Journal Screenshot

International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

The Effects of Active Video Games on Physical Activity among Overweight and Obese Adolescents: A Systematic Review

Kim Geok Soh, Yiqiang Mai, Hazizi Abu Saad, Fengmeng Qi, Qiang Wang, Kim Geok Lam

http://dx.doi.org/10.6007/IJARBSS/v14-i10/22879

Open access

Purpose: This systematic review aimed to examine the effects of active video games (AVGs) on physical activity (PA) among overweight and obese adolescents while considering the physical, psychological, and physiological determinants that may influence PA within diverse settings. The primary objective was to ascertain the effectiveness of AVGs in promoting PA among this specific population. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyzes Statement guidelines were used to search the PubMed, SCOPUS, EBSCOhost (SPORTDiscus), and Web of Science databases for studies published in the last 10 years (2011–2021). Keywords related to physical activity, being overweight or obese, and teens were used. From the 833 studies, 15 fulfilled all eligibility criteria and were included in this review. Results: The study results revealed that AVGs could effectively reduce sedentary behaviour and screen time. However, the results of PA, moderate-to-vigorous physical activity (MVPA), and relevant physiological variables (e.g., energy expenditure, VO2max) are still unclear because of design problems, measurement issues, and other methodology concerns. However, the results of psychological variables (e.g., self-efficacy towards PA, intrinsic motivation) affecting PA are clear, and AVGs can effectively improve the psychology of participants. Conclusion: Findings confirmed AVGs as a promising addition to promoting PA and health. Though it may not be wise to use it alone as the ultimate means to achieve the goal, it may have an ideal effect if other elements are integrated, such as the participation of peers or parents, or combined with traditional exercise.

Ae, S., Ra, B., W, G., Ca, H., Ds, H., & Rl, N. (2018). Home-based exergaming among children with overweight and obesity: A randomized clinical trial. Pediatric Obesity, 13(11). https://doi.org/10.1111/ijpo.12438
Alturki, H. A., Brookes, D. S. K., & Davies, P. S. W. (2020). Does spending more time on electronic screen devices determine the weight outcomes in obese and normal weight Saudi Arabian children? Saudi Medical Journal, 41(1), 79–87. https://doi.org/10.15537/smj.2020.1.24786
Beaudoin, D. (2012). Serious Lessons from the Commercial Games Industry. In Handbook of Research on Serious Games as Educational, Business and Research Tools (pp. 269–279). IGI Global. https://doi.org/10.4018/978-1-4666-0149-9.ch014
Beets, M. W., Cardinal, B. J., & Alderman, B. L. (2010). Parental social support and the physical activity-related behaviors of youth: A review. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 37(5), 621–644. https://doi.org/10.1177/1090198110363884
Biljon, A. van, Longhurst, G., Shaw, I., & Shaw, B. S. (2021). Role of Exergame Play on Cardiorespiratory Fitness and Body Composition in Overweight and Obese Children. Asian Journal of Sports Medicine, 12(1), Article 1. https://doi.org/10.5812/asjsm.106782
Brown, C. L., Halvorson, E. E., Cohen, G. M., Lazorick, S., & Skelton, J. A. (2015). Addressing Childhood Obesity: Opportunities for Prevention. Pediatric Clinics of North America, 62(5), 1241–1261. https://doi.org/10.1016/j.pcl.2015.05.013
Cai, Y., Zhu, X., & Wu, X. (2017). Overweight, obesity, and screen-time viewing among Chinese school-aged children: National prevalence estimates from the 2016 Physical Activity and Fitness in China—The Youth Study. Journal of Sport and Health Science, 6(4), 404–409. https://doi.org/10.1016/j.jshs.2017.09.002
Carbert, N. S., Brussoni, M., Geller, J., & Mâsse, L. C. (2019). Familial Environment and Overweight/Obese Adolescents’ Physical Activity. International Journal of Environmental Research and Public Health, 16(14), 2558. https://doi.org/10.3390/ijerph16142558
Choo, C. C., Harris, K. M., Chew, P. K. H., & Ho, R. C. (2017). What predicts medical lethality of suicide attempts in Asian youths? Asian Journal of Psychiatry, 29, 136–141. https://doi.org/10.1016/j.ajp.2017.05.008
Christison, A. L., Evans, T. A., Bleess, B. B., Wang, H., Aldag, J. C., & Binns, H. J. (2016). Exergaming for Health: A Randomized Study of Community-Based Exergaming Curriculum in Pediatric Weight Management. Games for Health Journal, 5(6), 413–421. https://doi.org/10.1089/g4h.2015.0097
Ferreira, I., van der Horst, K., Wendel-Vos, W., Kremers, S., van Lenthe, F. J., & Brug, J. (2007). Environmental correlates of physical activity in youth—A review and update. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 8(2), 129–154. https://doi.org/10.1111/j.1467-789X.2006.00264.x
Gao, Z., & Chen, S. (2014). Are field-based exergames useful in preventing childhood obesity? A systematic review. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 15(8), 676–691. https://doi.org/10.1111/obr.12164
Gao, Z., Chen, S., Pasco, D., & Pope, Z. (2015). A meta-analysis of active video games on health outcomes among children and adolescents. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 16(9), 783–794. https://doi.org/10.1111/obr.12287
Golden, S. D., & Earp, J. A. L. (2012). Social Ecological Approaches to Individuals and Their Contexts: Twenty Years of Health Education & Behavior Health Promotion Interventions. Health Education & Behavior, 39(3), 364–372. https://doi.org/10.1177/1090198111418634
Gupta, N., Goel, K., Shah, P., & Misra, A. (2012). Childhood obesity in developing countries: Epidemiology, determinants, and prevention. Endocrine Reviews, 33(1), 48–70. https://doi.org/10.1210/er.2010-0028
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1·6 million participants. The Lancet Child & Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
Hebestreit, A., Börnhorst, C., Barba, G., Siani, A., Huybrechts, I., Tognon, G., Eiben, G., Moreno, L. A., Fernández Alvira, J. M., Loit, H. M., Kovacs, E., Tornaritis, M., & Krogh, V. (2014). Associations between energy intake, daily food intake and energy density of foods and BMI z-score in 2-9-year-old European children. European Journal of Nutrition, 53(2), 673–681. https://doi.org/10.1007/s00394-013-0575-x
Hwang, J., Lee, I.-M., Fernandez, A. M., Hillman, C. H., & Lu, A. S. (2019). Exploring Energy Expenditure and Body Movement of Exergaming in Children of Different Weight Status. Pediatric Exercise Science, 31(4), 438–447. https://doi.org/10.1123/pes.2019-0006
Li, B. J., Lwin, M. O., & Jung, Y. (2014). Wii, Myself, and Size: The Influence of Proteus Effect and Stereotype Threat on Overweight Children’s Exercise Motivation and Behavior in Exergames. Games for Health Journal, 3(1), 40–48. https://doi.org/10.1089/g4h.2013.0081
Llewellyn, A., Simmonds, M., Owen, C. G., & Woolacott, N. (2016). Childhood obesity as a predictor of morbidity in adulthood: A systematic review and meta-analysis. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 17(1), 56–67. https://doi.org/10.1111/obr.12316
Maddison, R., Foley, L., Ni Mhurchu, C., Jiang, Y., Jull, A., Prapavessis, H., Hohepa, M., & Rodgers, A. (2011). Effects of active video games on body composition: A randomized controlled trial. The American Journal of Clinical Nutrition, 94(1), 156–163. https://doi.org/10.3945/ajcn.110.009142
Maddison, R., Mhurchu, C. N., Jull, A., Prapavessis, H., Foley, L. S., & Jiang, Y. (2012). Active video games: The mediating effect of aerobic fitness on body composition. The International Journal of Behavioral Nutrition and Physical Activity, 9, 54. https://doi.org/10.1186/1479-5868-9-54
Majaj, R., Scott, T., Moran, R., Kimberly, D., Jones, T., & Smith, W. (2021). Physiological Responses to Active Video Games Compared to Treadmill Walking and TV Watching in Obese Children and Adolescents. International Journal of Exercise Science, 14(7), 519–532.
Maloney, A. E., Threlkeld, K. A., & Cook, W. L. (2012). Comparative Effectiveness of a 12-Week Physical Activity Intervention for Overweight and Obese Youth: Exergaming with ‘Dance Dance Revolution’. Games for Health Journal, 1(2), 96–103. https://doi.org/10.1089/g4h.2011.0009
Marsh, S., Foley, L. S., Wilks, D. C., & Maddison, R. (2014). Family-based interventions for reducing sedentary time in youth: A systematic review of randomized controlled trials. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 15(2), 117–133. https://doi.org/10.1111/obr.12105
Moholdt, T., Weie, S., Chorianopoulos, K., Wang, A. I., & Hagen, K. (2017). Exergaming can be an innovative way of enjoyable high-intensity interval training. BMJ Open Sport & Exercise Medicine, 3(1), e000258. https://doi.org/10.1136/bmjsem-2017-000258
Peng, W., Crouse, J. C., & Lin, J.-H. (2013). Using active video games for physical activity promotion: A systematic review of the current state of research. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 40(2), 171–192. https://doi.org/10.1177/1090198112444956
Pugliese, J., & Tinsley, B. (2007). Parental socialization of child and adolescent physical activity: A meta-analysis. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 21(3), 331–343. https://doi.org/10.1037/0893-3200.21.3.331
Shay, C. M., Van Horn, L., Stamler, J., Dyer, A. R., Brown, I. J., Chan, Q., Miura, K., Zhao, L., Okuda, N., Daviglus, M. L., Elliott, P., & INTERMAP Research Group. (2012). Food and nutrient intakes and their associations with lower BMI in middle-aged US adults: The International Study of Macro-/Micronutrients and Blood Pressure (INTERMAP). The American Journal of Clinical Nutrition, 96(3), 483–491. https://doi.org/10.3945/ajcn.111.025056
Shephard, R. J. (2015). An Illustrated History of Health and Fitness, from Pre-History to our Post-Modern World (Vol. 39). Springer International Publishing. https://doi.org/10.1007/978-3-319-11671-6
Staiano, A. E., Beyl, R. A., Hsia, D. S., Katzmarzyk, P. T., & Newton, R. L. (2017). Twelve weeks of dance exergaming in overweight and obese adolescent girls: Transfer effects on physical activity, screen time, and self-efficacy. Journal of Sport and Health Science, 6(1), 4–10. https://doi.org/10.1016/j.jshs.2016.11.005
Staiano, A. E., Beyl, R. A., Hsia, D. S., Katzmarzyk, P. T., & Newton, R. L. (2018). A 12-week randomized controlled pilot study of dance exergaming in a group: Influence on psychosocial factors in adolescent girls. Cyberpsychology, 12(2), 3. https://doi.org/10.5817/CP2018-2-3
Staiano, A. E., Marker, A. M., Beyl, R. A., Hsia, D. S., Katzmarzyk, P. T., & Newton, R. L. (2017). A randomized controlled trial of dance exergaming for exercise training in overweight and obese adolescent girls. Pediatric Obesity, 12(2), 120–128. https://doi.org/10.1111/ijpo.12117
Stangl, A. L., Earnshaw, V. A., Logie, C. H., van Brakel, W., C. Simbayi, L., Barré, I., & Dovidio, J. F. (2019). The Health Stigma and Discrimination Framework: A global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Medicine, 17(1), 31. https://doi.org/10.1186/s12916-019-1271-3
Steele, C. M., & Aronson, J. (1995). Stereotype threat and the intellectual test performance of African Americans. Journal of Personality and Social Psychology, 69, 797–811. https://doi.org/10.1037/0022-3514.69.5.797
Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion: AJHP, 10(4), 282–298. https://doi.org/10.4278/0890-1171-10.4.282
Trost, S. G., Sundal, D., Foster, G. D., Lent, M. R., & Vojta, D. (2014). Effects of a pediatric weight management program with and without active video games a randomized trial. JAMA Pediatrics, 168(5), 407–413. https://doi.org/10.1001/jamapediatrics.2013.3436
Van, B. A., & Longhurst, G. K. (2012). The influence of exergaming on the functional fitness in overweight and obese children: Physical activity, health and wellness. African Journal for Physical Health Education, Recreation and Dance, 18(42), 984–991. https://doi.org/10.10520/EJC128361
Van Der Horst, K., Paw, M. J. C. A., Twisk, J. W. R., & Van Mechelen, W. (2007). A brief review on correlates of physical activity and sedentariness in youth. Medicine and Science in Sports and Exercise, 39(8), 1241–1250. https://doi.org/10.1249/mss.0b013e318059bf35
Wagener, T. L., Fedele, D. A., Mignogna, M. R., Hester, C. N., & Gillaspy, S. R. (2012). Psychological effects of dance-based group exergaming in obese adolescents. Pediatric Obesity, 7(5), e68-74. https://doi.org/10.1111/j.2047-6310.2012.00065.x
WHO. (2019). New WHO-led study says majority of adolescents worldwide are not sufficiently physically active. https://www.who.int/news/item/22-11-2019-new-who-led-study-says-majority-of-adolescents-worldwide-are-not-sufficiently-physically-active-putting-their-current-and-future-health-at-risk
WHO. (2020). Adolescent health and development. https://www.who.int/news-room/questions-and-answers/item/adolescent-health-and-development
World Health Organization. (2018). Global action plan on physical activity 2018–2030: More active people for a healthier world. World Health Organization. https://apps.who.int/iris/handle/10665/272722
Yee, N., & Bailenson, J. (2007). The Proteus Effect: The Effect of Transformed Self?Representation on Behavior. Human Communication Research, 33, 271–290. https://doi.org/10.1111/j.1468-2958.2007.00299.x
Yuca, S. A., Cimbek, E. A., ?en, Y., Güvenç, O., Vatansev, H., Bu?rul, F., Gün, F., & Oran, B. (2017). The Relationship between Metabolic Parameters, Cardiac Parameters and MIC-1/GDF15 in Obese Children. Experimental and Clinical Endocrinology & Diabetes: Official Journal, German Society of Endocrinology [and] German Diabetes Association, 125(2), 86–90. https://doi.org/10.1055/s-0042-114220
Zeng, N., & Gao, Z. (2016). Exergaming and obesity in youth: Current perspectives. International Journal of General Medicine, 9, 275–284. https://doi.org/10.2147/IJGM.S99025

Mai, Y., Soh, K. G., Saad, H. A., Qi, F., Wang, Q., & Lam, K. G. (2024). The Effects of Active Video Games on Physical Activity among Overweight and Obese Adolescents: A Systematic Review. International Journal of Academic Research in Business and Social Sciences, 14(10), 859–882.