arXiv:2510.21424v1 Announce Type: cross Abstract: As generative AI continues to evolve, Vision Language Models (VLMs) have emerged as promising tools in various healthcare applications. One area that remains relatively underexplored is their use in human activity recognition (HAR) for remote health monitoring. VLMs offer notable strengths, including greater flexibility and the ability to overcome some of the constraints of traditional deep learning models. However, a key challenge in applying VLMs to HAR lies in the difficulty of evaluating their dynamic and often non-deterministic outputs. To address this gap, we introduce a descriptive caption data set and propose comprehensive evaluation methods to evaluate VLMs in HAR. Through comparative experiments with state-of-the-art deep learning models, our findings demonstrate that VLMs achieve comparable performance and, in some cases, even surpass conventional approaches in terms of accuracy. This work contributes a strong benchmark and opens new possibilities for the integration of VLMs into intelligent healthcare systems.