Establishing global standards on wearable technology for measuring mobility in ageing populations: an international consensus exercise

BACKGROUND: Mobility, defined as movement in all its forms, is a hallmark of healthy ageing. As wearable technologies become increasingly integrated into population health surveillance and ageing research, the absence of standardised terminology, measurement protocols and reporting practices presents a major barrier to progress. This consensus exercise aimed to establish minimum standards for measuring mobility with wearable technology in ageing populations and set priorities for future research in the field. METHODS: A two-day, in-person consensus meeting was convened with 24 international experts in ageing, mobility and digital health. Using a modified nominal group technique facilitated by a trained moderator, participants engaged in structured small-group brainstorming, followed by iterative large-group discussions. Consensus was achieved through anonymised digital voting on proposed measures, principles and priorities. FINDINGS: Consensus (≥80% agreement) was reached on 20 core device-derived mobility measures and 30 guiding principles for the optimal use of wearable technology in older populations. Experts also identified and ranked 16 priority areas for future research, with the top five including: (i) longitudinal studies and data collection, (ii) digital biomarkers and health outcomes, (iii) contextual data capture, (iv) algorithm development and validation and (v) integration with healthcare systems. INTERPRETATIONS: These consensus-based standards provide a foundational framework for the consistent and transparent use of wearable devices in ageing research and practice. They can inform the development of regulations and guidelines, support harmonisation across studies and chart a path for future research to enhance the utility and impact of wearable technologies in ageing populations.