Effectiveness of wearable activity trackers to increase physical activity and improve health: a systematic review of systematic reviews and meta-analyses

Ferguson, Ty; Olds, Timothy; Curtis, Rachel; Blake, Henry; Crozier, Alyson; Dankiw, Kylie A.; Dumuid, Dorothea; Kasai, Daiki; O’Connor, Edward J.; Virgara, Rosa; Maher, Carol

doi:10.1016/s2589-7500(22)00111-x

Cited by 132 publications

(83 citation statements)

References 69 publications

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“…The contribution of this paper is that it is one of the few emerging studies measuring incidental activity in a population of older, frail adults, who are commonly not included in such assessments. Using wearables to do this may help both clinicians and AS patients understand their cardiovascular fitness and help identify opportunities to reverse any physical deconditioning either before or after AVR [ 44 ]. This is an important issue for consideration given the increase in the aging population, and the expected growth in the number of people being diagnosed with AS in the coming years [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Wearable Activity Trackers Objectively Measure Incidental Physical Activity in Older Adults Undergoing Aortic Valve Replacement

Straiton

Hollings

Gullick

et al. 2023

Sensors

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Background: For older adults with severe aortic stenosis (AS) undergoing aortic valve replacement (AVR), recovery of physical function is important, yet few studies objectively measure it in real-world environments. This exploratory study explored the acceptability and feasibility of using wearable trackers to measure incidental physical activity (PA) in AS patients before and after AVR. Methods: Fifteen adults with severe AS wore an activity tracker at baseline, and ten at one month follow-up. Functional capacity (six-minute walk test, 6MWT) and HRQoL (SF 12) were also assessed. Results: At baseline, AS participants (n = 15, 53.3% female, mean age 82.3 ± 7.0 years) wore the tracker for four consecutive days more than 85% of the total prescribed time, this improved at follow-up. Before AVR, participants demonstrated a wide range of incidental PA (step count median 3437 per day), and functional capacity (6MWT median 272 m). Post-AVR, participants with the lowest incidental PA, functional capacity, and HRQoL at baseline had the greatest improvements within each measure; however, improvements in one measure did not translate to improvements in another. Conclusion: The majority of older AS participants wore the activity trackers for the required time period before and after AVR, and the data attained were useful for understanding AS patients’ physical function.

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Section: Discussionmentioning

confidence: 99%

Wearable Activity Trackers Objectively Measure Incidental Physical Activity in Older Adults Undergoing Aortic Valve Replacement

Straiton

Hollings

Gullick

et al. 2023

Sensors

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“…Several studies have found that the use of WATs can increase PA levels [ 11 , 27 , 28 , 29 ]. For example, a recent systematic review of systematic reviews and meta-analyses (39 studies) [ 30 ] found that WATs appeared to be effective in increasing PA in a variety of age groups. They increased PA (standardized mean difference [SMD] from 0.28 to 0.57), body composition (SMD = 0.7–2.0), and fitness (SMD = 0.3).…”

Section: Introductionmentioning

confidence: 99%

“…They increased PA (standardized mean difference [SMD] from 0.28 to 0.57), body composition (SMD = 0.7–2.0), and fitness (SMD = 0.3). Interventions using WATs increased users’ number of steps to approximately 1800 steps per day, walking time by approximately 40 min per day, and moderate-to-vigorous PA (MVPA) by approximately 6 min per day [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

“…The studies described above mostly investigated the effects of WATs on PA levels as a function of the number of steps walked or the duration of a given activity [ 25 , 30 ], while qualitative methods were used less frequently [ 25 ], and mixed methods most rarely [ 37 ]. Furthermore, only a few studies have examined the effects of activity tracker interventions on psychosocial outcomes [ 30 , 35 ], and scholars have focused on the benefits of either WATs or TC for older adults, yet little is known about the benefits of ST combining both [ 51 ]. Our study therefore seeks to test ST that combines both WAT features (activity tracker and goal setting) and TC features (alarm button, fall detection, and fall risk measurement).…”

Section: Introductionmentioning

confidence: 99%

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Benefits of a Wearable Activity Tracker with Safety Features for Older Adults: An Intervention Study

Hvalič-Touzery

Šetinc

Dolničar

2022

IJERPH

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Accidental falls and physical inactivity are important age-related issues for which smart technologies have demonstrated potential utility. This research aimed to explore the benefits of combining wearable activity monitors and telecare for older adults. A four-month interventional study was conducted between June 2021 and February 2022 in Slovenia. A purposive sample of 22 dyads of older adults aged 60 years and over and their relatives or family members used a wearable GoLiveClip device. The Pillar Integration Process was used to analyze the quantitative and qualitative data. Seven pillars emerged: (1) the use of smart technologies as a motivator for physical activity; (2) factors related to smart technology use affecting physical activity levels; (3) increased usefulness of smart technologies for users who completed the study; (4) activity monitoring as the most useful functionality of the solution; (5) the influence of technical problems on usefulness; (6) the influence of age and previous experience with smart technologies on usefulness; and (7) moderate psychological effects of smart technology use. Activity trackers were found to effectively promote physical activity in older adults, and safety features were shown to be an important part of the solution, regardless of health status or physical activity level.

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“…1 The wearable device market is now a multibillion dollar industry. 2 A large population survey indicates that many individuals use a wearable device to promote healthy behaviors or to manage a diagnosed condition. 3 While the clinical integration of wearable devices remains in the earliest stages, their use has the potential to broadly impact cardiovascular medicine through lifestyle modifications for primary prevention, arrhythmia screening of at-risk individuals, and remote management of patients with established heart failure (HF) or peripheral artery disease, among other chronic cardiovascular conditions.…”

mentioning

confidence: 99%

Wearable Devices in Cardiovascular Medicine

Hughes

Shandhi

Master

et al. 2023

Circulation Research

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Wearable devices, such as smartwatches and activity trackers, are commonly used by patients in their everyday lives to manage their health and well-being. These devices collect and analyze long-term continuous data on measures of behavioral or physiologic function, which may provide clinicians with a more comprehensive view of a patients’ health compared with the traditional sporadic measures captured by office visits and hospitalizations. Wearable devices have a wide range of potential clinical applications ranging from arrhythmia screening of high-risk individuals to remote management of chronic conditions such as heart failure or peripheral artery disease. As the use of wearable devices continues to grow, we must adopt a multifaceted approach with collaboration among all key stakeholders to effectively and safely integrate these technologies into routine clinical practice. In this Review, we summarize the features of wearable devices and associated machine learning techniques. We describe key research studies that illustrate the role of wearable devices in the screening and management of cardiovascular conditions and identify directions for future research. Last, we highlight the challenges that are currently hindering the widespread use of wearable devices in cardiovascular medicine and provide short- and long-term solutions to promote increased use of wearable devices in clinical care.

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Effectiveness of wearable activity trackers to increase physical activity and improve health: a systematic review of systematic reviews and meta-analyses

Cited by 132 publications

References 69 publications

Wearable Activity Trackers Objectively Measure Incidental Physical Activity in Older Adults Undergoing Aortic Valve Replacement

Wearable Activity Trackers Objectively Measure Incidental Physical Activity in Older Adults Undergoing Aortic Valve Replacement

Benefits of a Wearable Activity Tracker with Safety Features for Older Adults: An Intervention Study

Wearable Devices in Cardiovascular Medicine

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