However , effects of exergaming in terms of changes in these intensity parameters varied significantly between game modes and consoles as well as because of the vastly differing duration s of exergame activity between studies .
Conclusion This review suggests that exergames are able to increase PA among overweight individuals .
However , the inconsistent results and the overall poor or moderate method ological quality do not permit judgment on whether exergames are suitable to meet PA guidelines in this target group .
Background The majority of patients with overweight and type 2 diabetes show insufficient levels of daily physical activity ( PA ) and usually are among the least likely to engage in or adhere to any form of generic PA .
Active video games ( exergames ) may be a solution to motivate these individuals to overcome their sedentary lifestyle .
Objectives This systematic review was conducted to review the current evidence for the effectiveness of exergaming in overweight and type 2 diabetes mellitus and thus to evaluate the suitability of these games to be used as tools for exercise promotion that meet current PA guidelines .
Activity and energy expenditure in older people playing active video games.
UNLABELLED Tayl OBJECTIVES To quantify energy expenditure in older adults playing  interactive video games  while st and ing and seated , and secondarily to determine whether participants ' balance status influenced the energy cost associated with active video game play . DESIGN Cross-sectional study . SETTING University research center . PARTICIPANTS Community-dwelling adults ( N=19 ) aged 70.7±6.4 years . INTERVENTION Participants played 9 active video games , each for 5 minutes , in r and om order . Two games ( boxing and bowling ) were played in both seated and st and ing positions . MAIN OUTCOME MEASURES Energy expenditure was assessed using indirect calorimetry while at rest and during game play . Energy expenditure was expressed in kilojoules per minute and metabolic equivalents ( METs ) . Balance was assessed using the mini-BESTest , the Activities-specific Balance Confidence Scale , and the Timed Up and Go ( TUG ) . RESULTS Mean ± SD energy expenditure was significantly greater for all game conditions compared with rest ( all P≤.01 ) and ranged from 1.46±.41 METs to 2.97±1.16 METs . There was no significant difference in energy expenditure , activity counts , or perceived exertion between equivalent games played while st and ing and seated . No significant correlations were observed between energy expenditure or activity counts and balance status . CONCLUSIONS Active video games provide light-intensity exercise in community-dwelling older people , whether played while seated or st and ing . People who are unable to st and may derive equivalent benefits from active video games played while seated . Further research is required to determine whether sustained use of active video games alters physical activity levels in community setting s for this population
However , effects of exergaming in terms of changes in these intensity parameters varied significantly between game modes and consoles as well as because of the vastly differing duration s of exergame activity between studies .
Conclusion This review suggests that exergames are able to increase PA among overweight individuals .
However , the inconsistent results and the overall poor or moderate method ological quality do not permit judgment on whether exergames are suitable to meet PA guidelines in this target group .
Background The majority of patients with overweight and type 2 diabetes show insufficient levels of daily physical activity ( PA ) and usually are among the least likely to engage in or adhere to any form of generic PA .
Active video games ( exergames ) may be a solution to motivate these individuals to overcome their sedentary lifestyle .
Objectives This systematic review was conducted to review the current evidence for the effectiveness of exergaming in overweight and type 2 diabetes mellitus and thus to evaluate the suitability of these games to be used as tools for exercise promotion that meet current PA guidelines .