Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2025.2-07
CC BY-SA   Open Access   DOAJ  DOAJ  DOAJ

Liste der Ausgaben / Vol. 50, No. 2/2025
Green Tick: Evaluating Digital Health, Diet and Sports Interventions: Systematic Review on the Complex Nature of Young People's Interactions with Digital Technologies

Autoren: Aziz Onurhan Ahraz ORCID
Sports Science Faculty, Loughborough University, London, England

Nuh Osman Yildiz ORCID
Sports Science Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye

Hasan Birol Yalçin ORCID
Sports Science Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye

Ahmet Özsoy ORCID
Sports Science Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye

Zafer Kakaruş ORCID
Sports Science Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye

Emin Kerem Eekadam ORCID
Sports Science Faculty, Bolu Abant Izzet Baysal University, Bolu, Türkiye

Borja Sañ ORCID
Department of Physical Education and Sports, University of Seville , Sevilla, Spain

Adrián Feria-Madueño ORCID
Department of Physical Education and Sports, University of Seville , Sevilla, Spain

Jerónimo García-Fernández ORCID
Department of Physical Education and Sports, University of Seville , Sevilla, Spain

Miguel Angel Oviedo-Caro ORCID
Department of Physical Education and Sports, University of Seville , Sevilla, Spain

Horacio Sanchez-Trigo ORCID
Department of Physical Education and Sports, University of Seville , Sevilla, Spain

Ahmet Kurtoğlu ORCID
Sports Science Faculty, Bandirma Onyedi Eylul University, Balıkesir, Türkiye

Emrah Dönmez ORCID
Sports Science Faculty, Bandirma Onyedi Eylul University, Balıkesir, Türkiye

Sedat Arslan ORCID
Sports Science Faculty, Bandirma Onyedi Eylul University, Balıkesir, Türkiye

Bekir Çar ORCID
Sports Science Faculty, Bandirma Onyedi Eylul University, Balıkesir, Türkiye

Thanos Douros ORCID
Athens Network of Collaborating Experts (ANCE), Athens, Greece

Zoë Zahariadi ORCID
Athens Network of Collaborating Experts (ANCE), Athens, Greece

Apostolos Amprazis ORCID
Athens Network of Collaborating Experts (ANCE), Athens, Greece

Nuno Manuel Gonçalves Dias ORCID
Sport Evolution Alliance, Lausanne, Portugal

Inês Caetano ORCID
Sport Evolution Alliance, Lausanne, Portugal

Luiz Hass ORCID
Sport Evolution Alliance, Lausanne, Portugal

Sara Vivirito ORCID
International Centre for the Promotion of Education and Development(CEIPES), Palermo, Italy

Chiara Nicolini ORCID
International Centre for the Promotion of Education and Development(CEIPES), Palermo, Italy

Raquel Covelo ORCID
International Centre for the Promotion of Education and Development(CEIPES), Palermo, Italy

Marjetka K. Kunčič ORCID
Fitness Federation of Slovenia (FZS), Ljubljana Črnuče, Slovenia

Miriam Štucin ORCID
Fitness Federation of Slovenia (FZS), Ljubljana Črnuče, Slovenia

Andraž Teran ORCID
Fitness Federation of Slovenia (FZS), Ljubljana Črnuče, Slovenia

Leon Bedrač ORCID
Fitness Federation of Slovenia (FZS), Ljubljana Črnuče, Slovenia
Schlüsselbegriffe: digital health interventions youth health promotion social media diet healthy lifestyles
Veröffentlichungsdatum der gesamten Ausgabe:2025
Seitenanzahl:24 (79-102)
Cited-by (Crossref) ?:

Abstract

Systematically, this study assessed the impact of digital technologies, including social media, on health, diet, and sports, amid rising concerns and acknowledged benefits. We performed a comprehensive review of literature spanning 20 years, up to June 2024, focusing on interventions targeted at youth aged 14-29. Our initial database search identified 8,278 articles. After removing duplicates and those that failed to meet inclusion criteria, 307 articles underwent a rigorous blinded peer review process, ultimately resulted in 29 studies for synthesis. Our analysis concludes the dual impact of digital technologies on youth: although they highlight the positive potential in colouring youth health behaviors, often linked to sports, nutrition, and active lifestyles, they also pose risks due to the unregulated and misleading content, emphasizing the necessity for enhanced digital literacy and critical engagement with content. In this context, five major theme highlight this paradoxical impact together: 1) Increasing awareness, knowledge and self-efficacy, 2) Hazards, misinformation, and credibility, 3) Attitudes and behavior change, 4) Social comparison, and 5) Product promotion. Eventually, we draw attention to the urgent need for regulations and systematic content verification to protect youth from misinformation and to strengthen the credibility, trustworthiness and effectiveness of health, diet and sport related content on these technologies.
herunterladen

Artikeldatei

Bibliographie

1.Afshin, A., Babalola, D., Mclean, M., Yu, Z., Ma, W., Chen, C. Y., ... & Mozaffarian, D. (2016). Information technology and lifestyle: a systematic evaluation of internet and mobile interventions for improving diet, physical activity, obesity, tobacco, and alcohol use. Journal of the American Heart Association, 5(9), e003058. https://doi.org/10.1161/JAHA.115.003058
2.Ahraz, A. O., Çar, B., & Cengiz, C. (2021). Literature Review on Digital Technologies for Increasing Physical Activity: 2010-2020. SPORTMETRE Journal of Physical Education and Sports Sciences, 19(3), 218-232.
3.Arias López, M. D. P., Ong, B. A., Borrat Frigola, X., Fernández, A. L., Hicklent, R. S., Obeles, A. J., ... & Celi, L. A. (2023). Digital literacy as a new determinant of health: A scoping review. PLOS Digital Health, 2(10), e0000279. https://doi.org/10.1371/journal.pdig.0000279
4.Arigo, D., Brown, M. M., Pasko, K., & Suls, J. (2020). Social comparison features in physical activity promotion apps: Scoping meta-review. Journal of Medical Internet Research, 22(3), e15642. https://doi.org/10.2196/15642
5.Bayram, Ş. S., & Kızıltan, G. (2022). What digital technology offers for food and nutrition literacy. In Food and nutrition literacy (ss. 84-90). Türkiye Klinikleri.
6.Booth, A. (2016). Searching for qualitative research for inclusion in systematic reviews: A structured methodological review. Systematic Reviews, 5, Article 74. https://doi.org/10.1186/s13643-016-0249-x
7.Bopp, T., & Stellefson, M. (2020). Practical and ethical considerations for schools using social media to promote physical literacy in youth. International Journal of Environmental Research and Public Health, 17(4), 1225. https://doi.org/10.3390/ijerph17041225
8.Carah, N., & Dobson, A. (2016). Algorithmic hotness: Young women’s “promotion” and “reconnaissance” work via social media body images. Social Media+ Society, 2(4), 2056305116672885. https://doi.org/10.1177/2056305116672885
9.Chen, J., & Wang, Y. (2021). Social media use for health purposes: systematic review. Journal of medical Internet research, 23(5), e17917. https://doi.org/10.2196/17917
10.Chou, W. Y. S., Gaysynsky, A., Trivedi, N., & Vanderpool, R. C. (2021). Using social media for health: National data from HINTS 2019. Journal of Health Communication, 26(3), 184-193. https://doi.org/10.1080/10810730.2021.1903627
11.Cohen, R., Irwin, L., Newton-John, T., & Slater, A. (2019). # bodypositivity: A content analysis of body positive accounts on Instagram. Body image, 29, 47-57. https://doi.org/10.1016/j.bodyim.2019.02.007
12.Cohen, R., Newton-John, T., & Slater, A. (2021). The case for body positivity on social media: Perspectives on current advances and future directions. Journal of health psychology, 26(13), 2365-2373. https://doi.org/10.1177/1359105320912450
13.De Regt, A., Montecchi, M., & Lord Ferguson, S. (2020). A false image of health: how fake news and pseudo-facts spread in the health and beauty industry. Journal of Product & Brand Management, 29(2), 168-179. http://dx.doi.org/10.1108/JPBM-12-2018-2180
14.Dimitroyannis, R., Fenton, D., Cho, S., Nordgren, R., Pinto, J. M., & Roxbury, C. R. (2024). A Social Media Quality Review of Popular Sinusitis Videos on TikTok. Otolaryngology–Head and Neck Surgery, 170(5), 1456-466. https://doi.org/10.1002/ohn.688
15.Diviani, N., van den Putte, B., Giani, S., & van Weert, J. C. (2015). Low health literacy and evaluation of online health information: a systematic review of the literature. Journal of medical Internet research, 17(5), e112. https://doi.org/10.2196/jmir.4018
16.Domin, A., Spruijt-Metz, D., Theisen, D., Ouzzahra, Y., & Vögele, C. (2021). Smartphone-based interventions for physical activity promotion: scoping review of the evidence over the last 10 years. JMIR mHealth and uHealth, 9(7), e24308. https://doi.org/10.2196/24308
17.Dunlop, S., Freeman, B., & Jones, S. C. (2016). Marketing to youth in the digital age: The promotion of unhealthy products and health promoting behaviours on social media. Media and Communication, 4(3), 35-49. https://doi.org/10.17645/mac.v4i3.522
18.Duplaga, M. (2020). Determinants and consequences of limited health literacy in polish society. International Journal Of Environmental Research And Public Health, 17(2), 642. https://doi.org/10.3390/ijerph17020642
19.Ekinci, Y., Tutgun-ünal, A., & Tarhan, N. (2021). A literature review on digital health literacy. Bayterek International Journal of Academic Research, 4(2), 148-165. https://doi.org/10.48174/buaad.42.1
20.European Commission. (2014). Green paper on mobile health (‘m-health’). Brussels. Retrieved from https://ec.europa.eu/digital-agenda/en/news/green-paper-mobile-health-mhealth
21.Fioravanti, G., Bocci Benucci, S., Ceragioli, G., & Casale, S. (2022). How the exposure to beauty ideals on social networking sites influences body image: A systematic review of experimental studies. Adolescent Research Review, 7(3), 419-458. https://doi.org/10.1007/s40894-022-00179-4
22.Freeman, J. L., Caldwell, P. H., & Scott, K. M. (2023). How adolescents trust health information on social media: a systematic review. Academic pediatrics, 23(4), 703-719. https://doi.org/10.1016/j.acap.2022.12.011
23.Goodman, S. (2003). Teaching youth media: A critical guide to literacy, video production & social change (Vol. 36). Teachers College Press.
24.Goodyear, V. A., Boardley, I., Chiou, S. Y., Fenton, S. A., Makopoulou, K., Stathi, A., ... & Thompson, J. L. (2021). Social media use informing behaviours related to physical activity, diet and quality of life during COVID-19: a mixed methods study. BMC Public Health, 21, 1-14. https://doi.org/10.1186/s12889-021-11398-0
25.Goodyear, V., Armour, K., & Wood, H. (2018). The impact of social media on young people’s health and wellbeing: Evidence, guidelines and actions.
26.Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image, 17, 100-110. https://doi.org/10.1016/j.bodyim.2016.02.008
27.Ho, G. W. K., Thaarun, T., Ee, N. J., Teo, C. B., Koh, Z. N., Cove, M. E., … Loh, W. N.-H. (2024). A systematic review on the use of sevoflurane in the management of status asthmaticus in adults. Critical Care, 28, Article 334. https://doi.org/10.1186/s13054-024-05122-8
28.Johnson, B. K., Bradshaw, A. S., Davis, J., Diegue, V., Frost, L., Hinds, J., ... & Wang, R. (2021). Credible Influencers. Journal of Media Psychology. https://doi.org/10.1027/1864-1105/a000310
29.Jong, S. T., & Drummond, M. J. (2020). Exploring online fitness culture and young females. In Re-thinking Leisure in a Digital Age (pp. 50-62). Routledge.
30.Karaduman, S. (2019). New Media Literacy: New Skills/Possibilities/Risks. Erciyes Communication Journal, 6(1), 683-700. https://doi.org/10.17680/erciyesiletisim.484193
31.Karagür, Z., Becker, J. M., Klein, K., & Edeling, A. (2022). How, why, and when disclosure type matters for influencer marketing. International Journal of Research in Marketing, 39(2), 313-335. https://doi.org/10.1016/j.ijresmar.2021.09.006
32.Marques, A., Bordado, J., Tesler, R., Demetriou, Y., Sturm, D. J., & de Matos, M. G. (2020). A composite measure of healthy lifestyle: A study from 38 countries and regions from Europe and North America, from the Health Behavior in School‐Aged Children survey. American Journal of Human Biology, 32(6), e23419. https://doi.org/10.1002/ajhb.23419
33.Núñez, A., Robertson-James, C., Reels, S., Jeter, J., Rivera, H., & Yusuf, Z. (2015). Exploring the role of gender norms in nutrition and sexual health promotion in a piloted school-based intervention: The Philadelphia Ujima™ experience. Evaluation and Program Planning, 51, 70-77. https://doi.org/10.1016/j.evalprogplan.2014.12.010
34.O'Connor, C., & Murphy, M. (2020). Going viral: Doctors must tackle fake news in the COVID-19 pandemic. American Journal of Preventive Medicine, 59(2), 210-211. https://doi.org/10.1016/j.amepre.2020.06.009
35.Papaioannou, T. G., Karageorgopoulou, T. D., Sergentanis, T. N., Protogerou, A. D., Psaltopoulou, T., Sharman, J. E., ... & Tousoulis, D. (2016). Accuracy of commercial devices and methods for noninvasive estimation of aortic systolic blood pressure a systematic review and meta-analysis of invasive validation studies. Journal of hypertension, 34(7), 1237-1248. https://doi.org/10.1097/HJH.0000000000000921.
36.Pila, E., Mond, J., Griffiths, S., Mitchison, D., & Murray, S. B. (2021). A thematic content analysis of #cheatmeal images on social media: Characterizing an emerging dietary trend. Body Image, 37, 40-50. https://doi.org/10.1016/j.bodyim.2021.02.007
37.Pope, L., & Rose, K. L. (2024). “It's All Just F* cking Impossible:” The influence of Taylor Swift on fans' body image, disordered eating, and rejection of diet culture. Social Science & Medicine, 355, 117100. https://doi.org/10.1016/j.socscimed.2024.117100.
38.Raeside, R., Jia, S. S., Todd, A., Hyun, K., Singleton, A., Gardner, L. A., ... & Partridge, S. R. (2024). Are digital health interventions that target lifestyle risk behaviors effective for improving mental health and wellbeing in adolescents? A Systematic Review with meta-analyses. Adolescent Research Review, 9(2), 193-226. https://doi.org/10.1007/s40894-023-00224-w
39.Renga, G. (2017). From YouTube to protein powder: How social media influences the consumption and perception towards nutritional supplements (Master’s thesis, Zürcher Hochschule für Angewandte Wissenschaften, Switzerland). ZHAW. https://doi.org/10.21256/zhaw-2091
40.Shaikh, T. A. (2024). Understanding the emergence and impact of social media platforms. IOSR Journal of Humanities and Social Science, 29(4), 26–30.
41.Siddaway, A. P., Wood, A. M., & Hedges, L. V. (2019). How to do a systematic review: a best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-syntheses. Annual review of psychology, 70(1), 747-770. https://doi.org/10.1146/annurev-psych-010418-102803
42.Stasinaki, A., Büchter, D., Shih, C. H. I., Heldt, K., Güsewell, S., Brogle, B., ... & l’Allemand, D. (2021). Effects of a novel mobile health intervention compared to a multi-component behaviour changing program on body mass index, physical capacities and stress parameters in adolescents with obesity: a randomized controlled trial. BMC Pediatrics, 21, 1-16. https://doi.org/10.1186/s12887-021-02781-2
43.Szinay, D., Jones, A., Chadborn, T., Brown, J., & Naughton, F. (2020). Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review. Journal of Medical Internet Research, 22. https://doi.org/10.2196/17572.
44.Tan, X., Abbas, J., Al-Sulaiti, K., Pilař, L., & Shah, S. A. R. (2024). The Role of Digital Management and Smart Technologies for Sports Education in a Dynamic Environment: Employment, Green Growth, and Tourism. Journal of Urban Technology, 1-32. https://doi.org/10.1080/10630732.2024.2327269
45.Tiggemann, M., & Slater, A. (2013). NetGirls: The Internet, Facebook, and body image concern in adolescent girls. International Journal of Eating Disorders, 46(6), 630-633. https://doi.org/10.1002/eat.22141
46.Toll, M., & Norman, M. (2021). More than meets the eye: A relational analysis of young women’s body capital and embodied understandings of health and fitness on Instagram. Qualitative Research in Sport, Exercise and Health, 13(1), 59-76. https://doi.org/10.1080/2159676X.2020.1836512
47.Tricco, A.C., Lillie, E., Zarin, W., O'Brien, K.K., Colquhoun, H., Levac, D., ... & Straus, S.E., 2018. 'PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation', Annals of Internal Medicine, 169(7), pp. 467-473. https://doi.org/10.7326/M18-0850
48.Triptow, C., Freeman, J., Lee, P., & Robinson, T. (2024). # HealthyLifestyle: AQ methodology analysis of why young adults like to use social media to access health information. Journal of Health Psychology, 29(2), 123-136. https://doi.org/10.1177/13591053231200690
49.Vandenbosch, L., Fardouly, J., & Tiggemann, M. (2022). Social media and body image: Recent trends and future directions. Current Opinion In Psychology, 45, 101289. https://doi.org/10.1016/j.copsyc.2021.12.002
50.Westerman, D., Spence, P. R., & Van Der Heide, B. (2014). Social media as information source: Recency of updates and credibility of information. Journal Of Computer-Mediated Communication, 19(2), 171-183. https://doi.org/10.1111/jcc4.12041
51.Widdows, H. (2024, January 3). Social media and unrealistic beauty ideals. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/perfect-me/202401/social-media-and-unrealistic-beauty-ideals
52.Zeeni, N., Doumit, R., Abi Kharma, J., & Sanchez‐Ruiz, M. J. (2018). Media, technology use, and attitudes: Associations with physical and mental well‐being in youth with implications for evidence‐based practice. Worldviews on Evidence‐Based Nursing, 15(4), 304-312. https://doi.org/10.1111/wvn.12298