Hlthcr unbndem workshop


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  • Introduce myself here…explain how got into active gaming…
  • I want to begin with a disclaimer : just about all of us in the active gaming space support traditional PA. We do not believe it is “better” or that it will replace traditional sports, athletics, and more well-known forms of PA. We do believe that active gaming can (CLICK) meet a certain type of person where they are at. That’s how my journey into active gaming began 13 years ago.
  • With the patients that I work with in our Health Education Dept., they aren’t usually meeting this recommendation.
  • … and with adults.
  • When you work with people, trying to motivate them to increase PA, these are the excuses I often hear.
  • In healthcare and public health, there is still a certain amount of resistance to active gaming for a variety of reasons—mainly because of the general RST recommendation. HP2020 just came out and has now specifically mentioned video games in their PA recommendations—not Active Gaming, but sedentary video gaming. Definitions for searches Not the same…
  • Explain the various types…
  • A big advantage is all the locations active gaming can be used in…
  • Common thought that video games are anti-social
  • 1.24M google entries Challenges: Wii bowling; DDR music
  • Abel’s research proposal
  • Combining exergaming with traditional fitness center Facilitate research with university Starting with pediatric obesty, expand to seniors, stroke rehab, ortho rehab
  • Speaking of schools, how many of you remember doing the Presidents Challenge every year in school? Shellie Pfohl, exec dir. Stated at CES 2011 last week that the PC will be more involved with active play video games.
  • With the right kind of research, we can change policy so that policy can be changed to include active gaming as a possible solution for our healthcare challenges.
  • And while there still is a lingering criticism of active gaming out there in the traditional exercise and fitness world…
  • If average them all we get 3.9 Kcal/min. Also HR ranged from about 95-130
  • No change in BMI when exergaming combined with an obesity clinic in youth – thought is they didn’t have enough time on the games. Gave some children active games for 12 weeks – NS increase in active gaming time vs. controls; Total Physical activity was higher in those who received the active game; No difference in total moderate or vigorous activity; trend toward decreased weight and waist circumference. See next slide
  • Of course, we still have plenty of unanswered questions, but much has been one in the last few years and you’ll hear more about that later this AM.
  • Unique solution to our runaway healthcare system. The question is—will this industry get on board?
  • Also connected with this grant that you’ll hear more about from Dr. Barbara Chamberlin, the PI for this multi-year, multi-site grant.
  • Hlthcr unbndem workshop

    1. 1. Active Gaming: the newest intervention for increasing physical activity Ernie Medina, Jr., DrPH, CHFS Preventive Care Specialist, Beaver Medical Group Assistant Clinical Professor, Loma Linda Univ. School of Public Health Co-founder/CEO, MedPlay Technology, LLC [email_address] Consumer Engagement 3.0 Workshop July 12, 2011
    2. 2. Support traditional PA… Meeting people where they are at [email_address]
    3. 3. Aerobic - Kids 60 minutes daily [email_address]
    4. 4. Aerobic - Adults 150 minutes per week moderate intensity [email_address]
    5. 5. 5 Common Excuses <ul><li>Too expensive </li></ul><ul><li>Too painful </li></ul><ul><li>Special Limitations </li></ul><ul><li>It’s boring </li></ul><ul><li>No time </li></ul>[email_address]
    6. 6. Active Gaming, the Exercise Excuse Buster!
    7. 7. Going against the grain… <ul><li>“ 2 hrs or less of RST” </li></ul><ul><li>Various names </li></ul><ul><ul><li>Exertainment </li></ul></ul><ul><ul><li>Exergaming </li></ul></ul><ul><ul><li>Active Gaming </li></ul></ul><ul><ul><li>Active Play Video Games </li></ul></ul><ul><li>Not the same as watching TV while on exercise machine! </li></ul>[email_address]
    8. 8. 3 TYPES OF ACTIVE GAMING [email_address]
    9. 10. [email_address]
    10. 11. Exergaming outdoors Neos Playworld Systems [email_address]
    11. 12. [email_address]
    12. 13. Increasing PA in a variety of settings, ages, & abilities Schools Fitness center Home Medical Group Senior Center [email_address]
    13. 14. ADVANTAGES OF ACTIVE GAMES [email_address]
    14. 15. Social [email_address]
    15. 16. Families can exercise together!
    16. 17. Different ages play together
    17. 18. Adaptable to condition of player
    18. 19. Special needs can do! [email_address]
    19. 20. My dad, post stroke
    20. 21. Seniors get into game! <ul><li>Benefits </li></ul><ul><ul><li>Cognitive </li></ul></ul><ul><li>Challenges </li></ul><ul><li>Locations </li></ul><ul><ul><li>Residences </li></ul></ul><ul><ul><li>Centers </li></ul></ul><ul><ul><li>Mobile </li></ul></ul>
    21. 22. [email_address]
    22. 23. Abel Rendon, DPT DSc candidate Research: Using the Wii Fit to help reduce falls Oct. 13, 2009
    23. 24. “ Medical Exergaming” <ul><li>Obesity </li></ul><ul><li>Rehab </li></ul><ul><li>Special populations </li></ul><ul><ul><li>Physical disabilities </li></ul></ul><ul><ul><li>Cognitive/mental disabilities </li></ul></ul><ul><li>Lifestyle-related diseases </li></ul><ul><li>Seniors </li></ul><ul><ul><li>Physical benefits </li></ul></ul><ul><ul><li>Cognitive benefits </li></ul></ul><ul><ul><li>Social benefits </li></ul></ul>[email_address]
    24. 25. Exergaming in a Medical Fitness Center <ul><li>Beaver Medical Group </li></ul>[email_address]
    25. 26. Loma Linda University Drayson Center XRtainment Zone [email_address]
    26. 27. Programs for medical sites <ul><li>Family Fit Zone </li></ul><ul><ul><li>Insurance-covered </li></ul></ul><ul><li>Homeschool Zone… </li></ul><ul><ul><li>Subsidized by homeschool org. </li></ul></ul>
    27. 28. Shellie Pfohl Exec. Dir. Presidents Council on Fitness, Sports, & Nutrition [email_address]
    28. 29. Let’s move
    29. 30. Common criticisms [email_address]
    30. 31. Research addresses critics!
    31. 32. Energy Expenditure with Exergames <ul><li>DDR </li></ul><ul><li>Wii </li></ul><ul><li>Eye Toy </li></ul><ul><li>Others </li></ul>
    32. 33. Summary of Results
    33. 34. New data from our lab in college students <ul><li>EA Sports Active </li></ul><ul><ul><li>New to game: 5.4 Kcal/min </li></ul></ul><ul><ul><li>Experienced (10 weeks of playing): 4.3 Kcal/min </li></ul></ul><ul><li>Gold’s Gym </li></ul><ul><ul><li>7.3 Kcal/min. </li></ul></ul><ul><li>Your Shape </li></ul><ul><ul><li>6.9 Kcal/min </li></ul></ul>
    34. 35. Intervention Studies <ul><li>Madsen et al., 2007 </li></ul><ul><ul><li>“ Feasibility of a Dance Videogame to Promote Weight Loss Among Overweight Children and Adolescents” </li></ul></ul><ul><li>Ni Mhurchu et al., 2008 </li></ul><ul><ul><li>“ Couch Potatoes to Jumping Beans: A Pilot Study of the Effects of Active Video Games on Physical Activity in Children” </li></ul></ul><ul><li>Haddock et al., 2009 </li></ul><ul><ul><li>“ The Addition of a Video Game to Stationary Cycling: The Impact on Energy Expenditure in Overweight Children” </li></ul></ul>
    35. 36. Adding Video Game to Stationary Cycling No Video Game Video Game Ave. H.R. 142.4 ± 18.8 146.0 ± 21.4 Ave. Kcal/min 4.9 ± 1.4 5.7 ± 1.6* RPE 3.6 ± 2.3 3.2 ± 2.8
    36. 37. Conclusion <ul><li>Exergaming can increase energy expenditure to a level that is considered at least moderate intensity. </li></ul><ul><li>The level of energy expenditure varies , with boxing related games tending to increase energy expenditure the most. </li></ul><ul><li>Long term efficacy of exergames to reduce the prevalence of obesity still remains to be seen </li></ul><ul><li>The continual development of new exciting games that increase energy expenditure is crucial if exergaming will have any long term impacts. </li></ul>
    37. 38. Plenty of unanswered questions <ul><li>Biometric outcomes </li></ul><ul><li>Negative effects </li></ul><ul><li>Impact on cognitive functions </li></ul><ul><li>Adoption of healthy behaviors </li></ul>[email_address]
    38. 39. Gateway to “Traditional” PA? ? ?
    39. 40. Tournaments improve long-term compliance? [email_address]
    40. 41. New games for health effective? Due out late November
    41. 42. Games for health in healthcare? [email_address]
    42. 43. Future of healthcare? EHR PA input device Game for health  monitoring Real-time f/u  compliance <ul><li>Improved </li></ul><ul><li>outcomes! </li></ul>
    43. 44. A solution to our healthcare crisis: Unique collaboration
    44. 45. Disclaimer: One of the grantees
    45. 46. [email_address] http://tinyurl.com/TENWiki
    46. 47. [email_address]
    47. 49. Newest intervention for increasing PA! <ul><li>Think out-of-the-box </li></ul><ul><li>Try for yourself </li></ul><ul><li>Do research! </li></ul>
    48. 50. “ I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!” Gunnar, age 12 [email_address]
    49. 51. Active Gaming: Where working out is all play! Thank you! [email_address]