Age-related changes can impact cognitive and physical health, reducing quality of life and independence. While technologies are increasingly used in healthcare to support older adults, their application highly depends on cultural factors. Italy, with one of Europe's highest aging populations and low digital advancement, offers an interesting scenario for discussing the digitalization of healthcare services for older adults. This study provides a state-of-the-art overview of technologies used in Italy to promote healthy aging. We systematically searched PubMed, Embase, and Scopus databases for primary studies published from 2000 to May 2024 that employed technological solutions for healthcare in healthy Italian older adults. Fifteen studies met the criteria: four assessed the impact of technological interventions on health variables like physical efficiency, nutrition, and cognition, with positive results
13 examined usability, user experience, and expectations, overall finding good acceptance and positive attitudes. While research on technology use in promoting healthy aging in Italy is still limited, our findings suggest that digital solutions are feasible for the older population. These results are considered within the context of the Italian healthcare system, with suggestions for future directions for clinicians.