Wearable systems can recognize activities from IMU data but often fail to explain their underlying causes or contextual significance. To address this limitation, we introduce two large-scale resources: SensorCap, comprising 35,960 IMU--caption pairs, and OpenSQA, with 199,701 question--answer pairs designed for causal and explanatory reasoning. OpenSQA includes a curated tuning split (Tune-OpenSQA) optimized for scientific accuracy, narrative clarity, and diagnostic insight. Leveraging these datasets, we develop LLaSA (Large Language and Sensor Assistant), a family of compact sensor-aware language models (7B and 13B) that generate interpretable, context-rich responses to open-ended questions grounded in raw IMU data. LLaSA outperforms commercial LLMs, including GPT-3.5 and GPT-4o-mini, on benchmark and real-world tasks, demonstrating the effectiveness of domain supervision and model alignment for sensor reasoning. Our code repository and datasets can be found at https://github.com/BASHLab/LLaSA.