Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial
BackgroundChildhood overweight and obesity have become major global health problems and are negatively related with the cardiorespiratory fitness (CRF) level in school children and adolescents. Exercise, specifically multicomponent training, is effective for CRF improvement,...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-05-01
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| Series: | JMIR Serious Games |
| Online Access: | https://games.jmir.org/2022/2/e33782 |
| _version_ | 1827858273584283648 |
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| author | Cristina Comeras-Chueca Lorena Villalba-Heredia Jose Luis Perez-Lasierra Gabriel Lozano-Berges Angel Matute-Llorente German Vicente-Rodriguez Jose Antonio Casajus Alex Gonzalez-Aguero |
| author_facet | Cristina Comeras-Chueca Lorena Villalba-Heredia Jose Luis Perez-Lasierra Gabriel Lozano-Berges Angel Matute-Llorente German Vicente-Rodriguez Jose Antonio Casajus Alex Gonzalez-Aguero |
| author_sort | Cristina Comeras-Chueca |
| collection | DOAJ |
| description |
BackgroundChildhood overweight and obesity have become major global health problems and are negatively related with the cardiorespiratory fitness (CRF) level in school children and adolescents. Exercise, specifically multicomponent training, is effective for CRF improvement, but the main challenge is to ensure adherence to exercise in children with overweight and obesity. Therefore, new ways of exercising that are more attractive and motivational for this population are needed and playing or training with active video games (AVGs) has been proposed as an effective alternative because they require full-body movement and therefore increase energy expenditure.
ObjectiveThe main aim of this study was to investigate the effects of an AVG intervention combined with multicomponent training on CRF at maximal and submaximal intensities in children with overweight or obesity.
MethodsWe recruited 28 children (13 girls and 15 boys) aged 9 to 11 years with overweight or obesity from medical centers and divided them into 2 groups, an intervention group (n=20) that participated in a 5-month supervised AVG exercise program combined with multicomponent exercise, and a control group (n=8) that continued daily activities without modification. A maximal stress test to measure CRF using a walking-graded protocol with respiratory gas exchange was performed by the participants.
ResultsThe AVG group showed a significant decrease in heart rate and oxygen uptake for the same intensities in the submaximal stages of the maximal treadmill test, as well as a lower oxygen uptake percentage according to the individual maximal oxygen uptake, whereas the control group did not show overall changes. No change in the peak oxygen uptake (VO2peak) was found.
ConclusionsA 5-month AVG intervention combined with multicomponent exercise had positive effects on CRF at submaximal intensity, showing a lower heart rate and oxygen uptake at the same intensities and displaying a lower oxygen uptake percentage according to the individual (VO2peak). Greater benefits were found in children with the highest fat percentage.
Trial RegistrationClinicalTrials.gov NCT04418713; https://clinicaltrials.gov/show/NCT04418713 |
| first_indexed | 2024-03-12T12:52:29Z |
| format | Article |
| id | doaj.art-5f2314aa39a547f6bfa4849cdd824bf1 |
| institution | Directory Open Access Journal |
| issn | 2291-9279 |
| language | English |
| last_indexed | 2024-03-12T12:52:29Z |
| publishDate | 2022-05-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Serious Games |
| spelling | doaj.art-5f2314aa39a547f6bfa4849cdd824bf12023-08-28T21:50:09ZengJMIR PublicationsJMIR Serious Games2291-92792022-05-01102e3378210.2196/33782Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled TrialCristina Comeras-Chuecahttps://orcid.org/0000-0001-9483-3262Lorena Villalba-Herediahttps://orcid.org/0000-0002-3847-3300Jose Luis Perez-Lasierrahttps://orcid.org/0000-0002-1113-9169Gabriel Lozano-Bergeshttps://orcid.org/0000-0002-0137-9900Angel Matute-Llorentehttps://orcid.org/0000-0001-8500-1667German Vicente-Rodriguezhttps://orcid.org/0000-0002-4303-4097Jose Antonio Casajushttps://orcid.org/0000-0002-7215-6931Alex Gonzalez-Aguerohttps://orcid.org/0000-0002-1132-5906 BackgroundChildhood overweight and obesity have become major global health problems and are negatively related with the cardiorespiratory fitness (CRF) level in school children and adolescents. Exercise, specifically multicomponent training, is effective for CRF improvement, but the main challenge is to ensure adherence to exercise in children with overweight and obesity. Therefore, new ways of exercising that are more attractive and motivational for this population are needed and playing or training with active video games (AVGs) has been proposed as an effective alternative because they require full-body movement and therefore increase energy expenditure. ObjectiveThe main aim of this study was to investigate the effects of an AVG intervention combined with multicomponent training on CRF at maximal and submaximal intensities in children with overweight or obesity. MethodsWe recruited 28 children (13 girls and 15 boys) aged 9 to 11 years with overweight or obesity from medical centers and divided them into 2 groups, an intervention group (n=20) that participated in a 5-month supervised AVG exercise program combined with multicomponent exercise, and a control group (n=8) that continued daily activities without modification. A maximal stress test to measure CRF using a walking-graded protocol with respiratory gas exchange was performed by the participants. ResultsThe AVG group showed a significant decrease in heart rate and oxygen uptake for the same intensities in the submaximal stages of the maximal treadmill test, as well as a lower oxygen uptake percentage according to the individual maximal oxygen uptake, whereas the control group did not show overall changes. No change in the peak oxygen uptake (VO2peak) was found. ConclusionsA 5-month AVG intervention combined with multicomponent exercise had positive effects on CRF at submaximal intensity, showing a lower heart rate and oxygen uptake at the same intensities and displaying a lower oxygen uptake percentage according to the individual (VO2peak). Greater benefits were found in children with the highest fat percentage. Trial RegistrationClinicalTrials.gov NCT04418713; https://clinicaltrials.gov/show/NCT04418713https://games.jmir.org/2022/2/e33782 |
| spellingShingle | Cristina Comeras-Chueca Lorena Villalba-Heredia Jose Luis Perez-Lasierra Gabriel Lozano-Berges Angel Matute-Llorente German Vicente-Rodriguez Jose Antonio Casajus Alex Gonzalez-Aguero Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial JMIR Serious Games |
| title | Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial |
| title_full | Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial |
| title_fullStr | Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial |
| title_full_unstemmed | Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial |
| title_short | Effect of an Active Video Game Intervention Combined With Multicomponent Exercise for Cardiorespiratory Fitness in Children With Overweight and Obesity: Randomized Controlled Trial |
| title_sort | effect of an active video game intervention combined with multicomponent exercise for cardiorespiratory fitness in children with overweight and obesity randomized controlled trial |
| url | https://games.jmir.org/2022/2/e33782 |
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