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Active Gaming: the newest intervention for increasing physical activity Ernie Medina, Jr., DrPH, CHFS Preventive Care Specialist, Beaver Medical Group Assistant Clinical Professor, Loma Linda Univ. School of Public Health Co-founder/CEO, MedPlay Technology, LLC [email protected] Consumer Engagement 3.0 Workshop July 12, 2011

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Page 1: Hlthcr unbndem workshop

Active Gaming: the newest intervention for

increasing physical activity

Ernie Medina, Jr., DrPH, CHFSPreventive Care Specialist, Beaver Medical Group

Assistant Clinical Professor, Loma Linda Univ. School of Public Health

Co-founder/CEO, MedPlay Technology, [email protected]

Consumer Engagement 3.0 WorkshopJuly 12, 2011

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Support traditional PA…Meeting people where they are at

[email protected]

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Aerobic - Kids60 minutes daily

[email protected]

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Aerobic - Adults150 minutes per weekmoderate intensity

[email protected]

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5 Common Excuses

Too expensive Too painful Special

Limitations It’s boring No time

[email protected]

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Active Gaming, the Exercise Excuse Buster!

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Going against the grain…

“2 hrs or less of RST” Various names

Exertainment Exergaming Active Gaming Active Play Video Games

Not the same as watching TV while on exercise machine!

[email protected]

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3 TYPES OF ACTIVE GAMING

[email protected]

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Exergaming outdoors

NeosPlayworld Systems

[email protected]

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Increasing PA in a variety of settings,

ages, & abilities

Schools

Fitness center

Home

Medical Group

Senior Center

[email protected]

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ADVANTAGES OF ACTIVE GAMES

[email protected]

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Social

[email protected]

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Families can exercise together!

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Different ages play together

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Adaptable to condition of player

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Special needs can do!

[email protected]

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My dad, post stroke

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Seniors get into game!

Benefits Cognitive

Challenges Locations

Residences Centers Mobile

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Abel Rendon, DPTDSc candidate

Research: Using the Wii Fit to help reduce fallsOct. 13, 2009

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“Medical Exergaming”

Obesity Rehab Special populations

Physical disabilities Cognitive/mental disabilities

Lifestyle-related diseases Seniors

Physical benefits Cognitive benefits Social benefits

[email protected]

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Exergaming in a Medical Fitness Center

Beaver Medical Group

[email protected]

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Loma Linda University Drayson Center XRtainment Zone

[email protected]

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Programs for medical sites

Family Fit Zone Insurance-covered

Homeschool Zone… Subsidized by homeschool org.

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Shellie PfohlExec. Dir.Presidents Council onFitness, Sports, & Nutrition

[email protected]

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Let’s move

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Common criticisms

[email protected]

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Research addresses critics!

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Energy Expenditure with Exergames

DDRWiiEye ToyOthers

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Summary of Results

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New data from our lab in college students

EA Sports Active New to game: 5.4

Kcal/min Experienced (10 weeks of

playing): 4.3 Kcal/min

Gold’s Gym 7.3 Kcal/min.

Your Shape 6.9 Kcal/min

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Intervention Studies

Madsen et al., 2007 “Feasibility of a Dance Videogame to

Promote Weight Loss Among Overweight Children and Adolescents”

Ni Mhurchu et al., 2008 “Couch Potatoes to Jumping Beans: A Pilot

Study of the Effects of Active Video Games on Physical Activity in Children”

Haddock et al., 2009 “The Addition of a Video Game to

Stationary Cycling: The Impact on Energy Expenditure in Overweight Children”

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Adding Video Game to Stationary Cycling

No Video GameNo Video Game Video GameVideo Game

Ave. H.R.Ave. H.R. 142.4 142.4 ± 18.8± 18.8 146.0 146.0 ± 21.4± 21.4

Ave. Kcal/minAve. Kcal/min 4.9 4.9 ± 1.4± 1.4 5.7 5.7 ± 1.6*± 1.6*

RPERPE 3.6 3.6 ± 2.3± 2.3 3.2 3.2 ± 2.8± 2.8

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ConclusionExergaming can increase energy expenditure to a level that is considered at least moderate intensity.The level of energy expenditure varies, with boxing related games tending to increase energy expenditure the most.Long term efficacy of exergames to reduce the prevalence of obesity still remains to be seenThe continual development of new exciting games that increase energy expenditure is crucial if exergaming will have any long term impacts.

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Plenty of unanswered questions

Biometric outcomes Negative effects Impact on cognitive functions Adoption of healthy behaviors

[email protected]

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Gateway to “Traditional” PA?

?

?

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Tournaments improve long-term compliance?

[email protected]

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New games for health effective?

Due out late November

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Games for health in healthcare?

[email protected]

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Future of healthcare?

Improved outcomes!

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A solution to our healthcare crisis: Unique collaboration

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Disclaimer: One of the grantees

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[email protected]

http://tinyurl.com/TENWiki

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Newest intervention for increasing PA!

Think out-of-the-box Try for yourself Do research!

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“I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!”

Gunnar, age [email protected]

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Active Gaming: Where working out is all play!

Thank you!Thank you!

[email protected]