The future of activity-promoting video games in clinical  practice: Is it the ultimate exercise test in pre-pubertal  children? Aktivite üreten video oyunlarının gelecekte klinik uygulamadaki yeri: Ergenlik  öncesi çocuklar için güvenli bir efor testi olabilir mi?

Bülent Oran; Alper  Akkurt; Derya  Arslan; Derya  Çimen

doi:10.5455/GMJ-30-164854

Authors

Bülent Oran Department of Pediatric Cardiology, Selcuk University, Medical Faculty
Alper Akkurt Department of Pediatrics, Selcuk University, Medical Faculty
Derya Arslan Department of Pediatric Cardiology, Selcuk University, Medical Faculty
Derya Çimen Department of Pediatric Cardiology, Selcuk University, Medical Faculty

DOI:

https://doi.org/10.5455/GMJ-30-164854

Keywords:

Exercise test, games, experimental, child

Abstract

Paediatric exercise testing laboratories should accommodate subjects of various sizes and ages. To this day, games and conventional treadmill exercise tests have not been carried out in pre-pubertal children. Children cannot easily adapt to the treadmill or cycle ergometer. We therefore aim to the use of video games as a form of exercise tests in pre-pubertal children. Twenty healthy children (10 girls and 10 boys, aged 5-11 years old) were enrolled in the study. The physical examination, 12-lead electrocardiography and echocardiography were performed. The heart rate and respiratory rate were measured with systolic blood pressures. Treadmill exercise testing was performed, and electrocardiographic changes were studied during both the treadmill exercise test with Bruce protocol and an activity-promoting video game (Nintendo Wii Boxing), in different time periods. Exercises were stopped at the target heart rate.The mean duration of exercise was 15 minutes in both the Bruce protocol and the activity-promoting video game. Although the data of healthy children (including heart rate and blood pressure responses to exercise) were consistent with the results from several countries using the Bruce protocol, the mean maximal heart rates for all groups were slightly lower than those obtained with the video game. The data obtained from this new exercise test may be used to determine the diagnosis and activation of cardiovascular disease in pre-pubertal children. It can be used as an exercise test especially in young children who are unable to use the treadmill or cycle ergometer

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References

Bruce RA, Blackmon JR, Jones JW, Strait G. Exercising testing in adult normal subjects and cardiac patients. Pediatrics 1963; 32: 742–56.

Springer C, Cooper DM, Wasserman K. Evidence that maturation of the peripheral chemoreceptors is not complete in childhood. Respir Physiol 1988; 74(1): 55-64.

Lesser DJ, Fleming MM, Maher CA, Kim SB, Woo MS, Keens TG. Does the 6-min walk test correlate with the exercise stress test in children? Pediatr Pulmonol 2010; 45(2): 135-40.

Lang RM, Bierig M, Devereux RB, et al. Chamber Quantification Writing Group; American Society of Echocardiography's Guidelines and Standards Committee; European Association of Echocardiography. J Am Soc Echocardiogr 2005; 18(12): 1440-63.

Akdur H, Sözen AB, Yiğit Z, Öztunç F, Kudat H, Güven O. The evaluation of cardiovascular response to exercise in healthy Turkish children. Turk J Pediatr 2009; 51(5): 472-7.

Limsuwan A, Wongwandee R, Khowsathit P. Correlation between 6-min walk test and exercise stress test in healthy children. Acta Paediatr 2010; 99(3): 438-41.

Prado DM, Braga AM, Rondon MU, et al. Cardiorespiratory responses during progressive maximal exercise test in healthy children. Arq Bras Cardiol 2010; 94(4): 493-9.

Arena R, Myers J, Guazzi M. The Future of Aerobic Exercise Testing in Clinical Practice: Is it the Ultimate Vital Sign? Future Cardiology 2010; 6(3): 325-42.

Vinet A, Nottin S, Lecoq A, Obert P. Cardiovascular responses to progressive cycle exercise in healthy children and adults. Int J Sports Med 2002; 23(4): 242-6.

Van der Cammen-van Zijp MH, Ijsselstijn H, Takken T, et al. Exercise testing of pre-school children using the Bruce treadmill protocol: new reference values. Eur J Appl Physiol 2010; 108(2): 393-9.

Kenneth TR, Wilmore JH. Cardiovascular responses to treadmill and cycle ergometer exercise in children and adults. J ApplPhysiol 1997; 83(3): 948-57.

Turley KR. Cardiovascular responses to exercise in children. Sports Med. 1997; 24(4): 241-57.

Mocellin R. A practical and transferable new protocol for treadmill testing of children and adults?Cardiol Young. 2009; 19(6): 655-6.

Amorim PR, Byrne NM, Hills AP. Within-and between-day repeat ability and variability in children's physiological responses during submaximal treadmill exercise. Res Q Exerc Sport 2009; 80(3): 575-82