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Background <p>The lack of effective tools available to health providers for enhancing patient physical activity prompts this study to examine the real-world impact of a physical activity reward-driven app on health outcomes, utilizing Electronic Health Records (EHR) data from Israel’s largest healthcare organization.</p> Methods <p>Conducting a retrospective cohort study, we matched app-users to non-users based on demographic and clinical characteristics.</p> Results <p>App-users have a significantly lower risk of cardiovascular disease (HR 0.95), stroke (HR 0.91), and type 2 diabetes (HR 0.82) compared to non-app users. Higher levels of physical activity among app users further reduce the incidence of cardiovascular disease (HR 0.87), stroke (HR 0.84), and type 2 diabetes (HR 0.75) compared with non-app user. However, engagement in mild physical activity, as measured by step count, does not differ from non- users in the incidence of these conditions.</p> Conclusions <p>These findings highlight the potential of app-based interventions to promote higher levels of physical activity and mitigate major vascular and metabolic illnesses.</p>

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Real-world impact of physical activity reward-driven digital app use on cardiometabolic and cardiovascular disease incidence

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月27日

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  • Adi Berliner Senderey,
  • Tom Mushkat,
  • Ofer Hadass,
  • Daphna Carmeli,
  • Samah Hayek,
  • Marie-Laura Charpingnon,
  • Eyal Jacobson,
  • Ran D. Balicer

摘要

Background

The lack of effective tools available to health providers for enhancing patient physical activity prompts this study to examine the real-world impact of a physical activity reward-driven app on health outcomes, utilizing Electronic Health Records (EHR) data from Israel’s largest healthcare organization.

Methods

Conducting a retrospective cohort study, we matched app-users to non-users based on demographic and clinical characteristics.

Results

App-users have a significantly lower risk of cardiovascular disease (HR 0.95), stroke (HR 0.91), and type 2 diabetes (HR 0.82) compared to non-app users. Higher levels of physical activity among app users further reduce the incidence of cardiovascular disease (HR 0.87), stroke (HR 0.84), and type 2 diabetes (HR 0.75) compared with non-app user. However, engagement in mild physical activity, as measured by step count, does not differ from non- users in the incidence of these conditions.

Conclusions

These findings highlight the potential of app-based interventions to promote higher levels of physical activity and mitigate major vascular and metabolic illnesses.