# Presentation: 035241

## WV Games for HealthEmily MurphyNational Prevention Summit, 2006

- WV Games for HealthEmily MurphyNational Prevention Summit, 2006

## The West Virginia 

**CARDIAC Project**

**C****oronary**
**A****rtery**
**R****isk**
**D****etection**
**I****n**
**A****ppalachian**
**C****ommunities**

- “**To reduce cardiovascular disease **
**mortality in West Virginia through**
**research and intervention in children”**

## Weight Status By Year

## Physical Activity & Nutrition

##  ACTIVE SCREEN TIME???

**Total Body Video Game   **
**Social activity **
**Subculture**
**Performance/competition platform**
**Workout and weight loss tool**
**Classroom and workplace activity**

## The Appeal of DDR

**Video game**
**Scoring, earning new songs**
**Easy to very difficult, unending complexity**
**Single or versus play options**
**Measurable Performance **
**Technical skill**
**CNS processing, reaction time**
**Artistic/expressive movement**
**Social and Emotional Variables**

## Games for Health
Clinical Study

**Games for Health**
**Clinical Study**

## Who participated??	

- 35 children 7-12 years of age who had a BMI>85th percentile
- Children had to be covered by PEIA or Blue Cross/Blue Shield

## What variables were studied?

- Endothelial function
- Measured flow-mediated dilation using a high –resolution ultrasound machine
- Fasting Blood Draw
- Lipid profile
- Insulin and glucose values
- Markers for oxidative stress
- Maximal aerobic fitness test
-  Stationary bicycle
- Questionnaires

## Subject Profile

- Average endothelial function was <3.5% dilation
- 66% of subjects had very low HDL values
- 22% of the subjects had high insulin values
- Most subjects reported very low levels of physical activity on their first visit
- Most subjects reported eating a high-fat diet

## What did the subjects do?

- Subjects were randomly assigned to an exercise or delayed-treatment control group
- First 12 weeks
- Exercise group completed a home-based exercise program using DDR which included daily logs and phone coaching
- DTC received no intervention

## What did we find??

- Preliminary results
- 12 weeks exercise program increased endothelial function in exercise group to 9.56% dilation
- Significant improvement were seen in fitness levels in the exercise group but not in the DTC group
- Exercise group mean insulin values remained within normal range, Control groups mean insulin levels were abnormal at the 12-week mark

## What are we hearing from families?

- Children are more willing to do other modes of physical activity
- Children have higher self esteem
- Coordination improved
- Children report getting less winded when they are being physically active
- Many siblings and/or parents end up doing DDR with the participating child
- Children report having a lot of fun while doing DDR

##  WV Games for Health
School Based

**School Based**

## Slide 15

## Children’s Fitness Levels Are Low and Obesity Rates High Because of 

**Children’s Fitness Levels Are Low and Obesity Rates High Because of **
**Adult Decision Making**

## Implementation  
Train Physical Education Teachers
Resource Materials and Lesson Plans
Introduce DDR to students in PE
Integrate DDR into school environment
Before/after school 
School Dances, Special Events, Clubs

- Train Physical Education Teachers
- Resource Materials and Lesson Plans
- Introduce DDR to students in PE
- Integrate DDR into school environment
- Before/after school
- School Dances, Special Events, Clubs
** **

## Training Schedule
1. Middle Schools (Spring/Fall 2006)
2. Secondary Schools (Fall 2006)
3. Elementary Schools (Spring 2007)

- 1. Middle Schools (Spring/Fall 2006)
- 2. Secondary Schools (Fall 2006)
- 3. Elementary Schools (Spring 2007)

## Partners/Sponsors

- Konami Digital Entertainment
- WV Public Employee Insurance Agency
- WV Department of Education
- Mountaineer Blue Cross Blue Shield
- Acordia Insurance Company
- WV Governor’s Office
- Best Buy