{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:33:06Z","timestamp":1792114386977,"version":"4.4.0"},"reference-count":77,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,6,21]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To systematically review randomised controlled trials (RCTs) using a wearable physical activity monitoring device as an intervention to increase daily walking activity and improve physical capacities in patients with cardiovascular disease (CVD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis of RCTs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>PubMed, Embase and Web of Science from inception to June 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>\n                      Randomised controlled studies including patients with CVD over 18 years of age at the end of a cardiac rehabilitation programme comparing an intervention group using a wearable physical activity monitoring device with feedback with usual care or with a control group receiving no feedback on their physical activity and reporting a change in the daily number of steps and\/or a change in the distance covered in the 6-minute walk test (6-MWT) or a change in peak oxygen uptake (V\u0307O2\n                      <jats:sub>peak<\/jats:sub>\n                      ) as endpoints.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixteen RCTs were included. The intervention of wearing a physical activity monitoring device with feedback significantly improved daily number of steps compared with controls (standardised mean difference (SMD) 0.85; 95% CI (0.42; 1.27); p&lt;0.01). The effect was greater when the duration of the intervention was less than 3 months (SMD 1.0; 95% CI (0.18; 1.82); p&lt;0.01) than when the duration of the intervention was 3 months or longer (SMD 0.71; 95% CI (0.27; 1.16); p&lt;0.01), but no significant interaction was found between subgroups (p=0.55). 6-MWT distance and V\u0307O2\n                      <jats:sub>peak<\/jats:sub>\n                      showed only small effects (SMD 0.34; 95% CI (\u22120.11; 0.80); p=0.02 and SMD 0.54; 95% CI (0.03; 1.03); p=0.07, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of wearable physical activity monitoring devices appears to help patients with CVD to increase their daily walking activity and thus their physical activity, particularly in the short term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42022300423.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-069966","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T21:55:24Z","timestamp":1689112524000},"page":"e069966","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":35,"title":["Impact of wearable device-based interventions with feedback for increasing daily walking activity and physical capacities in cardiovascular patients: a systematic review and meta-analysis of randomised controlled trials"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2895-4530","authenticated-orcid":false,"given":"Anne-No\u00eblle","family":"Heizmann","sequence":"first","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9line","family":"Chapelle","sequence":"additional","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"},{"name":"Clinical Research Unit, Innovation, Pharmacology, Saint-Etienne University Hospital, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvy","family":"Laporte","sequence":"additional","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"},{"name":"Clinical Research Unit, Innovation, Pharmacology, Saint-Etienne University Hospital, Saint-Etienne, France"},{"name":"Campus Health and Innovation, Jean Monnet University, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Roche","sequence":"additional","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"},{"name":"Campus Health and Innovation, Jean Monnet University, Saint-Etienne, France"},{"name":"Department of Physiology, Saint-Etienne University Hospital, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hupin","sequence":"additional","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"},{"name":"Campus Health and Innovation, Jean Monnet University, Saint-Etienne, France"},{"name":"Department of Physiology, Saint-Etienne University Hospital, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Le Hello","sequence":"additional","affiliation":[{"name":"INSERM U1059-SAINBIOSE, Jean Monnet University, Mines Saint-Etienne, Saint-Etienne, France"},{"name":"Campus Health and Innovation, Jean Monnet University, Saint-Etienne, France"},{"name":"Department of Vascular and Therapeutic Medicine, Saint-Etienne University Hospital, Saint-Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"2025121400470908000_13.7.e069966.1","unstructured":"World Health Organization . 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