Key result
A scoping review of 19 records found that wrist-worn activity trackers generally improved physical activity, exercise capacity, and health-related quality of life in cardiac rehabilitation.
Why the study?
Motivating patients to remain physically active is challenging, and the existing literature on wrist-worn activity trackers monitoring physical activity in cardiac rehabilitation needed identification and summarisation.
Do wrist-worn activity trackers improve physical activity in patients undergoing cardiac rehabilitation?
Systematic Review
Do wrist-worn activity trackers improve physical activity in patients undergoing cardiac rehabilitation?
Wrist-worn activity trackers are valid tools for monitoring heart rate and step counts and may improve physical activity and exercise capacity in cardiac rehabilitation programs.
May enhance activity monitoring in cardiac rehab; leaves open questions on adherence, cost-effectiveness, and outcomes.
Background/Aims Physical activity has been recommended as a secondary prevention strategy to reduce the risk of recurrent adverse events and improve health. While it can be challenging for health practitioners to motivate patients to remain physically active, wrist-worn activity trackers can assist in monitoring adherence. The aim of this study was to identify and summarise the existing scientific literature on wrist-worn activity trackers monitoring physical activity among patients undergoing cardiac rehabilitation. The authors also aimed to identify evidence gaps that require further investigation. Methods A systematic search was conducted in the electronic databases in PubMed, Web of Science, Scopus, SPORTDiscus and the Cumulative Index to Nursing and Allied Health Literature. Method quality was appraised using the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews instrument. The study focused on any physical activity data collected by wrist-worn activity trackers in cardiac rehabilitation. Results A total of 19 relevant records were identified. Wrist-worn activity trackers generally improved the patient's physical activity and the validity of heart rate and step count measurements was acceptable. Some studies demonstrated improvements in exercise capacity and health-related quality of life. Conclusions Wrist-worn activity trackers can help to monitor patients' physical activity in cardiac rehabilitation, with potential benefits for exercise capacity and health-related quality of life. Further research is necessary to strengthen the evidence that wrist-worn activity trackers may be beneficial to evaluate clinical outcomes, determine the intervention cost, acceptability of patients and allied health professionals, as well as explore feedback, including technical issues.
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Ibrahim et al. (2023) conducted a systematic review in Cardiac rehabilitation. Wrist-worn activity trackers was evaluated on Physical activity, validity of heart rate and step count measurements, exercise capacity, and health-related quality of life. A scoping review of 19 records found that wrist-worn activity trackers generally improved physical activity, exercise capacity, and health-related quality of life in cardiac rehabilitation.
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