Impact of a combined care ambulatory and home-based aerobic exercise program using wearables on anxiety and depression in patients with metabolic syndrome

A 2-month supervised ambulatory aET program followed by a 6-month home-based aET program with remote supervision using wearables significantly reduced both anxiety and depression levels in individuals with MetS. These findings demonstrate that combined care aET models not only initiate symptom reduction but also facilitate the long-term maintenance of mental health gains, highlighting the potential of technology-assisted interventions to enhance psychological outcomes in this population.