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The Effectiveness of Wearable Electronic Device System-Supported Physical Activity Programs for Cancer Survivors:
Zezhang Wang1,2, Yunhuan Li3, Qian Wang1,2
1Center of Rehabilitation Medicine, West China Hospital of Sichuan University, No 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, China, 86 28 85422847.
Wearable electronic device systems (WEDSs) effectively boost physical activity (PA) and enhance quality of life (QoL) in cancer survivors. These programs improve moderate-to-vigorous PA, daily steps, and overall QoL, supporting chronic disease management.
Area of Science:
- Oncology
- Digital Health
- Rehabilitation Medicine
Background:
- Cancer survivorship is increasingly viewed as a chronic condition requiring enhanced self-management and quality of life (QoL).
- While physical activity (PA) offers significant benefits for cancer survivors, many remain inactive.
- Wearable electronic device systems (WEDSs) present a promising, yet under-explored, avenue for promoting PA and improving QoL in this population.
Purpose of the Study:
- To conduct a meta-analysis evaluating the impact of WEDS-supported PA programs on PA levels, sedentary behavior, BMI, and QoL in cancer survivors.
- To assess the differential effects of various intervention types within WEDS-supported PA programs.
Main Methods:
- A comprehensive literature search was performed across major databases (PubMed, Embase, Web of Science, CENTRAL, MEDLINE) up to July 31, 2024.
- Data from 46 randomized controlled trials (3727 participants) were synthesized using standard mean differences (SMDs) and heterogeneity assessed via I² statistics.
- Subgroup and sensitivity analyses were conducted to explore intervention variations and robustness.
Main Results:
- WEDS-supported PA programs significantly improved objectively measured moderate-to-vigorous-intensity PA (MVPA; SMD 0.66) and subjectively reported PA (SMD 0.5).
- Improvements were also observed in daily steps (SMD 0.5) and QoL (SMD 0.19).
- Interventions using multiple partnering tools, longer durations (≥12 weeks), and tailored approaches showed enhanced benefits for specific outcomes.
Conclusions:
- WEDS-supported PA interventions are effective in enhancing physical activity and QoL for cancer survivors, with notable improvements in MVPA, steps, and QoL.
- No significant effects were found on sedentary behavior or BMI.
- Future interventions should consider multipartnering tools, optimal duration, and cancer-type tailoring for maximized efficacy.
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