Moving beyond the stigma: systematic review of video games and their potential to combat obesity

Stacey Guy, Alexandria Ratzki-Leewing, Femida Gwadry-Sridhar, Stacey Guy, Alexandria Ratzki-Leewing, Femida Gwadry-Sridhar

Abstract

Increasing epidemic proportions of overweight children in the United States presents formidable challenges for education and healthcare. Given the popularity and pervasiveness of video gaming culture in North American children, the perfect opportunity arises to investigate the potential of video games to promote healthful behaviour. Our objective was to systematically review the literature for possible benefits of active and educational video games targeting diet and physical activity in children. A review of English-language journal articles from 1998 to 2011 using EMBASE and PubMed was conducted. Thirty-four studies concerned with children, video games, physical, and/or nutritional outcomes were included. Results of these studies that showed some benefit (increased physical activity and nutritional knowledge as a result of gaming) demonstrate the possibility of video games to combat childhood obesity-looking beyond the stigma attached to gaming.

Figures

Figure 1
Figure 1
Identification of studies.

References

    1. Rocchini AP. Childhood obesity and a diabetes epidemic. The New England Journal of Medicine. 2002;346(11):854–855.
    1. Moore JB, Pawloski LR, Goldberg P, Oh KM, Stoehr A, Baghi H. Childhood obesity study: a pilot study of the effect of the nutrition education program Color My Pyramid. Journal of School Nursing. 2009;25(3):230–239.
    1. Ogden CL, Lamb MM, Carroll MD, Flegal KM. Obesity and socioeconomic status in children and adolescents: United States, 2005–2008. 2010.
    1. Kim YM, Lee SJ. Physical activity and abdominal obesity in youth. Applied Physiology, Nutrition and Metabolism. 2009;34(4):571–581.
    1. Reilly JJ, Methven E, McDowell ZC, et al. Health consequences of obesity. Archives of Disease in Childhood. 2003;88(9):748–752.
    1. Hardy LR, Harrell JS, Bell RA. Overweight in children: definitions, measurements, confounding factors, and health consequences. Journal of Pediatric Nursing. 2004;19(6):376–384.
    1. DeMattia L, Denney SL. Childhood obesity prevention: successful community-based efforts. Annals of the American Academy of Political and Social Science. 2008;615(1):83–99.
    1. Atkin AJ, Gorely T, Biddle SJH, Marshall SJ, Cameron N. Critical hours: physical activity and sedentary behavior of adolescents after school. Pediatric Exercise Science. 2008;20(4):446–456.
    1. Boreham C, Riddoch C. The physical activity, fitness and health of children. Journal of Sports Sciences. 2001;19(12):915–929.
    1. Strong WB, Malina RM, Blimkie CJR, et al. Evidence based physical activity for school-age youth. The Journal of Pediatrics. 2005;146(6):732–737.
    1. Gutin B, Barbeau P, Owens S, et al. Effects of exercise intensity on cardiovascular fitness, total body composition, and visceral adiposity of obese adolescents. The American Journal of Clinical Nutrition. 2002;75(5):818–826.
    1. Kimm SYS, Glynn NW, Obarzanek E, et al. Relation between the changes in physical activity and body-mass index during adolescence: a multicentre longitudinal study. The Lancet. 2005;366(9482):301–307.
    1. LeMura LM, Maziekas MT. Factors that alter body fat, body mass, and fat-free mass in pediatric obesity. Medicine and Science in Sports and Exercise. 2002;34(3):487–496.
    1. Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O. Physical activity from childhood to adulthood: a 21-year tracking study. American Journal of Preventive Medicine. 2005;28(3):267–273.
    1. Twisk JWR, Kemper HCG, Van Mechelen W. Tracking of activity and fitness and the relationship with cardiovascular disease risk factors. Medicine and Science in Sports and Exercise. 2000;32(8):1455–1461.
    1. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obesity Reviews, Supplement. 2004;5(supplement 1):4–104.
    1. Steinbeck KS. The importance of physical activity in the prevention of overweight and obesity in childhood: a review and an opinion. Obesity Reviews. 2001;2(2):117–130.
    1. Active Healthy Kids Canada. Healthy Habits Start Earlier Than You Think. The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. 2010, .
    1. Wright JD, Wang CY, Kennedy-Stephenson J, Ervin RB. Dietary intake of ten key nutrients for public health, United States: 1999–2000. Advance Data. 2003;(334):1–4.
    1. Patrick K, Calfas KJ, Norman GJ, et al. Randomized controlled trial of a primary care and home-based intervention for physical activity and nutrition behaviors: PACE+ for adolescents. Archives of Pediatrics & Adolescent Medicine. 2006;160(2):128–136.
    1. Wahl R. Nutrition in the adolescent. Pediatric Annals. 1999;28(2):107–111.
    1. Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120(supplement 4):S193–228.
    1. United States Department of Agriculture. Dietary Guidelines for Americans 2011. 2011, .
    1. U.S. Department of Health & Human Services. The Surgeon General’s Vision for a Healthy and Fit Nation Fact Sheet 2010. 2011, .
    1. Centers for Disease Control and Prevention. How much physical activity do children need? 2010. 2011, .
    1. Van Sluijs EMF, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. British Medical Journal. 2007;335(7622):703–707.
    1. Frenn M, Malin S, Brown RL, et al. Changing the tide: an internet/video exercise and low-fat diet intervention with middle-school students. Applied Nursing Research. 2005;18(1):13–21.
    1. Biddiss E, Irwin J. Active video games to promote physical activity in children and youth: a systematic review. Archives of Pediatrics & Adolescent Medicine. 2010;164(7):664–672.
    1. Vandewater EA, Shim MS, Caplovitz AG. Linking obesity and activity level with children’s television and video game use. Journal of Adolescence. 2004;27(1):71–85.
    1. Maddison R, Foley L, Ni Mhurchu C, et al. Feasibility, design and conduct of a pragmatic randomized controlled trial to reduce overweight and obesity in children: the electronic games to aid motivation to exercise (eGAME) study. BMC Public Health. 2009;9, article 146
    1. Wilson Z. Pew survey: teens love facebook, hate blogging, are always online, and don’t use twitter. 2010, .
    1. Center for the Digital Future. Annual internet survey by the center for the digital future finds large increases in use of online newspapers 2009: 1–9. USC Annenberg School for Communication, .
    1. Daley AJ. Can exergaming contribute to improving physical activity levels and health outcomes in children? Pediatrics. 2009;124(2):763–771.
    1. Salmon JO, Booth ML, Phongsavan P, Murphy N, Timperio A. Promoting physical activity participation among children and adolescents. Epidemiologic Reviews. 2007;29(1):144–159.
    1. Baranowski T, Buday R, Thompson DI, Baranowski J. Playing for real: video games and stories for health-related behavior change. American Journal of Preventive Medicine. 2008;34(1):74–82.
    1. Chin A Paw MJM, Jacobs WM, Vaessen EPG, Titze S, van Mechelen W. The motivation of children to play an active video game. Journal of Science and Medicine in Sport. 2008;11(2):163–166.
    1. Epstein LH, Beecher MD, Graf JL, Roemmich JN. Choice of interactive dance and bicycle games in overweight and nonoverweight youth. Annals of Behavioral Medicine. 2007;33(2):124–131.
    1. Graf DL, Pratt LV, Hester CN, Short KR. Playing active video games increases energy expenditure in children. Pediatrics. 2009;124(2):534–540.
    1. Graves L, Stratton G, Ridgers ND, Cable NT. Energy expenditure in adolescents playing new generation computer games. British Medical Journal. 2007;335(7633):1282–1284.
    1. Graves LEF, Ridgers ND, Stratton G. The contribution of upper limb and total body movement to adolescents’ energy expenditure whilst playing Nintendo Wii. European Journal of Applied Physiology. 2008;104(4):617–623.
    1. Haddock BL, Siegel SR, Wikin LD. The addition of a video game to stationary cycling: the impact on energy expenditure in overweight children. The Open Sports Sciences Journal. 2009;2:42–46.
    1. Lanningham-Foster L, Jensen TB, Foster RC, et al. Energy expenditure of sedentary screen time compared with active screen time for children. Pediatrics. 2006;118(6):e1831–e1835.
    1. Maddison R, Ni Mhurchu C, Jull A, Jiang Y, Prapavessis H, Rodgers A. Energy expended playing video console games: an opportunity to increase children’s physical activity? Pediatric Exercise Science. 2007;19(3):334–343.
    1. Madsen KA, Yen S, Wlasiuk L, Newman TB, Lustig R. Feasibility of a dance videogame to promote weight loss among overweight children and adolescents. Archives of Pediatrics & Adolescent Medicine. 2007;161(1):105–107.
    1. Maloney AE, Bethea TC, Kelsey KS, et al. A pilot of a video game (DDR) to promote physical activity and decrease sedentary screen time. Obesity. 2008;16(9):2074–2080.
    1. Paez S, Maloney A, Kelsey K, Wiesen C, Rosenberg A. Parental and environmental factors associated with physical activity among children participating in an active video game. Pediatric Physical Therapy. 2009;21(3):245–253.
    1. McDougall J, Duncan MJ. Children, video games and physical activity: an exploratory study. International Journal on Disability and Human Development. 2008;7(1):89–94.
    1. Mellecker RR, McManus AM. Energy expenditure and cardiovascular responses to seated and active gaming in children. Archives of Pediatrics & Adolescent Medicine. 2008;162(9):886–891.
    1. Mellecker RR, McManus AM, Lanningham-Foster LM, Levine JA. The feasibility of ambulatory screen time in children. International Journal of Pediatric Obesity. 2009;4(2):106–111.
    1. Murphy ECS, Carson L, Neal W, Baylis C, Donley D, Yeater R. Effects of an exercise intervention using Dance Dance Revolution on endothelial function and other risk factors in overweight children. International Journal of Pediatric Obesity. 2009;4(4):205–214.
    1. Ni Mhurchu C, Maddison R, Jiang Y, Jull A, Prapavessis H, Rodgers A. Couch potatoes to jumping beans: a pilot study of the effect of active video games on physical activity in children. International Journal of Behavioral Nutrition and Physical Activity. 2008;5, article 8
    1. Penko AL, Barkley JE. Motivation and physiologic responses of playing a physically interactive video game relative to a sedentary alternative in children. Annals of Behavioral Medicine. 2010:1–8.
    1. Ridley K, Olds T. Video center games: energy cost and children’s behaviors. Pediatric Exercise Science. 2001;13(4):413–421.
    1. Sit CH, Lam JW, McKenzie TL. Direct observation of children's preferences and activity levels during interactive and online electronic games. Journal of Physical Activity & Health. 2010;7(4):484–489.
    1. Straker L, Abbott R. Effect of screen-based media on energy expenditure and heart rate in 9- to 12-year-old children. Pediatric Exercise Science. 2007;19(4):459–471.
    1. Unnithan VB, Houser W, Fernhall B. Evaluation of the energy cost of playing a dance simulation video game in overweight and non-overweight children and adolescents. International Journal of Sports Medicine. 2006;27(10):804–809.
    1. Baranowski T, Baranowski J, Thompson D, et al. Video game play, child diet, and physical activity behavior change: a randomized clinical trial. American Journal of Preventive Medicine. 2011;40(1):33–38.
    1. Thompson D, Baranowski T, Buday R, et al. Serious video games for health: how behavioral science guided the development of a serious video game. Simulation and Gaming. 2010;41(4):587–606.
    1. Thompson D, Baranowski T, Buday R, et al. In pursuit of change: youth response to intensive goal setting embedded in a serious video game. Journal of Diabetes Science and Technology. 2007;1:907–917.
    1. Baranowski T, Baranowski JC, Cullen KW, et al. The fun, food, and fitness project (FFFP): the baylor GEMS pilot study. Ethnicity & Disease. 2003;13(1):S1–S1.
    1. Baranowski T, Baranowski J, Cullen KW, et al. Squire’s Quest!: dietary outcome evaluation of a multimedia game. American Journal of Preventive Medicine. 2003;24(1):52–61.
    1. Cullen KW, Watson K, Baranowski T, Baranowski JH, Zakeri I. Squire’s quest: intervention changes occurred at lunch and snack meals. Appetite. 2005;45(2):148–151.
    1. Munguba MC, Valdés MTM, da Silva CAB. The application of an occupational therapy nutrition education programme for children who are obese. Occupational Therapy International. 2008;15(1):56–70.
    1. Pempek TA, Calvert SL. Tipping the balance: use of advergames to promote consumption of nutritious foods and beverages by low-income African American children. Archives of Pediatrics & Adolescent Medicine. 2009;163(7):633–637.
    1. Southard DR, Southard BH. Promoting physical activity in children with MetaKenkoh. Clinical and Investigative Medicine. 2006;29(5):293–297.
    1. Thompson D, Baranowski T, Baranowski J, et al. Boy Scout 5-a-Day Badge: outcome results of a troop and Internet intervention. Preventive Medicine. 2009;49(6):518–526.
    1. Turnin MC, Tauber MT, Couvaras O, et al. Evaluation of microcomputer nutritional teaching games in 1,876 children at school. Diabetes and Metabolism. 2001;27(4):459–464.
    1. United States Department of Agriculture. Expanded Food and Nutrition Education Program (EFNEP) 2010. 2011, .

Source: PubMed

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