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hodkinson_2019_oi_190495_14423_1607983302.68691.pdf (1.72 MB)

Accelerometer- and pedometer-based physical activity interventions among adults with cardiometabolic conditions: a systematic review and meta-analysis

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posted on 2023-06-10, 01:10 authored by Alexander Hodkinson, Evangelos Kontopantelis, Charles Adeniji, Harm van MarwijkHarm van Marwijk, Brian McMillan, Peter Bower, Maria Panagioti
Importance - Accelerometers and pedometers are accessible technologies that could have a role in encouraging physical activity (PA) in line with current recommendations. However, there is no solid evidence of their association with PA in participants with 1 or more cardiometabolic conditions such as diabetes, prediabetes, obesity, and cardiovascular disease. Objectives - To assess the association of accelerometer- and pedometer-based interventions with increased activity and other improved health outcomes in adults with cardiometabolic conditions and to examine characteristics of the studies that could influence the association of both interventions in improving PA. Data Sources - Records from MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, the Cumulative Index to Nursing and Allied Health, and PsycINFO were searched from inception until August 2018 with no language restriction. Study Selection - Randomized clinical trials or cluster randomized clinical trials evaluating the use of wearable technology devices such as pedometers and accelerometers as motivating and monitoring tools for increasing PA were included. After removing duplicates, the searches retrieved 5762 references. Following abstract and title screening of 1439 references and full-text screening of 107 studies, 36 studies met inclusion criteria. Data Extraction and Synthesis - Mean difference in PA was assessed by random-effects meta-analysis. Where the scale was different across studies, the standardized mean difference was used instead. Heterogeneity was quantified using the I2 statistic and explored using mixed-effects metaregression. This study was registered with PROSPERO and followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Main Outcomes and Measures - The primary outcome was objectively measured PA in the short to medium term (postintervention to 8 months’ follow-up). Results - Thirty-six randomized clinical trials (20 using accelerometers and 16 using pedometers) involving 5208 participants were eligible for review. Meta-analysis involving 32 of these trials (4856 participants) showed medium improvements in PA: accelerometers and pedometers combined vs comparator showed a small significant increase in PA overall (standardized mean difference, 0.39 [95% CI, 0.28-0.51]; I2?=?60% [95% CI, 41%-73%]) in studies of short to medium follow-up over a mean (SD) of 32 (28.6) weeks. Multivariable metaregression showed improved association with PA for complex interventions that involved face-to-face consultation sessions with facilitators (ß?=?0.36; 95% CI, 0.17-0.55; P?

History

Publication status

  • Published

File Version

  • Published version

Journal

JAMA Network Open

ISSN

2574-3805

Publisher

American Medical Association

Issue

10

Volume

2

Page range

1-16

Article number

a1912895

Event location

United States

Department affiliated with

  • Primary Care and Public Health Publications

Notes

See below publisher link for retracted notice

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2021-09-30

First Open Access (FOA) Date

2021-09-30

First Compliant Deposit (FCD) Date

2021-09-28

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