Effects on Physical Fitness and Stress between Dance Exergame and Home-Based Dance Exercise with Videos in Female Youths with Sedentary Behavior: An Assessor-Blinded Randomized Controlled Trial


  • Wanida Kaewmunee Department of Physical Therapy ,Faculty of Medicine,Prince of Songkla University
  • Chatwalai Sonthikul
  • Naratorn Thaworncheep
  • Kesornthip Jongkraijak
  • Thidaporn Chotsampancharoen
  • Pacharapon Pittapan


dance exergame, home-based exercise, physical fitness, youth, sedentary behavior


Objectives: To compare the effects between dance exergame and home-based dance exercise with videos on physical fitness in female youths.

Study design: an assessor-blind randomized controlled trial.

Setting: Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Subjects: Thirty female youths with sedentary behavior.

Methods: This study randomly divided the participants into the exergame group (n = 15), which received a dance exercise program with the Just Dance game, or the video group (n = 15), which received home-based dance exercise with videos. The exercise program for both groups started with 30 minutes, 5 times a week for two weeks then increased to 50 minutes, 3 times per week until the end of the program. Body mass index, percentage of body fat, muscle endurance, muscle strength, flexibility, agility and stress were measured at baseline, and then after 6 weeks of the exercise programs.

Results: After the 6-week program, the exergame group showed improvement in all physical fitness outcomes, while the video group showed no difference in body mass index, percentage of body fat or agility. When comparing between the exergame and the video groups, differences were found in arm and upper body muscle endurance and back muscle strength when compared to the video groups (11 vs 1, p-value = 0.012 and 27 vs 20, p = 0.032, respectively): but not in stress (3 vs 2, p = 0.102).

Conclusions: In female youths with sedentary behaviors, a 6-week program of exercise with dance exergame shows different effects on improving physical fitness when compared with home-based dance exercise with videos.


Download data is not yet available.


World health organization. Physical activity [Internet]. Geneva: WHO; 2020. [cited 2022 Jun 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity.

Institute for Population and Social Research, editor. Thai health report 2020. Bangkok: Amarin printing and publishing; 2020.

Kulthanan T, Soparat K, Junhom N. Physical fitness and physical activities profiles of second-year medical student: Faculty of Medicine Siriraj Hospital, Mahidol University. Siriraj Med J. 2001;53: 797-804.

O’Neill J, Pate R, Liese A. Descriptive epidemiology of dance participation in adolescents: research quarterly for exercise and sport. Res Q Exerc Sport. 2011;82:373-80.

Wongsaya E, Chotisakunlerd B, Fongkeaw S. The effect of cover dance on physical fitness in adolescents. J Assoc Med Sci. 2016; 49:100-5.

Peng W, Lin JHT, Crouse Waddell J. Is playing exergames really exercising? A meta-analysis of energy expenditure in active video games. Cyberpsychol Behav Soc Netw. 2011;14:681-8.

Peng W, Crouse JC, Lin JH. Using active video games for physical activity promotion: a systematic review of the current state of research. Health Educ Behav. 2013;40:171-92.

Oh Y, Yang S. Defining exergames & exergaming. Proceedings of meaningful play. 2010 Oct 21;2010:21-3.

Huang HC, Wong MK, Lu J, Huang WF, Teng CI. Can using exer-games improve physical fitness? A 12-week randomized controlled trial. Comput Hum Behav. 2017;70:310-6.

Noah JA, Spierer DK, Tachibana A. Vigorous energy expenditure with a dance exer-game. J Exerc Physiol Online. 2011;14:13-28.

Lin JHT. “Just Dance”: The effects of exergame feedback and controller use on physical activity and psychological outcomes. Games Health J. 2015;4:183-9.

Barkley J, Penko A. Physiologic responses, perceived exertion, and hedonics of playing a physical interactive video game relative to a sedentary alternative and treadmill walking in adults. J Exerc Physiol. 2009;12:12-23.

Penko AL, Barkley JE. Motivation and physiologic responses of playing a physically interactive video game relative to a sedentary alternative in children. Ann Behav Med. 2010;39:162-9.

Lawrence MR, Wan HI, Liu W, McDonough DJ, Mishra S, Gao Z. Effects of exergaming on college students’ situational interest, self-efficacy, and motion sickness. J Clin Med. 2022;27:1-8.

Rosner B, editor. Fundamentals of biostatistics. 8th ed. Boston: Cengage Learning; 2015.

Ministry of Tourism and Sports, editor. Handbook of physical fitness test and standard criteria for children, youth and Thai people. Bangkok: World Expert; 2019.

Bethards S, Everitt-Smith S, Roberts H, Scarborough G, Tate S, Bandy WD. Intrarater test-retest reliability of an instrument used to measure back and leg strength. Isokinet Exerc Sci. 1995;5:31-5.

Samahito S, editor. Physical fitness test and standard criteria for Thai children aged 7-18 years. Bangkok: Kasetsart University; 2012.

Moulton A. The effect of accurate categorical activity selection on the prediction of percent body fat when using the Omron HBF-306 bioelectric impedance analyzer [Thesis]. Illinois: Eastern Illinois University; 2013.

Silpakit O. Srithanya stress scale. J Ment Health Thai. 2008;16: 177-85.

Vojciechowski AS, Natal JZ, Gomes ARS, Rodrigues EV, Villegas ILP, Korelo RIG. Effects of exergame training on the health promotion of young adults. Fisioter Mov. 2017;30:59-67.

Ambegaonkar JP, Caswell SV, Winchester JB, Caswell AA, Andre MJ. Upper-body muscular endurance in female university-level modern dancers: a pilot study. J Dance Med Sci. 2012;16:3-7.

Petrofsky J, Laymon M, Mcgrew R, Papa D, Hahn R, Kaethler R, et al. A comparison of the aerobic cost and muscle use in aerobic dance to the energy costs and muscle use on treadmill, elliptical trainer and bicycle ergometry. Phys Ther Rehabil Sci. 2013;2:12-20.

Hoysniemi J. International survey on the Dance Dance Revolution game. Entertain Comput. 2006;8-es.

Speraw J, editor. Exercise for your muscle type: the smart way to get fit. California: Basic Health Publications; 2004.

Bronner S, Pinsker R, Naik R, Noah A. Physiological and psychophysiological responses to an exer-game training protocol. J Sci Med Sport. 2015;19:1-5.

Simmel L, editor. Dance medicine in practice: anatomy, injury prevention, training. Oxon: Routledge; 2013.

Roopchand-Martin S, Nelson G, Gordon C, Sing SY. A pilot study using the XBOX Kinect for exercise conditioning in sedentary female university students. Technol Health Care. 2015;23:275-83.

Ashley L, editor. Essential guide to dance. 3rd ed. Oxon: Hachette UK; 2012.

Su H, Chang YK, Lin YJ, Chu IH. Effects of training using an active video game on agility and balance. J Sports Med Phys Fitness. 2015;55:914-21.

Alricsson M, Harms-Ringdahl K, Eriksson K, Werner S. The effect of dance training on joint mobility, muscle flexibility, speed and agility in young cross-country skiers - a prospective controlled intervention study. Scand J Med Sci Sports. 2003;13:237-43.

Staiano AE, Marker AM, Beyl RA, Hsia DS, Katzmarzyk PT, Newton RL. A randomized controlled trial of dance exergaming for exercise training in overweight and obese adolescent girls. Pediatr Obes. 2017;12:120-8.

Kongsomboon K, Khrukaew T, Chodpanich D, Disbunchong P, Wonganan P, Booran A. Type of exercise and stress in medical students at Srinakharinwirot University. SWU Med Sci J. 2017;1: 44-52.

Babyak M, Blumenthal JA, Herman S, Khatri P, Doraiswamy M, Moore K, et al. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. J Behav Med. 2000;62: 633-8.

Phoglin M. Endorphins. J Health Sci. 2011;20:154-61.