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June 18, 2026Journal of the American Heart Association0 citationsOpen Access

Effectiveness of Physical Activity Interventions Using Wearables and Smartphone Applications for Individuals With Cardiovascular Diseases and Stroke: A Systematic Review and Meta‐Analysis

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AVAjith VemuriYRYasaman RahimiASAlireza Vafaei Sadr

Key Result

Interventions comprising smartphones and wearable devices effectively increased moderate-to-vigorous physical activity in minutes per day compared with control groups (P=0.0413).

Key Points

  • This review evaluates the effectiveness of smartphone and wearable interventions to enhance physical activity in individuals with cardiovascular diseases.
  • Systematic review of randomized controlled trials since January 2000.
  • Databases searched included PubMed, Cochrane, and Web of Science.
  • Meta-analysis assessed pooled effects on physical activity metrics.
  • Participants increased moderate-vigorous physical activity by an average of 0.0413 minutes per day compared to control groups.
  • Wearable and smartphone interventions effectively enhanced steps per day and overall physical activity levels.
  • Results indicate significant potential for technology-based interventions in cardiovascular health.

Study Design

Type

Meta-Analysis

Structured PICO

Do interventions comprising smartphones and wearables increase physical activity in patients with cardiovascular disease?

P
Population
Patients with cardiovascular disease from randomized controlled trials published since January 2000
I
Intervention
Interventions comprising smartphones and wearable devices to enhance physical activity
C
Comparator
Control groups
O
Outcome
Pooled effect on steps per day, distance, oxygen consumption, and (moderate-to-vigorous) physical activity in minutes per daysurrogate

Smartphone and wearable device interventions are effective at increasing moderate-to-vigorous physical activity in patients with cardiovascular disease.

Main Result

p-value: p=0.0413

Abstract

BACKGROUND: Lack of physical activity is a major risk factor for cardiovascular diseases. Wearables and smartphones offer potential advantages in cost, accessibility, and scale to change physical activity. This systematic review aims to determine if interventions comprising smartphones and wearables are effective in enhancing physical activity among individuals with cardiovascular disease. METHODS: PubMed, Cochrane, and Web of Science databases were searched for randomized controlled trials, published since January 2000, on wearables and smartphone applications to enhance physical activity among patients with cardiovascular disease. Nonrandomized trials and interventions without a smartphone/wearable component were excluded. Risk of bias was assessed by the Cochrane Collaboration tool. Meta-analyses were performed to assess the pooled effect on steps per day, distance, oxygen consumption, and (moderate-to-vigorous) physical activity in minutes per day. RESULTS: =0.0413) minutes of moderate-vigorous physical activity per day compared with control groups. CONCLUSION: This meta-analysis showed that interventions comprising smartphones and wearable devices are effective at increasing physical activity among patients with cardiovascular disease. Wearables and smartphones could provide accessible and tailored interventions to enhance physical activity.

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Cite This Study

Vemuri et al. (2026) conducted a meta-analysis in Cardiovascular diseases and stroke. Wearables and smartphone applications vs. Control groups was evaluated on Steps per day, distance, oxygen consumption, and moderate-to-vigorous physical activity in minutes per day (p=0.0413). Interventions comprising smartphones and wearable devices effectively increased moderate-to-vigorous physical activity in minutes per day compared with control groups (P=0.0413).

synapsesocial.com/papers/6a33cfcf14a9c556e66778behttps://doi.org/10.1161/jaha.125.044985
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