Efficacy of Exercise Videogames for Physical Activity Adoption and Maintenance

运动电子游戏对身体活动采用和维持的功效

基本信息

批准号：
8516584
负责人：
Beth C Bock
金额：
$ 48.24万
依托单位：
MIRIAM HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8516584
关键词：
21 year old Adherence Adoption Adult Aerobic Exercise Affective Age American Behavioral Mechanisms Blood Pressure Body Composition Cardiovascular Diseases Cardiovascular system Child Cognitive Diabetes Mellitus Disease Equilibrium Equipment Exercise Expenditure Goals Health Heart Rate Hip region structure Home environment Household Individual Intervention Intervention Studies Light Maintenance Malignant Neoplasms Marketing Measures Metabolic Methods Minority Motivation Obesity Outcome Participant Physical Fitness Physical activity Pilot Projects Play Psychological Factors Public Health Randomized Randomized Controlled Clinical Trials Randomized Controlled Trials Relative (related person)Research Rest Risk Self Efficacy Step Tests Testing Time Translating United States National Institutes of Health arm base blood lipid cancer type cardiovascular disorder risk efficacy testing emerging adult expectation fitness improved indexing innovation novel programs sedentary social standard measure trial comparing

项目摘要

DESCRIPTION (provided by applicant): Participation in regular physical activity (PA) reduces the risk of cardiovascular disease, diabetes, obesity, and certain forms of cancer.[1-3] Despite the numerous benefits of PA, only a minority of American adults engage in regular PA,[4,5] and most who begin an exercise program do not continue.[6-8] Indeed, Physical inactivity has been called the most significant threat to American public health for the 21st century.[16] There is a great need to develop innovative approaches to promoting increased PA that are engaging in a way that helps sustain continued practice. Videogames that require physical activity for play (also called "Exercise Videogames" or "EVGs") have been widely marketed to millions of U.S. households and are played by both children and adults.[9] Emerging research indicates that a single session of these games can produce significant increases in metabolic expenditure and increase heart rate to levels equaling moderate-to-vigorous physical activity[10,11] that may translate into health-related fitness improvements.[12,13] However, to date there is insufficient research to determine whether adults will engage in regular EVG participation sufficient to produce improvements in cardiovascular fitness and overall health risk. In addition, EVGs may also tap into certain cognitive and affective constructs to a greater degree than standard PA programs, encouraging greater participation and maintenance of PA.[60-61] The proposed trial builds on our highly successful pilot study, in which adults given a 12-week program of EVGs showed improvements in fitness and measures of cardiovascular fitness (including step test duration, balance, resting heart rate, blood pressure, etc.). For the proposed study we will conduct a 3-group randomized, controlled trial among healthy, sedentary adults (age > or =18), to test the efficacy of EVGs compared to a standard exercise program (Standard) and contact-control (Control) to increase time spent in PA and changes in physical fitness and cardiovascular health. We will also examine maintenance of PA and fitness changes during a 6-month home based EVG and Standard interventions (Months 4-9). This study will also examine changes in theoretically-based constructs that will shed light on the cognitive and behavioral mechanisms underlying observed between-group differences in adherence to PA. The proposed study will advance the field by: (1) establishing the efficacy of EVGs for increasing participation in PA; (2) demonstrating the efficacy of EVGs for PA maintenance when used in the home; (3) Demonstrating the potential of EVGs for improving cardiovascular health and overall fitness; and (4) testing theoretical constructs that may contribute to greater adherence, and ultimately, efficacy of EVGs compared to standard forms of PA.

描述（由申请人提供）：参加常规体育锻炼（PA）降低了心血管疾病，糖尿病，肥胖和某些形式的癌症的风险。[1-3]尽管PA有很多好处，但只有少数美国成年人从事常规PA，[4,5]，大多数开始运动计划的人实际上并没有继续进行运动。非常需要开发创新的方法来促进增加的PA，以帮助维持持续实践的方式参与。需要进行体育锻炼的视频游戏（也称为“锻炼视频游戏”或“ EVGS”）已被广泛销售给数百万的美国家庭，并由儿童和成人播放。[9]新兴的研究表明，这些游戏中的一场会议可以显着增加代谢支出，并将心率提高到等于中度到令人振奋的体育锻炼的水平[10,11]，这些[10,11]可以转化为与健康相关的适应性改善。[12,13]但是，迄今为止，迄今为止，不足以确定成年人是否会及时地降低了EV GG的危险，并且会及时地降级。此外，EVG还可以比标准PA计划更大程度地利用某些认知和情感结构，鼓励PA的更多参与和维持。[60-61] [60-61]拟议的试验基于我们非常成功的试点研究，成年人给予了12周的EVG计划，EVG的EVGS进行了为期12周的EVGS，在适应性和测量中表现出了心血管拟合效果的改善，包括阶级的效果，平衡率，平衡率，恢复心脏，恢复心脏，恢复性心脏，恢复心脏，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率，恢复性心脏率。在拟议的研究中，我们将在健康，久坐的成年人中进行3组随机，对照试验（年龄>或= 18），以测试EVG的功效，与标准运动计划（标准）和接触控制程序（对照）（对照）相比，以增加PA中花费的时间以及身体适应性和心血管健康的变化。我们还将在基于6个月的Home EVG和标准干预措施（第4-9个月）期间检查PA和健身变化的维护和健身变化。这项研究还将研究基于理论上的构建体的变化，这些变化将阐明观察到的认知和行为机制在遵守PA的组间差异。拟议的研究将通过：（1）建立EVG对增加PA参与的功效；（2）在房屋中使用时，证明EVG的功效对PA维护的功效；（3）证明EVG有可能改善心血管健康和整体健身；（4）与标准形式的PA相比，测试可能有助于EVG的效力更大的理论结构，并最终导致EVG的功效。