{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:45:40Z","timestamp":1791945940835,"version":"4.3.4"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Physical activity is a pillar of lifestyle medicine, yet most US adults do not meet aerobic guidelines, and inactivity is especially common among people with anxiety. Wearables enable self-monitoring, but population-level evidence linking them to guideline adherence among distressed adults is limited. We analyzed 6686 adults from the nationally representative Health Information National Trends Survey 7 (2024). The outcome was meeting the aerobic guideline (\u2265150 weekly minutes of at least moderate-intensity activity); the exposure was wearable device use for health tracking. Elevated anxiety was defined as a 2-item Generalized Anxiety Disorder scale score \u22653. Weighted logistic regression yielded odds ratios (ORs) adjusted for sociodemographic and health covariates. Wearable users were more likely than non-users to meet the guideline (48.1% vs 36.4%; adjusted OR, 1.59; 95% CI, 1.33-1.91;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). The association was consistent across anxiety strata (interaction\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .33); among distressed adults, 48.2% of users vs 28.1% of non-users met the guideline. In secondary analyses, wearable use was not associated with meeting \u2265300\u00a0min\/wk (adjusted OR, 1.09; 95% CI, 0.84-1.40). Wearable use was independently associated with meeting activity guidelines, including among adults with elevated anxiety, supporting its potential as a scalable lifestyle-medicine adjunct. Cross-sectional data preclude causal inference.\n                  <\/jats:p>","DOI":"10.1177\/15598276261496228","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:04:51Z","timestamp":1791637491000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Wearable Health-Tracking Devices and Adherence to Physical Activity Guidelines Among US Adults, Including Those with Elevated Anxiety Symptoms: A Nationally Representative Cross-Sectional Analysis of HINTS 7 (2024)"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2636-9342","authenticated-orcid":false,"given":"David","family":"Goldman","sequence":"first","affiliation":[{"name":"University of Helsinki"},{"name":"Metabite, Inc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Kortowich","sequence":"additional","affiliation":[{"name":"Department of Health and Innovation, Plant Strong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Nagra","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1559827618785554"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890117117705949"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14854"},{"key":"e_1_3_8_5_2","volume-title":"Physical Activity Guidelines for Americans","author":"US Department of Health and Human Services","year":"2018","unstructured":"US Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd ed. 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An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009;50(6):613-621.","journal-title":"Psychosomatics"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.06.019"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-5-200703060-00004"},{"key":"e_1_3_8_29_2","volume-title":"Overview of the HINTS 7 Survey (2024) and Data Analysis Recommendations","author":"National Cancer Institute","year":"2025","unstructured":"National Cancer Institute. Overview of the HINTS 7 Survey (2024) and Data Analysis Recommendations. National Cancer Institute; 2025. https:\/\/hints.cancer.gov\/data\/download-data.aspx. (Accessed 23 September 2026)."},{"key":"e_1_3_8_30_2","volume-title":"Health Information National Trends Survey 7 (HINTS 7) Methodology Report","author":"Westat","year":"2025","unstructured":"Westat. Health Information National Trends Survey 7 (HINTS 7) Methodology Report. 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