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Background: Recently, wearable technologies have gained attention in diverse applications of the medical platform to guarantee the health and safety of the sportsperson with the assistance of the Internet of things (IoT) device. The IoT device's topology varies due to the shift in users' orientation and accessibility, making it impossible to assign resources, and routing strategies have been considered the prominent factor in the current medical research. Further, for sportspersons with sudden cardiac arrests, hospital survival rates are low in which wearable IoT devices play a significant role.Objective: In this paper, the energy efficient optimized heuristic framework (EEOHF) has been proposed and implemented on a wearable device of the sportsperson's health monitoring system.Method: The monitoring system has been designed with cloud assistance to locate the nearest health centers during an emergency. The wearable sensor technologies have been used with an optimized energy-efficient algorithm that helps athletes monitor their health during physical workouts. The monitoring system has fitness tracking devices, in which health information is gathered, and workout logs are tracked using EEOHF. The proposed method is applied to evaluate and track the sportsperson's fitness based on case study analysis.Results: The simulation results have been analyzed, and the proposed EEOHF achieves a high accuracy ratio of 97.8%, a performance ratio of 95.3%, and less energy consumption of 9.4%, delay of 13.1%, and an average runtime of 98.2% when compared to other existing methods. [ABSTRACT FROM AUTHOR]