Exergyms: more than interactive video arcades Games for Health May 8, 2008 Ernie Medina, Jr., DrPH, CHFI Preventive Care Specialist, Beaver Medical Group Assistant Clinical Professor, Loma Linda Univ. School of Public Health Co-founder/CEO, Xrtainment Zone LLC

Introduction Loma Linda Univ. SPH ‘93 Beaver Medical Group Prev Care Specialist Orlando, 1998 Peds Obesity Conf., 2005 Xrtainment Zone, 2006 Co-founder, CEO, “CEE” Objectives Case study of XRTZ Future needs Team Medina PossAbilities Triathlon April 27, 2008

Loma Linda Univ. SPH ‘93

Beaver Medical Group

Prev Care Specialist

Orlando, 1998

Peds Obesity Conf., 2005

Xrtainment Zone, 2006

Co-founder, CEO, “CEE”

Objectives

Case study of XRTZ

Future needs

Exergyms vs video arcades

American College of Sports Medicine Annual Conference, Denver, 6-1-06 “ The greatest threat to our national security is… Former U.S. Surgeon General Richard Carmona … pediatric obesity .”

RST

Current Recommendations “ Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010) 60 minutes per day of physical activity

“ Limit recreational screen time to less than 2 hours a day.” (CDC, USDHHS, IOM, Amer. Academy of Pediatrics, HP 2010)

60 minutes per day of physical activity

Pre-XRTZ

Build-up 2005

Launch Aug, ‘06

Focus on health

Assessments

Nutrition

Family Fitness & Wellness Center Families vs kids-only

Families vs kids-only

In the Zone Day passes B-day parties, field trips Memberships Classes/Programs Family Fit Zone… Insurance-covered Homeschool Zone… Subsidized by homeschool org.

Day passes

B-day parties, field trips

Memberships

Classes/Programs

Family Fit Zone…

Insurance-covered

Homeschool Zone…

Subsidized by homeschool org.

Family Fit Zone

Family Fit Zone Superstars! C.H. – 10% bf dec., BMI dec. 2.5 pts. D.J. – lost 7.5 lbs; 10% bf dec., BMI went from 25.6 to 21.5 A.M – lost 7.5 lbs. A.R. – lost 17 lbs., dec. 13% bf & BMI dec. 2.8 pts. D.R. – lost 8 lbs.

C.H. – 10% bf dec., BMI dec. 2.5 pts.

D.J. – lost 7.5 lbs; 10% bf dec., BMI went from 25.6 to 21.5

A.M – lost 7.5 lbs.

A.R. – lost 17 lbs., dec. 13% bf & BMI dec. 2.8 pts.

D.R. – lost 8 lbs.

Homeschool Zone

The Need for Programs The games are not enough! Zone Rewards… Xrgaming Rx Group exercise Other programs Karate Kid’s Cooking

The games are not enough!

Zone Rewards…

Xrgaming Rx

Group exercise

Other programs

Karate

Kid’s Cooking

Zone Rewards Prog.

Emerging uses: Seniors Benefits Cognitive Challenges Locations Residences Centers Mobile

Benefits

Cognitive

Challenges

Locations

Residences

Centers

Mobile

Rehabilitation

Athletic training

Disabled/Challenged Athlete

Adaptive PE

Developing markets Afterschool programs/summer day camps Operation Phoenix American Indian Health

Afterschool programs/summer day camps

Operation Phoenix

American Indian Health

Various models Stand-alone, franchising Gym-in-a-gym; turn-key Existing health clubs YMCA’s Schools Other sites After school Senior centers

Stand-alone, franchising

Gym-in-a-gym; turn-key

Existing health clubs

YMCA’s

Schools

Other sites

After school

Senior centers

Variety of facilities

“Ideal” model… Strivefit.com Traq3d.com

Common criticism I support traditional… Meeting kids where they are at “ Gateway intervention to PA”

“ I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!” Gunnar, age 12

Lessons learned…and still learning! Get help! Collaborate… Blogs, e-mail lists, etc. Plan finances for unexpected Tough current economy Start small if need be

Get help! Collaborate…

Blogs, e-mail lists, etc.

Plan finances for unexpected

Tough current economy

Start small if need be

Needs in this field More research, outcomes Attract other payers Non-profits Insurance companies Grants

More research, outcomes

Attract other payers

Non-profits

Insurance companies

Grants

Research key Validates as an intervention Outcomes Credibility Insurance coverage This field of research is WIDE open! Barbara Chamberlin’s project (Fri. 10 AM session, Pamela Martinez)

Validates as an intervention

Outcomes

Credibility

Insurance coverage

This field of research is WIDE open!

Barbara Chamberlin’s project (Fri. 10 AM session, Pamela Martinez)

Needs… More hardware/improved hardware Exergaming & health-specific games vs off-the-shelf videogames Strategy-based games? Way-out-of-the-box exergames “ Healthy” Webkinz with PA components

More hardware/improved hardware

Exergaming & health-specific games vs off-the-shelf videogames

Strategy-based games?

Way-out-of-the-box exergames

“ Healthy” Webkinz with PA components

Needs, con’t XRGames Tournaments Xgames, MLG, Rubik’s Cube…

XRGames Tournaments

Xgames, MLG, Rubik’s Cube…

Needs, con’t Increased collaboration between videogame industry, healthcare, education, & business Dept. of Aging, senior centers Local univ.: interns, research, gaming competition Local medical groups, hospitals Researchers, businesses--e-mail lists, blogs Programming Protocols Exercise workouts Right staff Front desk Xrgaming Coaches Marketers

Increased collaboration between videogame industry, healthcare, education, & business

Dept. of Aging, senior centers

Local univ.: interns, research, gaming competition

Local medical groups, hospitals

Researchers, businesses--e-mail lists, blogs

Programming

Protocols

Exercise workouts

Right staff

Front desk

Xrgaming Coaches

Marketers

We must win this war! Think out-of-the-box to fight “Greatest threat…” Exergaming approaching a crossroads: Novelty entertainment? Potent tool? Exciting time to be in exergaming!

Think out-of-the-box to fight “Greatest threat…”

Exergaming approaching a crossroads:

Novelty entertainment?

Potent tool?

Exciting time to be in exergaming!

Thank You! Thanks to… Humana & sponsors Vendors All of you for making this the biggest yet Ben Sawyer and Beth Bryant Q & A Visit the demo area… Exergaming Evangelist says, “ Where working out is all play!” ™

Thanks to…

Humana & sponsors

Vendors

All of you for making this the biggest yet

Ben Sawyer and Beth Bryant

Q & A

Visit the demo area…

Contact Info Ernie Medina, Jr., DrPH, CHFI XRtainment Zone LLC CEO/CEE/Co-founder 409 E. Palm Ave. Redlands, 92373 CA 909-747-5935 www. xrtainmentzone .com [email_address] .com