Background Individuals with physical disabilities have fewer opportunities to participate in enjoyable physical activity. One option for increasing physical activity is playing active video games (AVGs); however, many AVGs are inaccessible or offer limited play options. Objective This study aimed to examine energy expenditure and enjoyment in adults with mobility impairment during AVG play using off-the-shelf (OTS) and adapted versions of the Wii Fit balance board (Nintendo). Methods During visit 1, participants completed a functional assessment and the familiarization period. During visit 2, metabolic data were collected during a 20-minute baseline and four 10-minute bouts of Wii Fit Plus game play, with two bouts on each of the boards. During the resting period, participants completed the Physical Activity Enjoyment Scale (PACES). Statistical analyses were computed using SPSS software. Data were analyzed separately for individuals who were able to play while standing on both boards (StdStd); those who could not play while standing on the OTS board, but were able to play while standing on the adapted board (aStd); and those who could only play while sitting on the adapted board (aSit). Results Data were collected for 58 participants (StdStd, n=17; aStd, n=10; aSit, n=31). The sample included 31 men and 27 women with a mean age of 41.21 (SD 12.70) years. Energy expenditure (metabolic equivalent [MET]) during game play was significantly greater than that during rest for all players. Only 17 participants (StdStd group) were able to play using the OTS board. During game play on the adapted board, the average MET values for the two game sets were 2.261 (SD 0.718) kcal/kg/hour and 2.233 (SD 0.751) kcal/kg/hour for the aSit group, 3.151 (SD 1.034) and 2.990 (SD 1.121) for the aStd group, and 2.732 (SD 0.655) and 2.777 (SD 0.803) for the StdStd group. For game play on the adapted board, self-reported ratings of perceived exertion on a 0-10 scale suggested greater exercise intensity levels, with median scores ranging from moderate (3) to very hard (7). The PACES scores indicated that all players enjoyed using the adapted board, with a median score of 4 on a 5-point scale. Conclusions The adapted Wii Fit balance board provided an opportunity for individuals with mobility impairments, including wheelchair users, to engage in AVG. All participants were able to utilize the adapted controller and enjoyed the AVG activity. Although the average MET values achieved during AVG represented light-intensity exercise (<3 METs), 16% of sitting participants and 41% of standing participants achieved moderate-intensity exercise (3-6 METs) in at least one of the games. Factors not accounted for, which may have influenced the intensity of exercise, include game selection, limited familiarization period, and discomfort wearing the COSMED portable metabolic system for measurement of oxygen consumption. Accessib...

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During physical activities, youth consume fluids from various delivery methods that may influence hydration behaviors. The purpose of this study was to determine the drinking efficiency of these different methods. Children’s fluid intake was more efficient when drinking from a cup compared with a bottle with no mouth contact and a water fountain, but not compared with a bottle with direct mouth contact. Drinking from the water fountain was the least effective compared with all other methods. Children drink more efficiently when using cups and water bottles with direct mouth contact as the delivery method compared with methods with no mouth contact.

The occurrence of fatalities associated with gun violence among children, as reported in the media, makes studying gun violence and its prevention among children a priority. The purpose of this study was to investigate parents’ views on gun violence and whether gun safety education should be provided in schools. Thematic analysis was conducted on open-ended questions and descriptive statistics for closedended questions. Of the 200 participants, 79% (n= 158) of them indicated that gun safety instructions should be taught in schools, whereas 21% (n= 42) disapproved. Forty-five percent of the 158 participants who agreed to gun safety education suggested that police/military personnel teach gun safety to children. Overall, the parents questioned believed that gun safety education would help children to understand the seriousness of this issue. Some parents were not in favor of gun safety education. However, because the overwhelming majority was in favor of it, it is important for stakeholders in schools to consider offering it as one possible way to reduce gun violence among children.