The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity

Children with overweight/obese (OW/OB) have low physical activity (PA) levels and excessive daily screen times. Although access to personal smartphones may complicate restricting sedentary screen time, these devices may be used to promote PA and improve fitness. Therefore, we aim to examine the impa...

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Main Authors: Rotem Kahana, Shai Kremer, Merav Dekel Dahari, Einat Kodesh
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/1/18
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author Rotem Kahana
Shai Kremer
Merav Dekel Dahari
Einat Kodesh
author_facet Rotem Kahana
Shai Kremer
Merav Dekel Dahari
Einat Kodesh
author_sort Rotem Kahana
collection DOAJ
description Children with overweight/obese (OW/OB) have low physical activity (PA) levels and excessive daily screen times. Although access to personal smartphones may complicate restricting sedentary screen time, these devices may be used to promote PA and improve fitness. Therefore, we aim to examine the impact of incorporating an exergame application (APP) into an existing weight management program on BMI, physical activity, fitness levels, and attitude toward PA among OW/OB children. Seventy-nine children (51% girls), median age 10 years, completed an established 5-month weight management program. The intervention included structured PA sessions (2/week), nutritional, and behavioral counseling. An exergame app was installed on the smartphones of the intervention group (APP, <i>n</i> = 32). BMI, physical fitness, PA level, and attitudes toward PA were assessed before and after the intervention. BMI decreased (<i>p</i> < 0.0001) in both groups by 0.67 kg/m<sup>2</sup> (Q1, Q3: −1.36–0.12). There were improvements in more fitness components in the APP group than controls, with significantly greater improvements in aerobic fitness (<i>p</i> = 0.038), speed and agility (<i>p</i> = 0.01), and leg strength endurance (<i>p</i> = 0.05) compared to controls. PA levels increased similarly in both groups during the intervention period. The incorporation of an exergame application leads to more significant improvements in fitness components. These findings support the use of exergame apps to improve fitness in OW/OB children.
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spelling doaj.art-4b3d07a97ba649c78c9ac196cab6158a2023-11-23T13:20:32ZengMDPI AGChildren2227-90672021-12-01911810.3390/children9010018The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and ObesityRotem Kahana0Shai Kremer1Merav Dekel Dahari2Einat Kodesh3Maccabi Healthcare Services, Southern Region, Beer-Sheva 8489312, IsraelMaccabi Healthcare Services, Southern Region, Beer-Sheva 8489312, IsraelMaccabi Healthcare Services, Southern Region, Beer-Sheva 8489312, IsraelPhysical Therapy Department, University of Haifa, Haifa 3498838, IsraelChildren with overweight/obese (OW/OB) have low physical activity (PA) levels and excessive daily screen times. Although access to personal smartphones may complicate restricting sedentary screen time, these devices may be used to promote PA and improve fitness. Therefore, we aim to examine the impact of incorporating an exergame application (APP) into an existing weight management program on BMI, physical activity, fitness levels, and attitude toward PA among OW/OB children. Seventy-nine children (51% girls), median age 10 years, completed an established 5-month weight management program. The intervention included structured PA sessions (2/week), nutritional, and behavioral counseling. An exergame app was installed on the smartphones of the intervention group (APP, <i>n</i> = 32). BMI, physical fitness, PA level, and attitudes toward PA were assessed before and after the intervention. BMI decreased (<i>p</i> < 0.0001) in both groups by 0.67 kg/m<sup>2</sup> (Q1, Q3: −1.36–0.12). There were improvements in more fitness components in the APP group than controls, with significantly greater improvements in aerobic fitness (<i>p</i> = 0.038), speed and agility (<i>p</i> = 0.01), and leg strength endurance (<i>p</i> = 0.05) compared to controls. PA levels increased similarly in both groups during the intervention period. The incorporation of an exergame application leads to more significant improvements in fitness components. These findings support the use of exergame apps to improve fitness in OW/OB children.https://www.mdpi.com/2227-9067/9/1/18exergamesmartphoneobesityfitnessmotivationweight
spellingShingle Rotem Kahana
Shai Kremer
Merav Dekel Dahari
Einat Kodesh
The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
Children
exergame
smartphone
obesity
fitness
motivation
weight
title The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
title_full The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
title_fullStr The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
title_full_unstemmed The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
title_short The Effect of Incorporating an Exergame Application in a Multidisciplinary Weight Management Program on Physical Activity and Fitness Indices in Children with Overweight and Obesity
title_sort effect of incorporating an exergame application in a multidisciplinary weight management program on physical activity and fitness indices in children with overweight and obesity
topic exergame
smartphone
obesity
fitness
motivation
weight
url https://www.mdpi.com/2227-9067/9/1/18
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