The Health Benefits of Active Gaming: Separating the Myths from the Virtual Reality
Video game play is a preferred leisure time activity of many children and adults. Video gaming is often viewed as the enemy of effective health promotion strategies owing to competition with for a finite availability for leisure time pursuits. However, recent advancements in active gaming (ie, video games that involve physical activity) have created a viable alternative for increasing physical activity and decreasing sedentary behaviors. This review outlines the potential for active gaming (particularly whole body gaming) to reach activity levels and intensities that are sufficient to reduce the risk for premature mortality and cardiovascular disease, and increase overall health and well-being. This review also looks at the anti-active gaming sentiment perpetuated by some individuals and organizations and how this stance is not supported by the preponderance of current literature. In fact, compelling literature (supported by numerous systematic reviews of the literature) demonstrates the health benefits of active gaming, and the suitability of active gaming for use in a menu of physical activity opportunities for children and adults alike. Collectively, this research supports active gaming as a viable means of improving physical activity levels and reducing sedentary behaviors in a wide range of individuals.
KeywordsActive gaming Exergaming Leisure-time preferences Physical activity Video games
Compliance with Ethics Guidelines
Conflict of Interest
Darren Warburton declares that he has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
- 4.World Health Organization. Global recommendations on physical activity for health. Switzerland: World Health Organization; 2010.Google Scholar
- 7.Warburton DER. The physical activity and exercise continuum. In: Bouchard C, Katzmarzyk PT, editors. Advances in physical activity and obesity. Champaign: Human Kinetics Publishing; 2009. p. 7–17.Google Scholar
- 10.Centers for Disease Control and Prevention. A growing problem: what causes childhood obesity? Atlanta: Centers for Disease Control and Prevention; 2012.Google Scholar
- 11.•• Warburton DE, Charlesworth S, Ivey A, Nettlefold L, Bredin SS. A systematic review of the evidence for Canada’s Physical Activity Guidelines for Adults. Int J Behav Nutr Phys Act. 2010;7:39. doi: 10.1186/1479-5868-7-39. This systematic review of the literature evaluates critically the current evidence regarding the health benefits of physical activity. It demonstrates clearly that current international recommendations for physical activity are associated with a marked reduction in the risk for chronic disease (including cardiovascular disease) and premature mortality. This review also demonstrated a dose response relationship such that health benefits are seen at relatively low volumes of physical activity (far below international recommendations). PubMedCrossRefGoogle Scholar
- 12.Hansen L, Sanders SW. Active gaming: a new paradigm in childhood physical activity. Digit Cult Educ. 2011;3:123–39.Google Scholar
- 13.Entertainment Software Association. Industry facts. 2012.Google Scholar
- 14.Hersey J, Jordan A. Reducing children’s TV time to reduce the risk of childhood overweight: the children’s media use study. Atlanta: Centers for Disease Control and Prevention; 2007.Google Scholar
- 19.Mark R, Rhodes RE, Warburton DER, Bredin SSD. Interactive video games and physical activity: a review of the literature and future directions. Health Fit J Canada. 2008;1:14–24.Google Scholar
- 20.Rhodes RE, Warburton DER, Coble JE. Effect of interactive video bikes on exercise adherence and social cognitive expectancies in young men: a pilot study. Ann Behav Med. 2008;35:S62.Google Scholar
- 34.•• Biddiss E, Irwin J. Active video games to promote physical activity in children and youth: a systematic review. Arch Pediatr Adolesc Med. 2010;164:664–72. doi: 10.1001/archpediatrics.2010.104. Biddiss and Irwin systematically reviewed the energy expenditure and changes in physical activity patterns associated with active video gaming in children. The authors revealed that the energy expenditures were highly variable across studies with higher metabolic requirements in activities that also involved the lower body (i.e., a larger muscle mass). There was clear evidence that active gaming can lead to light-to-moderate physical activity intensities. There was limited evidence at this point to make conclusive statements regarding the long-term efficacy of active gaming in physical activity promotion. PubMedCrossRefGoogle Scholar
- 37.•• Peng W, Crouse JC, Lin JH. Using active video games for physical activity promotion: a systematic review of the current state of research. Health Educ Behav. 2013;40:171–92. doi: 10.1177/1090198112444956. Peng and colleagues evaluated systematically the literature using active video games to increase physical activity and laboratory studies evaluating the intensity of active gaming in children and adults. The authors revealed that 100 % of laboratory-based studies demonstrated the ability of active video gaming to provide light-to-moderate intensity physical activity. There was somewhat limited evidence demonstrating the ability of active video gaming to increase physical activity levels and/or exercise attendance. PubMedCrossRefGoogle Scholar
- 41.Lieberman DA, Chamberlin B, Medina Jr E, Franklin BA, Sanner BM, Vafiadis DK. The power of play: innovations in Getting Active Summit 2011: a science panel proceedings report from the American Heart Association. Circulation. 2011;123:2507–16. doi: 10.1161/CIR.0b013e318219661d.PubMedCrossRefGoogle Scholar
- 43.Graham N, Mandryk R. GAMFIT: gaming for physical fitness. Graphics, animation, and new media, networks of centre of excellence, Government of Canada, Ottawa. 2012. Available at: http://grand-nce.ca/research/projects/projectdata/gamfit. Accessed 10 May 2013.