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

• 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
• ISSN: 0020-1324; 1943-3654
• DOI: 10.4187/respcare.03576

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.