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
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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
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.
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