School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
School of Nursing, Southern Medical University, Guangzhou, China.
J Clin Nurs. 2023 Sep;32(17-18):6374-6383. doi: 10.1111/jocn.16631. Epub 2023 Feb 5.
To (1) describe the socio-demographic and behavioural characteristics of older adults who use wearable devices for physical activity monitoring and (2) explore whether wearable device use increases the possibilities of meeting physical activity guideline recommendations among older adults and older adults with known cardiovascular disease or risk.
Finding ways to increase physical activity and reduce cardiovascular disease risk among older adults is a public health priority. Wearable technology has great potential for promoting physical activity among older adults.
A secondary analysis of the national data.
A nationally representative sample of older adults aged 65 years and older (mean age = 73.79 years, N = 1484) and a subsample of older adults with known cardiovascular disease or cardiovascular disease risk (mean = 74.32 years, N = 1098) was used in the analysis. All analyses were weighted to account for the complex survey design. This study was reported according to the STROBE checklist.
The overall prevalence of wearable device use among older adults and older adults with cardiovascular disease risk was 16% and 14%, respectively. Older adults with higher household incomes, better self-rated health, and greater exercise enjoyment were more likely to use wearable devices. Compared with non-users, older adult users were more likely to meet the recommended levels of moderate (55% vs. 31%) and strengthening activity guidelines (46% vs. 25%), but not of the sedentary behaviour guideline (69% vs. 62%). Similar findings were also seen in older adults with known cardiovascular disease or risk.
The uptake of wearable devices in older adults, particularly those with known cardiovascular disease or risk is still low. The use of wearable devices is an important facilitator of physical activity. It is critical to provide individualised support for their engagement.
Age-friendly design and individualised support are recommended to increase older adults' adoption of wearable devices to improve their physical health.
No patient or public contribution was involved in this study since we used publicly available data.
（1）描述使用可穿戴设备进行身体活动监测的老年人的社会人口统计学和行为特征，（2）探讨可穿戴设备的使用是否增加了满足老年人和已知心血管疾病或风险的老年人身体活动指南建议的可能性。
寻找增加老年人身体活动和降低心血管疾病风险的方法是公共卫生的重点。可穿戴技术在促进老年人身体活动方面具有巨大潜力。
对全国数据进行二次分析。
使用全国代表性的 65 岁及以上老年人样本（平均年龄 73.79 岁，N=1484）和一个已知心血管疾病或心血管疾病风险的老年人亚样本（平均年龄 74.32 岁，N=1098）进行分析。所有分析均进行加权处理，以考虑复杂的调查设计。本研究按照 STROBE 清单进行报告。
老年人和有心血管疾病风险的老年人中可穿戴设备使用率分别为 16%和 14%。家庭收入较高、自我报告健康状况较好和锻炼乐趣较高的老年人更有可能使用可穿戴设备。与非使用者相比，老年使用者更有可能达到中等强度（55%对 31%）和强化活动指南（46%对 25%）的推荐水平，但不符合久坐行为指南（69%对 62%）。在已知有心血管疾病或风险的老年人中也发现了类似的发现。
在老年人中，尤其是在已知有心血管疾病或风险的老年人中，可穿戴设备的采用率仍然较低。可穿戴设备的使用是促进身体活动的重要促进因素。为他们的参与提供个性化支持至关重要。
建议采用对老年人友好的设计和个性化支持，以增加老年人对可穿戴设备的采用，从而改善他们的身体健康。
由于我们使用了公开可用的数据，因此本研究没有涉及患者或公众的贡献。
