Effects of Exergaming on Physical Activity in Overweight Individuals
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The majority of patients with overweight and type 2 diabetes show insufficient levels of daily physical activity (PA) and usually are among the least likely to engage in or adhere to any form of generic PA. Active video games (exergames) may be a solution to motivate these individuals to overcome their sedentary lifestyle.
This systematic review was conducted to review the current evidence for the effectiveness of exergaming in overweight and type 2 diabetes mellitus and thus to evaluate the suitability of these games to be used as tools for exercise promotion that meet current PA guidelines.
We searched electronic bibliographic databases (PubMed, Embase, Web of Science, OpenGrey, and the Cochrane Central Register of Controlled Trials) up to March 2015. Randomized controlled trials (RCT) and cross-sectional studies published in English in a peer-reviewed journal and analyzing the effects of exergames on objectively measured intensity parameters of PA in overweight (body mass index [BMI] ≥25 kg/m2) adults (mean age ≥18 years) with and without type 2 diabetes were included. Study selection, data extraction, and quality assessment were performed independently by two review authors. Primary outcomes included changes in oxygen uptake (VO2), energy expenditure (EE), heart rate (HR), or activity counts. Secondary outcomes were enjoyment of treatment, exercise adherence, ratings of perceived exertion (RPE), changes in body composition, and changes in blood parameters (serum glucose, long-term blood glucose, blood cholesterol, triglycerides, or serum lactate).
Of 2845 records, 14 publications (11 studies) met the inclusion criteria. All included studies (ten experimental, cross-sectional laboratory studies and one RCT) were able to show increases in either VO2, EE, HR, or activity counts. However, effects of exergaming in terms of changes in these intensity parameters varied significantly between game modes and consoles as well as because of the vastly differing durations of exergame activity between studies. One of the included studies had a low risk of bias, and three had a high risk of bias; seven studies had an unclear risk of bias as the study description was insufficient. No studies were found investigating the changes in objectively measured PA intensity parameters in patients with type 2 diabetes.
This review suggests that exergames are able to increase PA among overweight individuals. However, the inconsistent results and the overall poor or moderate methodological quality do not permit judgment on whether exergames are suitable to meet PA guidelines in this target group. The lack of research regarding the effects of exergames in type 2 diabetes indicates a great need for future research.
KeywordsPhysical Activity Bias Assessment Overweight Individual Active Video Game Exercise Adherence
Compliance with Ethical Standards
This study was conducted with internal support by the Department of Sports, Exercise and Health, University of Basel, Basel, Switzerland. No external sources of funding were used to assist in the preparation of this article.
Conflicts of interest
Christoph Höchsmann, Michael Schüpbach, and Arno Schmidt-Trucksäss declare that they have no conflicts of interest relevant to the content of this review.
- 1.World Health Organization. Obesity and overweight [Internet factsheet]. Geneva: WHO; 2014. http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed 19 Feb 2015.
- 4.Centers for Disease Control and Prevention. National Diabetes Statistics Report: estimates of diabetes and its burden in the United States. Atlanta: Department of Health and Human Services; 2014.Google Scholar
- 8.World Health Organization. Prevalence of insufficient physical activity [Internet]. WHO. 2010. http://www.who.int/gho/ncd/risk_factors/physical_activity/en/. Accessed 20 Feb 2015.
- 10.Crimmins EM, Preston SH, Cohen B. Explaining divergent levels of longevity in high-income countries [Internet]. Washington (DC): National Academies Press (US); 2011. http://www.ncbi.nlm.nih.gov/books/NBK62369/. Accessed 16 July 2014.
- 17.Eriksson J, Lindström J, Valle T, et al. Prevention of type II diabetes in subjects with impaired glucose tolerance: the Diabetes Prevention Study (DPS) in Finland. Study design and 1-year interim report on the feasibility of the lifestyle intervention programme. Diabetologia. 1999;42:793–801.CrossRefPubMedGoogle Scholar
- 25.Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–59.CrossRefPubMedGoogle Scholar
- 29.Viswanathan M, Ansari MT, Berkman ND, et al. Assessing the risk of bias of individual studies in systematic reviews of health care interventions. 2012. http://www.ncbi.nlm.nih.gov/books/NBK91433/. Accessed 29 Apr 2015.
- 30.Barkley JE, Penko AL. Physiologic responses, perceived exertion, and hedonics of playing a physical interactive video game relative to a sedentary alternative and treadmill walking in adults. J Exerc Physiol. 2009;12:1389–98.Google Scholar
- 33.Guderian B, Borreson LA, Sletten LE, et al. The cardiovascular and metabolic responses to Wii Fit video game playing in middle-aged and older adults. J Sports Med Phys Fit. 2010;50:436–42.Google Scholar
- 45.deJong A. Active video gaming an opportunity to increase energy expenditure throughout aging. ACSM’s Health Fit J. 2010;14:44–6.Google Scholar