A randomized controlled trial of dance exergaming for exercise training in overweight and obese adolescent girls. Issue 2 (26th February 2016)

• Record Type: Journal Article
• Authors: Staiano, A. E.; Marker, A. M.; Beyl, R. A.; Hsia, D. S.; Katzmarzyk, P. T.; Newton, R. L.
• Is Part Of: Pediatric obesity. Volume 12:Issue 2(2017:Apr.)
• Page Start: 120
• Page End: 128
• Publication Date: 2016-02-26
• Subjects: video games -- exercise -- body fat -- bone density; Obesity in children -- Periodicals; Obesity in adolescence -- Periodicals; Obesity -- Periodicals; Overweight children -- Periodicals; 618.92398
• DOI: 10.1111/ijpo.12117
• Languages: English
• ISSNs: 1747-7174

Abstract

Summary: Background: Structured exergaming with prescribed moderate intensity physical activity has reduced adiposity among adolescents. The extent to which adolescents reduce adiposity when allowed to self‐select intensity level is not known. Objective: The objective of the study was to examine the influence of exergaming on adolescent girls' body composition and cardiovascular risk factors. Methods: This randomized controlled trial assigned 41 overweight and obese girls aged 14 to 18 years to group‐based dance exergaming (36 h over 3 months) or to a self‐directed care control condition. Body size and composition were measured by anthropometry, dual‐energy X‐ray absorptiometry [%fat and bone mineral density {BMD}] and magnetic resonance imaging. Cardiovascular risk factors included blood pressure, cholesterol, triglycerides, glucose and insulin. Results: Attrition was 5%. Using analysis of covariance controlling for baseline value, age and race, there were no significant condition differences. Per protocol (attended >75%), the intervention group significantly decreased abdominal subcutaneous adiposity and increased trunk and spine BMD ( p s < 0.05). Per protocol (>2600 steps/session), the intervention group significantly decreased leg %fat and decreased abdominal subcutaneous and total adiposity ( p s < 0.05). Conclusion: Exergaming reduced body fat and increased BMD among those adolescent girls who adhered. Further research is required before exergaming is recommended in clinical settings.