# HiPPT: Physiology-Grounded Wearable PPG Representation Learning via Multi-Scope Text Alignment

arXiv: https://arxiv.org/abs/2610.14489 · HTML: https://mlsanity.com/paper/2610.14489/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 19 of its 35 references that are in the map.
- First posted on arXiv 10 Oct 2026.

## Builds on (most cited first, 19 of 19)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
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- [Align before Fuse: Vision and Language Representation Learning with Momentum Distillation](https://mlsanity.com/paper/2107.07651/) (2021)
- [An Empirical Study of Training Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.02057/) (2021)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [Self-Supervised Contrastive Pre-Training For Time Series via Time-Frequency Consistency](https://mlsanity.com/paper/2206.08496/) (2022)
- [Subject-Aware Contrastive Learning for Biosignals](https://mlsanity.com/paper/2007.04871/) (2020)
- [PaPaGei: Open Foundation Models for Optical Physiological Signals](https://mlsanity.com/paper/2410.20542/) (2024)
- [Scaling Wearable Foundation Models](https://mlsanity.com/paper/2410.13638/) (2024)
- [SensorLM: Learning the Language of Wearable Sensors](https://mlsanity.com/paper/2506.09108/) (2025)
- [GEM: Empowering MLLM for Grounded ECG Understanding with Time Series and Images](https://mlsanity.com/paper/2503.06073/) (2025)
- [ETP: Learning Transferable ECG Representations via ECG-Text Pre-training](https://mlsanity.com/paper/2309.07145/) (2023)
- [From Token to Rhythm: A Multi-Scale Approach for ECG-Language Pretraining](https://mlsanity.com/paper/2506.21803/) (2025)
- [GPT-PPG: A GPT-based Foundation Model for Photoplethysmography Signals](https://mlsanity.com/paper/2503.08015/) (2025)
- [Continuous PPG-Based Blood Pressure Monitoring Using Multi-Linear Regression](https://mlsanity.com/paper/2011.02231/) (2020)
- [PulseLM: A Foundation Dataset and Benchmark for PPG-Text Learning](https://mlsanity.com/paper/2603.03331/) (2026)
- [SiamQuality: A ConvNet-Based Foundation Model for Imperfect Physiological Signals](https://mlsanity.com/paper/2404.17667/) (2024)
- [CAP: Towards PPG Universal Representation Learning with Patient-level Supervision](https://mlsanity.com/paper/2606.15284/) (2026)

## Abstract (arXiv)

Reusable wearable PPG representations should capture local pulse morphology and broader physiological regularities. Existing pretraining objectives, however, usually apply supervision at the recording or pair level, overlooking that different concepts become reliable over different scopes of waveform evidence. We propose HiPPT, a physiology-grounded framework that matches each supervision source to its appropriate evidence scope. We construct a PPG-Text corpus of over 4 million wrist-worn recordings from 202K users, pairing recordings with waveform-derived morphology and metadata-derived context descriptions. HiPPT combines record-level morphology alignment, which grounds individual recordings in pulse characteristics, with cross-recording context alignment, which aggregates recordings sharing the same metadata tuple to capture context-consistent regularities. Waveform-guided text modeling further recovers masked contextual concepts from PPG patch representations, providing fine-grained waveform-text supervision. Across six downstream tasks spanning blood pressure, vascular stiffness, physiological attributes, and cross-dataset heart-rate estimation, HiPPT achieves the best result on the primary linear-probing metrics. The aligned space also supports zero-shot profiling of age group, sex, and BMI category, individually and jointly, with performance improving as more recordings are aggregated. These results show that evidence-scope matching yields transferable and semantically accessible wearable PPG representations. Code and pretrained weights will be released.