Investigation of Acute Responses of Active Video Games Practice Compared to Exercise in Coronary Artery Patients
Condition: Coronary Artery Disease
MeSH terms: Coronary Artery Disease; Myocardial Ischemia; Coronary Disease
Study type: Interventional

Summary: 
      At least 25 volunteers with a diagnosis of coronary artery disease in the Department of
      Cardiology of Dokuz Eylul University and who meet the criteria for follow-up and inclusion
      will participate in the study. Demographic and clinical information of the participants will
      be questioned. Active video games and exercise sessions will be randomized to last 25
      minutes. Before and after the sessions, heart rate, blood pressure, shortness of breath,
      oxygen saturation and arterial stiffness will be measured. In addition, energy expenditure,
      heart rate, perceived exertion, shortness of breath and oxygen saturation will be recorded
      during the sessions. At the end of the sessions, the person will be asked if they enjoy
      active video games.
    

Detailed description: 
      Individuals etiology, demographic information (age, gender,marital status,
      education,occupation),risk factors (smoking,alcohol use,exercise
      habit),height,weight,curriculum vitae, family history, medications used, and effort test
      results will be recorded.

      Evaluation of energy expenditure: Energy expenditure during active video games and exercise
      will be evaluated using the activity monitor. The activity monitor will be attached to the
      upper arm. Its accelerometer measures skin temperature, galvanic skin response and heat flux,
      as well as energy expenditure during movement.

      Evaluation of hemodynamic and pulmonary responses:

      Blood pressure: It will be measured with a sphygmomanometer. Perceived effort: The degree of
      perceived effort will be evaluated with the Modified Borg scale.

      Shortness of breath: Shortness of breath will be assessed with the Modified Borg scale.

      Heart rate and Oxygen saturation: It will be evaluated by pulse oximetry. Evaluation of
      vascular responses: Arterial stiffness will be assessed to assess vascular responses to
      active video games and exercise. Arterial stiffness will be measured with a noninvasive
      method with the help of the SphygmocorXCEL device, which can automatically measure with the
      cuff. The patient's age, gender, blood pressure, height, weight, carotid-sternal notch
      distance between the artery, carotid-femoral artery as the distance between the entered data
      to the computer after increasing pressure over the brachial artery through a transducer
      (augmentation index) and again, carotid-femoral pulse wave velocity via the artery (pulse
      wave velocity) measurements will be made.

      The pleasure received from both interventions will be evaluated according to the visual
      analogue scale (0-10).

      Active Video Game Intervention The active video games intervention will be carried out with a
      virtual reality system (XBOX360, Microsoft, USA) consisting of a console and a sensor.

      Active video games consist of Bowling, River Rush, Rally Ball and Reflex Ridge games.

      Participants will exercise for a total of 25 minutes with light-paced games for warm-up for
      the first 5 minutes, then brisk games with different body movements until the 15 minutes are
      complete, and light-paced games for 5 minutes to cool down.

      Participants will complete active video games in the same order. Aerobic Exercise
      Intervention The exercise intervention will consist of a continuous moderate-intensity
      walking session on the treadmill. After the first 5 minutes of warm-up, at 55-70% of the peak
      heart rate reserve(HRR)with a 15-minute walking session, and 5 minutes of cooling down a
      total of 25 minutes of exercise will be performed.

      Blood pressure, heart rate, oxygen saturation, dyspnea, and perceived general fatigue
      (Mod.Borg 0-10) of the participants will be evaluated before the interventions, at the end of
      the loading, after the exercise, and 5 minutes after the intervention. Before and after the
      sessions arterial stiffness will be measured.
    

Intervention name(s): Active video game; aerobic exercise
Intervention type(s): Other; Other
Intervention description(s): With the closed envelope method, the order in which the participants will perform active video games and aerobic exercise will be determined. It will be applied with 2 weeks between interventions.; With the closed envelope method, the order in which the participants will perform active video games and aerobic exercise will be determined. It will be applied with 2 weeks between interventions.
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: coronary artery disease; active video games; aerobic exercise