动态环境下的健康监测新框架，能自适应处理传感器噪声。

Outdoor health monitoring is essential to detect early abnormal health status for safeguarding human health and safety. Conventional outdoor monitoring relies on static multimodal deep learning frameworks, which requires extensive data training from scratch and fails to capture subtle health status changes. Multimodal large language models (MLLMs) emerge as a promising alternative, utilizing only small datasets to fine-tune pre-trained information-rich models for enabling powerful health status monitoring. Unfortunately, MLLM-based outdoor health monitoring also faces significant challenges: I) sensor data contains input noise stemming from sensor data acquisition and fluctuation noise caused by sudden changes in physiological signals due to dynamic outdoor environments, thus degrading the training performance; ii) current transformer based MLLMs struggle to achieve robust multimodal fusion, as they lack a design for fusing the noisy modality; iii) modalities with varying noise levels hinder accurate recovery of missing data from fluctuating distributions. To combat these challenges, we propose an uncertainty-aware multimodal fusion framework, named DUAL-Health, for outdoor health monitoring in dynamic and noisy environments. First, to assess the impact of noise, we accurately quantify modality uncertainty caused by input and fluctuation noise with current and temporal features. Second, to empower efficient muitimodal fusion with low-quality modalities,we customize the fusion weight for each modality based on quantified and calibrated uncertainty. Third, to enhance data recovery from fluctuating noisy modalities, we align modality distributions within a common semantic space. Extensive experiments demonstrate that our DUAL-Health outperforms state-of-the-art baselines in detection accuracy and robustness.