Twelve-month pilot study on wearables to enhance health and quality of life in older adults
Authors:
- Jasmine PaniJPJasmine Pani
- Laura FioriniLaura Fiorini
- Erika RoviniERErika Rovini
- Francesco GiulianiFGFrancesco Giuliani
- Sergio RussoSergio Russo
- Letizia LorussoLLLetizia Lorusso
- Giuseppina IannaconeGIGiuseppina Iannacone
- Lara ToccafondiLTLara Toccafondi
- Novella CalamidaNCNovella Calamida
- Filippo CavalloFCFilippo Cavallo
Open Access
- 8 October 2025
- journal article
- research article
- Published by Springer Nature in Health and Technology
- Vol. 16 (3) , 371-380
Abstract
Purpose: Engagement in physical and social activities is crucial for successful aging. Methods: This study evaluates fall probability, quality of life and cognitive status following 12-month intervention. The intervention consisted in a monitoring scenario in which older adults were equipped with a smartwatch to track step count and home sensors to measure micro-environmental parameters. We evaluated the intervention overall and regrouped based on participants’ daily step count: low (< 4500 steps/day) and high (≥ 4500 steps/day). Results: The intervention had an increase in Tinetti Balance Assessment scores indicating a reduced fall probability. The low steps group benefited the most, suggesting that even light activities positively impacted balance and mobility. Quality of life significantly improved after 6 months, particularly in the high steps group. Cognition measured with the Mini-Mental State Examination improved in the high steps group compared to the low steps and the control group. Conclusions: Providing wearable technology can promote physical activity and positively influence overall health, even in older individuals with low activity levels. This real-world approach without external enforcement highlights the potential for simple technological interventions to promote active aging.Keywords
Funding Information
- Università degli Studi di Firenze
This publication has 41 references indexed in Scilit:
- Association of Daily Step Count and Intensity With Incident Dementia in 78 430 Adults Living in the UKJAMA Neurology, 2022
- Effects of 5 Years Aerobic Exercise on Cognition in Older Adults: The Generation 100 Study: A Randomized Controlled TrialSports Medicine, 2021
- The effect of adherence on cognition in a multidomain lifestyle intervention (FINGER)Alzheimer's & Dementia, 2021
- Physical Activity and Healthy AgingClinics in Geriatric Medicine, 2020
- Association of Daily Step Count and Step Intensity With Mortality Among US AdultsJAMA, 2020
- Association of Step Volume and Intensity With All-Cause Mortality in Older WomenJAMA Internal Medicine, 2019
- Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility DisabilityAmerican Journal of Preventive Medicine, 2019
- Modality of physical exercise and cognitive function in Hong Kong older Chinese communityInternational Journal of Geriatric Psychiatry, 2008
- Role of physical activity in the prevention of falls and their consequences in the elderlyEuropean Review of Aging and Physical Activity, 2008
- “Mini-mental state”Journal of Psychiatric Research, 1975