Xbox Kinect, Sleep Quality, Anxiety and Functional Capacity in Older Adults

Study Overview
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Brief Summary
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The present study aims to examine the effects of Xbox Kinect exercise training program on the sleep quality, anxiety and functional capacity in older adults. Older adults were randomized into two groups. The XBOX group performed exercise with Xbox Kinect during 60 min, three times/week for 6 weeks. The CONTROL group did not exercise. Pittsburgh Sleep Quality Index was used to evaluate sleep quality, anxiety symptoms by the State-Trait Anxiety Inventory, and the functional capacity was analyzed using following tests: Chair Stand Test, 8-Foot Up and Go Test, and 6-min Walk Test.

Official Title
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Effects of Xbox Kinect Exercise Training on the Sleep Quality, Anxiety and Functional Capacity in Older Adults

Conditions
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Sleep, Anxiety, Aging, Exercise

Intervention / Treatment
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* Behavioral: Exercise in the XBOX kinect


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ability to perform exercises with Xbox Kinect and/or physical/functional tests and to answer the questionnaires; score ≥ 24 on the Mini-Mental State Examination Exclusion Criteria: (a) using psychiatric drugs or beta-blockers; functional limitations exercise regularly (e) smoking (b) previous experience with Xbox Kinect games.

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: CONTROL group<br>The CONTROL group did not exercise. | |
| Experimental: XBOX group<br>The XBOX group performed exercise for 60 min, three times/week, for 6 weeks, using the Xbox Kinect game Your Shape Fitness evolved. This game was chosen because it simulates an environment with a variety of physical activities, in which the majority can be practiced by older adults. The activities were carried out individually. The game activities selected for the physical activity sessions were: 1) Zen-Develop it (stretching, balance and flexibility activities, similar to Yoga); 2) Pump it (to fill balls until they burst); 3) Wall Breaker (to break blocks, similar to boxing); 4) Kick it (soccer activity); 5) Hurricane (to lift the balls off the floor and not let them fall); 6) Stack in Up (balance activity). | Behavioral: Exercise in the XBOX kinect<br>* The XBOX group performed exercise for 60 min, three times/week, for 6 weeks, using the Xbox Kinect game Your Shape Fitness evolved. This game was chosen because it simulates an environment with a variety of physical activities, in which the majority can be practiced by older adults. The activities were carried out individually. The game activities selected for the physical activity sessions were: 1) Zen-Develop it (stretching, balance and flexibility activities, similar to Yoga); 2) Pump it (to fill balls until they burst); 3) Wall Breaker (to break blocks, similar to boxing); 4) Kick it (soccer activity); 5) Hurricane (to lift the balls off the floor and not let them fall); 6) Stack in Up (balance activity).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Sleep Quality at 6 weeks | Sleep Quality: Pittsburgh Sleep Quality Index (PSQI) assesses sleep quality over a 1-month time interval and provides quantitative and qualitative information on sleep. The questionnaire consists of 19 self-report items and other questions. The score ranges from 0 to 21 and scores > 5 indicates the patient is a poor sleeper | up to 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Anxiety at 6 weeks | Anxiety Symptoms: State-Trait Anxiety Inventory (STAI) assesses anxiety level using two scales (State and Trait) with 20 items. Range of scores is 20-80, and the scores indicate low (0-30), medium (31-49), or high (50 or more) anxiety levels | up to 24 weeks | 
| Change from Baseline strength at 6 weeks | Chair Stand Test is used to assess lower body strength. After a signal participants completed as many stand-ups as possible with 30s. Total repetitions completed within 30s are used to score the participants' performance. | up to 24 weeks | 
| Change from Baseline agility/dynamic balance at 6 weeks | The 8-ft Timed Up & Go Test is used to assess agility and dynamic balance. Participants are asked to sit on a chair. On cue, they stood up, walked as quickly as possible around a cone set 8ft from the chair, and sat back down on the chair. Total time to complete the test in seconds was measured to assess performance. | up to 24 weeks | 
| Change from Baseline aerobic endurance at 6 weeks | The 6-MWT is performed in a 20-m-long indoor hallway free of obstacles. Participants are instructed to walk at a self-selected regular pace to cover as much distance as they could during the allotted time. The score is the total number of meters walked in 6 min | up to 24 weeks |