Meta-analyses of randomized controlled trials assessing the effect of digital tools on step count and moderate-to-vigorous physical activity in healthy children and adolescents - Report - MDSpire

Meta-analyses of randomized controlled trials assessing the effect of digital tools on step count and moderate-to-vigorous physical activity in healthy children and adolescents

  • By

  • Garden Tabacchi

  • Roberta Cottone

  • Antonino Scardina

  • Marta Giardina

  • Antonella Amato

  • Sonya Vasto

  • Giulia Accardi

  • Valentina Di Liberto

  • Monica Frinchi

  • Paolo Boffetta

  • Walter Mazzucco

  • Marianna Bellafiore

  • June 4, 2026

  • 0 min

Share

Clinical Report: Systematic Review of Digital Interventions on Youth Physical Activity

Overview

This systematic review evaluates the effectiveness of digital interventions in increasing step count and moderate-to-vigorous physical activity (MVPA) among healthy youth. While no significant overall effect on daily step count was found, a notable increase in MVPA minutes was observed.

Background

Physical activity is crucial for preventing non-communicable diseases in children and adolescents, yet a significant percentage of this population fails to meet recommended activity levels. Digital tools have emerged as potential facilitators for increasing physical activity, but their effectiveness remains uncertain. Understanding the impact of these interventions is essential for developing strategies to enhance physical activity among youth.

Data Highlights

No significant overall effect of digital interventions on daily step count was found (WMD: 267.81; 95% CI: −198.58–734.20). A significant increase in MVPA minutes per day was observed (WMD: 2.72; 95% CI: 0.83–4.61).

Key Findings

  • 27.8% of studies had a high risk of bias, which did not significantly affect intervention effectiveness.
  • Subgroup analyses indicated greater effectiveness when interventions included wearable devices or a combination of tools.
  • Integration of non-digital components into the intervention design enhanced effectiveness.
  • Interventions delivered via a mix of devices showed improved outcomes.
  • The generalizability of digital interventions remains limited based on current findings.

Clinical Implications

Healthcare professionals should consider the type of digital tools and the integration of non-digital elements when designing interventions aimed at increasing physical activity in youth. Tailoring interventions to specific contexts may enhance their effectiveness.

Conclusion

Digital interventions show promise in increasing MVPA among school-aged children, though they do not significantly impact daily step counts. Future interventions should be carefully designed to maximize their effectiveness.

Related Resources & Content

  1. Journal of Medical Internet Research (JMIR), 2025 -- Effects of Multicomponent Digital Health Interventions on Multidimensional Physical Activity in Older Adults
  2. npj Digital Medicine, 2025 -- Systematic review of dynamically tailored eHealth interventions targeting physical activity and healthy diet in chronic disease
  3. npj Digital Medicine, 2025 -- Active components in digital health interventions for sleep among adolescents
  4. European Journal of Preventive Cardiology, 2025 -- Impact of Behavior-Change Strategies on Daily Physical Activity Levels in Individuals with Intermittent Claudication
  5. CDC -- Child Activity: An Overview | Physical Activity Basics
  6. Journal of Medical Internet Research, 2025 -- Lifestyle eHealth and mHealth Interventions for Children and Adolescents
  7. Effectiveness of step-count monitoring interventions in increasing physical activity among children and adolescents, 2025
  8. A systematic review of technology-infused physical activity interventions in K-12 school settings, 2025
  9. JMIR mHealth and uHealth, 2025 -- A Multiple Technology–Based Physical Activity Intervention for Latina Adolescents
  10. Role of Technology in Promoting Heart Healthy Behavior Change, 2025
  11. Child Activity: An Overview | Physical Activity Basics | CDC
  12. Journal of Medical Internet Research - Lifestyle eHealth and mHealth Interventions for Children and Adolescents: Systematic Umbrella Review and Meta–Meta-Analysis
  13. Effectiveness of step-count monitoring interventions in increasing physical activity among children and adolescents: A systematic review and meta-analysis - Wentao Wang, Cong Huang, Yi Shen, Jing Cheng, Ling Wang, 2025
  14. A systematic review of technology-infused physical activity interventions in K-12 school settings: effectiveness, roles, and implementation strategies | International Journal of Behavioral Nutrition and Physical Activity | Springer Nature Link
  15. JMIR mHealth and uHealth - A Multiple Technology–Based Physical Activity Intervention for Latina Adolescents: Results From the Chicas Fuertes Randomized Controlled Trial
  16. Role of Technology in Promoting Heart Healthy Behavior Change to Increase Equity in Optimal Cardiovascular Health: A Scientific Statement From the American Heart Association - PubMed

Original Source(s)

Related Content