms. Devices from across the price spectrum now grant us access to this data, fostering a new level of personal health literacy.
It is vital, however, to frame this data correctly. A smartwatch is a powerful tool for building awareness, spotting trends over time, and motivating lifestyle changes. It is not a doctor. An unusual reading should be a prompt for curiosity and conversation with a healthcare professional, not a cause for panic or a basis for self-diagnosis. As technology continues to advance, with industry analysts at Gartner pointing towards an increasingly interconnected and health-aware populace, the sophistication of these wrist-worn sensors will only grow. For now, they serve as a brilliant reminder that sometimes, the most profound truths about our own biology can be revealed with nothing more than a simple pulse of light.