Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials
Objectives: This systematic review with meta-analysis aimed to evaluate the available body of published peer-reviewed studies on the effects of exergaming (EXG) compared to the control group (CG) on morphological variables, biochemical parameters, and blood pressure in children and adolescents with...
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2024-12-01
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| author | Jordan Hernandez-Martinez Joaquín Perez-Carcamo Hassan Melki Izham Cid-Calfucura Edgar Vasquez-Carrasco Pedro Delgado-Floody Claudio Romero Tomás Herrera-Valenzuela Braulio Henrique Magnani Branco Pablo Valdés-Badilla |
| author_facet | Jordan Hernandez-Martinez Joaquín Perez-Carcamo Hassan Melki Izham Cid-Calfucura Edgar Vasquez-Carrasco Pedro Delgado-Floody Claudio Romero Tomás Herrera-Valenzuela Braulio Henrique Magnani Branco Pablo Valdés-Badilla |
| author_sort | Jordan Hernandez-Martinez |
| collection | DOAJ |
| description | Objectives: This systematic review with meta-analysis aimed to evaluate the available body of published peer-reviewed studies on the effects of exergaming (EXG) compared to the control group (CG) on morphological variables, biochemical parameters, and blood pressure in children and adolescents with overweight/obesity. Methods: A systematic literature search was conducted until September 2024 using five databases: PubMed, Medline, CINAHL Complete, Scopus, and Web of Science. PRISMA, TESTEX, RoB 2, and GRADE tools assessed the methodological quality and certainty of evidence. Hedge’s g effect sizes (ES) for morphological, biochemical, and blood pressure variables were calculated for meta-analyses. Using a random effects model, potential sources of heterogeneity were selected, including subgroup analyses (age) and single training factor analysis (program duration, training frequency). The protocol was registered in PROSPERO (code: CRD42024626992). Results: Out of 72 records, 6 randomized controlled trials with 191 children and adolescents with overweight/obesity were included. Nine meta-analyses were performed, showing significant decreases in body mass index (<i>p</i> = 0.04), waist circumference (<i>p</i> = 0.03), and systolic blood pressure (<i>p</i> = 0.007). However, no significant improvements were observed in diastolic blood pressure, body fat percentage, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, and glucose. Subgroup analyses showed significant decreases in total cholesterol (<15 years, ES = 0.56; <i>p</i> = 0.006), HDL-cholesterol (<15 years, ES = 0.51; <i>p</i> = 0.01), LDL-cholesterol (<15 years, ES = 0.63; <i>p</i> = 0.01), and triglycerides (<15 years, ES = 0.82; <i>p</i> = 0.000). In training duration, only significant decreases in total cholesterol (ES = 0.69; <i>p</i> = 0.02) were presented in favor of <12 weeks vs. ≥12 weeks. While in training frequency only significant decreases in triglycerides (ES = 0.70; <i>p</i> = 0.03) were reported in favor of ≥3 sessions per week vs. <3 sessions per week. Conclusions: EXG significantly decreases body mass index, waist circumference, and systolic blood pressure in children and adolescents with overweight/obesity. |
| format | Article |
| id | doaj-art-572cee046d0541cbae3220bfaf98ea6e |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2024-12-01 |
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| series | Children |
| spelling | doaj-art-572cee046d0541cbae3220bfaf98ea6e2025-01-24T13:27:03ZengMDPI AGChildren2227-90672024-12-011212910.3390/children12010029Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled TrialsJordan Hernandez-Martinez0Joaquín Perez-Carcamo1Hassan Melki2Izham Cid-Calfucura3Edgar Vasquez-Carrasco4Pedro Delgado-Floody5Claudio Romero6Tomás Herrera-Valenzuela7Braulio Henrique Magnani Branco8Pablo Valdés-Badilla9Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno 5290000, ChileDepartment of Physical Activity Sciences, Universidad de Los Lagos, Osorno 5290000, ChileHigher Institute of Sport and Physical Education of Ksar Saïd, Manouba 2037, TunisiaDepartment of Physical Activity, Sports and Health Sciences, Faculty of Medical Sciences, Universidad de Santiago de Chile (USACH), Santiago 8370003, ChileSchool of Occupational Therapy, Faculty of Psychology, Universidad de Talca, Talca 3465548, ChileDepartment of Physical Education, Sport, and Recreation, Universidad de La Frontera, Temuco 4811230, ChileDepartment of Physical Activity Sciences, Universidad de Los Lagos, Osorno 5290000, ChileDepartment of Physical Activity, Sports and Health Sciences, Faculty of Medical Sciences, Universidad de Santiago de Chile (USACH), Santiago 8370003, ChileGraduate Program in Health Promotion, Cesumar University (UniCesumar), Maringá 87050-900, BrazilDepartment of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3530000, ChileObjectives: This systematic review with meta-analysis aimed to evaluate the available body of published peer-reviewed studies on the effects of exergaming (EXG) compared to the control group (CG) on morphological variables, biochemical parameters, and blood pressure in children and adolescents with overweight/obesity. Methods: A systematic literature search was conducted until September 2024 using five databases: PubMed, Medline, CINAHL Complete, Scopus, and Web of Science. PRISMA, TESTEX, RoB 2, and GRADE tools assessed the methodological quality and certainty of evidence. Hedge’s g effect sizes (ES) for morphological, biochemical, and blood pressure variables were calculated for meta-analyses. Using a random effects model, potential sources of heterogeneity were selected, including subgroup analyses (age) and single training factor analysis (program duration, training frequency). The protocol was registered in PROSPERO (code: CRD42024626992). Results: Out of 72 records, 6 randomized controlled trials with 191 children and adolescents with overweight/obesity were included. Nine meta-analyses were performed, showing significant decreases in body mass index (<i>p</i> = 0.04), waist circumference (<i>p</i> = 0.03), and systolic blood pressure (<i>p</i> = 0.007). However, no significant improvements were observed in diastolic blood pressure, body fat percentage, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, and glucose. Subgroup analyses showed significant decreases in total cholesterol (<15 years, ES = 0.56; <i>p</i> = 0.006), HDL-cholesterol (<15 years, ES = 0.51; <i>p</i> = 0.01), LDL-cholesterol (<15 years, ES = 0.63; <i>p</i> = 0.01), and triglycerides (<15 years, ES = 0.82; <i>p</i> = 0.000). In training duration, only significant decreases in total cholesterol (ES = 0.69; <i>p</i> = 0.02) were presented in favor of <12 weeks vs. ≥12 weeks. While in training frequency only significant decreases in triglycerides (ES = 0.70; <i>p</i> = 0.03) were reported in favor of ≥3 sessions per week vs. <3 sessions per week. Conclusions: EXG significantly decreases body mass index, waist circumference, and systolic blood pressure in children and adolescents with overweight/obesity.https://www.mdpi.com/2227-9067/12/1/29virtual reality exposure therapyexercisechildpediatric obesitybiomarkers |
| spellingShingle | Jordan Hernandez-Martinez Joaquín Perez-Carcamo Hassan Melki Izham Cid-Calfucura Edgar Vasquez-Carrasco Pedro Delgado-Floody Claudio Romero Tomás Herrera-Valenzuela Braulio Henrique Magnani Branco Pablo Valdés-Badilla Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials Children virtual reality exposure therapy exercise child pediatric obesity biomarkers |
| title | Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials |
| title_full | Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials |
| title_fullStr | Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials |
| title_full_unstemmed | Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials |
| title_short | Effects of Exergaming on Morphological Variables, Biochemical Parameters, and Blood Pressure in Children and Adolescents with Overweight/Obesity: A Systematic Review with Meta-Analysis of Randomized Controlled Trials |
| title_sort | effects of exergaming on morphological variables biochemical parameters and blood pressure in children and adolescents with overweight obesity a systematic review with meta analysis of randomized controlled trials |
| topic | virtual reality exposure therapy exercise child pediatric obesity biomarkers |
| url | https://www.mdpi.com/2227-9067/12/1/29 |
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