Active Video Game Exercise Training Improves the Clinical Control of Asthma in Children: Randomized Controlled Trial

Evelim L F D Gomes, Celso R F Carvalho, Fabiana Sobral Peixoto-Souza, Etiene Farah Teixeira-Carvalho, Juliana Fernandes Barreto Mendonça, Roberto Stirbulov, Luciana Maria Malosá Sampaio, Dirceu Costa, Evelim L F D Gomes, Celso R F Carvalho, Fabiana Sobral Peixoto-Souza, Etiene Farah Teixeira-Carvalho, Juliana Fernandes Barreto Mendonça, Roberto Stirbulov, Luciana Maria Malosá Sampaio, Dirceu Costa

Abstract

Objective: The aim of the present study was to determine whether aerobic exercise involving an active video game system improved asthma control, airway inflammation and exercise capacity in children with moderate to severe asthma.

Design: A randomized, controlled, single-blinded clinical trial was carried out. Thirty-six children with moderate to severe asthma were randomly allocated to either a video game group (VGG; N = 20) or a treadmill group (TG; n = 16). Both groups completed an eight-week supervised program with two weekly 40-minute sessions. Pre-training and post-training evaluations involved the Asthma Control Questionnaire, exhaled nitric oxide levels (FeNO), maximum exercise testing (Bruce protocol) and lung function.

Results: No differences between the VGG and TG were found at the baseline. Improvements occurred in both groups with regard to asthma control and exercise capacity. Moreover, a significant reduction in FeNO was found in the VGG (p < 0.05). Although the mean energy expenditure at rest and during exercise training was similar for both groups, the maximum energy expenditure was higher in the VGG.

Conclusion: The present findings strongly suggest that aerobic training promoted by an active video game had a positive impact on children with asthma in terms of clinical control, improvement in their exercise capacity and a reduction in pulmonary inflammation.

Trial registration: Clinicaltrials.gov NCT01438294.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1. Flowchart of the study (in…
Fig 1. Flowchart of the study (in compliance with the CONSORT statement).
Fig 2. Heart rate response during training…
Fig 2. Heart rate response during training for both groups; the data presented in the box plot and boxes represent the 25th-75th percentiles; the lines inside the boxes represent the medians and the bars represent the 10th and 90th percentiles.

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