Effects of exergaming on gait parameters in overweight and obesity children aged 10 - 12 years
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Abstract
Children who gain weight often experience changes in their body systems, leading to abnormal gait patterns. Therefore, intervention programs focusing on physical exercise are crucial for improving walking patterns. The purpose of this study is to investigate the effects of exergaming on gait characteristics and body mass index in overweight and obesity children. Thirty-two participants, aged 10 to 12 and classified as overweight or obese, were divided into two groups based on individual matched pairs. The experimental group participated in 35-minute sessions of Nintendo Switch with Ring fit Controller (Ring-Con) exercise games, twice a week, for a duration of six weeks. The comparison group maintained their usual daily activities. All participants underwent a two-minute walk test using the APDM mobility lab, which measured both their fastest and most comfortable gait speeds and recorded various gait characteristics. The independent sample t-test was used for statistical evaluation. The results were shown in the fastest gait speed indicated the variables for cadence, gait speed, single limb support time, stride length and swing time, walking performance was significantly higher in the experimental group (p < 0.05). Therefore, interactive gaming exercises represent a beneficial and effective alternative for promoting health and enhancing walking abilities in overweight and obese children.
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References
Lister NB, Baur LA, Felix JF, Hill AJ, Marcus C, Reinehr T, et al. Child and adolescent obesity. Nat Rev Dis Primers. 2023;9(1):24. doi: 10.1038/s41572-023-00435-4.
Siling V, Hengudomsub P, Vatanasin D. Factors associated with digital intelligence quotient among lower secondary school students. Journal of Medical and Public Health Region 4. 2023;13(2):39-52.
Sharma V, Coleman S, Nixon J, Sharples L, Hamilton-Shield J, Rutter H, et al. A systematic review and meta-analysis estimating the population prevalence of comorbidities in children and adolescents aged 5 to 18 years. Obes Rev 2019;20(10):1341-9.
Dutton M. Gait Training. Dutton's Introduction to physical therapy and patient skills. 2nd ed. New York: McGraw-Hill Education; 2021.
Steinberg N, Nemet D, Pantanowitz M, Eliakim A. Gait pattern, impact to the skeleton and postural balance in overweight and obese children: A review. Sports (Basel) 2018;6(3):75. doi:10.3390/sports6030075.
Oliveira LC, Ferrari GLdM, Araújo TL, Matsudo V. Overweight, obesity, steps, and moderate to vigorous physical activity in children. Rev Saude Publica 2017;51(0):38. doi:10.1590/S1518-8787.2017051006771.
Pathare N, Haskvitz EM, Selleck M. 6-minute walk test performance in young children who are normal weight and overweight. Cardiopulm Phys Ther J 2012;23(4):12-8.
Pathan N. A study to establish the reference values for two minute walk distance in school going children. International Journal of Academic Research and Development 2020;5(5):55-9.
Udomittipong K, Thabungkan T, Nimmannit A, Tovichien P, Charoensitisup P, Mahoran K. Obesity Indices for predicting functional fitness in children and adolescents with obesity. Front Pediatr 2021;9:789290. doi:10.3389/fped.2021.789290.
Jittham W, Hirunpoom J, Nimpun D. Obesity-related factors that affect 6-minute walk test performance in Thai obese children. J Child Obes. 2022;7(12):124. doi: 10.36648/2572-5394.22.7.124.
Witherspoon JW, Vasavada R, Logaraj RH, Waite M, Collins J, Shieh C, et al. Two-minute versus 6-minute walk distances during 6-minute walk test in neuromuscular disease: Is the 2-minute walk test an effective alternative to a 6-minute walk test? Eur J Paediatr Neurol 2019;23(1): 165-70.
Wu YS, Wang WY, Chan TC, Chiu YL, Lin HC, Chang YT, et al. Effect of the Nintendo Ring Fit Adventure exergame on running completion time and psychological factors among university students engaging in distance learning during the COVID-19 pandemic: Randomized controlled trial. JMIR Serious Games. 2022;10(1): e35040. doi: 10.2196/35040.
Taheri M, Irandoust K. The effect of game-based balance training on body composition and psychomotor performance of obese students. Int J School Health. 2019;6(2):e83341. doi:10.5812/intjsh.83341.
Comeras-Chueca C, Villalba-Heredia L, Pérez-Llera M, Lozano-Berges G, Marín-Puyalto J, Vicente-Rodríguez G, et al. Assessment of active video games’ energy expenditure in children with overweight and obesity and differences by gender. Int J Environ Res Public Health. 2020;17(18):6714. doi: 10.3390/ijerph17186714.
Davoodeh S, Sheikh M, Houminiyan D, Bagherzadeh F. The effect of Wii Fit exergames on static balance and motor competence in obese and non-obese college women. Acta Gymnica. 2020;50(2):61-7.
Zeng N, Gao Z. Exergaming and obesity in youth: current perspectives. Int J Gen Med 2016;9:275-84.
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007;85(9):660-7.
Washabaugh EP, Kalyanaraman T, Adamczyk PG, Claflin ES, Krishnan C. Validity and repeatability of inertial measurement units for measuring gait parameters. Gait Posture 2017;55:87-93.
Voss S, Joyce J, Biskis A, Parulekar M, Armijo N, Zampieri C, et al. Normative database of spatiotemporal gait parameters using inertial sensors in typically developing children and young adults. Gait Posture 2020;80:206-13.
Liu W, Mei Q, Yu P, Gao Z, Hu Q, Fekete G, et al. Biomechanical characteristics of the typically developing toddler gait: A narrative review. Children (Basel) 2022;9(3):406. doi: 10.3390/children9030406.
Fukuchi CA, Fukuchi RK, Duarte M. Effects of walking speed on gait biomechanics in healthy participants: a systematic review and meta-analysis. Syst Rev 2019;8(1): 153. doi: 10.1186/s13643-019-1063-z.
Valeriani F, Protano C, Marotta D, Liguori G, Romano Spica V, Valerio G, et al. Exergames in Childhood Obesity Treatment: A Systematic Review. Int J Environ Res Public Health. 2021;18(9):4938. doi: 10.3390/ijerph 18094938. PMID: 34066369; PMCID: PMC8124431.
Mongkol S, Youngpaknam K, Khunsuwan B, Supinchompu P, Bunpeng S. The effect of balance training by program Wii Fit with Nintendo Wii and Wii balance board in female obese people. J Assoc Med Sci 2013;46(1):66-71. (in Thai)
Smits-Engelsman BCM, Jelsma LD, Ferguson GD. The effect of exergames on functional strength, anaerobic fitness, balance and agility in children with and without motor coordination difficulties living in low-income communities. Hum Mov Sci 2017;55:327-337. doi: 10.1016/j.humov.2016.07.006.
Mullins NM, Tessmer KA, McCarroll ML, Peppel BP. Physiological and perceptual responses to Nintendo® Wii Fit™ in young and older adults. Int J Exerc Sci 2012;5(1):79-92.
Kherdkarn P, Siripornpanich V, Ajjimaporn A, Sriket N, Sriket P, Widjaja W. The acute effect of exergame on brain waves and response time in active and sedentary young adults. J Sports Sci Technol 2017;17(2):55-67. (in Thai)
Hwang J, Lee IM, Fernandez AM, Hillman CH, Lu AS. Exploring energy expenditure and body movement of exergaming in children of different weight status. Pediatr Exerc Sci. 2019;31(4):438-47.
Wolff C, Steinheimer P, Warmerdam E, Dahmen T, Slusallek P, Schlinkmann C, et al. Effects of age, body height, body weight, body mass index and handgrip strength on the trajectory of the plantar pressure stance-phase curve of the gait cycle. Front Bioeng Biotechnol 2023;11:1110099. doi:10.3389/fbioe.2023.1110099.
Bataweel EA, Ibrahim AI. Balance and musculoskeletal flexibility in children with obesity: a cross-sectional study. Ann Saudi Med. 2020;40(2):120-5.
Tracy JB, Petersen DA, Pigman J, Conner BC, Wright HG, Modlesky CM, et al. Dynamic stability during walking in children with and without cerebral palsy. Gait Posture2019;72:182-7. doi:10.1016/j.gaitpost.2019.06.008.
Goldfield GS, Adamo KB, Rutherford J, Murray M. The effects of aerobic exercise on psychosocial functioning of adolescents who are overweight or obese. J Pediatr Psychol. 2012;37(10):1136-47.
Foley L, Jiang Y, Ni Mhurchu C, Jull A, Prapavessis H, Rodgers A, et al. The effect of active video games by ethnicity, sex and fitness: subgroup analysis from a randomised controlled trial Int J Behav Nutr Phys Act. 2014;11(1):46. doi:10.1186/1479-5868-11-46.
Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care 2015;4(2):187-92.
Kracht CL, Joseph ED, Staiano AE. Video Games, Obesity, and Children. Curr Obes Rep. 2020;9(1):1-14.
