{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T05:52:56Z","timestamp":1775195576643,"version":"3.50.1"},"reference-count":62,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2017,3,18]],"date-time":"2017-03-18T00:00:00Z","timestamp":1489795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Commision","award":["689238"],"award-info":[{"award-number":["689238"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>The European population is ageing, and there is a need for health solutions that keep older adults independent longer. With increasing access to mobile technology, such as smartphones and smartwatches, the development and use of mobile health applications is rapidly growing. To meet the societal challenge of changing demography, mobile health solutions are warranted that support older adults to stay healthy and active and that can prevent or delay functional decline. This paper reviews the literature on mobile technology, in particular wearable technology, such as smartphones, smartwatches, and wristbands, presenting new ideas on how this technology can be used to encourage an active lifestyle, and discusses the way forward in order further to advance development and practice in the field of mobile technology for active, healthy ageing.<\/jats:p>","DOI":"10.3390\/s17030622","type":"journal-article","created":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T11:39:09Z","timestamp":1490009949000},"page":"622","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":183,"title":["Mobile Health Applications to Promote Active and Healthy Ageing"],"prefix":"10.3390","volume":"17","author":[{"given":"Jorunn","family":"Helbostad","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway"}]},{"given":"Beatrix","family":"Vereijken","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway"}]},{"given":"Clemens","family":"Becker","sequence":"additional","affiliation":[{"name":"Robert Bosch Foundation for Medical Research, 70184 Stuttgart, Germany"}]},{"given":"Chris","family":"Todd","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Manchester, and South Manchester University Hospital NHS Trust, and Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK"}]},{"given":"Kristin","family":"Taraldsen","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, 7491 Trondheim, Norway"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8416-2602","authenticated-orcid":false,"given":"Mirjam","family":"Pijnappels","sequence":"additional","affiliation":[{"name":"Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, 1081BT Amsterdam, The Netherlands"}]},{"given":"Kamiar","family":"Aminian","sequence":"additional","affiliation":[{"name":"Laboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, 1015 Lausanne, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7688-0188","authenticated-orcid":false,"given":"Sabato","family":"Mellone","sequence":"additional","affiliation":[{"name":"Department of Electrical, Electronic and Information Engineering, University of Bologna, 40126 Bologna, Italy"}]}],"member":"1968","published-online":{"date-parts":[[2017,3,18]]},"reference":[{"key":"ref_1","unstructured":"Eurostat People in the EU\u2014Statistics on an Ageing Society. Available online: http:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php\/People_in_the_EU_%E2%80%93_statistics_on_an_ageing_society."},{"key":"ref_2","unstructured":"OECD Health at a Glance 2013: OECD Indicators. Available online: http:\/\/www.oecd.org\/els\/health-systems\/Health-at-a-Glance-2013.pdf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1016\/S0140-6736(12)61689-4","article-title":"Disability-Adjusted Life Years (DALYs) for 291 Diseases and Injuries in 21 Regions, 1990\u20132010: A Systematic Analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Murray","year":"2012","journal-title":"Lancet"},{"key":"ref_4","unstructured":"World Health Organization (2015). World Report on Ageing and Health, WHO."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S0140-6736(12)60898-8","article-title":"The Pandemic of Physical Inactivity: Global Action for Public Health","volume":"380","author":"Kohl","year":"2012","journal-title":"Lancet"},{"key":"ref_6","unstructured":"World Health Organization (2010). Global Recommendations on Physical Activity for Health, WHO."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Murtagh, E.M., Murphy, M.H., Murphy, N.M., Woods, C., Nevill, A.M., and Lane, A. (2015). Prevalence and Correlates of Physical Inactivity in Community-Dwelling Older Adults in Ireland. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0118293"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Olesen, K.R., Rod, N.H., Madsen, I.E.H., Bonde, J.P., and Rugulies, R. (2015). Does Retirement Reduce the Risk of Mental Disorders? A National Registry-Linkage Study of Treatment for Mental Disorders Before and After Retirement of 245,082 Danish Residents. Occup. Environ. Med.","DOI":"10.1136\/oemed-2014-102228"},{"key":"ref_9","unstructured":"World Health Organization (2011). Global Observatory for eHealth Series\u2014Volume 3, WHO."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.amepre.2013.03.017","article-title":"Mobile Health Technology Evaluation: The mHealth Evidence Workshop","volume":"45","author":"Kumar","year":"2013","journal-title":"Am. J. Prev. Med."},{"key":"ref_11","unstructured":"Smith, A. (2014). Older Adults and Technology Use, Pew Research Center."},{"key":"ref_12","unstructured":"Green, M., and Rossall, P. (2013). Digital Inclusion Evidence Report, Age UK."},{"key":"ref_13","unstructured":"Statistica Number of Smartphone Users Worldwide from 2014 to 2019 (in Millions). Available online: https:\/\/www.statista.com\/statistics\/330695\/number-of-smartphone-users-worldwide\/."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1475-925X-10-24","article-title":"How Smartphones are Changing the Face of Mobile and Participatory Healthcare: An Overview, with Example from eCAALYX","volume":"10","author":"Boulos","year":"2011","journal-title":"Biomed. Eng. Online"},{"key":"ref_15","unstructured":"Mac. A Bold New Way to Look at Your Health. Available online: http:\/\/www.apple.com\/ios\/health\/."},{"key":"ref_16","unstructured":"Google. The Google Fit SDK. Available online: https:\/\/developers.google.com\/fit\/."},{"key":"ref_17","unstructured":"Phillips Phillips HealthSuite Digital Platform. Open a World of Cloud-Based Connected Healthcare. Available online: http:\/\/www.usa.philips.com\/healthcare\/innovation\/about-health-suite."},{"key":"ref_18","unstructured":"Samsung S Health Personal Fitness Coach. Available online: http:\/\/www.samsung.com\/global\/galaxy\/apps\/s-health\/."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1136\/eb-2012-100885","article-title":"Medical Apps for Smartphones: Lack of Evidence Undermines Quality and Safety","volume":"18","author":"Bruijink","year":"2015","journal-title":"Evid. Based Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1007\/s40279-014-0142-5","article-title":"Measuring and Influencing Physical Activity with Smartphone Technology: A Systematic Review","volume":"44","author":"Gilson","year":"2014","journal-title":"Sports Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.2196\/jmir.1376","article-title":"Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-Analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy","volume":"12","author":"Webb","year":"2010","journal-title":"J. Med. Internet Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V., and Haines, A. (2013). The Effectiveness of Mobile- Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review. PLoS Med., 10.","DOI":"10.1371\/journal.pmed.1001362"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1934","DOI":"10.2337\/dc11-0366","article-title":"Cluster-Randomized Trial of a Mobile Phone Personalized Behavioral Intervention for Blood Glucose Control","volume":"34","author":"Quinn","year":"2011","journal-title":"Diabetes Care"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.2196\/jmir.1298","article-title":"Measures of Physical Activity Using Cell Phones: Validation Using Criterion Methods","volume":"12","author":"Bexelius","year":"2010","journal-title":"J. Med. Internet Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1109\/TITB.2008.926429","article-title":"Impact of Patient-General Practitioner Short-Messages-Based Interaction on The Control of Hypertension in a Follow-up Service for Low-to-Medium Risk Hypertensive Patients: A Randomized Controlled Trial","volume":"12","author":"Carrasco","year":"2008","journal-title":"IEEE Trans. Inf. Technol. Biomed."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1016\/S0140-6736(10)61997-6","article-title":"Effects of a Mobile Phone Short Message Service on Antiretroviral Treatment Adherence in Kenya (Weltel Kenya1): A Randomised Trial","volume":"376","author":"Lester","year":"2010","journal-title":"Lancet"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1089\/cpb.2008.0156","article-title":"The green Valley: The Use of Mobile Narratives for Reducing Stress in Commuters","volume":"12","author":"Grassi","year":"2009","journal-title":"Cyberpsychol. Behav."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0140-6736(11)60701-0","article-title":"Smoking Cessation Support Delivered via Mobile Phone Text Messaging (txt2stop): A Single-Blind, Randomised Trial","volume":"378","author":"Free","year":"2011","journal-title":"Lancet"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1038\/oby.2010.208","article-title":"The Effect of Electronic Self-Monitoring on Weight Loss and Dietary Intake: A Randomized Behavioral Weight Loss Trial","volume":"19","author":"Burke","year":"2011","journal-title":"Obesity"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.amepre.2007.09.025","article-title":"Promoting Physical Activity Through Hand-Held Computer Technology","volume":"34","author":"King","year":"2008","journal-title":"Am. J. Prev. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12966-016-0454-y","article-title":"Efficacy of Interventions That Use Apps to Improve Diet, Physical Activity and Sedentary Behaviour: A Systematic Review","volume":"13","author":"Schoeppe","year":"2016","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_32","first-page":"021","article-title":"A Review of Smartphone Applications for Promoting Physical Activity","volume":"2","author":"Coughlin","year":"2016","journal-title":"Jacobs J. Community Med."},{"key":"ref_33","first-page":"e5","article-title":"Tablet-Based Strength-Balance Training to Motivate and Improve Adherence to Exercise in Independently Living Older People: Part 2 of A Phase II Preclinical Exploratory Trial","volume":"18","author":"Silveira","year":"2016","journal-title":"J. Med. Internet Res."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"King, A.C., Hekler, E.B., Grieco, L.A., Winter, S.J., Sheats, J.L., Buman, M.P., Banerjee, B., Robinsom, T.N., and Cirimele, J. (2016). Effects of Three Motivationally Targeted Mobile Device Applications on Initial Physical Activity and Sedentary Behavior Change in Midlife and Older Adults: A Randomized Trial. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0156370"},{"key":"ref_35","unstructured":"Stephanidis, C. (2007). Universal Access in HCI, Part I, Springer."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.ijmedinf.2014.03.002","article-title":"Older Adults\u2019 Perceptions of Technologies Aimed at Falls Prevention, Detection or Monitoring: A Systematic Review","volume":"83","author":"Boulton","year":"2014","journal-title":"Int. J. Med. Inform."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ijmedinf.2014.01.004","article-title":"Factors Influencing Acceptance of Technology for Aging in Place: A Systematic Review","volume":"83","author":"Peek","year":"2014","journal-title":"Int. J. Med. Inform."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.eurger.2015.10.004","article-title":"Design for Personallized Mobile Health Applications for Enhanced Older People Participation","volume":"6","author":"Devos","year":"2015","journal-title":"Eur. Geriatr. Med."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Kruse, C.S., Mileski, M., and Moreno, J. (2016). Mobile Health Solutions for the Aging Population: A Systematic Narrative Analysis. J. Telemed. Telecare.","DOI":"10.1177\/1357633X16649790"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/15710880701875068","article-title":"Co-creation and the New Landscapes of Design","volume":"4","author":"Sanders","year":"2008","journal-title":"CoDesign"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.cmpb.2011.11.001","article-title":"Health-Enabling Technologies for the Elderly\u2014An Overview of Services Based on a Literature Review","volume":"106","author":"Ludwig","year":"2012","journal-title":"Comput. Methods Programs Biomed."},{"key":"ref_42","unstructured":"Nielsen, J. Usability 101: Introduction to Usability. Available online: https:\/\/www.nngroup.com\/articles\/usability-101-introduction-to-usability\/."},{"key":"ref_43","unstructured":"Travis, D. (2012). ISO 9241 for Beginners, Userfocus Ltd.. [8th ed.]."},{"key":"ref_44","unstructured":"Dumas, J.S., and Redish, J.C. (1999). A Practical Guide to Usability Testing, Intellect Books. Revised Eiditon."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/1090198112449460","article-title":"Design, Development and Formative Evaluation of a Smartphone Application for Recording and Monitoring Physical Activity Levels: The 10,000 Steps \u201ciStepLog\u201d","volume":"40","author":"Kirwan","year":"2013","journal-title":"Health Educ. Behav."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.gaitpost.2012.02.006","article-title":"Validity of a Smartphone-Based Instrumented Timed Up and Go","volume":"36","author":"Mellone","year":"2012","journal-title":"Gait Posture"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.ypmed.2008.09.001","article-title":"How Likely are Older People to Take Up Different Falls Prevention Activities?","volume":"47","author":"Yardley","year":"2008","journal-title":"Prev. Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"S112","DOI":"10.1016\/j.amepre.2007.01.022","article-title":"The Multiphase Optimization Strategy (MOST) and the Sequential Multiple Assignment Randomized Trial (SMART): New Methods for More Potent eHealth Interventions","volume":"32","author":"Collins","year":"2007","journal-title":"Am. J. Prev. Med."},{"key":"ref_49","first-page":"1","article-title":"Modeling health behaviour change: How to Predict and Modify The Adoption and Maintanance of Health Behaviours","volume":"57","author":"Schwarzer","year":"2008","journal-title":"Appl. Psychol."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"King, A.C., Hekler, E.B., Grieco, L.A., Winter, S.J., Sheats, J.L., Buman, M.P., Banerjee, B., Robinson, T.N., and Cirimele, J. (2013). Harnessing Different Motivational Frames via Mobile Phones to Promote Daily Physical Activity and Reduce Sedentary Behavior in Aging Adults. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0062613"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1089\/tmj.2011.0055","article-title":"Desired Features of Smartphone Applications Promoting Physical Activity","volume":"17","author":"Rabin","year":"2011","journal-title":"Telemed. J. E-Health"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"664","DOI":"10.3399\/bjgp12X659466","article-title":"Making Health Habitual: The Psychology of \u201cHabit-Formation\u201d and General Practice","volume":"62","author":"Gardner","year":"2012","journal-title":"Br. J. Gen Pract."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2466","DOI":"10.1073\/pnas.012579499","article-title":"Fractal Dynamics in Physiology: Alterations With Disease and Aging","volume":"99","author":"Goldberger","year":"2002","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"pe16","DOI":"10.1126\/sageke.2004.16.pe16","article-title":"Physiological Complexity, Aging, and the Path to Frailty","volume":"2004","author":"Lipsitz","year":"2004","journal-title":"Sci. Aging Knowl. Environ."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.pnpbp.2012.08.020","article-title":"Physiologic Complexity and Aging: Implications for Physical Function and Rehabilitation","volume":"1","author":"Manor","year":"2013","journal-title":"Prog. Neuropsychopharmacol. Biol. Psychiatry"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jclinepi.2013.08.015","article-title":"Systematic Review of the Hawthorne Effect: New Concepts are Needed to Study Research Participation Effects","volume":"67","author":"McCambridge","year":"2014","journal-title":"J. Clin. Epidemiol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1136\/bmj.321.7262.694","article-title":"Framework for Design and Evaluation of Complex Interventions to Improve Health","volume":"321","author":"Campbell","year":"2000","journal-title":"BMJ"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"a1655","DOI":"10.1136\/bmj.a1655","article-title":"Developing and Evaluating Complex Interventions: The New Medical Research Council Guidance","volume":"337","author":"Craig","year":"2008","journal-title":"BMJ"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1016\/j.amepre.2016.06.015","article-title":"Understanding and Promoting Effective Engagement with Digital Behavior Change Interventions","volume":"51","author":"Yardley","year":"2016","journal-title":"Am. J. Prev. Med."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Raij, A.G.A., Kumar, S., and Srivastava, M. (2011). Privacy Risks Emerging from the Adoption of Innocuous Wearable Sensors in the Mobile Environment, CHI.","DOI":"10.1145\/1978942.1978945"},{"key":"ref_61","unstructured":"European Union Directive (EU) 2016\/680 of the European Parliament and of the Council. Available online: http:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?uri=uriserv:OJ.L_.2016.119.01.0089.01.ENG."},{"key":"ref_62","unstructured":"The Xcertia mHealth App Guidelines. Available online: http:\/\/www.xcertia.org."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/17\/3\/622\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:30:45Z","timestamp":1760207445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/17\/3\/622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,18]]},"references-count":62,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3]]}},"alternative-id":["s17030622"],"URL":"https:\/\/doi.org\/10.3390\/s17030622","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,18]]}}}