Evidence map›Paper›PMID 41103467›Full record

SynthesisFrontiers in public health2025

Digital technology empowers exercise health management in older adults: a systematic review and meta-analysis of the effects of mHealth-based interventions on physical activity and body composition in older adults.

Guanbo Wang, Ranran Xiang, Xuemei Yang, Liang Tan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 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

11 citing papers in PubMed, 5 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

4 authors.

Guanbo WangPhysical Education Institute, Sichuan University of Science and Engineering, Zigong, China.
Ranran XiangSchool of Physical Education, Hunan University of Science and Technology, Xiangtan, China.
Xuemei YangPhysical Education Institute, Sichuan University of Science and Engineering, Zigong, China.
Liang TanGdansk University of Physical Education and Sport, Gdansk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prolonged Sedentary behavior (SB) and lack of Physical Activity (PA) in the older population significantly increase the risk of chronic disease development. The use of mobile health (mHealth) apps may have a positive impact on older adults, helping to increase their physical activity levels and optimize body composition. However, the effectiveness of mHealth-based interventions and potential moderators in this population is not fully understood. Objective: To assess the effectiveness of a mHealth-based intervention in promoting PA/moderate to vigorous physical activity (MVPA), reducing SB, and lowering body mass index (BMI) in older adults. The moderating effects of the mHealth intervention effects were also explored through subgroup analysis. Method: This study searched Embase, PubMed, Web of Science, and Cochrane databases (as of June 2025) to include randomized controlled trials (RCT) evaluating the effects of mHealth on PA, MVPA, SB, and BMI in older adults. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated using random effects models. Results: A total of 14 RCTs were included (sample size = 2,511). mHealth intervention significantly elevated PA (SMD = 0.18, 95%CI: 0.01 to 0.35) and MVPA (SMD = 0.48, 95%CI: 0.20 to 0.75) and reduced SB (SMD = -0.55, 95% CI: -0.79 to -0.32), but no significant improvement in BMI (SMD = -0.27, 95% CI: -0.79 to 0.25). Subgroup analyses showed that: Commercial applications were better than research-based applications (PA: SMD = 0.18 vs. 0.07; MVPA: SMD = 0.70 vs. 0.31); more than 3 behavior change techniques (BCTs) interventions were effective for MVPA enhancement (SMD = 0.49) and SB reduction (SMD = -0.77); and the use of a theory paradigm intervention was more effective on SB reduction (SMD = -0.77 vs. 0.38). Conclusion: mHealth apps were effective in increasing PA/MVPA levels and reducing SB levels in older adults, but did not reach statistical significance in terms of BMI improvement. Through subgroup analyses, this study further found that commercial apps demonstrated greater strengths in promoting PA/MVPA; meanwhile, integrating more than 3 BCTs synergistically promoted MVPA levels and reduced SB.

Indexed as

Body CompositionDigital TechnologyExerciseHealth PromotionTelemedicineAgedBody Mass IndexFemaleHumansMaleSedentary Behaviordigital technologyfitnessmobile health applicationsolder adultsphysical activity

Identifiers

PMID41103467
PMCPMC12521191

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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 OpenQuestion graph.