On the body of the consumer: performance-seeking
with wearables and health and fitness apps
Mariann (Maz) Hardey
Advanced Research Computing (ARC), Durham University Business School, Durham, UK
Abstract Contributing to critical digital health research and the sociology of health
consumption, this study investigates the phenomenon of self-tracking and
interpretation of consumer data via wearable technology and mobile fitness
software applications (apps). It critically analyses qualitative data collected from
members of running communities in the UK who are heavy users of apps and
wearables. The study seeks to understand the meaning and practise of long-term
use of apps and wearables targeted at consumers interested in tracking fitness, and
the collection of personal health information over time. The paper offers an
interpretative perspective on runners as performance-seeking fitness consumers
engaged in long-term self-management of health. These consumers are driven by a
profound motivation to visualise and embody a long-term state of fitness.
Participants were also hyper-aware of advertising and promotional methods used to
engage consumers. The findings raise concerns about the validity of personal
fitness data, and how its collection promises improved personal health while
visually promoting sought-after fit bodies. Further research is required to
understand the transformative impact of fitness-tracking and how individuals
negotiate personal classifications of health.
Keywords: self-tracking, personal analytics, biometrics, health, fitness apps, mHealth
Introduction
The rise of a digital network society has allowed personal and social information to be easily
combined. While collections of personal health data have existed for decades, today searchable
digital databases generate ever-growing records on individuals’ lifestyle and health activities.
In this context, the health and medical industry is one of the top three fields in the global
mHealth (‘mobile health’: mobile social applications and wearable tech) market, expected to
reach US$111.8 billion by 2025 (Grand View Research 2017). Fifty-eight per cent of smart-
phone users are consumers of mHealth data, regularly accessing and storing health information
on their devices (Krebs and Duncan 2015). The mHealth concept sees self and body entwined
in an emerging philosophy (and promotion) of digital self-care (Pantzar and Ruckenstein 2015,
Sharon 2017). Thus, mHealth plays a powerful and intensifying role in shaping participatory,
personalised health practices and, as I will argue, producing new fitness classifications.
Despite the centrality of digital data in everyday life, little has been written about habitual
use of commercial mHealth technology as a context for achieving a ‘healthy body’. This paper
addresses this gap, investigating long-term, dedicated wearable and app consumption to
© 2019 Foundation for the Sociology of Health & Illness
Published by John Wiley & Sons Ltd., 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA
Sociology of Health & Illness Vol. xx No. xx 2019 ISSN 0141-9889, pp. 1–14
doi: 10.1111/1467-9566.12879