Efeito de video games ativos sobre a capacidade funcional e o humor de idosos: revisão sistemática e meta-análise
DOI:
https://doi.org/10.12820/rbafs.v.22n6p523-32Keywords:
Nintendo, Xbox Kinect, Equilíbrio, Depressão, AnsiedadeAbstract
In the last years, the active video games (AVGs) have been used by the general population as an alternative to exercise and entertainment. The aim of this study was to do a systematic review about the effects of AVGs on the functional capacity and the mood in older adults. We selected studies published between 2006 and 2017, with older adults (> 60 years) and only that had interventions with Nintendo Wii or Xbox Kinect. The results suggested improvements in the balance, muscle strength of lower limbs and functional mobility. In the mood profile, the results are controversial. We could conclude that AVGs exercising may improve functional capacity, however, the benefits in the mood, need further investigations, especially in the long-term studies.
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References
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9. Klompstra L, Jaarsma T, Stromberg A. Exergaming to increase the exercise capacity and daily physical activity in heart failure patients: a pilot study. BMC Geriatr. 2014;14(119).
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18. Agmon M, Perry CK, Phelan E, Demiris G, Nguyen HQ. A pilot study of Wii Fit exergames to improve balance in older adults. J Geriatr Phys er. 2011;34(4):161-7.
19. Saposnik G, Teasell R, Mamdani M, Hall J, McIlroy W. Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: A pilot randomized clinical trial and proof of principle. Stroke. 2010;41(7):1477-84.
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21. Liberati A, Altman DG, Tetzla J, Mulrow C, Gøtzsche PC, Loannidis JPA, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies at Evaluate Health Care Interventions: Explanation and Elaboration. Plos Med. 2009;6(7):1-28.
22. Hedges LV, Olkin I. Statistical Methods for Meta-analysis. Academic Press, 1985.
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24. Reed-Jones RJ, Dorgo S, Hitchings MK, Bader JO. WiiFit Plus balance test scores for the assessment of balance and mobility in older adults. Gait Posture. 2012;36(3):430-3.
25. Rendon AA, Lohman EB, orpe D, Johnson EG, Medina E, Bradley B. e e ect of virtual reality gaming on dynamic balance in older adults. Age and Ageing. 2012;41(4):549–52.
26. Karahan AY, Tok F, Taskin H, Kucuksarac S, Basaran A, Yildirim P. Effects of Exergames on Balance, Functional Mobility, and Quality of Life of Geriatrics Versus Home Exercise Programme: Randomized Controlled Study. Cent Eur J Public Health. 2015;23 (Suppl):S 14-8.
27. Mhatre PV, Vilares I, Stibb SM, Albert MV, Pickering L, Marciniak CM, et al. Wii Fit balance board playing improves balance and gait in Parkinson disease. PM&R. 2013;5(9):769-77.
28. Chao YY, Scherer YK, Wu YW, Lucke KT, Montgomery CA. e feasibility of an intervention combining self-e cacy theory and Wii Fit exergames in assisted living residents: A pilot study. Geriatr Nurs. 2013;34(5):377-82.
29. Bieryla KA. Xbox Kinect training to improve clinical measures of balance in older adults: a pilot study. Aging Clin Exp Res. 2015;28(3):451-7.
30. Cho GH, Hwangbo G, Shin HS. e E ects of Virtual Reality-based Balance Training on Balance of the Elderly. J Phys er Sci. 2014;26(4):615-7.
31. Orsega-Smith E, Davis J, Slavish K, Gimbutas L. Wii Fit Balance Intervention in Community-Dwelling Older Adults. Games Health J. 2012;1(6):431-5
32. Williams B, Doherty NL, Bender A, Mattox H, Tibbs JR. The Effect of Nintendo Wii on Balance: A Pilot Study Supporting the Use of the Wii in Occupational Therapy for the Well Elderly. Occup Ther Health Care. 2011;25(2- 3):131-39.
33. Sato K, Kuroki K, Saiki S, Nagatomi R. Improving Walking, Muscle Strength, and Balance in the Elderly with an Exergame Using Kinect: A Randomized Controlled Trial. Games Health J. 2015;4(3):161-7.
34. Fu AS, Gao KL, Tung AK, Tsang WW, Kwan MM. Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls. Arch Phys Med Rehabil. 2015;96(12):2096-102.
35. Monteiro-Junior RS, Souza CP, Lattari E, Rocha NBF, Mura G, Machado S, et al. Wii-Workouts on Chronic Pain, Physical Capabilities and Mood of Older Women: A Randomized Controlled Double Blind Trial. CNS Neurol Disord Drug Targets. 2015;14(9):1-8.
36. Zalecki T, Gorecka-Mazur A, Pietraszko W, Surowka AD, Novak P, Moskala M, et al. Visual feedback training using wii fit improves balance in parkinson’s disease. Folia Med Cracov. 2013;53(1):65-78.37.
37. Singh DK, Palaniswamy V, Pearson H, Raman VP, Bong PS. Participating in a virtual reality balance exercise program can reduce risk and fear of falls. Maturitas. 2012;73(3):239-43.
38. Keogh JWL, Power N, Wooller L, Lucas P, Whatman C. Physical and psychosocial function in residential aged-care elders: effect of Nintendo Wii sports games. J Aging Phys Act. 2014;22(2):235-44.
39. Bainbridge E, Bevans S, Keeley B, Oriel K. The Effects of the Nintendo Wii Fit on Community-Dwelling Older Adults with Perceived Balance Deficits: A Pilot Study. Phys Occup Ther Geriatr. 2011;29(2):126-35.
40. Janssen S, Tange H, Arends R. A Preliminary Study on the Effectiveness of Exergame Nintendo ‘‘Wii Fit Plus’’ on the Balance of Nursing Home Residents. Games Health J. 2013;2(2):89-95.
41. Wi SY, Kang JH, Jang JH. Clinical Feasibility of Exercise Game for Depression Treatment in Older Women with Osteoarthritis: a Pilot Study. J Phys Ther Sci. 2013;25(2):165-67.
42. Rosenberg D, Depp CA, Vahia IV, Reichstadt J, Palmer BW, Kerr J, et al. Exergames for subsyndromal depression in older adults: a pilot study of a novel intervention. Am J Geriatr Psychiatry. 2010;18(3):221-6.
43. Sin HH, Lee G. Additional Virtual Reality Training Using Xbox Kinect in Stroke Survivors with Hemiplegia. Am J phys Med Rehabilit. 2013;92(10):871-80.
44. da Nobrega AC. The subacute effects of exercise: concept, characteristics, and clinical implications. Exerc Sport Sci Rev. 2005;33(2):84-7.
45. Fountoulakis KN, O’Hara R, Iacovides A, Camilleri CP, Kaprinis S, Kaprinis G, et al. Unipolar late-onset depression: A comprehensive review. Archive of Annals of Gen Hosp Psychiatry. 2003;2(1):11.
46. Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, et al. e e ects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995;273(17):1341-7.
47. Mann L, Kleinpaul JF, Pereira Moro AR, Mota CB, Carpes FP. E ect of low back pain on postural stability in younger women: influence of visual deprivation. J Bodyw Mov Ther. 2010;14(4):361-6.
48.Sohlberg MM, Mateer CA. Cognitive rehabilitation: An integrative neuropsychological approach. New York: Guilford, 2001.
49. Rondon MUPB, Brum PC. Exercício físico como tratamento não farmacológico da hipertensão arterial. Rev Bras Hipertens. 2003;10(2):134-7.
50. Irigoyen MC, Angelis KD, Schaan BDA, Fiorino P, Michelini LC. Exercício físico no diabetes melito associado à hipertensão arterial sistêmica. Rev Bras Hipertens. 2003;10(2):109-17.
51. Araújo CGS. Fisiologia do exercício físico e hipertensão arterial. Uma breve introdução. Rev Hipertens. 2001;4(3):78-83.
52. Abrantes AM, Friedman JH, Brown RA, Strong DR, Desaulniers J, Ing E, et al. Physical activity and neuropsychiatric symptoms of Parkinson disease. J Geriatr Psychiatry Neurol. 2012;25(3):138-45.
53. Chaoulo F. Effects of acute physical exercise on central serotonergic systems. Med Sci Sports Exerc. 1997;29(1):58-62.
54. Williams E, Stewart-Knox B, Helander A, McConville C, Bradbury I, Rowland I. Associations between whole-blood serotonin and subjective mood in healthy male volunteers. Biol Psychol. 2006;71(2):171-4.
55. Disham KR, O’Connor PJ. Lessons in exercise neurobiology: the case of endorphins. Ment Health Phys Act. 2009;2(1):4–9.
56. Peng W, Lin JH, Crouse J. Is playing exergames really exercising? A metaanalysis of energy expenditure in active video games. Cyberpsychol Behav Soc Netw. 2011;14(11):681–88.
57. de la Fuente-Fernandez R, Phillips AG, Zamburlini M, Sossi V, Calne DB, Ruth TJ, et al. Dopamine release in human ventral striatum and expectation of reward. Behav Brain Res. 2002;136(2):359-63.
58. Chaoulo F. Physical exercise and brain monoamines: a review. Acta Physiol. 1989;137(1):1-13.
59. Fichna J, Janecka A, Costentin J, Do Rego JC. The endomorphin system and its evolving neurophysiological role. Pharmacol Rev. 2007;59(1):88-123.
60. Morgan WP. Affective beneficence of vigorous physical activity. Med Sci Sports Exerc. 1985;17(1):94-100.
2. Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, et al. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18(2):101-8.
3. Byers AL, Ya e K, Covinsky KE, Friedman MB, Bruce ML. High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Arch Gen Psychiat. 2010;67(5):489-96.
4. Chao YY, Scherer YK, Montgomery CA. Effects of using Nintendo WiiTM exergames in older adults: a review of the literature. J Aging Health. 2015;27(3):379-402.
5. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7.
6. Lenze EJ. Comorbidity of depression and anxiety in the elderly. Curr Psychiatry Rep. 2003;5(1):62-7.
7. Lenze EJ, Mulsant BH, Shear MK, Schulberg HC, Dew MA, Begley AE, et al. Comorbid anxiety disorders in depressed elderly patients. Am J Psychiatry. 2000;157(5):722-8.
8. Antunes HKM, Stella SG, Santos RF, Bueno OFA, Mello MT. Depression, anxiety and quality of life scores in seniors after an endurance exercise program. Rev Bras Psiquiatr. 2005;27(4):266-71.
9. Klompstra L, Jaarsma T, Stromberg A. Exergaming to increase the exercise capacity and daily physical activity in heart failure patients: a pilot study. BMC Geriatr. 2014;14(119).
10. Sung K. The effects of 16-week group exercise program on physical function and mental health of elderly Korean women in long-term assisted living facility. J Cardiovasc Nurs. 2009;24(5):344-51.
11. Silva A, Almeida GJM, Cassilhas RC, Cohen M, Peccin MS, Tufik S, et al. Balance, Coordination and Agility of Older Individuals Submitted to Physical Resisted Exercises Practice. Rev Bras Med Esporte. 2007;14(2):88-93.
12. Cousins SO. Exercise, aging, & health: Overcoming barriers to an active old age. Philadelphia: Brunner, 1997.
13. Wollersheim D, Merkes M, Shields N, Liamputtong P, Wallis L, Reynolds F, et al. Physical and Psychosocial Effects of Wii Video Game Use among Older Women. International Journal of Emerging Technologies and Society. 2010;8(2):85-98.
14. Taylor MJ, McCormick D, Shawis T, Impson R, Gri n M. Activity-promoting gaming systems in exercise and rehabilitation. J Rehabil Res Dev. 2011;48(10):1171-86.
15. Kahlbaugh PE, Sperandio AJ, Carlson AL, Hauselt J. Effects of Playing Wii on Well-Being in the Elderly: Physical Activity, Loneliness, and Mood. Act Adapt Aging. 2011;35(4):331–44.
16. van Gool CH, Kempen GI, Penninx BW, Deeg DJ, Beekman AT, van Eijk JT. Relationship between changes in depressive symptoms and unhealthy lifestyles in late middle aged and older persons: results from the Longitudinal Aging Study Amsterdam. Age Ageing. 2003;32(1):81-7.
17. Leutwyler H, Hubbard EM, Jeste DV, Vinogradov S. ‘‘We’re not just sitting on the periphery’’: A staff perspective of physical activity in older adults with schizophrenia. Gerontologist. 2012;53(3):474-83.
18. Agmon M, Perry CK, Phelan E, Demiris G, Nguyen HQ. A pilot study of Wii Fit exergames to improve balance in older adults. J Geriatr Phys er. 2011;34(4):161-7.
19. Saposnik G, Teasell R, Mamdani M, Hall J, McIlroy W. Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: A pilot randomized clinical trial and proof of principle. Stroke. 2010;41(7):1477-84.
20. Lange B, Flynn SM, Rizzo AA. Game-based telerehabilitation. Eur J Phys Rehabil Med. 2009;45(1):143-51.
21. Liberati A, Altman DG, Tetzla J, Mulrow C, Gøtzsche PC, Loannidis JPA, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies at Evaluate Health Care Interventions: Explanation and Elaboration. Plos Med. 2009;6(7):1-28.
22. Hedges LV, Olkin I. Statistical Methods for Meta-analysis. Academic Press, 1985.
23. Cohen J. Statistical power analysis for the behavioral sciences. 2 ed. Erbaum Associates: Routledge, 1988.
24. Reed-Jones RJ, Dorgo S, Hitchings MK, Bader JO. WiiFit Plus balance test scores for the assessment of balance and mobility in older adults. Gait Posture. 2012;36(3):430-3.
25. Rendon AA, Lohman EB, orpe D, Johnson EG, Medina E, Bradley B. e e ect of virtual reality gaming on dynamic balance in older adults. Age and Ageing. 2012;41(4):549–52.
26. Karahan AY, Tok F, Taskin H, Kucuksarac S, Basaran A, Yildirim P. Effects of Exergames on Balance, Functional Mobility, and Quality of Life of Geriatrics Versus Home Exercise Programme: Randomized Controlled Study. Cent Eur J Public Health. 2015;23 (Suppl):S 14-8.
27. Mhatre PV, Vilares I, Stibb SM, Albert MV, Pickering L, Marciniak CM, et al. Wii Fit balance board playing improves balance and gait in Parkinson disease. PM&R. 2013;5(9):769-77.
28. Chao YY, Scherer YK, Wu YW, Lucke KT, Montgomery CA. e feasibility of an intervention combining self-e cacy theory and Wii Fit exergames in assisted living residents: A pilot study. Geriatr Nurs. 2013;34(5):377-82.
29. Bieryla KA. Xbox Kinect training to improve clinical measures of balance in older adults: a pilot study. Aging Clin Exp Res. 2015;28(3):451-7.
30. Cho GH, Hwangbo G, Shin HS. e E ects of Virtual Reality-based Balance Training on Balance of the Elderly. J Phys er Sci. 2014;26(4):615-7.
31. Orsega-Smith E, Davis J, Slavish K, Gimbutas L. Wii Fit Balance Intervention in Community-Dwelling Older Adults. Games Health J. 2012;1(6):431-5
32. Williams B, Doherty NL, Bender A, Mattox H, Tibbs JR. The Effect of Nintendo Wii on Balance: A Pilot Study Supporting the Use of the Wii in Occupational Therapy for the Well Elderly. Occup Ther Health Care. 2011;25(2- 3):131-39.
33. Sato K, Kuroki K, Saiki S, Nagatomi R. Improving Walking, Muscle Strength, and Balance in the Elderly with an Exergame Using Kinect: A Randomized Controlled Trial. Games Health J. 2015;4(3):161-7.
34. Fu AS, Gao KL, Tung AK, Tsang WW, Kwan MM. Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls. Arch Phys Med Rehabil. 2015;96(12):2096-102.
35. Monteiro-Junior RS, Souza CP, Lattari E, Rocha NBF, Mura G, Machado S, et al. Wii-Workouts on Chronic Pain, Physical Capabilities and Mood of Older Women: A Randomized Controlled Double Blind Trial. CNS Neurol Disord Drug Targets. 2015;14(9):1-8.
36. Zalecki T, Gorecka-Mazur A, Pietraszko W, Surowka AD, Novak P, Moskala M, et al. Visual feedback training using wii fit improves balance in parkinson’s disease. Folia Med Cracov. 2013;53(1):65-78.37.
37. Singh DK, Palaniswamy V, Pearson H, Raman VP, Bong PS. Participating in a virtual reality balance exercise program can reduce risk and fear of falls. Maturitas. 2012;73(3):239-43.
38. Keogh JWL, Power N, Wooller L, Lucas P, Whatman C. Physical and psychosocial function in residential aged-care elders: effect of Nintendo Wii sports games. J Aging Phys Act. 2014;22(2):235-44.
39. Bainbridge E, Bevans S, Keeley B, Oriel K. The Effects of the Nintendo Wii Fit on Community-Dwelling Older Adults with Perceived Balance Deficits: A Pilot Study. Phys Occup Ther Geriatr. 2011;29(2):126-35.
40. Janssen S, Tange H, Arends R. A Preliminary Study on the Effectiveness of Exergame Nintendo ‘‘Wii Fit Plus’’ on the Balance of Nursing Home Residents. Games Health J. 2013;2(2):89-95.
41. Wi SY, Kang JH, Jang JH. Clinical Feasibility of Exercise Game for Depression Treatment in Older Women with Osteoarthritis: a Pilot Study. J Phys Ther Sci. 2013;25(2):165-67.
42. Rosenberg D, Depp CA, Vahia IV, Reichstadt J, Palmer BW, Kerr J, et al. Exergames for subsyndromal depression in older adults: a pilot study of a novel intervention. Am J Geriatr Psychiatry. 2010;18(3):221-6.
43. Sin HH, Lee G. Additional Virtual Reality Training Using Xbox Kinect in Stroke Survivors with Hemiplegia. Am J phys Med Rehabilit. 2013;92(10):871-80.
44. da Nobrega AC. The subacute effects of exercise: concept, characteristics, and clinical implications. Exerc Sport Sci Rev. 2005;33(2):84-7.
45. Fountoulakis KN, O’Hara R, Iacovides A, Camilleri CP, Kaprinis S, Kaprinis G, et al. Unipolar late-onset depression: A comprehensive review. Archive of Annals of Gen Hosp Psychiatry. 2003;2(1):11.
46. Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, et al. e e ects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995;273(17):1341-7.
47. Mann L, Kleinpaul JF, Pereira Moro AR, Mota CB, Carpes FP. E ect of low back pain on postural stability in younger women: influence of visual deprivation. J Bodyw Mov Ther. 2010;14(4):361-6.
48.Sohlberg MM, Mateer CA. Cognitive rehabilitation: An integrative neuropsychological approach. New York: Guilford, 2001.
49. Rondon MUPB, Brum PC. Exercício físico como tratamento não farmacológico da hipertensão arterial. Rev Bras Hipertens. 2003;10(2):134-7.
50. Irigoyen MC, Angelis KD, Schaan BDA, Fiorino P, Michelini LC. Exercício físico no diabetes melito associado à hipertensão arterial sistêmica. Rev Bras Hipertens. 2003;10(2):109-17.
51. Araújo CGS. Fisiologia do exercício físico e hipertensão arterial. Uma breve introdução. Rev Hipertens. 2001;4(3):78-83.
52. Abrantes AM, Friedman JH, Brown RA, Strong DR, Desaulniers J, Ing E, et al. Physical activity and neuropsychiatric symptoms of Parkinson disease. J Geriatr Psychiatry Neurol. 2012;25(3):138-45.
53. Chaoulo F. Effects of acute physical exercise on central serotonergic systems. Med Sci Sports Exerc. 1997;29(1):58-62.
54. Williams E, Stewart-Knox B, Helander A, McConville C, Bradbury I, Rowland I. Associations between whole-blood serotonin and subjective mood in healthy male volunteers. Biol Psychol. 2006;71(2):171-4.
55. Disham KR, O’Connor PJ. Lessons in exercise neurobiology: the case of endorphins. Ment Health Phys Act. 2009;2(1):4–9.
56. Peng W, Lin JH, Crouse J. Is playing exergames really exercising? A metaanalysis of energy expenditure in active video games. Cyberpsychol Behav Soc Netw. 2011;14(11):681–88.
57. de la Fuente-Fernandez R, Phillips AG, Zamburlini M, Sossi V, Calne DB, Ruth TJ, et al. Dopamine release in human ventral striatum and expectation of reward. Behav Brain Res. 2002;136(2):359-63.
58. Chaoulo F. Physical exercise and brain monoamines: a review. Acta Physiol. 1989;137(1):1-13.
59. Fichna J, Janecka A, Costentin J, Do Rego JC. The endomorphin system and its evolving neurophysiological role. Pharmacol Rev. 2007;59(1):88-123.
60. Morgan WP. Affective beneficence of vigorous physical activity. Med Sci Sports Exerc. 1985;17(1):94-100.
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07/05/2018
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Morais M, Passos G, Cintra R, Santana M. Efeito de video games ativos sobre a capacidade funcional e o humor de idosos: revisão sistemática e meta-análise. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2018 Jul. 5 [cited 2025 Feb. 5];22(6):523-32. Available from: https://rbafs.org.br/RBAFS/article/view/11149
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Copyright (c) 2017 Milca Morais, Giselle Passos, Rodolfo Cintra, Marcos Santana
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