Health-Related Telemonitoring Parameters/Signals of Older Adults: An Umbrella Review

Aging is one of the greatest challenges in modern society. The development of wearable solutions for telemonitoring biological signals has been viewed as a strategy to enhance older adults' healthcare sustainability. This study aims to review the biological signals remotely monitored by technologies in older adults. PubMed, the Cochrane Database of Systematic Reviews, the Web of Science, and the Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports were systematically searched in December 2021. Only systematic reviews and meta-analyses of remote health-related biological and environmental monitoring signals in older adults were considered, with publication dates between 2016 and 2022, written in English, Portuguese, or Spanish. Studies referring to conference proceedings or articles with abstract access only were excluded. The data were extracted independently by two reviewers, using a predefined table form, consulting a third reviewer in case of doubts or concerns. Eighteen studies were included, fourteen systematic reviews and four meta-analyses. Nine of the reviews included older adults from the community, whereas the others also included institutionalized participants. Heart and respiratory rate, physical activity, electrocardiography, body temperature, blood pressure, glucose, and heart rate were the most frequently measured biological variables, with physical activity and heart rate foremost. These were obtained through wearables, with the waist, wrist, and ankle being the most mentioned body regions for the device's placement. Six of the reviews presented the psychometric properties of the systems, most of which were valid and accurate. In relation to environmental signals, only two articles presented data on this topic. Luminosity, temperature, and movement were the most mentioned variables. The need for large-scale long-term health-related telemonitoring implementation of studies with larger sample sizes was pointed out by several reviews in order to define the feasibility levels of wearable devices.

Automated summary

Aging is a significant challenge in society, and wearable solutions for telemonitoring biological signals are seen as a way to improve older adults' healthcare. This study reviewed the remote monitoring of biological signals in older adults using technology. Systematic reviews and meta-analyses published between 2016 and 2022 in English, Portuguese, or Spanish were considered. Most frequently measured variables were heart and respiratory rate, physical activity, electrocardiography, body temperature, blood pressure, glucose, and heart rate. These were monitored using wearables placed on the waist, wrist, or ankle. Psychometric properties of the systems were generally valid and accurate. Environmental signals were less frequently studied, with luminosity, temperature, and movement being the most mentioned variables. The need for larger-scale studies with longer durations was highlighted to assess the feasibility of wearable devices for telemonitoring.