Home-based exergaming among children with overweight and obesity: A randomized clinical trial
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Summary: Background: Given children's low levels of physical activity and high prevalence of obesity, there is an urgent need to identify innovative physical activity options. Objective: This study aims to test the effectiveness of exergaming (video gaming that involves physical activity) to reduce children's adiposity and improve cardiometabolic health. Methods: This randomized controlled trial assigned 46 children with overweight/obesity to a 24‐week exergaming or control condition. Intervention participants were provided a gaming console with exergames, a gameplay curriculum (1 h per session, three times a week) and video chat sessions with a fitness coach (telehealth coaching). Control participants were provided the exergames following final clinic visit. The primary outcome was body mass index (BMI) z‐score. Secondary outcomes were fat mass by dual energy X‐ray absorptiometry and cardiometabolic health metrics. Results: Half of the participants were girls, and 57% were African–American. Intervention adherence was 94.4%, and children's ratings of acceptability and enjoyment were high. The intervention group significantly reduced BMI z‐score excluding one control outlier (intervention [standard error] vs. control [standard error]: −0.06 [0.03] vs. 0.03 [0.03], p = 0.016) with a marginal difference in intent‐to‐treat analysis (−0.06 [0.03] vs. 0.02 [0.03], p = 0.065). Compared with control, the intervention group improved systolic blood pressure, diastolic blood pressure, total cholesterol, low‐density lipoprotein‐cholesterol and moderate‐to‐vigorous physical activity (all p values <0.05). Conclusions: Exergaming at home elicited high adherence and improved children's BMI z‐score, cardiometabolic health and physical activity levels. Exergaming with social support may be promoted as an exercise option for children.
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In the TODAY trial, achieving a healthy lifestyle in youth with type 2 diabetes is challenging, but when successful it results in decreased A1C and homeostatic model assessment for insulin resistance.
“The largest study of youth with T2D, TODAY (Treatment Options for Type 2 Diabetes in Adolescents and Youth) clinical trial, demonstrated that achieving a healthy lifestyle in this age group is challenging,1503 but when successful, it results in decreased A1C and homeostatic model assessment for insulin resistance.1504”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1504]
The Results describe a home-based exergaming trial in children with overweight or obesity, only one of whom had type 2 diabetes. The Methods and Results passages do not discuss the TODAY trial or report A1C or HOMA-IR outcomes; searches for those terms found no supporting passage. The reported lack of an intervention effect on glucose in this different trial does not establish a contrary finding about TODAY. (LLM, conf=0.77)
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- Authors
- Staiano, A. E., Beyl, R. A., Guan, W., Hendrick, C. A., Hsia, D. S., & Newton, R. L.
- Affiliations
- Pennington Biomedical Research Center (US)
- Corresponding author
- Staiano, A. E.
- Venue
- Pediatric Obesity
- Publisher
- Wiley
- Published
- 2018-07-20
- Volume
- 13
- Issue
- 11
- Pages
- 724-733
- ISSN
- 2047-6302 (ISSN-L)
- 2047-6310
- PMC
- PMC6203598
- OpenAlex
- W2884763710
- Cited by
- 167
- References
- 50
- Citations by year
- 2026: 25 · 2025: 22 · 2024: 19 · 2023: 23 · 2022: 26 · 2021: 24 · 2020: 20 · 2019: 6 · 2018: 2
- FWCI
- 12.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pediatric Obesity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Heart Association (15GRNT24480070)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK072476)
- National Institute of General Medical Sciences (1 U54 GM104940)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
- Keywords
- exergames, childhood obesity, childhood overweight, home-based exercise, telehealth coaching, cardiometabolic health, body mass index, fat mass, blood pressure, cholesterol, moderate-to-vigorous physical activity, social support, African American children
- MeSH terms
- Child, Female, Humans, Male, Patient Compliance, Risk Factors, Exercise, Absorptiometry, Photon, Body Mass Index, Patient Satisfaction, Telemedicine, Video Games, Adiposity, Weight Reduction Programs, Pediatric Obesity
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