Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis

ObjectivesPhysical activity (PA) is crucial for older adults’ wellbeing. Digital health interventions (DHIs) are important, however a synthesis aimed at healthy community-dwelling OA is lacking. This study aims to synthesize DHIs effect on PA levels among community-dwelling 60-year-old adults or old...

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Main Authors: M. Di Pumpo, A. Miatton, M. T. Riccardi, E. A. Graps, V. Baldo, A. Buja, G. Damiani
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:International Journal of Public Health
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Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607720/full
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author M. Di Pumpo
M. Di Pumpo
A. Miatton
M. T. Riccardi
M. T. Riccardi
E. A. Graps
V. Baldo
A. Buja
G. Damiani
G. Damiani
author_facet M. Di Pumpo
M. Di Pumpo
A. Miatton
M. T. Riccardi
M. T. Riccardi
E. A. Graps
V. Baldo
A. Buja
G. Damiani
G. Damiani
author_sort M. Di Pumpo
collection DOAJ
description ObjectivesPhysical activity (PA) is crucial for older adults’ wellbeing. Digital health interventions (DHIs) are important, however a synthesis aimed at healthy community-dwelling OA is lacking. This study aims to synthesize DHIs effect on PA levels among community-dwelling 60-year-old adults or older.MethodsA systematic review was performed. DHIs using eHealth/mHealth tools, apps and text messaging were included. Primary outcomes were daily steps, moderate-to-vigorous PA and sedentary time. Quality was assessed via Cochrane risk-of-bias tools. Study-reported effect, study quality, sample size, study duration and dropout rate were semi-quantitatively synthesized to determine the overall category effect.Results12 studies were included. 75% were low-quality, sample size was 16–18,080, study duration was 3–18 weeks, average dropout rate was 4.2%–46.7%. The synthesis of “motivational reminders” and “dynamic exercise programs” showed an overall positive effect, of “PA self-monitoring” showed mixed results and “exercise digital coaching” showed a non-positive effect.DiscussionMotivational reminders and dynamic exercise programs proved more effective in increasing PA in older adults than other interventions and should be more embedded in structured public health programs.
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spelling doaj-art-653bae660a764f66b4d67ed827b0578f2025-01-03T04:12:12ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-01-016910.3389/ijph.2024.16077201607720Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative AnalysisM. Di Pumpo0M. Di Pumpo1A. Miatton2M. T. Riccardi3M. T. Riccardi4E. A. Graps5V. Baldo6A. Buja7G. Damiani8G. Damiani9Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, ItalyDepartment of Prevention, AULSS6 Euganea, Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Università degli Studi di Padova, Padua, ItalyCancer Screening Coordination Unit, Local Health Unit Roma 2, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, ItalyAgenzia Regionale per la Salute ed il Sociale ARESS, Bari, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Università degli Studi di Padova, Padua, ItalyDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, Università degli Studi di Padova, Padua, ItalyDepartment of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, ItalyDepartment of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, ItalyObjectivesPhysical activity (PA) is crucial for older adults’ wellbeing. Digital health interventions (DHIs) are important, however a synthesis aimed at healthy community-dwelling OA is lacking. This study aims to synthesize DHIs effect on PA levels among community-dwelling 60-year-old adults or older.MethodsA systematic review was performed. DHIs using eHealth/mHealth tools, apps and text messaging were included. Primary outcomes were daily steps, moderate-to-vigorous PA and sedentary time. Quality was assessed via Cochrane risk-of-bias tools. Study-reported effect, study quality, sample size, study duration and dropout rate were semi-quantitatively synthesized to determine the overall category effect.Results12 studies were included. 75% were low-quality, sample size was 16–18,080, study duration was 3–18 weeks, average dropout rate was 4.2%–46.7%. The synthesis of “motivational reminders” and “dynamic exercise programs” showed an overall positive effect, of “PA self-monitoring” showed mixed results and “exercise digital coaching” showed a non-positive effect.DiscussionMotivational reminders and dynamic exercise programs proved more effective in increasing PA in older adults than other interventions and should be more embedded in structured public health programs.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607720/fullageingexercisephysical fitnesshealthy lifestyledigital health
spellingShingle M. Di Pumpo
M. Di Pumpo
A. Miatton
M. T. Riccardi
M. T. Riccardi
E. A. Graps
V. Baldo
A. Buja
G. Damiani
G. Damiani
Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
International Journal of Public Health
ageing
exercise
physical fitness
healthy lifestyle
digital health
title Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
title_full Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
title_fullStr Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
title_full_unstemmed Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
title_short Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis
title_sort digital health interventions to promote physical activity in community dwelling older adults a systematic review and semiquantitative analysis
topic ageing
exercise
physical fitness
healthy lifestyle
digital health
url https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607720/full
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