Suire Kameron, Helsel Brian C, Bowling April, Staiano Amanda E, Sherman Joseph R, Rice Anna, Ptomey Lauren T
Department of Kinesiology, Berry College, 2277 Martha Berry Hwy NW Mount Berry, GA, 30149, USA.
University of Kansas Alzheimer's Disease Research Center, Department of Neurology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.
Disabil Health J. 2025 Apr;18(2):101766. doi: 10.1016/j.dhjo.2024.101766. Epub 2024 Dec 6.
Exergames may be a feasible alternative to in-person exercise that is adaptable for adults with Down Syndrome (DS).
The purpose of this study was to conduct a 12-week pilot trial to assess the feasibility of exergames for adults with DS.
Adults with DS were provided Ring Fit Adventure™ which uses a resistance ring and body weight to perform cardiovascular and strength exercises. Participants were instructed to play Ring Fit Adventure™ for 120 min/week and attend 30-min weekly virtual coaching sessions where a health educator encouraged gameplay via goal setting, helped troubleshoot technological issues, and collected self-reported minutes of gameplay. Intervention outcomes included attendance, adherence to weekly gameplay goals, retention, safety, and exercise intensity captured via heart rate and indirect calorimetry.
Twenty adults with DS (age 23.5 years, 89 % non-Hispanic white, 61 % female) enrolled and 19 participants completed the trial. Participants attended 93 % of coaching sessions and 90 % met the weekly gameplay goals. The average gameplay duration was 39 min/session and 123 min/week at 67.3 % of the participants' estimated maximum heart rate. Both the average heart rate during the intervention and metabolic equivalents (3.4 ± 1.0) during the indirect calorimetry assessment were suggestive of moderate intensity exercise.
Attendance and adherence to the weekly gameplay goal were high among adults with DS who were able to reach and sustain moderate intensity during the exergame sessions. Exergaming represents a home-based option for accumulating minutes of moderate-to-vigorous physical activity that is feasible for and acceptable to adults with DS.
运动游戏可能是面对面锻炼的一种可行替代方案，适用于唐氏综合征（DS）成人患者。
本研究旨在进行一项为期12周的试点试验，以评估运动游戏对DS成人患者的可行性。
为DS成人患者提供《健身环大冒险》游戏，该游戏使用阻力环和体重进行心血管和力量锻炼。参与者被要求每周玩120分钟的《健身环大冒险》，并参加每周30分钟的虚拟辅导课程，健康教育者通过设定目标鼓励游戏，帮助解决技术问题，并收集自我报告的游戏时长。干预结果包括出勤率、对每周游戏目标的坚持、留存率、安全性以及通过心率和间接量热法测得的运动强度。
20名DS成人患者（年龄23.5岁，89%为非西班牙裔白人，61%为女性）参与试验，19名参与者完成了试验。参与者参加了93%的辅导课程，90%的人达到了每周游戏目标。平均游戏时长为每次39分钟，每周123分钟，达到参与者估计最大心率的67.3%。干预期间的平均心率和间接量热法评估期间的代谢当量（3.4±1.0）均表明为中等强度运动。
在DS成人患者中，出勤率和对每周游戏目标的坚持率较高，他们能够在运动游戏环节中达到并维持中等强度。运动游戏是一种在家中积累中等至剧烈身体活动时长的选择，对DS成人患者来说是可行且可接受的。
