Consumer-Based Wearable Activity Trackers Increase Physical Activity Participation: Systematic Review and Meta-Analysis

JMIR mhealth and uhealth, Год журнала: 2019, Номер 7(4), С. e11819 - e11819

Опубликована: Янв. 23, 2019

The range of benefits associated with regular physical activity participation is irrefutable. Despite the well-known benefits, inactivity remains one major contributing factors to ill-health throughout industrialized countries. Traditional lifestyle interventions such as group education or telephone counseling are effective at increasing participation; however, levels tend decline over time. Consumer-based wearable trackers that allow users objectively monitor now widely available and may offer an alternative method for assisting individuals remain physically active.This review aimed determine effects utilizing consumer-based on sedentary behavior when compared do not utilize tracker feedback.A systematic was performed searching following databases studies included use a improve participation: Cochrane Controlled Register Trials, MEDLINE, PubMed, Scopus, Web Science, Cumulative Index Nursing Allied Health Literature, SPORTDiscus, Technology Assessments. trials adults comparing other nonactivity tracker-based were included. main outcome measures behavior. All assessed risk bias, Grades Recommendation, Assessment, Development, Evaluation system used rank quality evidence. guidelines Preferred Reporting Items Systematic Reviews Meta-Analyses statement followed. A random-effects meta-analysis completed estimate treatment effect control group.There significant increase in daily step count (standardized mean difference [SMD] 0.24; 95% CI 0.16 0.33; P<.001), moderate vigorous (SMD 0.27; 0.15 0.39; energy expenditure 0.28; 0.03 0.54; P=.03) nonsignificant decrease -0.20; -0.43 0.03; P=.08) intervention versus comparator across all meta-analyses. In general, low except performance bias. Heterogeneity varied meta-analyses ranging from (I2=3%) through high (I2=67%) behavior.Utilizing either primary component part broader has potential participation. As often short term, inclusion provide tool assist health professionals ongoing monitoring support.

Язык: Английский

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Reliability and Validity of Commercially Available Wearable Devices for Measuring Steps, Energy Expenditure, and Heart Rate: Systematic Review

JMIR mhealth and uhealth, Год журнала: 2020, Номер 8(9), С. e18694 - e18694

Опубликована: Июнь 25, 2020

Background Consumer-wearable activity trackers are small electronic devices that record fitness and health-related measures. Objective The purpose of this systematic review was to examine the validity reliability commercial wearables in measuring step count, heart rate, energy expenditure. Methods We identified be included review. Database searches were conducted PubMed, Embase, SPORTDiscus, only articles published English language up May 2019 considered. Studies excluded if they did not identify device used or device. involving general population all special populations included. operationalized as criterion (as compared with other measures) construct (degree which is what it claims). Reliability measures focused on intradevice interdevice reliability. Results 158 publications examining nine different wearable brands. Fitbit by far most studied brand. In laboratory-based settings, Fitbit, Apple Watch, Samsung appeared measure steps accurately. Heart rate measurement more variable, Watch Garmin being accurate tending toward underestimation. For expenditure, no brand accurate. also examined between within a specific Conclusions Commercial for but varies manufacturer type. Devices constantly upgraded redesigned new models, suggesting need current reviews research.

Язык: Английский

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Fitbit-Based Interventions for Healthy Lifestyle Outcomes: Systematic Review and Meta-Analysis

Journal of Medical Internet Research, Год журнала: 2020, Номер 22(10), С. e23954 - e23954

Опубликована: Сен. 27, 2020

Unhealthy behaviors, such as physical inactivity, sedentary lifestyle, and unhealthful eating, remain highly prevalent, posing formidable challenges in efforts to improve cardiovascular health. While traditional interventions promote healthy lifestyles are both costly effective, wearable trackers, especially Fitbit devices, can provide a low-cost alternative that may effectively help large numbers of individuals become more physically fit thereby maintain good health status.

Язык: Английский

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Accuracy and Acceptability of Wrist-Wearable Activity-Tracking Devices: Systematic Review of the Literature

Journal of Medical Internet Research, Год журнала: 2021, Номер 24(1), С. e30791 - e30791

Опубликована: Дек. 6, 2021

Numerous wrist-wearable devices to measure physical activity are currently available, but there is a need unify the evidence on how they compare in terms of acceptability and accuracy.The aim this study perform systematic review literature assess accuracy (willingness use device for task it designed support) trackers.We searched MEDLINE, Embase, Cochrane Central Register Controlled Trials, SPORTDiscus studies measuring general population using trackers. We screened articles inclusion and, included studies, reported data studies' setting population, outcome measured, risk bias.A total 65 were our review. Accuracy was assessed 14 different outcomes, which can be classified following categories: count specific activities (including step counts), time spent being active, intensity energy expenditure), heart rate, distance, speed. Substantial clinical heterogeneity did not allow us meta-analysis results. The outcomes most frequently counts, expenditure. For Fitbit Charge (or HR) had mean absolute percentage error (MAPE) <25% across 20 studies. Apple Watch MAPE <10% 2 expenditure, >30% all brands, showing poor devices. Acceptability measured through availability wearing time. Data ≥75% HR, Flex 2, Garmin Vivofit. 89% both GENEActiv Nike FuelBand.The HR consistently shown have good counts rate. None tested proved accurate Efforts should made reduce among

Язык: Английский

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Smartphones in mental health: a critical review of background issues, current status and future concerns

International Journal of Bipolar Disorders, Год журнала: 2020, Номер 8(1)

Опубликована: Янв. 10, 2020

Abstract There has been increasing interest in the use of smartphone applications (apps) and other consumer technology mental health care for a number years. However, vision data from apps seamlessly returned to, integrated in, electronic medical record (EMR) to assist both psychiatrists patients not widely achieved, due part complex issues involved psychiatry. These include usage, clinical utility, commercialization, evolving technology. Technological, legal commercial issues, as well will determine role Recommendations more productive direction psychiatry are provided.

Язык: Английский

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Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements

Journal of Comparative Effectiveness Research, Год журнала: 2022, Номер 11(2), С. 121 - 129

Опубликована: Янв. 20, 2022

Early mobilization is a crucial component of enhanced recovery after surgery (ERAS) pathways that counteract the adverse physiological consequences surgical stress and immobilization. reduces risk postoperative complications, accelerates functional walking capacity, positively impacts several patient-reported outcomes hospital length stay, thereby reducing care costs. Modifiable barriers to early include lack education resources. Education clinical decision-making tools can improve compliance with ERAS recommendations create culture prioritizes perioperative physical activity. Recent advances real-time feedback quantity using wearable technology combining exercise prehabilitation. guidelines should emphasize benefits structured mobilization.

Язык: Английский

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Wearable Devices in Cardiovascular Medicine

Circulation Research, Год журнала: 2023, Номер 132(5), С. 652 - 670

Опубликована: Март 2, 2023

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

Язык: Английский

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The Influence of Wearables on Health Care Outcomes in Chronic Disease: Systematic Review

Journal of Medical Internet Research, Год журнала: 2022, Номер 24(7), С. e36690 - e36690

Опубликована: Май 16, 2022

Chronic diseases contribute to high rates of disability and mortality. Patient engagement in chronic disease self-management is an essential component models health care. Wearables provide patient-centered data real time, which can help inform decision-making. Despite the perceived benefits wearables improving self-management, their influence on care outcomes remains poorly understood.This review aimed examine individuals with through a systematic literature.A narrative was conducted by searching 6 databases for randomized observational studies published between January 1, 2016, July 2021, that included use wearable intervention group assess its impact predefined outcome measure. These were defined as any patient or clinician experience, cost-effectiveness, result intervention. Data from extracted based key themes, formed basis qualitative synthesis. All mapped against each Quadruple Aim The guidelines PRISMA (Preferred Reporting Items Systematic Reviews Meta-Analyses) statement followed this study.A total 30 articles included; reported 2446 participants (mean age: range 10.1-74.4 years), 14 types 18 presented. most studied type 2 diabetes (4/30, 13%), Parkinson (3/30, 10%), lower back pain 10%). results mixed when assessing primary outcome, 50% (15/30) finding positive demonstrating nil effect. There effect 3D virtual reality systems 7% (2/30) evaluated distinct syndromes. Mixed observed influencing exercise capacity; weight; biomarkers disease, such hemoglobin A1c, diabetes. In total, 155 studied. Most (139/155, 89.7%) addressed component. This (11/155, 7.5%), quality life (7/155, 4.8%), physical function (5/155, 3.4%). Approximately 7.7% (12/155) measures represented experience component, 1.3% (2/155) addressing cost.Given popularity capability, may play integral role management. However, further research required generate strong evidence base safe effective implementation.PROSPERO International Prospective Register CRD42021244562; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=244562.

Язык: Английский

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Microdosing with psilocybin mushrooms: a double-blind placebo-controlled study

Translational Psychiatry, Год журнала: 2022, Номер 12(1)

Опубликована: Авг. 2, 2022

Abstract The use of low sub-perceptual doses psychedelics (“microdosing”) has gained popularity in recent years. Although anecdotal reports claim multiple benefits associated with this practice, the lack placebo-controlled studies severely limits our knowledge microdosing and its effects. Moreover, research conducted standard laboratory settings could fail to capture motivation individuals engaged or planning engage protocols, thus underestimating likelihood positive effects on creativity cognitive function. We recruited 34 starting microdose psilocybin mushrooms ( Psilocybe cubensis ), one materials most frequently used for purpose. Following a double-blind experimental design, we investigated acute short-term 0.5 g dried subjective experience, behavior, (divergent convergent thinking), perception, cognition, brain activity. reported were significantly more intense active dose compared placebo, but only participants who correctly identified their condition. These changes accompanied by reduced EEG power theta band, together preserved levels Lempel-Ziv broadband signal complexity. For all other measurements there was no effect except few small towards impairment. According findings, can result noticeable altered rhythms, without evidence support enhanced well-being, conclude that expectation underlies at least some attributed mushrooms.

Язык: Английский

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Wearable Devices to Improve Physical Activity and Reduce Sedentary Behaviour: An Umbrella Review

Sports Medicine - Open, Год журнала: 2024, Номер 10(1)

Опубликована: Янв. 14, 2024

Abstract Background Several systematic reviews (SRs), with and without meta-analyses, have investigated the use of wearable devices to improve physical activity, there is a need for frequent updated syntheses on topic. Objective We aimed evaluate whether using increased activity reduced sedentary behaviour in adults. Methods conducted an umbrella review searching PubMed, Cumulative Index Nursing Allied Health Literature, Cochrane Library, MedRxiv, Rxiv bioRxiv databases up February 5th, 2023. included all SRs that evaluated efficacy interventions when were used measure adults aged over 18 years. The primary outcomes measured as number steps per day, minutes moderate vigorous (MVPA) week, (SB) day. assessed methodological quality each SR Assessment Multiple Systematic Reviews, version 2 (AMSTAR 2) certainty evidence outcome GRADE (Grading Recommendations, Assessment, Development, Evaluations). interpreted results decision-making framework examining clinical relevance concordances or discordances effect size. Results Fifty-one included, which 38 meta-analyses (302 unique studies). Of SRs, 72.5% rated ‘critically low quality’. Overall, slight overlap studies (corrected cover area: 3.87% 3.12% MVPA, 4.06% SB) low-to-moderate evidence, WDs may increase PA by median 1,312.23 (IQR 627–1854) day 57.8 37.7 107.3) week MVPA. Uncertainty present pathologies older subgroups SB mixed (large confidence intervals). Conclusions Our findings suggest middle-aged Further are needed investigate effects specific (such adults) different follow-up lengths, role other intervention components.

Язык: Английский

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