Game on: a cycling exergame can elicit moderate-to-vigorous intensity. A pilot study

Berg, Jonathan; Moholdt, Trine

doi:10.1136/bmjsem-2020-000744

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…Effectiveness of an exercise program to induce changes inVO 2peak is dependent upon the intensity, duration, and frequency of exercise (Wenger and Bell, 1986). Intensity reached during exergaming sessions in the present study is well above the minimum threshold for developing cardiorespiratory fitness, even when considering that heart rate measurements overestimate exercise intensity in exergaming (Swain and Franklin, 2002;Berg and Moholdt, 2020). Also, the duration per exergaming session fulfils The American College of Sports Medicine's (ACSM's) recommendations to enhancė VO 2peak (Garber et al, 2011).…”

Section: Cardiorespiratory Fitnesssupporting

confidence: 54%

“…Exergaming is an enjoying alternative to traditional exercise and may generate greater adherence ( Graves et al, 2010 ; Monedero et al, 2015 ; Moholdt et al, 2017 ). Prior studies in adults have primarily focused on the acute effects of exergaming where most have reported light-to-moderate exercise intensities, although higher exercise intensities have been reported ( Graves et al, 2010 ; Peng et al, 2011 ; Moholdt et al, 2017 ; McBain et al, 2018 ; Viana et al, 2018 ; Naugle et al, 2019 ; Berg and Moholdt, 2020 ). Even if a recent systematic review suggested that exergaming may confer health benefits, the authors highlighted that the long-term effectiveness of exergaming is unknown ( Street et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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Can Gaming Get You Fit?

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Rationale: Exergaming may be a viable alternative to more traditional exercise. As highintensity exercise can provide substantial health benefits, the purpose of this study was to investigate the long-term effectiveness of providing inactive adults with access to a high-intensity exergaming platform. Methods: In this study, 52 inactive adults (<150 min of exercise per week), aged 18 years or older, were randomized (1:1) into an exergaming (N = 27) or a control group (N = 25). Exergaming participants were given access to the Playpulse exergaming platform for 6 months, where they decided how frequently they wanted to use the platform. The primary outcome measure, analyzed with a mixed model, was peak oxygen uptake (VO 2peak). Secondary outcomes included body composition, blood pressure, and blood markers of cardiometabolic health. Results: MeanVO 2peak at 6 months was 42.3 (SD 7.0) mL•kg −1 •min −1 and 41.9 (SD 7.4) mL•kg −1 •min −1 for the exergaming and control group, respectively with no significant between-group differences (-0.7, 95% CI-2.7 to 1.3, P = 0.49). Apart from increased moderate-intensity physical activity in the exergaming group at 3 months (21.9 min•day −1 , 95% CI: 2.2 to 41.5, P = 0.03) compared to the control group, there were no significant between-group differences for any outcome at either 3 or 6 months. On average, participants in the exergaming group performed 12 (SD 13) exergaming sessions with an average heart rate of 74.5 (SD 7.5)% of maximum heart rate, throughout the intervention. Conclusion: Due to low exergaming frequency over the 6-month intervention, exergaming participants showed no significant health benefits compared to control. Our study indicates that although the Playpulse exergaming platform is found enjoyable, this is not enough to motivate inactive adults to regularly engage in exercise and thereby improve health.

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Section: Cardiorespiratory Fitnesssupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Can Gaming Get You Fit?

et al. 2020

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“…The highest HR values were reported by Monedero et al [31], who documented a mean HR of 77.4 % of HRmax when playing various fitness-themed video games on the XBOX 360 Kinect. Similar values were measured by Berg & Moholdt [32] and Moholdt et al [33].…”

Section: Discussionsupporting

confidence: 90%

“…The highest values in previous studies were reported by Berg & Moholdt [32] and Moholdt et al [33]. During a biking exergame, they measured an average VO 2 of 61.7 % of VO 2 max.…”

Section: Discussionmentioning

confidence: 78%

The New Way to Exercise? Evaluating an Innovative Heart-rate-controlled Exergame

et al. 2021

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Exergames may offer novel opportunities to expand physical activity. Most games, however, only result in low to moderate-intensity activities that are too low to allow relevant physical adjustments. In the present study, the exercise intensity of a new, heart rate controlled, functional fitness game was assessed. 28 subjects (aged 24.8±3.8 yrs; 46% female; BMI 23.2±2.3 kg/m2) were enrolled in this study. VO2max and maximal heart rate (HRmax) were assessed during a maximal graded exercise test on a treadmill and compared with the oxygen consumption (VO2) and heart rate (HR) during a game in the ExerCube.In the ExerCube, the subjects reached a peak HR of 187.43±9.22 bpm, which corresponds to 96.57±3.64% of their HRmax. The mean HR throughout the game was 167.11±10.94 bpm, corresponding to 86.07±4.33% of HRmax. VO2peak reached 41.57±5.09 ml/kg/min during the game in the ExerCube, which corresponds to 84.75±7.52% of VO2max. The mean VO2 consumption during the game reached 32.39±4.04 ml/kg/min, which corresponds to 66.01±5.09% of VO2max. The ExerCube provides a form of vigorous physical exercise. Due to its playful, immersive, and motivating nature, the ExerCube seems to be a promising tool to facilitate physical activity.

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“…Accordingly, relevant physiological responses and health benefits are questionable. However, the new generations of exergames not only aim for an exciting and appealing gaming experience but started to integrate sound training programs to achieve more health benefits (6,7). With the ExerCube, a promising exergame came on the market that combines an attractive game design and an adaptive functional training stimulus (8,9).…”

Section: Introductionmentioning

confidence: 99%

Gaming Instead of Training? Exergaming Induces High-Intensity Exercise Stimulus and Reduces Cardiovascular Reactivity to Cold Pressor Test

Ketelhut

Kircher

et al. 2022

Front. Cardiovasc. Med.

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IntroductionThe present study assessed if an exercise session in an innovative exergame can modulate hemodynamic reactivity to a cold pressor test (CPT) to a similar extent as a typical moderate endurance training (ET). Furthermore, cardiorespiratory, and affective responses of an exergame session and an ET were compared.MethodsTwenty-seven healthy participants aged 25 ± 4 years (48% female; BMI 23.0 ± 2.1 kg/m2) participated in this cross-sectional study. All participants completed both an ET on a treadmill and training in the ExerCube (ECT). HR and oxygen consumption were recorded during both training sessions. Before and after both exercise sessions, the hemodynamic reactivity to a CPT was determined.ResultsDuring ECT, HR, oxygen consumption, energy expenditure, and the metabolic equivalent of the task were significantly higher than those obtained during ET (p < 0.001). With regard to the CPT, the participants showed significantly lower responses in peripheral systolic (p = 0.004) and diastolic blood pressure (p = 0.009) as well as central systolic (p = 0.002) and diastolic BP (P = 0.01) after ECT compared to ET. The same was true for pulse wave velocity (p = 0.039).ConclusionThe ECT induced a significantly higher exercise stimulus compared to the ET. At the same time, it attenuated hemodynamic stress reactivity. The ECT presents a relevant training stimulus that modulates cardiovascular reactivity to stress, which has been proven as a predictor for the development of hypertension.Trial RegistrationISRCTN registry, ISRCTN43067716, 14 April 2020, Trial number: 38154.

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Game on: a cycling exergame can elicit moderate-to-vigorous intensity. A pilot study

Cited by 11 publications

References 33 publications

Can Gaming Get You Fit?

Can Gaming Get You Fit?

The New Way to Exercise? Evaluating an Innovative Heart-rate-controlled Exergame

Gaming Instead of Training? Exergaming Induces High-Intensity Exercise Stimulus and Reduces Cardiovascular Reactivity to Cold Pressor Test

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