Effect of eHealth to increase physical activity in healthy adults over 55 years: A systematic review and meta‐analysis

Arenas‐Arroyo, Sergio Núñez de; Cavero‐Redondo, Iván; Álvarez‐Bueno, Celia; Sequí‐Domínguez, Irene; Reina‐Gutiérrez, Sara; Martínez‐Vizcaíno, Vicente

doi:10.1111/sms.13903

Cited by 28 publications

(27 citation statements)

References 53 publications

(58 reference statements)

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“…Compared with previous research suggesting that eHealth interventions can effectively promote PA in older adults in the short term [ 1 , 11 - 13 , 50 - 53 ], we were not able to demonstrate intervention effects for participants in the WEB and WEB+ conditions, neither in the short term at 3 months nor in the longer term at 9 months. This is puzzling, as several recently published systematic reviews and meta-analyses [ 50 - 53 ] demonstrate the effectiveness of eHealth interventions, including mobile interventions [ 52 ], for improving PA levels (eg, mean steps per day and minutes of daily MVPA, weekly PA, and MVPA [ 50 ]) in predominantly healthy older adults. Similar to our study, acceptance of eHealth intervention approaches was high in the studies included in these systematic reviews and meta-analyses [ 50 ]; however, contrary to our attrition rate, studies included in [ 50 ] predominantly reported attrition below 20% [ 50 ].…”

Section: Discussioncontrasting

confidence: 99%

“…This is puzzling, as several recently published systematic reviews and meta-analyses [ 50 - 53 ] demonstrate the effectiveness of eHealth interventions, including mobile interventions [ 52 ], for improving PA levels (eg, mean steps per day and minutes of daily MVPA, weekly PA, and MVPA [ 50 ]) in predominantly healthy older adults. Similar to our study, acceptance of eHealth intervention approaches was high in the studies included in these systematic reviews and meta-analyses [ 50 ]; however, contrary to our attrition rate, studies included in [ 50 ] predominantly reported attrition below 20% [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

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Web-Based Versus Print-Based Physical Activity Intervention for Community-Dwelling Older Adults: Crossover Randomized Trial

Pischke¹,

Voelcker‐Rehage²,

Ratz³

et al. 2022

JMIR Mhealth Uhealth

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Background Fewer than half of older German adults engage in the recommended levels of endurance training. Objective The study aim is to compare the acceptance and effectiveness of two interventions for physical activity (PA) promotion among initially inactive community-dwelling older adults ≥60 years in a 9-month, crossover randomized trial. Methods Participants were recruited in person and randomized to one of the following interventions for self-monitoring PA: a print-based intervention (PRINT: 113/242, 46.7%) or a web-based intervention (WEB: 129/242, 53.3%). Furthermore, 29.5% (38/129) of those in the web-based intervention group received a PA tracker in addition to WEB (WEB+). After randomization, the participants and researchers were not blinded. The participants’ baseline intervention preferences were retrospectively assessed. All the intervention groups were offered 10 weekly face-to-face group sessions. Afterward, participants could choose to stay in their group or cross over to one of the other groups, and group sessions were continued monthly for another 6 months. 3D accelerometers to assess PA and sedentary behavior (SB) at baseline (T0), 3-month follow-up (T1), and 9-month follow-up (T2) were used. Adherence to PA recommendations, attendance of group sessions, and intervention acceptance were assessed using self-administered paper-based questionnaires. Linear mixed models were used to calculate differences in moderate to vigorous PA (MVPA) and SB between time points and intervention groups. Results Of the 242 initially recruited participants, 91 (37.6%) were randomized to the WEB group; 38 (15.7%) to the WEB+ group; and 113 (46.7%) to the PRINT group. Overall, 80.6% (195/242) of the participants completed T1. Only 0.4% (1/242) of the participants changed from the WEB group to the PRINT group and 6.2% (15/242) moved from the PRINT group to the WEB group (WEB-WEB: 103/249, (41.4%); PRINT-PRINT: 76/249, 30.5%) when offered to cross over at T1. Furthermore, 66.1% (160/242) of participants completed T2. MVPA in minutes per day increased between baseline and T1, but these within-group changes disappeared after adjusting for covariates. MVPA decreased by 9 minutes per day between baseline and T2 (βtime=−9.37, 95% CI −18.58 to −0.16), regardless of the intervention group (WEB vs PRINT: βgroup*time=−3.76, 95% CI −13.33 to 5.82, WEB+ vs PRINT: βgroup*time=1.40, 95% CI −11.04 to 13.83). Of the participants, 18.6% (38/204) met the PA recommendations at T0, 16.4% (26/159) at T1, and 20.3% (28/138) at T2. For SB, there were no significant group differences or group-by-time interactions at T1 or T2. Intervention acceptance was generally high. The use of intervention material was high to moderate at T1 and decreased by T2. Conclusions There was little movement between intervention groups at T1 when given the choice, and participation was not associated with increases in PA or decreases in SB over time. Trial Registration German Clinical Trials Register DRKS00016073; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00016073

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Web-Based Versus Print-Based Physical Activity Intervention for Community-Dwelling Older Adults: Crossover Randomized Trial

Pischke¹,

Voelcker‐Rehage²,

Ratz³

et al. 2022

JMIR Mhealth Uhealth

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“…Therefore, a new scoping review is required to more broadly identify any available digital technologies that target any aspects of healthy aging in nonclinical settings (ie, daily life). [22] Physical activity, diet, quality of life, and well-being eHealth 50+ Buyl et al, 2020 [23] Physical activity eHealth 50+ Kwan et al, 2020 [24] Physical activity mHealth a and eHealth 50+ McGarrigle et al, 2020 [25] Physical activity, healthy eating, stress management, and tobacco cessation Digital coaching 50+ Stara et al, 2020 [26] Walking Exergaming 60+ Janhunen et al, 2021 [27] Physical activity eHealth 55+ Nunez de Arenas-Arroyo et al, 2021 [28] a mHealth: mobile health.…”

Section: Introductionmentioning

confidence: 99%

Digital Technologies for Health Promotion and Disease Prevention in Older People: Protocol for a Scoping Review

Santis¹,

Mergenthal²,

Christianson³

et al. 2022

JMIR Res Protoc

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Background Digital technologies could contribute to health promotion and disease prevention. It is unclear if and how such digital technologies address the health needs of older people in nonclinical settings (ie, daily life). Objective This study aims to identify digital technologies for health promotion and disease prevention that target the needs of older people in nonclinical settings by performing a scoping review of the published literature. The scoping review is guided by the framework of Arksey and O’Malley. Methods Our scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The information sources are bibliographic databases (MEDLINE, PsycINFO, CINAHL, and SCOPUS) and bibliographies of any included systematic reviews. Manual searches for additional studies will be performed in Google Scholar and most relevant journals. The electronic search strategy was developed in collaboration with a librarian who performed the search for studies on digital technologies for health promotion and disease prevention targeting the needs of older people. Study selection and data coding will be performed independently by 2 authors. Consensus will be reached by discussion. Eligibility is based on the PCC (Population, Concept, and Context) criteria as follows: (1) older people (population); (2) any digital (health) technology, such as websites, smartphone apps, or wearables (concept); and (3) health promotion and disease prevention in nonclinical (daily life, home, or community) settings (context). Primary studies with any design or reviews with a systematic methodology published in peer-reviewed academic journals will be included. Data items will address study designs, PCC criteria, benefits or barriers related to digital technology use by older people, and evidence gaps. Data will be synthesized using descriptive statistics or narratively described by identifying common themes. Quality appraisal will be performed for any included systematic reviews, using a validated instrument for this study type (A Measurement Tool to Assess Systematic Reviews, version 2 [AMSTAR2]). Results Following preliminary literature searches to test and calibrate the search syntax, the electronic literature search was performed in March 2022 and manual searches were completed in June 2022. Study selection based on titles and abstracts was completed in July 2022, and the full-text screen was initiated in July 2022. Conclusions Our scoping review will identify the types of digital technologies, health targets in the context of health promotion and disease prevention, and health benefits or barriers associated with the use of such technologies for older people in nonclinical settings. This knowledge could guide further research on how digital technologies can support healthy aging. International Registered Report Identifier (IRRID) PRR1-10.2196/37729

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“…To achieve this, several systematic reviews show that eHealth interventions (such as interactive websites, smartphone applications, etc.) are effective in increasing PA levels in adults aged over 50 years [53,54]. The barriers that have been found to promote active aging have been described as a lack of time, organizational restrictions, limitations of being referred to adequate services, a lack of interest and support in prevention by administrators, a lack of incentives to participate, a lack of financial resources, too few personnel, and a lack of transportation, among others [5].…”

Section: Discussionmentioning

confidence: 99%

Physical Activity, Mental Health and Consumption of Medications in Pre-Elderly People: The National Health Survey 2017

Carmona‐Torres

Cobo-Cuenca

Pozuelo‐Carrascosa

et al. 2021

IJERPH

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Background: The promotion of Physical Activity (PA) is an important public health goal to reduce comorbidity and diseases associated with aging such as anxiety and depression. Aim: To investigate the association between level of PA, mental health and the consumption of medications among a representative cohort of Spanish pre-elderly people. Methods: Cross-sectional study with 5977 participants aged 50 to 64 years who participated in the National Health Survey in Spain 2017. The levels of PA were evaluated using the International Physical Activity Questionnaire and the mental conditions were measured by the Goldberg Health Questionnaire-12 (GHQ-12). The chi-square test was used for qualitative variables; Pearson’s correlation was conducted between GHQ-12 score with different quantitative variables; and a logistic regression was used to determine the association between PA and mental health with the sociodemographic characteristics. Results: The participants were 51.9% women and 48.1% men with a mean age of 56.79 years, and 35.5% of participants had a low level of PA. A low level of PA was associated with cases of mental health vulnerability, anxiety and depression (in women), the consumption of more medications and greater multimorbidity. Conclusion: It is important that people reach old age with an optimal health status in order to reduce age-related disability and morbidity. More than a third of the Spanish pre-elderly do not reach the levels of PA recommended by the WHO. People who had low level of PA consumed more medications and had higher mental health vulnerability and greater multimorbidity.

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Effect of eHealth to increase physical activity in healthy adults over 55 years: A systematic review and meta‐analysis

Cited by 28 publications

References 53 publications

Web-Based Versus Print-Based Physical Activity Intervention for Community-Dwelling Older Adults: Crossover Randomized Trial

Web-Based Versus Print-Based Physical Activity Intervention for Community-Dwelling Older Adults: Crossover Randomized Trial

Digital Technologies for Health Promotion and Disease Prevention in Older People: Protocol for a Scoping Review

Physical Activity, Mental Health and Consumption of Medications in Pre-Elderly People: The National Health Survey 2017

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