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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
Support traditional PA…Meeting people where they are at
Aerobic - Kids60 minutes daily
Aerobic - Adults150 minutes per weekmoderate intensity
5 Common Excuses
Too expensive Too painful Special
Limitations It’s boring No time
Active Gaming, the Exercise Excuse Buster!
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!
3 TYPES OF ACTIVE GAMING
Increasing PA in a variety of settings,
ages, & abilities
Schools
Fitness center
Home
Medical Group
Senior Center
ADVANTAGES OF ACTIVE GAMES
Social
Families can exercise together!
Different ages play together
Adaptable to condition of player
Special needs can do!
My dad, post stroke
Seniors get into game!
Benefits Cognitive
Challenges Locations
Residences Centers Mobile
Abel Rendon, DPTDSc candidate
Research: Using the Wii Fit to help reduce fallsOct. 13, 2009
“Medical Exergaming”
Obesity Rehab Special populations
Physical disabilities Cognitive/mental disabilities
Lifestyle-related diseases Seniors
Physical benefits Cognitive benefits Social benefits
Loma Linda University Drayson Center XRtainment Zone
Programs for medical sites
Family Fit Zone Insurance-covered
Homeschool Zone… Subsidized by homeschool org.
Shellie PfohlExec. Dir.Presidents Council onFitness, Sports, & Nutrition
Let’s move
Common criticisms
Research addresses critics!
Energy Expenditure with Exergames
DDRWiiEye ToyOthers
Summary of Results
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
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”
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
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.
Plenty of unanswered questions
Biometric outcomes Negative effects Impact on cognitive functions Adoption of healthy behaviors
Gateway to “Traditional” PA?
?
?
Tournaments improve long-term compliance?
New games for health effective?
Due out late November
Games for health in healthcare?
Future of healthcare?
Improved outcomes!
A solution to our healthcare crisis: Unique collaboration
Disclaimer: One of the grantees
http://tinyurl.com/TENWiki
Newest intervention for increasing PA!
Think out-of-the-box Try for yourself Do research!
“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]