Wearable activity trackers could aid in faster recovery of hospital patients

Fitbits, Garmins or Apple Watches, whatever your preference, wearable activity trackers could help patients recover faster during a hospitalization, potentially easing some pressures on Australia's overburdened hospital system, according to new research from the University of South Australia.

Published in the prestigious JAMA Network Open today, the systematic review and meta-analysis found that when hospital patients wore activity trackers, they were more active, less sedentary, and had improved physical function (compared to patients undergoing usual care in hospital) and that this supported faster recovery.

Examining 15 studies with a combined total of 1911 patients (undergoing stroke rehabilitation, orthopedic rehabilitation, mixed rehabilitation, and various medical and surgical cohorts) the study found that patients achieved:

• 826 daily steps more than usual care
• 10 minutes more per day of active time compared to usual care
• 36 minutes less per day of sedentary behavior compared to usual care.

UniSA PhD candidate and accredited exercise physiologist Kimberley Szeto says wearable activity trackers can accelerate patient recovery during a hospital stay due to their ability to improve patient activity and reduce sedentary behavior.

Hospital stays are often marked by extreme patient inactivity, which paradoxically, can exacerbate other health issues, and lead to longer hospital stays.

A lack of movement during a hospital stay can trigger a cascade of negative outcomes, from functional decline and frailty to disability, and even higher mortality risks.

Wearable activity trackers such as Fitbits are a great intervention for improving physical activity and sedentary behavior during a hospital stay. This can also lead to improvements in clinical outcomes for patients, like physical function (which refers to the patient's ability to perform daily activities, like balancing and walking to where they need to go).

While 826 steps may not sound like a lot, the improvements that our study found are substantial, with other studies showing that increasing daily step counts by even 250-500 steps is associated with a reduced risk for prolonged hospitalization, discharge to non-home locations, and readmission."

Kimberley Szeto, UniSA PhD Candidate and Accredited Exercise Physiologist

Senior researcher, Professor Carol Maher says that wearable activity trackers are a promising intervention for improving patient activity and recovery during a hospitalization.

"The strain of hospital visits on the health system is significant. Wearable activity trackers are a cheap and effective tool that notably enhances the journey towards recovery."