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Although exergaming has been effective across a range of ages, its application in older adult populations presents unique opportunities and challenges. As the older adult population seeks safe, engaging, and effective exercise methods, exergaming could offer a solution that aligns with these requirements. However, integrating HIIE concepts into exergaming for older adults remains a relatively uncharted territory.
JMIR Serious Games 2024;12:e52231
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VR gaming differs from traditional exergaming (eg, Wii Fit and Just Dance) in that the gaming environment is visually immersive and interactive, rather than having visuals confined to a screen and movements or interactivity restricted by the fidelity of an external camera. These limitations of exergaming may contribute to their variability in energy expenditure [11].
JMIR Serious Games 2024;12:e53999
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For staying active while enjoying the pleasures of video games, a worthwhile alternative is exergaming. Indeed, exergaming or active video gaming requires bodily movements to play the game and encourages PA, with a focus on children’s interest in the game’s dynamics and stimulation.
JMIR Serious Games 2024;12:e53072
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Therefore, much attention has recently been paid to the use of active video games (AVGs) or “exergaming” as an alternative method for therapeutic exercise in children with conditions [17,18] such as attention-deficit/hyperactivity disorder [19], type 2 diabetes [20], cerebral palsy [21], cancer [22], and developmental coordination disorder [23]. AVGs are technology-based games that track body movement or reaction to the game with instantaneous visual or audio feedback.
JMIR Serious Games 2023;11:e51073
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The National Aeronautics and Space Administration Task Load Index [39] is used to assess the subjective workload during exergaming. It consists of 6 subscales: mental demand, physical demand, temporal demand, performance, effort, and frustration. Each subscale is rated on a 20-point Likert scale ranging from 0=very low to 20=very high. The raw National Aeronautics and Space Administration Task Load Index scores are calculated by multiplying each subscore by 5.
JMIR Res Protoc 2023;12:e49377
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However, there is a lack of evidence supporting the benefit of commercial exergaming on EFs because of the very high heterogeneity and wide CIs in our results.
To some extent, our results are consistent with those of previous studies.
JMIR Serious Games 2023;11:e42697
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A recent systematic review and qualitative meta-synthesis conducted by our group explored older adults’ experiences of implementing exergaming programs [70]. We found that a small number of older adults were not interested in EGs, which may be due to age- or health-related factors (eg, vision, hearing, motor skills, or cognitive impairment). At the same time, most older adults have no experience with EGs and worry about whether they can understand and play such games correctly.
JMIR Serious Games 2023;11:e42374
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Effects of Active Video Games in Patients With Cancer: Systematic Review
We also extracted participant characteristics (sample size, age, and type of cancer), study design, methods used to assess the impact of exergaming, intervention program (frequency, intensity, temporality, time, and supervision), and outcomes (feasibility, adherence rate, and physiological and psychological effects).
Study quality was assessed by one reviewer (RP) using a Cochrane tool and the Physiotherapy Evidence Database (PEDro) scale.
JMIR Cancer 2023;9:e45037
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The four groups included (1) never-exergamers (ie, participants who did not report exergaming in cycles 23 or 24); (2) stopping exergamers (ie, participants who reported exergaming in cycle 23 but not in cycle 24); (3) starting exergamers (ie, participants who reported exergaming in cycle 24 but not in cycle 23); and (4) sustaining exergamers (ie, participants who exergamed in both cycles 23 and 24).
Items measuring the number of minutes exergaming per week were modeled on the IPAQ-SF [22,23,25].
JMIR Serious Games 2023;11:e41553
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