Department of Sport Management, SR.C, Islamic Azad University, Tehran, Iran.

Document Type : Research Paper

Authors

1 Department of sport management-SR.C; Islamic Azad university; Tehran

2 Department of Sport Management, SR.C, Islamic Azad University, Tehran, Iran.

3 Department of Sport Management- Payame Noor University-Tehran-Iran.

Abstract

Abstract



Background: Digital media have emerged as promising tools to promote physical activity among older adults, addressing the growing challenge of physical inactivity in aging populations.



Objective: This systematic review aimed to examine the role of digital media in promoting physical activity among older adults.



Methods: Following PRISMA guidelines, a systematic search was conducted in PubMed, Scopus, Web of Science, JMIR, Google Scholar, and Frontiers databases for review studies published between 2020 and 2025. Twenty-five eligible review articles were included and categorized into mobile applications, wearable technologies, exergaming and virtual reality, and general digital interventions.



Results: Digital media interventions demonstrated significant positive effects on physical activity outcomes. Mobile applications and wearable technologies increased daily step counts by 1,000–2,000 steps, improved moderate-to-vigorous physical activity by 15–30%, and reduced sedentary behavior by up to 60 minutes per day. Exergaming and virtual reality enhanced balance and fall prevention, while greater effectiveness was observed in personalized interventions using behavior change techniques, particularly among older adults with chronic diseases.



Conclusions: Digital media are effective tools for promoting active aging. However, personalized and long-term interventions, including artificial intelligence–based approaches, are needed to improve sustainability and adherence.

Keywords

Main Subjects


Agnes, T., Nayak, U. U., Kulakarni, M. M., & Maiya, G. A. (2024). Physical activity promotion through digital technology among older adults with type 2 diabetes mellitus: A scoping review. Journal of Taibah University Medical Sciences, 19(5), 1024–1034. https://doi.org/10.1016/j.jtumed.2024.10.001
Alley, S. J., Waters, K.M., Parker, F., Peiris, D.L., Fien, S, Rebar, A.L, & Vandelanotte, C. (2024). The effectiveness of digital physical activity interventions in older adults: A systematic umbrella review and meta-meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 144. https://doi.org/10.1186/s12966-024-01694-4
Aslam, A. S., van Luenen, S., Aslam, S., van Bodegom, D., & Chavannes, N. H. (2020).
 
A systematic review on the use of mHealth to increase physical activity in older people. Clinical eHealth3, 31-39.
Barahmand, R, Safania, A. M., Baqerian Farahabadi, M., Honari, H. (2021). Identifying and prioritizing the effective factors in the development of games and sports for elderly. Journal of Gerontology,  6(3), 6-18. (In Persian)
Berry, E. C. J., et al. (2025). A scoping review of the feasibility, usability, and efficacy of digital interventions in older adults concerning physical activity and/or exercise. Frontiers in Aging, 6, Article 1516481. https://doi.org/10.3389/fragi.2025.1516481
Brickwood, K. J., Watson, G., O'Brien, J., & Williams, A. D. (2019). Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis. JMIR mHealth and uHealth7(4), e11819. https://doi.org/10.2196/11819
Chen, S., Wang, C., Ko, A., Garber, C. E., Giovannucci, E., Yang, Y., Stults-Kolehmainen, M., & Yang, L. (2025). Effectiveness of mobile health interventions for reducing sitting time in older adults: A systematic review and meta-analysis. Journal of Medical Internet Research, 27, e60889. https://doi.org/10.2196/60889
Ciemer, C., Schott, N., Klotzbier, T. J., & Ghellal, S. (2025). Effectiveness, enjoyment, and meaningfulness of a virtual reality gait-based fall prevention exergame in community-dwelling healthy older adults: An interdisciplinary pilot study. Frontiers in Psychology, 16, 1610377. https://doi.org/10.3389/fpsyg.2025.1610377
Daniels, K., Quadflieg, K., & Bonnechère, B. (2025). Mobile health interventions for active aging: a systematic review and meta-analysis on the effectiveness of physical activity promotion. mHealth11, 4. https://doi.org/10.21037/mhealth-24-41
Di Pumpo, M., Miatton, A., Riccardi, M. T., Graps, E. A., Baldo, V., Buja, A., & Damiani, G. (2025). Digital health interventions to promote physical activity in community-dwelling older adults: A systematic review and semiquantitative analysis. International Journal of Public Health, 69, 1607720. https://doi.org/10.3389/ijph.2024.1607720
Dubbeldam, R., Stemplewski, R., Pavlova, I., Cyma-Wejchenig, M., Lee, S., Esser, P., ... & Pelclova, J. (2025). Technology-assisted physical activity interventions for older people in their home-based environment: scoping review. JMIR aging8, e65746. https://doi.org/10.2196/65746
Ferguson, T., Olds, T., Curtis, R., Blake, H., Crozier, A. J., Dankiw, K., … Maher, C. (2022). Effectiveness of wearable activity trackers to increase physical activity and improve health: A systematic review of systematic reviews and meta-analyses. The Lancet Digital Health, 4(8), e615–e626. https://doi.org/10.1016/S2589-7500(22)00111-7
Kwan, R. Y. C., Salihu, D., Lee, P. H., Tse, M., Cheung, D. S. K., Roopsawang, I., & Choi, K. S. (2020). The effect of e-health interventions promoting physical activity in older people: A systematic review and meta-analysis. European Review of Aging and Physical Activity, 17(1), 7. https://doi.org/10.1186/s11556-020-00235-2
Makizako, H., et al. (2025). Effects of digital-based interventions on the outcomes of the eligibility criteria for sarcopenia in healthy older adults: A systematic review and meta-analysis. Ageing Research Reviews, 102663. https://doi.org/10.1016/j.arr.2025.102663
McGarrigle, L., & Todd, C. (2020). Promotion of physical activity in older people using mHealth and eHealth technologies: rapid review of reviews. Journal of medical Internet research22(12), e22201. https://pubmed.ncbi.nlm.nih.gov/33372894/
Molina, K. I., Ricci, N. A., de Moraes, S. A., & Perracini, M. R. (2020). Virtual reality using games for improving physical functioning in older adults: A systematic review. Journal of NeuroEngineering and Rehabilitation, 11, 156. https://doi.org/10.1186/1743-0003-11-156
Moore, K., O'Shea, E., Kenny, L., Barton, J., Tedesco, S., Sica, M., … Timmons, S. (2021). Older adults’ experiences with using wearable devices: A qualitative systematic review and meta-synthesis. JMIR mHealth and uHealth, 9(6), e23832. https://doi.org/10.2196/23832
Muellmann, S., Forberger, S., Möllers, T., Bröring, E., Zeeb, H., & Pischke, C. R. (2018). Effectiveness of eHealth interventions for the promotion of physical activity in older adults: A systematic review. Preventive Medicine, 108, 93–110. https://doi.org/10.1016/j.ypmed.2017.12.026
Nadri, A., Safania, A., & Amritash, A. (2026). Determinant of the implementation of physical activities in elderly in Tehran. Journal of Gerontology,  1(2), 66-79. (In Persian) doi: ‎ 10.18869/acadpub.joge.1.2.66
Oliveira, J. S., Sherrington, C. R. Y., Zheng, E., Franco, M.R., & Tiedemann, A. (2020). Effect of physical activity trackers on physical activity in people aged 60 years and over: A systematic review and meta-analysis. British Journal of Sports Medicine, 54(20), 1188-1194. https://pubmed.ncbi.nlm.nih.gov/32029599/
Park, Y., Kim, E. J., Park, S., & Lee, M. (2025). Digital health intervention effect on older adults with chronic diseases living alone: A systematic review and meta-analysis of randomized controlled trials. Journal of Medical Internet Research, 27, e63168. https://doi.org/10.2196/63168
Qian, J., McDonough, D. J., & Gao, Z. (2020). The effectiveness of virtual reality exercise on individuals’ physiological, psychological, and rehabilitative outcomes: A systematic review. International Journal of Environmental Research and Public Health, 17(11), 4133. https://doi.org/10.3390/ijerph17114133
Russell, E., et al. (2025). Digital physical activity and sedentary behavior interventions for community-living adults: An umbrella review. Journal of Medical Internet Research, 27, e66294. https://doi.org/10.2196/66294
Safania, A. M., Barahmand, R. (2022).
Older adults’ participation in intergenerational leisure–sport activities. Knowledge Management in Sport, 2(3), ( In Persian)  https://doi.org/10.30495/kmsj.2022.1968497.1043
Liu, J., Wang, C., Meng, Z., & Yu, C. (2025). Digital interaction and active aging: the impact of social media use on physical activity behavior mediated by social capital and self-efficacy. Frontiers in Psychology16, 1580936. https://doi.org/10.3389/fpsyg.2025.1580936
Singh, B., Ahmed, M., Staiano, A. E., Gough, C., Petersen, J., Vandelanotte, C., ... & Maher, C. A. (2024). A systematic umbrella review and meta-meta-analysis of eHealth and mHealth interventions for improving lifestyle behaviours. npj Digital Medicine7(1), 179. https://doi.org/10.1038/s41746-024-01172-y
Stockwell, S., Schofield, P., Fisher, A., Firth, J., Jackson, S. E., Stubbs, B., & Smith, L. (2019). Digital behavior change interventions to promote physical activity and/or reduce sedentary behavior in older adults: a systematic review and meta-analysis. Experimental gerontology, 120, 68-87.. https://doi.org/10.1080/08870446.2019.1698623
Sun, Y., Zhou, J., Ji, M., Pei, L., & Wang, Z. (2025). Wearable technologies for health promotion and disease prevention in older adults: A systematic scoping review and evidence map. Journal of Medical Internet Research, 27, e69077. https://doi.org/10.2196/69077
Wang, G., Xiang, R., Yang, X., & Tan, L. (2025). Digital technology empowers exercise health management in older adults: a systematic review and meta-analysis of the effects of mHealth-based interventions on physical activity and body composition in older adults. Frontiers in Public Health13, 1661028.. https://doi.org/10.3389/fpubh.2025.1661028
Wu, S., Li, G., Du, L., Chen, S., Zhang, X., & He, Q. (2023). The effectiveness of wearable activity trackers for increasing physical activity and reducing sedentary time in older adults: A systematic review and meta-analysis. Digital Health, 9. https://doi.org/10.1177/20552076231176705
Yen, H. Y., & Chiu, H. L. (2021). Virtual reality exergames for improving older adults’ cognition and depression: A systematic review and meta-analysis of randomized controlled trials. Journal of the American Medical Directors Association, 22(5), 995–1002. https://doi.org/10.1016/j.jamda.2021.03.009