health
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The Health Metric Nobody Tracks

You track sleep, steps, heart rate, calories. But the #1 cause of disability worldwide isn't heart disease — it's your musculoskeletal system. And 80% of it is preventable.

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Eren Demir

Founder, PREVIA Health

Open your phone. Count the health apps. You probably track sleep, steps, heart rate, maybe calories or HRV. You might wear an Oura ring, an Apple Watch, a Whoop strap. You know your resting heart rate to the decimal.

Now ask yourself: do you know how your body actually moves?

The Biggest Health Problem You've Never Heard Of

Musculoskeletal conditions — back pain, joint problems, restricted mobility — are the #1 cause of disability worldwide. Not heart disease. Not diabetes. Not mental health. MSK.

The numbers are staggering:

1.7B
people affected
worldwide
1 in 3
adults
have an MSK condition
80%
preventable
with early intervention

1.7 billion people globally. One in three adults. It's the leading cause of years lived with disability — ahead of every other condition. And unlike heart disease or cancer, which get billions in research funding and public awareness campaigns, musculoskeletal health is barely a conversation.

We Track Everything Except This

The health tracking industry is worth $80+ billion. We've built sensors for almost every biomarker imaginable. But look at what we actually track versus what actually causes disability:

What we track vs. what matters

Heart rate
$400B market
Sleep quality
Oura, Whoop, Apple
Steps / activity
every phone
Blood glucose
CGMs growing fast
HRV / recovery
Whoop, Garmin
Movement quality
#1 cause of disability

Steps count how much you move. They say nothing about how you move. You can walk 10,000 steps a day and still have your hips compensating, your knees collapsing inward, and your spine doing the work your core should be doing.

Why This Matters More Than You Think

Peter Attia calls it "the Centenarian Decathlon" — the idea that longevity isn't just about not dying, it's about being able to move, lift, bend, and balance in your 80s and 90s. The research backs him up: grip strength, balance, and functional movement are among the strongest predictors of all-cause mortality in older adults.

But here's the thing — by the time you notice a problem, you've been compensating for years. Back pain doesn't start the day it hurts. It starts years earlier, when your body quietly shifts load from one structure to another. By the time you feel it, the pattern is deeply ingrained.

Nobody wakes up with bad mobility. It degrades one sitting hour at a time, over years, without you noticing.

80% Is Preventable

That's the number that should change how we think about this. The vast majority of musculoskeletal issues — the back pain, the stiff shoulders, the knee problems — are not injuries. They're patterns. Accumulated over months and years of repetitive movement (or lack of it).

Prevention means catching the pattern before it becomes pain. That requires measurement. You can't fix what you don't see.

Global burden of disease — top causes of disability

Musculoskeletal disorders
Mental health
Neurological
Cardiovascular
Chronic respiratory

We have an entire industry built around heart health — smartwatches that detect AFib, apps that log blood pressure, CGMs that track glucose spikes in real time. Meanwhile, the condition that actually disables the most people has almost no consumer-facing measurement tools.

What Would Change If We Tracked Movement Like Sleep

Oura didn't invent sleep. It made sleep visible. Before sleep tracking, people "felt tired." After, they knew why — fragmented REM, elevated resting heart rate, not enough deep sleep. That visibility changed behavior.

Movement quality needs the same shift. Right now, people "feel stiff" or "have a bad back." They don't know that their left hip compensates 15 degrees more than their right, or that their torso tips forward every time they squat, or that their neck does the work their shoulders should be doing.

Make the invisible visible, and people change. Not because you told them to — because they can finally see what's happening.

What We're Working On

We're building the movement equivalent of a sleep score. A phone, a camera, five minutes — and you know how your body actually moves. Not steps. Not calories. Movement quality: where you compensate, where you're restricted, where your body is aging faster than you are.

We've run 250+ assessments so far. The data is clear: nobody moves as well as they think they do. The average person's body moves 6 years older than their actual age. And the patterns are fixable — if you catch them early.


The assessment is free, takes five minutes, and runs in any mobile browser.

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E

Eren Demir

Founder, PREVIA Health