The Effect of Physical Activity Interventions Comprising Wearables and Smartphone Applications on Physical Activity: a Systematic Review and Meta-analysis.

The Effect of Physical Activity Interventions Comprising Wearables and Smartphone Applications on Physical Activity: a Systematic Review and Meta-analysis.
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DOI:
10.1186/s40798-018-0157-9
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发表时间:
2018-09-03
期刊:
Sports medicine - open
影响因子:
--
通讯作者:
Monninkhof EM
Monninkhof EM
中科院分区:
其他
文献类型:
--
作者:
Gal R;May AM;van Overmeeren EJ;Simons M;Monninkhof EM

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全球成年人的体力活动水平正在下降,这与慢性病风险的增加有关。可穿戴设备和智能手机应用程序为改变身体活动行为提供了新的机会。本系统综述总结了有关可穿戴设备和智能手机应用程序对促进身体活动的影响的证据。在 PubMed、EMBASE 和 Cochrane 数据库中检索了自 2008 年 1 月以来发布的关于可穿戴设备和智能手机应用程序促进身体活动的随机对照试验。当研究人群由儿童或青少年组成、干预措施不促进身体活动或只占干预措施的一小部分、或者干预措施是基于互联网且无法通过智能手机访问时,研究被排除。通过 Cochrane 协作工具评估偏倚风险。主要结果是体力活动水平的变化。进行荟萃分析以评估对(中度至剧烈)体力活动(以每天分钟数和每日步数为单位)的汇总影响。其中包括十八项随机对照试验。使用可穿戴设备和智能手机应用程序导致每天体力活动分钟数小幅至中度增加(SMD = 0.43,95% CI = 0.03 至 0.82;I2 = 85%),每日步数适度增加(SMD = 0.51,95% CI = 0.12 至0.91;I2 = 90%)。当删除具有不明确或高偏倚风险的研究时,干预效果得到改善,统计异质性也被消除。这项荟萃分析显示,包括可穿戴设备和智能手机应用程序在内的身体活动干预措施对身体活动有小到中等的影响。因此,可穿戴设备和智能手机应用程序可能会带来新的机会,提供量身定制的干预措施,以提高身体活动水平。
Worldwide physical activity levels of adults are declining, which is associated with increased chronic disease risk. Wearables and smartphone applications offer new opportunities to change physical activity behaviour. This systematic review summarizes the evidence regarding the effect of wearables and smartphone applications on promoting physical activity. PubMed, EMBASE and Cochrane databases were searched for RCTs, published since January 2008, on wearables and smartphone applications to promote physical activity. Studies were excluded when the study population consisted of children or adolescents, the intervention did not promote physical activity or comprised a minor part of the intervention, or the intervention was Internet-based and not accessible by smartphone. Risk of bias was assessed by the Cochrane collaboration tool. The primary outcome was changed in physical activity level. Meta-analyses were performed to assess the pooled effect on (moderate-to-vigorous) physical activity in minutes per day and daily step count. Eighteen RCTs were included. Use of wearables and smartphone applications led to a small to moderate increase in physical activity in minutes per day (SMD = 0.43, 95% CI = 0.03 to 0.82; I2 = 85%) and a moderate increase in daily step count (SMD = 0.51, 95% CI = 0.12 to 0.91; I2 = 90%). When removing studies with an unclear or high risk of bias, intervention effects improved and statistical heterogeneity was removed. This meta-analysis showed a small to moderate effect of physical activity interventions comprising wearables and smartphone applications on physical activity. Hence, wearables and smartphone applications are likely to bring new opportunities in delivering tailored interventions to increase levels of physical activity.
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