Active Video Games and Health Indicators in Children and Youth: A Systematic Review
Publication Date
June 14, 2013
Journal
PLOS ONE
Authors
Allana G. Le Blanc, Jean Philippe Chaput, Allison Mc Farlane, Rachel C. Colley, et al
Volume
8
Issue
6
Pages
e65351
DOI
https://dx.plos.org/10.1371/journal.pone.0065351
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0065351
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/23799008
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3683002
Europe PMC
http://europepmc.org/abstract/MED/23799008
Web of Science
000320363300015
Scopus
84879058435
Mendeley
http://www.mendeley.com/research/active-video-games-health-indicators-children-youth-systematic-review-1
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Mendeley | Further Information

{"title"=>"Active Video Games and Health Indicators in Children and Youth: A Systematic Review", "type"=>"generic", "authors"=>[{"first_name"=>"Allana G.", "last_name"=>"LeBlanc", "scopus_author_id"=>"36114021600"}, {"first_name"=>"Jean Philippe", "last_name"=>"Chaput", "scopus_author_id"=>"8959986900"}, {"first_name"=>"Allison", "last_name"=>"McFarlane", "scopus_author_id"=>"55765966400"}, {"first_name"=>"Rachel C.", "last_name"=>"Colley", "scopus_author_id"=>"23396241200"}, {"first_name"=>"David", "last_name"=>"Thivel", "scopus_author_id"=>"25639298300"}, {"first_name"=>"Stuart J H", "last_name"=>"Biddle", "scopus_author_id"=>"7004885406"}, {"first_name"=>"Ralph", "last_name"=>"Maddison", "scopus_author_id"=>"8552158500"}, {"first_name"=>"Scott T.", "last_name"=>"Leatherdale", "scopus_author_id"=>"9239657100"}, {"first_name"=>"Mark S.", "last_name"=>"Tremblay", "scopus_author_id"=>"7202066837"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24497779", "doi"=>"10.1371/journal.pone.0065351", "sgr"=>"84879058435", "isbn"=>"1932-6203", "scopus"=>"2-s2.0-84879058435", "issn"=>"19326203", "pui"=>"369122561"}, "id"=>"d9999e21-d3d3-3f3d-8c86-0da076e1b76f", "abstract"=>"The effect of active video games (AVGs) on acute energy expenditure has previously been reported; however, the influence of AVGs on other health-related lifestyle indicators remains unclear. To address this knowledge gap, Active Healthy Kids Canada (AHKC) convened an international group of researchers to conduct a systematic review to understand whether AVGs should be promoted to increase physical activity and improve health indicators in children and youth (zero to 17 years of age). The present article outlines the process and outcomes of the development of the AHKC's position on active video games for children and youth. In light of the available evidence, AHKC does not recommend AVGs as a strategy to help children be more physically active. However, AVGs may exchange some sedentary time for light- to moderate-intensity physical activity, and there may be specific situations in which AVGs provide benefit (eg, motor skill development in special populations and rehabilitation).\\n\\nAbstract available from the publisher.", "link"=>"http://www.mendeley.com/research/active-video-games-health-indicators-children-youth-systematic-review-1", "reader_count"=>97, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>1, "Student > Doctoral Student"=>6, "Researcher"=>16, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>3, "Student > Master"=>19, "Other"=>5, "Student > Bachelor"=>15, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>3, "Professor"=>6}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>4, "Librarian"=>1, "Student > Doctoral Student"=>6, "Researcher"=>16, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>3, "Student > Master"=>19, "Other"=>5, "Student > Bachelor"=>15, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>3, "Professor"=>6}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Engineering"=>3, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>19, "Agricultural and Biological Sciences"=>1, "Arts and Humanities"=>2, "Sports and Recreations"=>16, "Business, Management and Accounting"=>1, "Physics and Astronomy"=>1, "Psychology"=>8, "Social Sciences"=>15, "Computer Science"=>17}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>3}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Social Sciences"=>{"Social Sciences"=>15}, "Sports and Recreations"=>{"Sports and Recreations"=>16}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>8}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>17}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>10}, "Arts and Humanities"=>{"Arts and Humanities"=>2}}, "reader_count_by_country"=>{"Republic of Singapore"=>1, "Canada"=>2, "Netherlands"=>1, "United States"=>3, "Brazil"=>1, "South Africa"=>1, "United Kingdom"=>1, "Mexico"=>1, "Australia"=>2, "France"=>1, "Switzerland"=>1, "Spain"=>2}, "group_count"=>6}

CrossRef

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1089161", "https://ndownloader.figshare.com/files/1089163"], "description"=>"<div><p>Background</p><p>Active video games (AVGs) have gained interest as a way to increase physical activity in children and youth. The effect of AVGs on acute energy expenditure (EE) has previously been reported; however, the influence of AVGs on other health-related lifestyle indicators remains unclear.</p><p>Objective</p><p>This systematic review aimed to explain the relationship between AVGs and nine health and behavioural indicators in the pediatric population (aged 0–17 years).</p><p>Data sources</p><p>Online databases (MEDLINE, EMBASE, psycINFO, SPORTDiscus and Cochrane Central Database) and personal libraries were searched and content experts were consulted for additional material.</p><p>Data selection</p><p>Included articles were required to have a measure of AVG and at least one relevant health or behaviour indicator: EE (both habitual and acute), adherence and appeal (i.e., participation and enjoyment), opportunity cost (both time and financial considerations, and adverse events), adiposity, cardiometabolic health, energy intake, adaptation (effects of continued play), learning and rehabilitation, and video game evolution (i.e., sustainability of AVG technology).</p><p>Results</p><p>51 unique studies, represented in 52 articles were included in the review. Data were available from 1992 participants, aged 3–17 years, from 8 countries, and published from 2006–2012. Overall, AVGs are associated with acute increases in EE, but effects on habitual physical activity are not clear. Further, AVGs show promise when used for learning and rehabilitation within special populations. Evidence related to other indicators was limited and inconclusive.</p><p>Conclusions</p><p>Controlled studies show that AVGs acutely increase light- to moderate-intensity physical activity; however, the findings about if or how AVG lead to increases in habitual physical activity or decreases in sedentary behaviour are less clear. Although AVGs may elicit some health benefits in special populations, there is not sufficient eviden", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "indicators", "children", "systematic"], "article_id"=>721850, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>[nil, nil], "stats"=>{"downloads"=>8, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Active_Video_Games_and_Health_Indicators_in_Children_and_Youth_A_Systematic_Review/721850", "title"=>"Active Video Games and Health Indicators in Children and Youth: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-06-14 00:30:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089156"], "description"=>"<p><b>Note:</b> Health indicators were ranked based on whether they were critical for decision-making, important but not critical, or of low importance for decision-making. The focus when searching and summarizing the evidence was on indicators that were important or critical. Rankings were based on the GRADE framework <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Guyatt1\" target=\"_blank\">[13]</a>.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "rankings", "assigned"], "article_id"=>721845, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t002", "stats"=>{"downloads"=>4, "page_views"=>30, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_i_A_priori_i_consensus_rankings_assigned_by_the_Guideline_Development_and_Research_Committee_for_each_health_indicator_by_age_group_/721845", "title"=>"<i>A priori</i> consensus rankings assigned by the Guideline Development and Research Committee for each health indicator by age group.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:45"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089155"], "description"=>"<p>Definitions used to guide the systematic review.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "systematic"], "article_id"=>721844, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t001", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Definitions_used_to_guide_the_systematic_review_/721844", "title"=>"Definitions used to guide the systematic review.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089152"], "description"=>"<p><b>Adherence:</b> Randomized trials <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maloney1\" target=\"_blank\">[15]</a>–<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-NiMhurchu1\" target=\"_blank\">[18]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Graves4\" target=\"_blank\">[35]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-ChinAPaw1\" target=\"_blank\">[49]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Paez1\" target=\"_blank\">[50]</a>, observational studies <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Bethea1\" target=\"_blank\">[25]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Straker1\" target=\"_blank\">[46]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Dixon1\" target=\"_blank\">[51]</a>.</p>a<p>Playing time for both an interactive dance video game decreased in both the home and multiplayer groups over the 12 week intervention but the change didn't reach significance; qualitative reports suggest that kids had technical problems with the game and found that it became boring <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-ChinAPaw1\" target=\"_blank\">[49]</a>.</p>b<p>Children in the intervention and control group both decreased their time spent playing sedentary games, but the children in the control group decreased this time more, but did not reach significance (29.39 min; 95% CI: 219.38, 0.59 min; P = 0.06) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>.</p>c<p>Size of TV, absence or other (seden", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "adherence", "children"], "article_id"=>721841, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t005", "stats"=>{"downloads"=>3, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_adherence_and_appeal_in_children_and_youth_/721841", "title"=>"Association between active video games and adherence and appeal in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089151"], "description"=>"<p><b>Habitual EE:</b> Randomized trials <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Graves1\" target=\"_blank\">[14]</a>–<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Murphy1\" target=\"_blank\">[24]</a>, Observational <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Bethea1\" target=\"_blank\">[25]</a>–<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Gao1\" target=\"_blank\">[28]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Madsen1\" target=\"_blank\">[56]</a>.</p>a<p>No significant difference in objectively measured time spent engaging in PA between children who were given inactive video games and those that were given active video games <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Graves2\" target=\"_blank\">[19]</a>.</p>b<p>No significant different in total physical activity 12 weeks post intervention between active gaming and sedentary gaming group <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Graves2\" target=\"_blank\">[19]</a>.</p>c<p>Intervention had no effect on time spent engaging in MVPA (measured by accelerometer) or level of physical fitness (measured through VO2max test) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>.</p>d<p>Twelve week DDR intervention had no effect on fitness test results post-intervention (step test), physical activity (light, moderate, or vigorous intensity measured by accelerometer) or step counts (measured by pedometer) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maloney2\" target=\"_blank\">[23]</a>.</p>e<p>No significant difference in overall physical activity or MVPA between intervention and control groups at the end of a 12 week active video game interve", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "expenditure", "children"], "article_id"=>721840, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t004", "stats"=>{"downloads"=>2, "page_views"=>26, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_energy_expenditure_in_children_and_youth_/721840", "title"=>"Association between active video games and energy expenditure in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:40"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089149"], "description"=>"<p>Prisma flow diagram of included studies.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "diagram", "included"], "article_id"=>721838, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.g001", "stats"=>{"downloads"=>13, "page_views"=>33, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Prisma_flow_diagram_of_included_studies_/721838", "title"=>"Prisma flow diagram of included studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-14 00:30:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089160"], "description"=>"<p>Randomized trials <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Jannink1\" target=\"_blank\">[57]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Wuang1\" target=\"_blank\">[58]</a>, observational studies <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Berg1\" target=\"_blank\">[59]</a>–<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Widman1\" target=\"_blank\">[65]</a>.</p>a<p>Includes 5 children in the control group (continuing normal physiotherapy for cerebral palsy) and 5 in the intervention group <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Jannink1\" target=\"_blank\">[57]</a>.</p>b<p>Includes children with diagnosed down syndrome but no other serious disease (n = 110) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Wuang1\" target=\"_blank\">[58]</a>.</p>c<p>Percent change of Melbourne Assessment if Unilateral Upper Limb Function in the intervention group compared to −1–4% change in the control group (p-value not reported) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Jannink1\" target=\"_blank\">[57]</a>.</p>d<p>Children in the intervention (Wii) group performed significantly better on all follow-up analyses than the control group. BOT-2 Bruininks–Oseretsky Test of Motor Proficiency-Second Edition; VMI, Developmental Test of Visual Motor Integration; TSIF, Test of Sensory Integration Function <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Wuang1\" target=\"_blank\">[58]</a>.</p>e<p>Includes 4 intervention studies <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Berg1\" target=\"_blank\">[59]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Chang1\" target=\"_blank\">[60]</a>, <a hre", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "children"], "article_id"=>721849, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t010", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_learning_and_rehabilitation_in_children_and_youth_/721849", "title"=>"Association between active video games and learning and rehabilitation in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:49"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089158"], "description"=>"<p>Randomized trials <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Murphy1\" target=\"_blank\">[24]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Adamo1\" target=\"_blank\">[29]</a>, observational studies <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Bethea1\" target=\"_blank\">[25]</a>.</p>a<p>Participants included obese individuals or overweight individuals with at least one co-morbidity (i.e. BMI&gt;95th% or BMI&gt;85th% + elevated glucose, triglycerides, LDL cholesterol or decreased HDL cholesterol) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Adamo1\" target=\"_blank\">[29]</a>.</p>b<p>Post-intervention total cholesterol (mmol/L) in music and GameBike group, respectively. GameBike group had a larger decrease in total cholesterol than group that exercised to music alone (pre-intervention total cholesterol = 4.0±0.7 and 4.5±0.7, respectively). No difference on HDL, LDL, total cholesterol to HDL ration, fasting blood glucose, fasting insulin or triglycerides <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Adamo1\" target=\"_blank\">[29]</a>.</p>c<p>Significant decrease in mean arterial pressure in exercise group (no change in control group). However, there was no significant difference between blood pressure (DBP, SBP), resting heart rate, cholesterol (HDL, LDL, total CHL, triglycerides) or measures of insulin sensitivity (insulin, HOMA) between intervention and control groups after a 12 week DDR intervention <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Murphy1\" target=\"_blank\">[24]</a>.</p>d<p>Includes 1 prospective cohort study <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Bethea1\" target=\"_blank\">[25]</a>.</p>e<p>No effect of 30-week DDR intervention on measures of blood pressure, fasting glucose, total", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "cardiometabolic", "indicators", "children"], "article_id"=>721847, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t008", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_cardiometabolic_health_indicators_in_children_and_youth_/721847", "title"=>"Association between active video games and cardiometabolic health indicators in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:47"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089159"], "description"=>"<p>Randomized trial <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>, observational study <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Mellecker2\" target=\"_blank\">[41]</a>.</p>a<p>Average self-reported daily total energy consumed from snack food decreased in the active video game intervention group (compared to the sedentary video game control group), but change was not significant <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>.</p>b<p>No significant difference in energy intake between active gaming session (383±266 kcal/hr) versus seated gaming session (374±192 kcal/hr) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Mellecker2\" target=\"_blank\">[41]</a>.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "intake", "children"], "article_id"=>721848, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t009", "stats"=>{"downloads"=>7, "page_views"=>44, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_energy_intake_in_children_and_youth_/721848", "title"=>"Association between active video games and energy intake in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089157"], "description"=>"*<p>Maddison and Maddison used participant data from the same study but presented in two manuscripts.</p><p>AVG, active video games; BMI, body mass index; EE, energy expenditure, DDR, Dance Dance Revolution; HR, heart rate, HDL, high-density lipoprotein; LDL, low-density lipoprotein; MVPA, moderate- to vigorous-intensity physical activity; PA, physical activity, REE, resting energy expenditure; RMR, resting metabolic rate; RPE, rating of perceived exertion; TG, triglycerides.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "included"], "article_id"=>721846, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t003", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Descriptive_characteristics_of_included_studies_/721846", "title"=>"Descriptive characteristics of included studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089154"], "description"=>"<p>Randomized trials <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maloney1\" target=\"_blank\">[15]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-NiMhurchu1\" target=\"_blank\">[18]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Baranowski1\" target=\"_blank\">[20]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Errickson1\" target=\"_blank\">[22]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maloney2\" target=\"_blank\">[23]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Gao1\" target=\"_blank\">[28]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison3\" target=\"_blank\">[55]</a>, observational studies <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Murphy1\" target=\"_blank\">[24]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Bethea1\" target=\"_blank\">[25]</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Madsen1\" target=\"_blank\">[56]</a>.</p>a<p>Maddison <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Baranowski1\" target=\"_blank\">[20]</a> and Maddison <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison3\" target=\"_blank\">[55]</a> used data from the same study sample; results will be presented separately but number of participants is only counted once.</p>b<p>There was no significant difference between change in BMI in intervention and control group after a 10-week DDR intervention <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maloney1\" target=\"_blank\">[15]</a>; the intervention had no significant effect on participant's weight", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "adiposity", "children"], "article_id"=>721843, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t007", "stats"=>{"downloads"=>1, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_adiposity_in_children_and_youth_/721843", "title"=>"Association between active video games and adiposity in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089153"], "description"=>"a<p>Includes 1 intervention study <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>, 1 case report <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Rubin1\" target=\"_blank\">[54]</a>, and 1 cross sectional study <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Jones1\" target=\"_blank\">[53]</a>.</p>b<p>All 4 participants were regular clients in the author's chiropractic clinic; they were all given a brief examination when they presented new symptoms and treated accordingly <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Rubin1\" target=\"_blank\">[54]</a>.</p>c<p>Of 8 serious adverse events reported during the three month study, none were deemed related to the study intervention (EyeToy) <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Maddison1\" target=\"_blank\">[21]</a>.</p>d<p>Participants were briefly examined when they presented with new symptoms, possible that new symptoms were not directly related to Wii, no quantitative data presented <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Rubin1\" target=\"_blank\">[54]</a>.</p>e<p>Represents cases (i.e. number) of injury associated with active video games as reported in the National Electronic Injury Surveillance System (representing emergency room visits from across the U.S.). Of 21 cases, 13 were in those were from birth to 15 years and 8 in those aged 16–30+ years <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0065351#pone.0065351-Jones1\" target=\"_blank\">[53]</a>.</p>f<p>Represents number of injuries from being hit or hitting another object during the game (33%); strains or sprains (29%); contusions or abrasions (19%); lacerations (19%); factures (5%); and concussions (5%) respectively <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.006535", "links"=>[], "tags"=>["Anatomy and physiology", "Clinical research design", "meta-analyses", "Mental health", "psychology", "behavior", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "pediatrics", "Child development", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "games", "children"], "article_id"=>721842, "categories"=>["Medicine"], "users"=>["Allana G. LeBlanc", "Jean-Philippe Chaput", "Allison McFarlane", "Rachel C. Colley", "David Thivel", "Stuart J. H. Biddle", "Ralph Maddison", "Scott T. Leatherdale", "Mark S. Tremblay"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065351.t006", "stats"=>{"downloads"=>6, "page_views"=>61, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Association_between_active_video_games_and_opportunity_cost_in_children_and_youth_/721842", "title"=>"Association between active video games and opportunity cost in children and youth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:30:42"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences/Behavior", "average_usage"=>[306, 490, 611, 718, 817, 916, 999, 1091, 1185, 1258, 1341, 1412, 1476]}, {"subject_area"=>"/Biology and life sciences/Biochemistry", "average_usage"=>[266, 468, 593, 703, 804, 903, 993, 1084, 1171, 1256, 1339, 1422, 1492]}, {"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Cardiology", "average_usage"=>[233, 405, 515, 618, 700, 797, 883, 958, 1036, 1108, 1178, 1238, 1299]}, {"subject_area"=>"/Medicine and health sciences/Public and occupational health", "average_usage"=>[291, 491, 610, 723, 817, 906, 991, 1071, 1153, 1238, 1324, 1411, 1478]}]}
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