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The effect of chatbot-based exercise interventions on physical activity, exercise habits, and sedentary behavior: A systematic review and meta-analysis of randomized controlled trials

Truvace record
TRV-2026-2741raw data (JSON)
Version
v1Published
First published
Evidence type
Systematic review or meta-analysis
Sources
1 sourcePeer-reviewed
sha256
5b9ff0896886…check it

Objectives Chatbots, transcending the limitations of space and time while reducing user resistance, offer a personalized and autonomous approach potentially enhancing digital health interventions. This systematic review aims to quantitatively evaluate the effectiveness of chatbot-based exercise interventions (EIs) in randomized controlled trials (RCTs), emphasizing physical activity (PA), exercise habits (EH), and sedentary behavior (SB). Methods A comprehensive search was carried out across Embase, Web of Scien…

The gain

A meta-analysis of 12 randomized trials with 2,446 participants found chatbot-based exercise interventions raised physical activity more than control groups did (SMD 0.20, 95% CI 0.04–0.37).

What this doesn’t fix

The authors say more trials are needed with larger samples, low-resource settings, objective measures of sedentary behavior such as accelerometers, and longer follow-up before the findings can be corroborated.

Sources

1 on file
  1. DIGITAL HEALTHdoi:10.1177/20552076251353731
    Peer-reviewed2025-05-01

What the review found when it combined the studies

These are the review’s own pooled results, copied from its abstract. Truvace did not recalculate them.

  • Sedentary time with chatbot-based exercise interventions compared with control groups

    SMD 0.32 (95% CI −0.54 to 1.19)

    12 studies · 2,446 people · search to October 2024

    The review’s own words
    The analysis indicated that chatbot-based interventions were not associated with a significant reduction in sedentary time relative to control groups (SMD = 0.32, 95% CI = −0.54–1.19, p = 0.46; I² = 0%, p = 0.91).

  • Exercise habits with chatbot-based exercise interventions compared with control groups

    SMD 0.29 (95% CI −0.48 to 1.06)

    12 studies · 2,446 people · search to October 2024

    The review’s own words
    The difference observed was not statistically significant (SMD = 0.29, 95% CI = −0.48–1.06, p = 0.46; I² = 54%, p = 0.11).

  • Moderate to vigorous physical activity with chatbot-based exercise interventions compared with controls

    SMD 0.26 (95% CI 0.05 to 0.46)

    search to October 2024

    The review’s own words
    A pronounced effect was noted in the subgroup engaging in MVPA, where the intervention group demonstrated a significant increase compared to controls (SMD = 0.26, 95% CI = 0.05–0.46, p < 0.05 ).

  • Short-term physical activity (8 weeks or less) with chatbot-based exercise interventions compared with controls

    SMD 0.29 (95% CI 0.08 to 0.50)

    search to October 2024

    The review’s own words
    In the analysis stratified by duration, the chat-based EI was linked with a modest increase in PA in the short term (SMD = 0.29, 95% CI = 0.08–0.50, p < 0.05 ), which had statistical significance ( p < 0.05; see Figure 4 ).

  • Physical activity with chatbot-based exercise interventions compared with control groups

    SMD 0.20 (95% CI 0.04 to 0.37)

    12 studies · 2,446 people · search to October 2024

    The review’s own words
    The chatbot-based EI significantly improved PA compared to the control group, as indicated by a standardized mean difference (SMD = 0.20, 95% CI = 0.04–0.37, p < 0.05 ; I² = 51%, p = 0.04; Figure 3 ).

Code checks every number above against the review’s text before it is shown. The short labels are an AI model’s reading of that text, so the review’s own sentence sits under each one. A pooled figure is only as strong as the studies behind it. How Truvace uses pooled results

Cite this record

v1

Truvace Impact Record TRV-2026-2741, v1: “The effect of chatbot-based exercise interventions on physical activity, exercise habits, and sedentary behavior: A systematic review and meta-analysis of randomized controlled trials.” Truvace, 2026-11-12. /record/TRV-2026-2741 (accessed on the day you copy it). sha256 5b9ff0896886637a…

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  1. Publishedv15b9ff0896886…

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