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Health Optimization: Men Are Entering Their Biomarker Era

A new Hone Health survey finds more men are tracking sleep, fitness, and hormone levels for performance and longevity.

A man checks his smart watch; screenshots related to his health are shown to the side

A few years ago, being proactive about your health meant getting an annual physical and tracking your workout. Today, it means knowing your free testosterone levels, tracking VO2 max, and adjusting your supplement stack based on biomarker tests and fitness, sleep, and nutrition data. A new Hone Health survey confirms biomarker tracking—once a niche hobby for endurance athletes and Silicon Valley entrepreneurs—has gone mainstream.

In a recent Hone Health survey of more than 700 men in their online community, nearly three-quarters reported that they actively track health data. One in five said they were “deeply invested” in doing so, monitoring various data points daily and using them to guide their decisions around training, recovery, and diet.

Almost one in three Americans uses a wearable device, such as a smartwatch or band, to track their health and fitness.1 About 50 percent of U.S. consumers now rank wellness as a top daily priority, up from 42 percent in 2020.2

A Snapshot of the Modern Male Health Optimizer

The average Hone survey respondent was a man in his 40s or 50s, likely married, college-educated, and earning six figures. Most live in suburban or rural areas. They’re data-driven, motivated, and increasingly fluent in using biomarkers and performance metrics to proactively improve their health.

How Are Men Tracking Their Health?

When asked to describe their relationship with health tracking, respondents painted a clear picture of growing engagement.

  • 41 percent said they track health metrics regularly and “keep an eye” on their numbers
  • 22 percent described themselves as “deeply invested,” using data daily to improve performance
  • 12 percent are just getting started
  • Only 25 percent said they don’t track any metrics at all

A bar graph showing how men are tracking health

The Rise of Health Data as a Daily Ritual

Today’s health-conscious man is likely to be tracking his testosterone, VO2 max, body composition, and macros.

Nearly 80 percent of respondents track lab results, such as hormones, blood pressure, cholesterol, and other biomarkers. Over half track fitness metrics (e.g., VO2 max, power output), and 48 percent track sleep and recovery metrics including HRV and REM sleep. Others are focused on nutrition: 45 percent report tracking calories, macros, or micronutrients.

This data suggests men are customizing their health journeys based on their personal goals and improving their healthspans and biological ages.

Strength, Stamina, and… Jiu-Jitsu?

Fitness is the second-most tracked category after lab tests. What’s striking is how tracking transcends workout type. Nearly three-quarters of survey respondents actively track their strength training gains, while 55 percent measure their performance in endurance activities like running, cycling, or rowing. Roughly 20 percent monitor their performance in other sports—such as MMA, boxing, Brazilian Jiu-Jitsu, basketball, football, or baseball—while 12 percent track an ”other” activity that likely includes yoga, mobility, or HIIT-style training.

Optimization: It’s a Lifestyle

A key survey finding is how often men are changing their habits based on bloodwork and other data. A full 70 percent of respondents who track their health say they regularly adjust their behaviors based on the data.

  • 36 percent modify their supplement stack, diet, or training protocols every few months
  • 25 percent rarely or never change their health strategy
  • 25 percent make monthly adjustments
  • 9 percent update things weekly or more frequently
  • 5 percent update yearly

This data suggests that men don’t view health optimization as a goal; they see it as a target to be fine-tuned and iterated upon.

A pie chart showing how often men update their health protocols


The New Midlife Flex? Knowing Your Numbers

This data shows that for men in midlife, health tracking has shifted from a passive activity to a tool that allows them to proactively improve their health and longevity.

And while health tracking isn’t a substitute for medical care, it’s helping men become more engaged with their bodies and more prepared to advocate for themselves in the doctor’s office.

At Hone Health, we’re helping to lead this shift. Clinicians who meet with patients don’t just prescribe medications; they encourage men to optimize their diet, sleep, exercise, and more, then analyze how these lifestyle changes improve their biomarkers. We believe the future of health isn’t about collecting data; it’s using it to take charge of your health.

Editorial Policy: Science-Backed, Expert-Reviewed

The Edge upholds the highest standards of health journalism. We source research from peer-reviewed medical journals, top government agencies, leading academic institutions, and respected advocacy groups. We also go beyond the research, interviewing top experts in their fields to bring you the most informed insights. Every article is rigorously reviewed by medical experts to ensure accuracy. Contact us at support@honehealth.com if you see an error.

About the author

Tracy Middleton

Tracy Middleton is the Senior Editorial Director at Hone and a health and wellness journalist with more than 20 years’ experience. She is the former Editor in Chief and Brand Director of Yoga Journal and former Health Director of Women’s Health.

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