Evidence mapPaperPMID 39696583Full record

SynthesisThe international journal of behavioral nutrition and physical activity2024

The effectiveness of digital physical activity interventions in older adults: a systematic umbrella review and meta-meta-analysis.

Stephanie J Alley, Kim M Waters, Felix Parker, D L I H K Peiris, Samantha Fien, Amanda L Rebar, Corneel Vandelanotte

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of behavioral nutrition and physical activity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stephanie J AlleyAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Building 7, Bruce Highway, Rockhampton, QLD, 4701, Australia. s.alley@cqu.edu.au.ORCID http://orcid.org/0000-0001-9666-5071
Kim M WatersAppleton Institute, School of Health Medical and Applied Science, Central Queensland University, 151-171 Boundary Road, Ooralea, QLD, 4740, Australia.
Felix ParkerAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Building 7, Bruce Highway, Rockhampton, QLD, 4701, Australia.
D L I H K PeirisDepartment of Sport Science and Physical Education, University of Kelaniya, Kandy Road, Dalugama, Kelaniya, 11600, Sri Lanka.
Samantha FienSchool of Health Medical and Applied Science, Central Queensland University, 90-92 Sydney Street, Mackay, QLD, 4740, Australia.
Amanda L RebarArnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Corneel VandelanotteAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Building 7, Bruce Highway, Rockhampton, QLD, 4701, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity is important for healthy ageing, however most older adults are inactive. Numerous reviews with a range of inclusion criteria have been conducted on digital interventions to promote physical activity in older adults, and a synthesis of these is needed. Therefore, the objective of this study is to conduct an umbrella review and meta-meta-analysis on the effectiveness of digital interventions to promote physical activity in older adults.

methodsNine databases were searched from January 2010 to December 2023. Systematic reviews and meta-analyses of primary studies using digital physical activity interventions to target healthy older adults or clinical populations of older adults with a self-reported or device measured physical activity outcome were eligible for inclusion.

resultsIn total, 22 systematic reviews and meta-analyses covering 185 primary research papers were eligible for inclusion. The total number of participants across all primary studies was 28,198. Most (21, 95%) reviews and meta-analyses were rated as having a low or critically low AMSTAR-2 confidence rating. Of the 22 included systematic reviews, 13 (59%) conducted a meta-analysis and 10 (45%) conducted a narrative synthesis. Most systematic reviews with a narrative synthesis found strong evidence for a positive effect or moderate evidence for a positive effect for physical activity outcomes (7/9, 78%) and steps (3/3, 100%). The meta-meta-analysis of primary papers included in meta-analyses demonstrated a significant moderate effect for steps and a significant small effect for total PA and MVPA. The strength of effect did not vary by intervention components (activity tracker, app-based, SMS/phone, web-based, and face-to-face), population (primary or secondary prevention), control group (none, other digital intervention, or non-digital intervention), or outcome measurement (self-reported or device measured). Only 3 (14%) reviews included longer term follow up outcomes after the end of the intervention, with mixed results.

conclusionsEvidence from 22 reviews and meta-analyses suggests that digital physical activity interventions are effective at increasing physical activity in older adults. Further primary research is needed in adults 65 years and over exclusively, and with longer-term follow up of physical activity outcomes. Future reviews should include a published protocol and interpret results according to risk-of-bias.

Indexed as

Digital HealthExerciseHealth PromotionAgedHumansMeta-Analysis as TopicSystematic Reviews as TopicActivity trackersAgingAppsDigitalHealth promotionInterventionsOlder adultsPhysical activityStepsTechnology

Identifiers

PMID39696583
PMCPMC11658456

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.