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Activity trackers and apps may boost short-term step counts in older adults, but benefits fadeActivity trackers and apps may boost older adults' steps short-term, but benefits fade

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Key Takeaway
Consider activity trackers for short-term step boosts in older adults, but recognize effects may not last.

This systematic review and meta-analysis evaluated the effectiveness of interventions using activity trackers and smartphone applications for increasing physical activity in 3005 community-dwelling adults aged 60 years or older. The interventions were compared against two control groups: minimal intervention and other active interventions. The primary outcome was physical activity measured in steps per day, assessed at short-term (closest to intervention end), intermediate (6 months), and long-term (12 and 24 months) follow-up points.

In the short term, the meta-analysis showed an increase in physical activity compared to minimal intervention, with a mean difference of 1113 steps per day (95% CI: 669, 1557). Compared to other active interventions, the short-term increase was 912 steps per day (95% CI: 412, 1413). The certainty of this evidence was graded as low for the comparison with minimal intervention and very low for the comparison with other active interventions. No data on adverse events, serious adverse events, discontinuations, or tolerability were reported.

Based on single trials, the analysis found no sustained benefits at intermediate (6 months) or long-term (12 and 24 months) follow-up. Key limitations of the evidence were not reported in the provided input. For clinical practice, these findings suggest that digital activity interventions may provide a short-term boost in step counts for older adults, but the effects appear transient, and the supporting evidence is of low certainty.

Researchers analyzed multiple studies to see if using activity trackers and smartphone apps helps older adults become more physically active. They looked at data from over 3,000 people aged 60 and older who lived in their own communities. The studies compared using these digital tools to either doing very little or trying other types of activity programs.

In the short term, right after using the trackers or apps, people walked more. Compared to doing very little, they took about 1,100 extra steps per day. Compared to other activity programs, they took about 900 extra steps per day. However, the researchers note the certainty of this evidence is low to very low, meaning we should not be overly confident in these numbers.

The main reason for caution is that the benefit did not last. The few studies that followed people for 6 months, 1 year, or 2 years found that the increase in steps was not sustained. The review did not report on any safety concerns from using the devices. Readers should understand that while these tools might give a temporary boost, they may not lead to lasting changes in physical activity for older adults on their own.

What this means for you:
Trackers and apps might help older adults walk more at first, but the increase likely doesn't last long.

Study Details

Study typeMeta analysis
Sample sizen = 3,005
EvidenceLevel 1
Follow-up720.0 mo
PublishedApr 2026
View Original Abstract ↓
: To evaluate the effectiveness of interventions using activity trackers and smartphone applications (apps) for increasing physical activity (steps per day) in people aged ≥60 years. Intervention systematic review with meta-analysis. We searched 6 electronic databases (including EMBASE and MEDLINE) from inception to January 2025. We included randomized controlled trials that used activity trackers or smartphone apps to promote physical activity in people aged ≥60 years. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. Meta-analyses were conducted using random-effects models, and certainty of the evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework. We included 29 trials with 3005 participants. In the short term (data point closest to the end of the intervention), activity trackers and apps may increase physical activity by about 1113 steps per day compared to minimal intervention (95% CI: 669, 1557; 20 trials; low-certainty evidence). When compared to other active interventions, activity trackers and apps may increase physical activity by 912 steps per day (95% CI: 412, 1413; 8 trials; very low-certainty evidence). Single trials reported intermediate (6 months) and long-term (12 and 24 months) effects, and suggested no sustained benefits. Activity tracker and app-based interventions may cause short-term increases in physical activity among older adults, but effects were not sustained. .
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