França Cíntia, Ashraf Sadaf, Marques Adilson, Ihle Andreas, Lopes Helder, Campos Pedro, Gouveia Élvio Rúbio
Department of Physical Education and Sport, University of Madeira, Funchal, Portugal.
LARSYS, Interactive Technologies Institute, Funchal, Portugal.
Games Health J. 2025 Aug;14(4):251-264. doi: 10.1089/g4h.2024.0192. Epub 2025 Jan 13.
Due to the exponential growth in technology, exergames emerged as a potential tool to foster physical activity (PA) levels. This study provides an overall view of the literature on the effects of exergaming on physical fitness components among overweight and obese children and adolescents. A systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed in the PubMed, Web of Science, and Scopus databases. Among the 618 articles identified at the first screening stage, 17 were retained for analysis. The results indicate positive effects of exergaming interventions in body composition outcomes, cardiorespiratory fitness, muscular strength, and skills performance. Results from the randomized studies with the control group revealed significant effects of exergames in decreasing body mass index (mean difference = 0.24; 95% confidence interval [CI]: 0.06 to 0.43, = 0.01) and increasing cardiorespiratory fitness (Hedges's g = 0.28; 95% CI: 0.09 to 0.46, = 0.00). Although not statistically significant, participants submitted to exergames interventions also showed decreased body weight compared to their control peers. The results emphasize the ability of exergames to enhance PA levels and physical fitness components, which might influence the health status of overweight and obese youth. However, due to the limited number of studies included in the meta-analysis ( = 4), future randomized controlled experiments are still needed to improve the understanding of the impact of exergames interventions on physical fitness.
由于技术呈指数级增长，运动游戏成为促进身体活动（PA）水平的一种潜在工具。本研究全面综述了关于运动游戏对超重和肥胖儿童及青少年身体素质组成部分影响的文献。按照系统评价和Meta分析的首选报告项目指南，在PubMed、科学网和Scopus数据库中进行了系统评价和Meta分析。在首次筛选阶段确定的618篇文章中，保留了17篇进行分析。结果表明，运动游戏干预对身体成分指标、心肺适能、肌肉力量和技能表现有积极影响。有对照组的随机研究结果显示，运动游戏在降低体重指数方面有显著效果（平均差异=0.24；95%置信区间[CI]：0.06至0.43，P=0.01），在提高心肺适能方面也有显著效果（Hedges's g=0.28；95%CI：0.09至0.46，P=0.00）。尽管无统计学意义，但与对照组同龄人相比，接受运动游戏干预的参与者体重也有所下降。研究结果强调了运动游戏提高身体活动水平和身体素质组成部分的能力，这可能会影响超重和肥胖青少年的健康状况。然而，由于Meta分析纳入的研究数量有限（n=4），未来仍需要进行随机对照实验，以增进对运动游戏干预对身体素质影响的理解。
