TY - JOUR
T1 - Physiological response during activity programs using Wii-based video games in patients with cystic fibrosis (CF)
AU - del Corral, Tamara
AU - Percegona, Janaína
AU - Seborga, Melisa
AU - Rabinovich, Roberto A.
AU - Vilaró, Jordi
N1 - Funding Information:
This project was financed by Proyecto Avanza, TSI-020110-2009-431 , Ministerio de Industria Turismo y Comercio, Spain .
Publisher Copyright:
© 2014 European Cystic Fibrosis Society.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Patients with cystic fibrosis (CF) are characterized by an abnormal ventilation response that limits the exercise capacity. Exercise training increases exercise capacity, decreases dyspnea and improves health-related quality of life in CF. Adherence to pulmonary rehabilitation programs is a key factor to guarantee optimal benefits and a difficult goal in this population.The aim of this study was to determine the physiological response during three Nintendo Wii™ video game activities (VGA) candidates to be used as training modalities in patients with CF. Method: 24 CF patients (age 12.6±3.7years; BMI 18.8±2.9kgm-2; FEV1 93.8±18.8%pred) were included.All participants performed, on two separate days, 3 different VGA: 1) Wii Fit Plus (Wii-Fit); 2) Wii Active (Wii-Acti), and 3) Wii Family Trainer (Wii-Train), in random order during 5min. The obtained results were compared with the 6-min walk test (6MWT). The physiological variables [oxygen uptake (VO2), minute ventilation (VE), and heart rate (HR)] were recorded using a portable metabolic analyzer. Results: During all VGA and 6MWT, VO2 reached a plateau from the 3rd min. Compared with the 6MWT (1024.2±282.2mLm-1), Wii-Acti (1232.2±427.2mLm-1) and Wii-Train (1252.6±360.2mLm-1) reached higher VO2 levels during the last 3min (p<0.0001 in both cases), while Wii-Fit (553.8±113.2mLm-1) reached significantly lower levels of VO2 (p<0.001). Similar effects were seen for the ventilatory volume (VE). No differences in dyspnea and oxygen saturation were seen between the different modalities. All patients were compliant with all three Wii™ modalities. Conclusion: Active video game are well tolerated by patients with CF. All the modalities evaluated imposed a constant load but were associated with different physiological responses reflecting the different intensities imposed. Wii-Acti and Wii-Train impose a significantly high metabolic demand comparable to the 6MWT. Further research is needed to evaluate the effects of VGA as a training program to increase exercise capacity for CF patients.
AB - Patients with cystic fibrosis (CF) are characterized by an abnormal ventilation response that limits the exercise capacity. Exercise training increases exercise capacity, decreases dyspnea and improves health-related quality of life in CF. Adherence to pulmonary rehabilitation programs is a key factor to guarantee optimal benefits and a difficult goal in this population.The aim of this study was to determine the physiological response during three Nintendo Wii™ video game activities (VGA) candidates to be used as training modalities in patients with CF. Method: 24 CF patients (age 12.6±3.7years; BMI 18.8±2.9kgm-2; FEV1 93.8±18.8%pred) were included.All participants performed, on two separate days, 3 different VGA: 1) Wii Fit Plus (Wii-Fit); 2) Wii Active (Wii-Acti), and 3) Wii Family Trainer (Wii-Train), in random order during 5min. The obtained results were compared with the 6-min walk test (6MWT). The physiological variables [oxygen uptake (VO2), minute ventilation (VE), and heart rate (HR)] were recorded using a portable metabolic analyzer. Results: During all VGA and 6MWT, VO2 reached a plateau from the 3rd min. Compared with the 6MWT (1024.2±282.2mLm-1), Wii-Acti (1232.2±427.2mLm-1) and Wii-Train (1252.6±360.2mLm-1) reached higher VO2 levels during the last 3min (p<0.0001 in both cases), while Wii-Fit (553.8±113.2mLm-1) reached significantly lower levels of VO2 (p<0.001). Similar effects were seen for the ventilatory volume (VE). No differences in dyspnea and oxygen saturation were seen between the different modalities. All patients were compliant with all three Wii™ modalities. Conclusion: Active video game are well tolerated by patients with CF. All the modalities evaluated imposed a constant load but were associated with different physiological responses reflecting the different intensities imposed. Wii-Acti and Wii-Train impose a significantly high metabolic demand comparable to the 6MWT. Further research is needed to evaluate the effects of VGA as a training program to increase exercise capacity for CF patients.
KW - Exercise capacity
KW - Physiological response and cystic fibrosis
KW - Pulmonary rehabilitation
KW - Video games
UR - http://www.scopus.com/inward/record.url?scp=84911961769&partnerID=8YFLogxK
U2 - 10.1016/j.jcf.2014.05.004
DO - 10.1016/j.jcf.2014.05.004
M3 - Article
C2 - 24935613
AN - SCOPUS:84911961769
SN - 1569-1993
VL - 13
SP - 706
EP - 711
JO - Journal of Cystic Fibrosis
JF - Journal of Cystic Fibrosis
IS - 6
ER -