Health and Fitness Tracking: The Real Reason to Buy
This is where the Xiaomi Watch S4 does its heaviest lifting. The sensor lineup — heart rate, blood oxygen, body temperature, accelerometer, gyroscope, compass, and barometer — works together rather than in isolation to build a genuinely comprehensive picture of your health and daily activity.
Heart Health, Around the Clock
Beyond a basic heart rate monitor, the watch tracks Heart Rate Variability (HRV) — the tiny fluctuations in time between heartbeats that can indicate how well your nervous system is recovering from stress, exercise, or poor sleep. Combined with resting heart rate tracking and a VO2 max estimate (a measure of how efficiently your body uses oxygen during exertion, used as a proxy for cardiovascular fitness), the watch builds toward a daily readiness score — a recovery indicator that tells you whether your body is primed for a hard workout or asking for a rest day.
Important Limitation: The Xiaomi Watch S4 does not include ECG functionality or irregular heart rate (AFib-style) alerts. If continuous arrhythmia screening is a primary reason you're shopping for a smartwatch — particularly for older users or anyone with a known heart condition — this is a meaningful gap compared to watches built specifically around cardiac monitoring.
Sleep, Recovery, and Readiness
Sleep tracking goes beyond "you slept for 7 hours 12 minutes." The watch generates full sleep reports, breaking down sleep stages and quality and feeding that data into the broader readiness score. One notable omission: there's no smart alarm — you get the sleep insights, but not the gentler wake-up feature that triggers during a lighter sleep phase. For a watch this focused on sleep data, that's a missed opportunity.
Workouts, Routes, and Everyday Activity
Step counting, distance tracking, pace measurement, elevation tracking, and automatic activity detection are all on board, alongside exercise tagging so your workout history stays organized. The route tracker records the GPS path of outdoor runs, hikes, or rides. GPS performance benefits from Galileo satellite system support plus a faster acquisition feature, meaning less standing around waiting for a lock when you start an outdoor session.
Cyclists should note the absence of ANT+ support — the wireless protocol used to connect external power meters and cadence sensors. There is also no built-in cadence sensor. Guided turn-by-turn route navigation is similarly absent: this watch tells you where you've been, not necessarily where to go next.
Swimming and Water Resistance
Rated for water resistance up to 50 metres (5 ATM), the watch handles swimming, showering, and rain without hesitation. It includes a stroke counter for tracking technique across laps. It is not designed for diving — the rating covers swimming and everyday water exposure, not the pressure demands of scuba or freediving.
Complete Sensor and Tracking Overview
Included in this watch
- Continuous heart rate monitoring
- Blood oxygen (SpO2) measurement
- Body temperature sensor
- HRV (Heart Rate Variability) tracking
- VO2 max estimation
- Daily readiness and recovery score
- Sleep tracking with full stage reports
- Automatic activity detection
- GPS with Galileo satellite support
- Route tracking and elevation recording
- Swimming stroke counter
- Fast and slow heart rate notifications
- Fall detection
- Barometer and compass
Not included
- ECG / electrocardiogram
- Irregular heart rate (AFib) detection
- Smart alarm (wake during light sleep)
- ANT+ accessory support
- Built-in cadence sensor
- Guided turn-by-turn route navigation
- Perspiration monitoring
- Dive-rated water resistance