Targeting Sedentarianism with exergaming!

1-11-12: Happy New Year! I hope that you have a great holiday break. I'm sure many received some sort of exergame (such as a Wii or Kinect), and are using it to stay active in the new year.

As I look back on the last few years in the field of exergaming, a lot of the attention has been focused on using exergames as a way to increase physical activity (PA) and to be used as a new intervention for an exercise prescription (Exercise Rx).

However, in just the last year, I've noticed a new focus coming up...that of decreasing sedentary behavior. At first glance, this may seem like 2 sides of the same coin or mere semantics, but in fact, evidence is coming out that shows sedentary behavior is an independent risk factor compared to not doing the your exercise Rx.

In other words, someone who is doing their regular exercise Rx of 30 mins, 5x/wk, but then then is totally sedentary the other 23+ hours of the day (sleep, sitting at work, driving, etc.), is almost at the same risk as not doing your Exer. Rx at all!!! In other words, doing your workout does NOT protect you from being a couch potato the other 23 hours of the day!!!

A study that just came out highlights this in youth. Published by the American College of Sports Medicine, you can read more about it here.

What I like about this new focus is that now, instead of seeing which exergames meet the moderate to vigorous levels of intensity to qualify as "exercise", we are just focused on kids (and adults) being less sedentary!!! They talk about the benefits of JUST STANDING while talking on the phone, for example. With this level of physical activity, EVERY SINGLE exergame would qualify as an tool to decrease sedentary behavior!!!

Imagine schools, workplaces, homes, taking "sedentary vaccinations" by playing a game or two of some popular exergame every hour. It would be a nice mental break as well as a physical activity against sedentarianism.

I think we should encourage more research into the viability and effectiveness of exergames to break sedentary behavior. Then maybe, exergames will be more fully accepted by all those in the sports medicine and healthcare fields and promoted as a tool for their patients/client.

What do you think? Feel free to comment here or e-mail me at ernie@medplaytech.com or post a message on my Facebook wall (Exergaming Interventionist).

Exergaming in AHA's Circulation journal!

4-25-11: My job in the clinic doesn't require me to publish like my academic colleagues, so it's cool to see something published that I co-authored with legends Debra Lieberman and Barbara Chamberlin, and others. This particular article contains a summary of exergames, state of field, and future considerations.

This was published from our presentation during the 2nd day of the Power of Play Summit, hosted by the Amer. Heart Assoc., and Nintendo. (These are pictures from the summit held Jan. 2011.)

You can check out the actual article here.

Exergaming invades AAPHERD in San Diego!

3-30-11: Shortly after lunch, a friend, Megan, and I took a quick trip to San Diego to meet up with the large gathering of exergaming friends from around the world. They had just finished putting on one of the best exergaming workshops for all the PE folks at the AAHPERD annual conference that AM and were now relaxing at Lounge 6.

Before that, we visited Peter Newman's office to see some of his latest products. Unfortunately, I didn't take any pixs of our visit there so sorry about that!

Here are a few shots from our quick trip (got back after midnight last night!) yesterday....



Great seeing everyone, especially Brett from NZ! The next time I'll be seeing them is in Boston for Games for Health. Then, I'll be able to hang out with the gang longer!

Health Journal on Exergaming

2-4-11: Thx to Sir Richard for posting this article in FB. Read this article from the Health Journal and check out my comment after it. Let me know what you think!

Ubisoft's Godin on Exergaming

1-25-11: Excellent interview of Ubisoft Montreal game desiner, Nicola Godin, on the state and future of exergaming. Read it here. (Thx to Parker for posting on Motion Fitness's blog!)

President's Council embraces active gaming!

1-21-11: This is the FIRST time I can recall that I've seen active gaming (aka exergaming) blogged about on the Dept. of Health & Human Services website!

President's Council on Sport, Fitness, & Nutrition's Executive Director Shellie Pfohl recently authored a blog on the benefits of "active gaming" and the intersection between the use of this cutting-edge technology and the national objectives outlined in Healthy People 2020. To read Shellie's blog and/or post a comment, please visit http://www.health.gov/paguidelines/blog/.

I had a chance to meet with Exec Dir. Pfohl after her presentation during the Fitness Tech session at CES a couple of weeks ago, and we had a good talk about how the President's Council can be more involved with active gaming. (It didn't hurt that I was able to mention that it was our work (Dr. Haddock and I) that got the Wii Sports listed on the President's Challenge list of exercises!).

We talked about the National Active Gaming League (NAGL), and she seemed enthusiastic about it, so I look forward to collaborating more with the President's Council when we launch the NAGL in May!

Ernie Medina, Jr.
Exergaming Evangelist/Interventionist

USA Today article on Exergaming!

10-12-10: This article just came out after the recent Obesity conf. down in San Diego. Check it out here.

Some colleagues of mine were featured in this article, like Drs. Barbara Chamberlin, Emily Murphy, and Bryan Haddock.

Dr. James Sallis was also featured, and here's something interesting he said about exergaming and PE:

"But Sallis isn't convinced that these activities should be included in PE classes. "Whenever possible, we want to get the kids outdoors, where they can run around more freely. We actually need to teach kids activities such as basketball, baseball, soccer, volleyball. We need to teach them teamwork."These are the kinds of skills kids need for a lifetime of physical activity, he says. "Doing some kind of exergame may be better than no PE or bad PE, but I don't think it's as good as good PE."

I respect Dr. Sallis's work with the built environment and all, but I disagree with his comments on PE. Teaching kids team sports does NOT teach the kind of skills they need for a lifetime of PA! Learning how to do a lay-up when I was in elem. school (which included a lot of standing around, waiting for my turn to do a lay-up) did NOT teach me life skills for PA. I never played JV or varsity b-ball in highschool or college, and I don't play b-ball now. But we sure spent a whole lot of time learning about these and other sports.

That's why we have the growing movement that PE4Life has started, with the late Phil Lawler. They saw that "traditional" PE was not teaching skills that could be use for PA in life after PE, so they started a movement of change in PE and thankfully, it's spreading.

Teamwork is important, and there are lots of other, more inclusive ways of teaching teamwork besides team sports. Team sports only appeal to those who are are good at it; if you're not good at that particular sport, beware! You are relegated to the bench or worse off, not picked for a team unless you're "force" onto a team. If anything, team sports turned the majority of kids OFF of being part of a team, because of these dynamics, and only appeals to the jocks and jockettes who were good.

Exergames in PE is more inclusive (even handicapped and disabled kids can perform and compete with able-bodied kids), can instill teamwork (we've done teams with the makoto, 3-kick, and they have teams with iDance, etc.), and more importantly, they can be done for LIFE!!! (Seniors are doing exergames when they've stopped playing team sports a long time ago--if they even played them as adults!).

The only point that Dr. Sallis might have over exergames is the "outdoors" point...but I'm sure PE is held indoors when we have smog alerts or it's over 100 degs...or below freezing outside, so even traditional PE can't be done outdoors all the time.

As someone said in the article, a key point to exergames is that it can meet kids where they are at, so for many patients that I see, exergames CAN take the place of traditional sports. Many of these kids won't do team sports for many reasons, but they'll play exergames, especially if we have a similar system of teams and leagues for exergames like we do for b-ball, swimming, etc.

Physiologically, the heart doesn't care if you're running down first base line, or if you're running fast on a Xavix mat. All it knows is that this person is moving their feet fast and needs more oxygen and glucose to power their leg muscles!

Once overweight and obese kids get in shape and lose the excess weight playing exergames, maybe they'll try some of the more traditional activities, sports, or even some other ones that are outside and very physically active--like paintball!!! (that's a form of a non-digital exergame). I don't believe that kids and adults who start off on exergames as their main form of PA will stay on that only. I believe that they will venture out and try other forms of PA....but that is something for future research to prove or disprove!

UCLA Tech & Aging Conference

10-30-09: Had the privilege of being part of a panel, speaking on exergaming, games for health, and seniors at this conf., held at the Skirball Cultural Center in Los Angeles. The theme was "Living Longer and Better Through Technology" so the topic of exergaming fit right in!

Besides presenting, had the chance to network with other folks interested in gerontology and hopefully, will be collaborating with some of these researchers in the near future on exergaming studies in seniors, since there is hardly any research in this area.