Active Video Game Playing in Children and Adolescents With Cystic Fibrosis: Exercise or Just Fun?

Xbox Kinect has been proposed as an exercise intervention in cystic fibrosis (CF), but its potential has not been compared with standard training modalities. Using a crossover design, subjects were randomized to 2 intervention groups: Xbox Kinect and a traditional stationary cycle. Heart rate, SpO2,...

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Bibliographic Details
Published in:	Respiratory care Vol. 60; no. 8; pp. 1172 - 1179
Main Authors:	Salonini, Elena, Gambazza, Simone, Meneghelli, Ilaria, Tridello, Gloria, Sanguanini, Milva, Cazzarolli, Clizia, Zanini, Alessandra, Assael, Baroukh M
Format:	Journal Article
Language:	English
Published:	United States Daedalus Enterprises, Inc 01-08-2015 Daedalus Enterprises Inc
Subjects:	Adolescent Child Comparative analysis Cross-Over Studies Cystic fibrosis Cystic Fibrosis - complications Cystic Fibrosis - psychology Cystic Fibrosis - rehabilitation Dyspnea - etiology Exercise - physiology Exercise Test Exercise therapy Exercise Therapy - methods Exercise Therapy - psychology Exercise Therapy - statistics & numerical data Exercise Tolerance Fatigue - etiology Female Genetic aspects Heart Rate Humans Male Muscle strength Original Research Patient Satisfaction Physiological aspects Prognosis Video Games Japan gaming console Xbox Kinect children cystic fibrosis exercise active video game physical activity
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Summary:	Xbox Kinect has been proposed as an exercise intervention in cystic fibrosis (CF), but its potential has not been compared with standard training modalities. Using a crossover design, subjects were randomized to 2 intervention groups: Xbox Kinect and a traditional stationary cycle. Heart rate, SpO2, dyspnea, and fatigue were measured. Subject satisfaction was tested. Thirty subjects with CF (11 males, mean ± SD age of 12 ± 2.5 y, mean ± SD FEV1 of 73 ± 16% of predicted) were enrolled. Xbox Kinect provided a cardiovascular demand similar to a stationary cycle, although the modality was different (interval vs. continuous). Maximum heart rates were similar (P = .2). Heart rate target was achieved more frequently with a stationary cycle (P = .02). Xbox Kinect caused less dyspnea (P = .001) and fatigue (P < .001) and was more enjoyable than a stationary cycle (P < .001). Subjects preferred Xbox Kinect for its interactivity. Xbox Kinect has the potential to be employed as an exercise intervention in young subjects with CF, but investigation over longer periods is needed.
ISSN:	0020-1324 1943-3654
DOI:	10.4187/respcare.03576