Title
Active video games as a tool to prevent excessive weight gain in adolescents: Rationale, design and methods of a randomized controlled trial
Author
Simons, M.
Chinapaw, M.J.
van de Bovenkamp, M.
de Boer, M.R.
Seidell, J.C.
Brug, J.
de Vet, E.
Publication year
2014
Abstract
Background: Excessive body weight, low physical activity and excessive sedentary time in youth are major public health concerns. A new generation of video games, the ones that require physical activity to play the games -i.e. active games- may be a promising alternative to traditional non-active games to promote physical activity and reduce sedentary behaviors in youth. The aim of this manuscript is to describe the design of a study evaluating the effects of a family oriented active game intervention, incorporating several motivational elements, on anthropometrics and health behaviors in adolescents. Methods/Design. The study is a randomized controlled trial (RCT), with non-active gaming adolescents aged 12 - 16 years old randomly allocated to a ten month intervention (receiving active games, as well as an encouragement to play) or a waiting-list control group (receiving active games after the intervention period). Primary outcomes are adolescents' measured BMI-SDS (SDS = adjusted for mean standard deviation score), waist circumference-SDS, hip circumference and sum of skinfolds. Secondary outcomes are adolescents' self-reported time spent playing active and non-active games, other sedentary activities and consumption of sugar-sweetened beverages. In addition, a process evaluation is conducted, assessing the sustainability of the active games, enjoyment, perceived competence, perceived barriers for active game play, game context, injuries from active game play, activity replacement and intention to continue playing the active games. Discussion. This is the first adequately powered RCT including normal weight adolescents, evaluating a reasonably long period of provision of and exposure to active games. Next, strong elements are the incorporating motivational elements for active game play and a comprehensive process evaluation. This trial will provide evidence regarding the potential contribution of active games in prevention of excessive weight gain in adolescents. Trial registration. Dutch Trial register NTR3228. © 2014 Simons et al.; licensee BioMed Central Ltd.
Subject
ELSS - Earth, Life and Social Sciences
Behavioural Changes
Healthy Living
Healthy for Life
Active games
Adolescent
Excessive body weight
Exergames
Overweight
Physical activity
Prevention
Randomized controlled trial
Sedentary lifestyle
Video games
LS - Life Style
To reference this document use:
http://resolver.tudelft.nl/uuid:fc68f032-09a5-4150-b8cd-032ea635efaf
DOI
https://doi.org/10.1186/1471-2458-14-275
TNO identifier
507088
ISSN
1471-2458
Source
BMC Public Health, 14 (14)
Document type
article