{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:32:04Z","timestamp":1787311924926,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chronic rhinosinusitis (CRS) has been consistently associated with reduced quality of life, including limitations in mobility and daily activities. Wearable technology has demonstrated utility in tracking physical activity after surgical interventions, with limited studies on activity levels after sinus surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective review of Apple Health data from participants diagnosed with CRS who underwent sinus surgery at two tertiary academic centers. Daily activity metrics were aggregated over 12 months preoperatively and 2\u201313 months postoperatively following a 1\u2010month washout period. Metrics analyzed included average daily steps, and other ambulatory activity elements. Pre\u2010 and post\u2010surgical values were compared using Wilcoxon signed\u2010rank tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 51 CRS patients (mean age 37.7 \u00b1 11.2 years), average daily step count significantly increased following surgery, from 7501.4 \u00b1 4119.9 to 8843.5 \u00b1 5107.3 per day (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003). Daily active energy burned rose from 335.5 \u00b1 210.7 to 383.4 \u00b1 244.8 kilocalories (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.025), and daily distance walking or running increased (3.25 \u00b1 1.88 to 3.80 \u00b1 2.29 miles,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.006). Daily exercise minutes and flights climbed also improved (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.014 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.022, respectively). SNOT\u201022 scores demonstrated significant postoperative reductions, decreasing from 43.46 \u00b1 24.18 to 21.15 \u00b1 18.83,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We observed CRS patients post\u2010sinus surgery to have significant increases in activity metrics as measured by wearable technology. This pilot study suggests that postoperative recovery may extend beyond symptom relief to measurable changes in daily physical activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alr.70254","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T10:44:57Z","timestamp":1787309097000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical Activity Changes Following Sinus Surgery: A Multi\u2010Center Apple Health Wearable Technology Pilot Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8397-4155","authenticated-orcid":false,"given":"Justina R.","family":"Varghese","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2387-3330","authenticated-orcid":false,"given":"Aakash","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Electrical and Computer Engineering University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay R.","family":"Prabhakar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Keehn","sequence":"additional","affiliation":[{"name":"Texas A&amp;M School of Engineering Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne","family":"Negvesky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaello","family":"Cutri","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Liu","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Camey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Neuberger","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renjie","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"},{"name":"Department of Information Science Technology University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron L.","family":"Moses","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9790-3529","authenticated-orcid":false,"given":"Masayoshi","family":"Takashima","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Cedars\u2010Sinai Medical Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar G.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Houston Methodist Hospital  Houston Texas 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