The Effect of Exergame Training on Physical Functioning of Healthy Older Adults: A Meta-Analysis

Hai, Lagan; Hou, Hai-Yan; Zhou, Chen; Li, Hui-Jie

doi:10.1089/g4h.2021.0173

Cited by 23 publications

(14 citation statements)

References 107 publications

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“…Consistent with earlier systematic reviews and meta-analyses ( 40 , 42 , 97 , 98 ), our findings also demonstrate a positive effect of AVGs on lower body muscular strength in older adults. The enhancement in lower body strength is likely attributed to the lower limb movements, and strength demands inherent to AVGs.…”

Section: Discussionsupporting

confidence: 92%

“…It has been shown that moderate-intensity physical activity can help older people improve their cardiovascular capacity ( 103 , 104 ). Overall, the intensity of AVGs tended to be light to moderate for older adults; thus, AVGs might influence vascular function and boost cardiorespiratory fitness ( 98 ). Furthermore, the underlying biological mechanisms responsible for the heightened cardiorespiratory fitness induced by AVGs may parallel those of conventional physical exercises.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the underlying biological mechanisms responsible for the heightened cardiorespiratory fitness induced by AVGs may parallel those of conventional physical exercises. These adaptations could involve enhancing the heart’s ability to supply oxygen to active muscles, modifying muscle fibers through mechanical and metabolic stress, promoting protein synthesis, and mitigating apoptosis ( 98 , 105 ). Additionally, some authors ( 35 ) have observed that the effects produced by AVGs on cardiorespiratory fitness do not significantly differ from those obtained with conventional exercise training.…”

Section: Discussionmentioning

confidence: 99%

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Active video games for improving health-related physical fitness in older adults: a systematic review and meta-analysis

Deng,

Soh,

Abdullah

et al. 2024

Front. Public Health

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BackgroundThe global population is experiencing a rapid rise in the quantity and percentage of older people. In an effort to enhance physical activity among older adults, active video games (AVGs) are being suggested as a compelling alternative and are currently under scrutiny to evaluate their efficacy in promoting the health of older people.ObjectiveThis review aims to synthesize current studies and formulate conclusions regarding the impact of AVGs on the health-related physical fitness of older adults.MethodsSeven databases (PubMed, Web of Science, SCOPUS, SPORTDiscus, EMBASE, MEDLINE, and CINAHL) were searched from inception to January 21, 2024. Eligible studies included randomized controlled trials examining the effect of AVGs compared to control conditions on health-related physical fitness outcomes in older adults. The methodological quality of the included trials was assessed using the PEDro scale, and the certainty of evidence was evaluated using the GRADE approach. A random-effects model was used to calculate effect sizes (ES; Hedge’s g) between experimental and control groups.ResultsThe analysis included 24 trials with a total of 1428 older adults (all ≥ 60 years old). Compared to controls, AVGs produced significant increases in muscular strength (moderate ES = 0.64–0.68, p < 0.05) and cardiorespiratory fitness (moderate ES = 0.79, p < 0.001). However, no significant effects were found for body composition (trivial ES = 0.12–0.14; p > 0.05) and flexibility (trivial ES = 0.08; p = 0.677). The beneficial effects of AVGs were greater after a duration of ≥ 12 vs. < 12 weeks (cardiorespiratory fitness; ES = 1.04 vs. 0.29, p = 0.028) and following ≥ 60 minutes vs. < 60 minutes of session duration (muscular strength; ES = 1.20–1.24 vs. 0.27–0.42, p < 0.05).ConclusionAVGs appear to be an effective tool for enhancing muscular strength and cardiorespiratory fitness in older adults, although their impact on improving body composition and flexibility seems limited. Optimal improvement in cardiorespiratory fitness is associated with a longer duration of AVGs (≥ 12 weeks). Moreover, a session duration of ≥ 60 minutes may provide greater benefits for the muscular strength of older adults.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=482568, identifier CRD42023482568.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Active video games for improving health-related physical fitness in older adults: a systematic review and meta-analysis

Deng,

Soh,

Abdullah

et al. 2024

Front. Public Health

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“…For example, one systematic review (N=18 RCTs) examined the impact of exergames on physical performance measures and found a positive impact of exergames on mobility and balance (Taylor et al, 2018). A recent meta‐analysis (N=48 studies) examined the specific effect of exergame training on various aspects of physical functioning in healthy older adults (Hai et al, 2022). This meta‐analysis found that exergame training demonstrated a small effect on overall physical functioning with differential impacts in specific areas (moderate benefits specifically in balance, lower body strength, aerobic endurance; small benefit in gait; negligible effects on upper body flexibility and lower body flexibility).…”

Section: Serious Health Games In Older Adultsmentioning

confidence: 99%

“…The literature on the positive impact of health games in various populations, specifically with older adults, supports their potential value. The accumulating literature, including reviews and meta‐analyses suggests that such games should be taken seriously as a potential tool to support healthy aging (Hai et al, 2022; Stojan & Voelcker‐Rehage, 2019; Xu et al, 2020).…”

Section: Program and Policy Implicationsmentioning

confidence: 99%

Digital Health Games for Older Adults: Development, Implementation, and Programmatic Implications of Health Game Use in Senior Centers

Orsega‐Smith,

Ruggiero,

Getchell

et al. 2023

Journal of Elder Policy

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By 2030, an estimated 21.6% of the U.S. population will exceed 65 years old. Within this demographic, ongoing broad efforts are needed to address modifiable factors related to common chronic conditions of aging. Digital, or "serious, " health games offer one innovative approach to reach and engage older adults, with documented positive impacts on physical, mental/cognitive, and social health. Informed by healthy aging theory and community-engaged, user-centered design methods, our multidisciplinary team has developed a prototype multicomponent educational exergame designed to educate about and promote healthy lifestyle behaviors (i.e., healthy eating, physical activity), stimulate cognitive functioning, engage movement, and promote social connection. Additionally, we included functional near infrared spectroscopy (fNIRS) in our pilot work to measure real time brain activation during gameplay. Our objectives are to: 1) describe the formative development and testing process of an example multi-component educational exergame, including multidisciplinary team science collaboration, application of aging theory, and use of community-engaged and user-centered approaches; and 2) present a pilot study examining implementation and multiple aspects of an innovative educational exergame, including usability, acceptability, preliminary impact, and cognitive function measurement using brain imaging technology (fNIRS) to measure changes in cognitive load during gameplay. The results provide initial support for acceptability, usability, and positive perceived impact, as well as the preliminary encouraging pre to post improvements in behavioral intention, content knowledge, and relative neural efficiency. This paper also explores the potential of implementing serious health games in senior centers as part of their regular programming.

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Effects of lifestyle and its interaction with anemia on cognitive function in older adults: A longitudinal study

Yang,

Zhou,

2023

PsyCh Journal

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A better understanding of the impact of lifestyle factors on cognitive function in older adults is critical for developing intervention strategies to achieve successful aging. Moreover, older adults who fulfill the World Health Organization criteria for anemia have a significantly higher risk of developing dementia. In the current study, we aimed to assess the buffering effects of lifestyle on cognitive function in older Chinese adults through a nationally representative survey. The sample consisted of 1201 participants (mean age: 82.39 ± 12.08 years, 52.1% female) from the 2011/2012 and 2014 waves of the Chinese Longitudinal Healthy Longevity Survey. Multiple linear regression analyses were used to explore the relationship between changes in lifestyle factors and the rate of cognitive function changes, as well as the effects of the interaction between lifestyle factors and anemia on cognitive function changes. Increased levels of participation in leisure activities, social activities, and dietary diversity delayed cognitive decline. Persistent anemia accelerated cognitive decline, while frequent participation in leisure activities delayed cognitive decline due to anemia. The increased levels of participation in leisure activities, social activities, and dietary diversity can alleviate the cognitive decline caused by aging itself, and more frequently participation in leisure activities can also alleviate the adverse effects of anemia on cognitive function in older adults.

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The Effect of Exergame Training on Physical Functioning of Healthy Older Adults: A Meta-Analysis

Cited by 23 publications

References 107 publications

Active video games for improving health-related physical fitness in older adults: a systematic review and meta-analysis

Active video games for improving health-related physical fitness in older adults: a systematic review and meta-analysis

Digital Health Games for Older Adults: Development, Implementation, and Programmatic Implications of Health Game Use in Senior Centers

Effects of lifestyle and its interaction with anemia on cognitive function in older adults: A longitudinal study

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