A method performed by a head-mounted wearable audio output device is provided. The audio output device is worn on a head of a user and includes at least one sensor. The device detects a user activity based on motion of the user's body using the at least one sensor. The devices detects an orientation of the head of the user is one of upward or downward using the at least one sensor. The devices controls at least one of: a level of attenuation applied to external noise or audio output based on the detected user activity and the detected orientation of the head of the user.