THU0745-HPR Use of wearable activity trackers to improve physical activity behaviour in rheumatic conditions – a systematic review

Wearable activity trackers (wearables) embed numerous behaviour change techniques (BCTs) that have previously been shown to increase adult physical activity (PA). With few children and adolescents achieving PA guidelines, it is crucial to explore ways to increase their PA. This systematic review examined the acceptability, feasibility, and effectiveness of wearables and their potential mechanisms of action for increasing PA in 5 to 19-year-olds. A systematic search of six databases was conducted, including data from the start date of each database to December 2019 (PROSPERO registration: CRD42020164506). Thirty-three studies were included. Most studies (70%) included only adolescents (10 to 19 years). There was some—but largely mixed—evidence that wearables increase steps and moderate-to-vigorous-intensity PA and reduce sedentary behaviour. There were no apparent differences in effectiveness based on the number of BCTs used and between studies using a wearable alone or as part of a multi-component intervention. Qualitative findings suggested wearables increased motivation to be physically active via self-monitoring, goal setting, feedback, and competition. However, children and adolescents reported technical difficulties and a novelty effect when using wearables, which may impact wearables’ long-term use. More rigorous and long-term studies investigating the acceptability, feasibility, and effectiveness of wearables in 5 to 19-year-olds are warranted.

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Systematic review on measurement properties of questionnaires assessing the neighbourhood environment in the context of youth physical activity behaviour

BMC Public Health ◽

10.1186/1471-2458-13-461 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 17

Author(s):

Anne K Reimers ◽

Filip Mess ◽

Jens Bucksch ◽

Darko Jekauc ◽

Alexander Woll

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Physical Activity Behaviour ◽

Measurement Properties ◽

Neighbourhood Environment ◽

Youth Physical Activity ◽

Activity Behaviour

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Systematic review and meta-analysis of maintenance of physical activity behaviour change in cancer survivors

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-019-0787-4 ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 24

Author(s):

Chloe Grimmett ◽

Teresa Corbett ◽

Jennifer Brunet ◽

Jonathan Shepherd ◽

Bernardine M. Pinto ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Cancer Survivors ◽

Behaviour Change ◽

Meta Analysis ◽

Physical Activity Behaviour ◽

Activity Behaviour

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Systematic review of preoperative physical activity and its impact on postcardiac surgical outcomes

BMJ Open ◽

10.1136/bmjopen-2016-015712 ◽

2017 ◽

Vol 7 (8) ◽

pp. e015712 ◽

Cited By ~ 13

Author(s):

D Scott Kehler ◽

Andrew N Stammers ◽

Navdeep Tangri ◽

Brett Hiebert ◽

Randy Fransoo ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Systematic Review ◽

Length Of Stay ◽

Adverse Events ◽

Cardiac Rehabilitation ◽

Surgical Outcomes ◽

Physical Activity Behaviour ◽

Activity Behaviour

ObjectivesThe objective of this systematic review was to study the impact of preoperative physical activity levels on adult cardiac surgical patients’ postoperative: (1) major adverse cardiac and cerebrovascular events (MACCEs), (2) adverse events within 30 days, (3) hospital length of stay (HLOS), (4) intensive care unit length of stay (ICU LOS), (5) activities of daily living (ADLs), (6) quality of life, (7) cardiac rehabilitation attendance and (8) physical activity behaviour.MethodsA systematic search of MEDLINE, Embase, AgeLine and Cochrane library for cohort studies was conducted.ResultsEleven studies (n=5733 patients) met the inclusion criteria. Only self-reported physical activity tools were used. Few studies used multivariate analyses to compare active versus inactive patients prior to surgery. When comparing patients who were active versus inactive preoperatively, there were mixed findings for MACCE, 30 day adverse events, HLOS and ICU LOS. Of the studies that adjusted for confounding variables, five studies found a protective, independent association between physical activity and MACCE (n=1), 30-day postoperative events (n=2), HLOS (n=1) and ICU LOS (n=1), but two studies found no protective association for 30-day postoperative events (n=1) and postoperative ADLs (n=1). No studies investigated if activity status before surgery impacted quality of life or cardiac rehabilitation attendance postoperatively. Three studies found that active patients prior to surgery were more likely to be inactive postoperatively.ConclusionDue to the mixed findings, the literature does not presently support that self-reported preoperative physical activity behaviour is associated with postoperative cardiac surgical outcomes. Future studies should objectively measure physical activity, clearly define outcomes and adjust for clinically relevant variables.RegistrationTrial registration numberNCT02219815. PROSPERO number CRD42015023606.

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