Motor Activity Clinical Trial
Official title:
Active Video Gaming Compared to Unstructured, Outdoor Play in Children: Measurements of Estimated Energy Expenditure and Measured Percent Time in Moderate-to-Vigorous Physical Activity
The increasing use of sedentary screen-based activities (SBAs) has been most recently blamed
for children and adolescents' lack of engagement in physical activity (PA). Studies indicate
a large portion of children participate high-levels of sedentary SBAs and the sedentary SBAs
appear to compete for time to engage in PA. If sedentary behavior is a substitute for PA, to
help increase PA, strategies need to be put into place that helps to decrease sedentary
behaviors.
One modification to sedentary videogames that may increase PA in children is to alter
sedentary videogames so that the videogames actually provide an option to engage in PA,
rather than to be sedentary. These types of games then don't compete with PA, but actually
are a source of PA. These types of videogames are called active video games (AVG) or
"Exer-gaming." Previous research demonstrates that energy-expenditure (EE) in AVG play is
comparable to moderate-intensity walking and produce greater EE than sedentary SBAs. However,
previous studies have been limited to measuring EE in AVG play to walking either on a
treadmill or in a structured setting. Studies have not investigated the EE of AVG play
compared to the EE in free-living outdoor play. Thus, the purpose of the proposed study is to
determine whether a greater EE is released during AVG play compared to free-living, outdoor
play in children.
Fifteen children, aged 5- to 8- years, attending a nearby preschool, with a normal body mass
index (BMI)-for-age percentile between, > 5th % to < 85th %.BMI, will participate in
unstructured, outdoor play and one AVGs in a randomized order. Activity type, duration and
intensity will be measured via accelerometery and direct observation. The EE will be
calculated from Metabolic Equivalent (MET) values and the percent of time each activity meets
MVPA intensity will be calculated. A MET is the energy cost of the activity expressed as
kilocalories expended per kilogram of body weight per hour of activity (7). If EE and
intensity in AVG play is similar to EE and intensity in outdoor play, then AVG play could be
a great supplement to efforts aimed at increasing PA in children.
Specific Aims:
1. To measure the EE acquired in 15 minutes during an AVG, an adventure game, as compared
to unstructured outdoor play in children 5- to 8- years of age.
2. To compare the percent of time each activity meets the definition of MVPA (MET value >3)
in children aged 5- to 8-years of age.
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