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How to sync Strava runs to Apple Health

Turn on Send to Health in the Strava iPhone app so your runs appear in Health as workouts. What syncs, what happens to runs from a Garmin, and how to avoid doubles.

Updated 15 October 2026 · 2 min read

Strava is where many runners keep their log, and the Strava iPhone app can write each run to Apple Health as a workout. Once it does, any app that reads Health, including Runtile, sees your runs.

Turn on the Health connection

  1. Open the Strava app on your iPhone.
  2. Tap You, then the gear for Settings.
  3. Tap Manage Apps and Devices, then Health.
  4. Tap Connect with Health. In the Apple Health sheet, turn on Workouts and the other categories, then tap Allow.
  5. Turn on Send to Health.

From now on, every activity in Strava is saved to Health as a workout with its type, distance, duration and calories, plus the route for runs recorded with the Strava app.

Runs from a Garmin or another watch

Runs that arrive in Strava from a Garmin, Coros, Polar, Suunto or Wahoo device are passed on to Health too, but without the route. The watch brand's own app writes the full run, map included. And if both write, Health holds every run twice.

So, by how you record:

  • The Strava app on your phone or Apple Watch: keep Send to Health on. You are done.
  • The Workout app on an Apple Watch: Apple writes to Health already. Strava can read it from there; the Apple Watch to Strava guide shows how.
  • A Garmin or another watch: turn on the Health sync in that brand's app and turn off Send to Health in Strava. See the Garmin guide or the Coros, Polar and Suunto guide.

Reading Strava too

If Strava also reads workouts from Health, an Apple Watch run appears in Strava and in Health once each. That is fine. Problems start only when two apps both write the same run to Health. Runtile merges those, and this guide explains how.

Questions

Does Strava sync runs from my Garmin or Coros to Apple Health?

Yes, but without the route. For the full run with its map, turn on the Health sync in that brand's own app and turn off Send to Health in Strava, so the run is not written twice.

Will Strava sync my old runs?

Strava writes new activities from the moment you connect. Older Strava recorded runs are not backfilled to Health.

Do I need Strava Premium?

No. The Health connection is free.