Institute for Musculoskeletal Health, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Institute for Musculoskeletal Health, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Br J Sports Med. 2020 Oct;54(20):1188-1194. doi: 10.1136/bjsports-2018-100324. Epub 2019 Aug 9.
Older people are at high risk of physical inactivity. Activity trackers can facilitate physical activity. We aimed to investigate the effect of interventions using activity trackers on physical activity, mobility, quality of life and mental health among people aged 60+ years.
For this systematic review, we searched eight databases, including MEDLINE, Embase and CENTRAL from inception to April 2018. Randomised controlled trials of interventions that used activity trackers to promote physical activity among people aged 60+ years were included in the analyses. The study protocol was registered with PROSPERO, number CRD42017065250.
We identified 23 eligible trials. Interventions using activity trackers had a moderate effect on physical activity (23 studies; standardised mean difference (SMD)=0.55; 95% CI 0.40 to 0.70; I=86%) and increased steps/day by 1558 (95% CI 1099 to 2018 steps/day; I=92%) compared with usual care, no intervention and wait-list control. Longer duration activity tracker-based interventions were more effective than short duration interventions (18 studies, SMD=0.70; 95% CI 0.47 to 0.93 vs 5 studies, SMD=0.14; 95% CI -0.26 to 0.54, p for comparison=0.02). Interventions that used activity trackers improved mobility (three studies; SMD=0.61; 95% CI 0.31 to 0.90; I=10%), but not quality of life (nine studies; SMD=0.09; 95% CI -0.07 to 0.25; I=45%). Only one trial included mental health outcomes and it reported similar effects of the activity tracker intervention compared with control.
Interventions using activity trackers improve physical activity levels and mobility among older people compared with control. However, the impact of activity tracker interventions on quality of life, and mental health is unknown.
老年人身体活动不足的风险较高。活动追踪器可以促进身体活动。我们旨在研究使用活动追踪器的干预措施对 60 岁以上人群的身体活动、移动能力、生活质量和心理健康的影响。
在这项系统评价中，我们从开始到 2018 年 4 月在 8 个数据库（包括 MEDLINE、Embase 和 CENTRAL）中进行了搜索。纳入了使用活动追踪器促进 60 岁以上人群身体活动的干预措施的随机对照试验进行分析。研究方案在 PROSPERO 注册，编号为 CRD42017065250。
我们确定了 23 项符合条件的试验。使用活动追踪器的干预措施对身体活动有中等影响（23 项研究；标准化均数差（SMD）=0.55；95%CI 0.40 至 0.70；I=86%），与常规护理、无干预和等待名单对照组相比，每天增加 1558 步（95%CI 1099 至 2018 步/天；I=92%）。基于活动追踪器的较长持续时间干预措施比短期干预措施更有效（18 项研究，SMD=0.70；95%CI 0.47 至 0.93 与 5 项研究，SMD=0.14；95%CI -0.26 至 0.54，p 比较=0.02）。使用活动追踪器的干预措施改善了移动能力（3 项研究；SMD=0.61；95%CI 0.31 至 0.90；I=10%），但没有改善生活质量（9 项研究；SMD=0.09；95%CI -0.07 至 0.25；I=45%）。只有一项试验包括心理健康结果，报告了活动追踪器干预与对照组相比类似的效果。
与对照组相比，使用活动追踪器的干预措施可提高老年人的身体活动水平和移动能力。然而，活动追踪器干预对生活质量和心理健康的影响尚不清楚。
