Effects of a pediatric weight management program with and without active video games a randomized trial

Trost, Stewart G., Sundal, Deborah, Foster, Gary D., Lent, Michelle R. and Vojta, Deneen (2014) Effects of a pediatric weight management program with and without active video games a randomized trial. JAMA Pediatrics, 168 5: 407-413. doi:10.1001/jamapediatrics.2013.3436

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
UQ331162_OA.pdf Full text (open access) application/pdf 268.29KB 0

Author Trost, Stewart G.
Sundal, Deborah
Foster, Gary D.
Lent, Michelle R.
Vojta, Deneen
Title Effects of a pediatric weight management program with and without active video games a randomized trial
Journal name JAMA Pediatrics   Check publisher's open access policy
ISSN 2168-6203
2168-6211
Publication date 2014-05-01
Year available 2014
Sub-type Article (original research)
DOI 10.1001/jamapediatrics.2013.3436
Open Access Status File (Publisher version)
Volume 168
Issue 5
Start page 407
End page 413
Total pages 7
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Formatted abstract
Importance Active video games may offer an effective strategy to increase physical activity in overweight and obese children. However, the specific effects of active gaming when delivered within the context of a pediatric weight management program are unknown.

Objective To evaluate the effects of active video gaming on physical activity and weight loss in children participating in an evidence-based weight management program delivered in the community.

Design, Setting, and Participants Group-randomized clinical trial conducted during a 16-week period in YMCAs and schools located in Massachusetts, Rhode Island, and Texas. Seventy-five overweight or obese children (41 girls [55%], 34 whites [45%], 20 Hispanics [27%], and 17 blacks [23%]) enrolled in a community-based pediatric weight management program. Mean (SD) age of the participants was 10.0 (1.7) years; body mass index (BMI) z score, 2.15 (0.40); and percentage overweight from the median BMI for age and sex, 64.3% (19.9%).

Interventions All participants received a comprehensive family-based pediatric weight management program (JOIN for ME). Participants in the program and active gaming group received hardware consisting of a game console and motion capture device and 1 active game at their second treatment session and a second game in week 9 of the program. Participants in the program-only group were given the hardware and 2 games at the completion of the 16-week program.

Main Outcomes and Measures Objectively measured daily moderate-to-vigorous and vigorous physical activity, percentage overweight, and BMI z score.

Results Participants in the program and active gaming group exhibited significant increases in moderate-to-vigorous (mean [SD], 7.4 [2.7] min/d) and vigorous (2.8 [0.9] min/d) physical activity at week 16 (P < .05). In the program-only group, a decline or no change was observed in the moderate-to-vigorous (mean [SD] net difference, 8.0 [3.8] min/d; P = .04) and vigorous (3.1 [1.3] min/d; P = .02) physical activity. Participants in both groups exhibited significant reductions in percentage overweight and BMI z scores at week 16. However, the program and active gaming group exhibited significantly greater reductions in percentage overweight (mean [SD], −10.9% [1.6%] vs −5.5% [1.5%]; P = .02) and BMI z score (−0.25 [0.03] vs −0.11 [0.03]; P < .001).

Conclusions and Relevance
Incorporating active video gaming into an evidence-based pediatric weight management program has positive effects on physical activity and relative weight.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Human Movement and Nutrition Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 28 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 33 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 27 May 2014, 11:55:31 EST by System User on behalf of School of Human Movement and Nutrition Sciences