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Active Gaming & Pediatric Obesity Program Ernie Medina, Jr., DrPH, CHFS Preventive Care Specialist, Beaver Medical Group Assistant Clinical Professor, Loma Linda Univ. School of Public Health Co-founder/CEO, MedPlay Technology, LLC [email protected] Healthcare Unbound Conference July 12, 2011

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Active Gaming & Pediatric Obesity

Program

Ernie Medina, Jr., DrPH, CHFSPreventive Care Specialist, Beaver Medical Group

Assistant Clinical Professor, Loma Linda Univ. School of Public Health

Co-founder/CEO, MedPlay Technology, [email protected]

Healthcare Unbound ConferenceJuly 12, 2011

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How I became an “Exergaming Evangelist/Interventionist” Preventive Care Specialist, Beaver

Medical Group, Redlands 170+ physician group Health Education, since 1993

Weight loss, lifestyle-related dzs Smoking cessation Stress management

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Support traditional PA…Meeting people where they are at

[email protected]

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Aerobic - Kids60 minutes [email protected]

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5 Common Excuses

Too expensive Too painful Special

Limitations It’s boring No time

[email protected]

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Active Gaming, the Exercise Excuse Buster!

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Take a Walk – Alpha Version• 45-minute walk

• Two choices:

1. From hotel

2. Back Bay

• Use any smartphone

• Receive text messages, hints, maps

Exploring new form of exergaming…

www.MobileAdventureWalks.com

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“Exergaming Interventionist” Obesity Rehab Special populations

Physical disabilities Cognitive/mental disabilities

Lifestyle-related diseases Seniors

Physical benefits Cognitive benefits Social benefits

[email protected]

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Exergaming in a Medical Fitness Center

Beaver Medical Group

[email protected]

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Loma Linda University Drayson Center XRtainment Zone

[email protected]

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Family Fit Zone Insurance-covered 7-wk program Started in 2005 Positive results from pilot studies

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“I don’t like to exercise, but playing here I get a great workout and it doesn’t feel like exercising!”Gunnar, age [email protected]

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Common criticisms

[email protected]

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Research addresses critics!

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Recent data from CalState Univ. San Bernardino (CSUSB) EA Sports Active

New to game: 5.4 Kcal/min

Experienced (10 weeks of playing): 4.3 Kcal/min

Gold’s Gym 7.3 Kcal/min.

Your Shape 6.9 Kcal/min

Siegel, S.R., Haddock, B.L., Dubois, A.M., & Wilkin, L.D. (2009) Active Video/Arcade Games (Exergaming) and Energy Expenditure in College Students.  International Journal of Exercise Science 2(3):165-174.

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Adding Video Game to Stationary Cycling

No Video GameNo Video Game Video GameVideo Game

Ave. H.R.Ave. H.R. 142.4 142.4 ± 18.8± 18.8 146.0 146.0 ± 21.4± 21.4

Ave. Kcal/minAve. Kcal/min 4.9 4.9 ± 1.4± 1.4 5.7 5.7 ± 1.6*± 1.6*

RPERPE 3.6 3.6 ± 2.3± 2.3 3.2 3.2 ± 2.8± 2.8

Haddock, B.L., Siegel, S.R., Wilkin, L.D. (2009) The Addition of a Video Game to Stationary Cycling: The Impact on Energy Expenditure in Overweight Children.  The Open Sports Science Journal 2:42-46.

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ConclusionExergaming can increase energy expenditure to a level that is considered at least moderate intensity.The level of energy expenditure varies, with boxing related games tending to increase energy expenditure the most.Long term efficacy of exergames to reduce the prevalence of obesity still remains to be seenThe continual development of new exciting games that increase energy expenditure is crucial if exergaming will have any long term impacts.

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Plenty of unanswered questions

?

?

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Tournaments improve long-term compliance?

[email protected]

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New games for health effective?

Due out late November

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Games for health in healthcare?

[email protected]

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Future of healthcare?

Improved outcomes!

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A solution to our healthcare crisis: Unique collaboration

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Disclaimer: One of the grantees

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[email protected]

http://tinyurl.com/TENWiki

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Active Gaming: Where working out is all play!

Thank [email protected]: @xrgamer1www.MedPlayTech.comExergamingEvangelist.blogspot.com