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||Howes, S. C., Charles, D. K., Marley, J., Pedlow, K., & McDonough, S. M. (2017). Gaming for health: Systematic review and meta-analysis of the physical and cognitive effects of active computer gaming in older adults. Physical Therapy, 97(12), 1122-1137.
||Cognition, computer applications, exercise, health promotion, literature reviews, older adults, outcomes, physical fitness, physical therapy, recreation
||This study was conducted to update and extend a systematic review of the evidence for active computer gaming (ACG) to determine its effects on physical and cognitive health in older adults. ACG combines digital gaming with physical exertion; users perform bodily movements as, or to manipulate, a controller to interact with objects within a virtual environment. MEDLINE, EMBASE, CENTRAL in the Cochrane Library, and PsycINFO databases were searched from the date of the previous review (2011) to May 2016 for randomized controlled trials investigating the effect of ACG in adults aged 65 years and older. Thirty-five studies were eligible for inclusion. Two review authors independently conducted data extraction, risk-of-bias assessment, and coding of behavior change techniques. Outcomes of interest were analyzed as continuous data and pooled as standardized mean differences (SMD) and 95-percent confidence intervals (95%CI). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to determine the quality of the evidence. Behavior change techniques were coded in the included studies. Data were pooled for 5 main outcomes of interest. Significant moderate effects in favor of ACG were observed for balance (SMD = 0.52, 95%CI = 0.24 to 0.79), for functional exercise capacity when intervention delivery was >120 minutes per week (SMD = 0.53, 95%CI = 0.15 to 0.90), and for cognitive function (SMD = –0.48, 95%CI = –0.80 to 0.17). There was no significant effect observed for functional mobility or fear of falling. Currently, there is very little confidence that ACG improves physical and cognitive outcomes in older adults.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/29077911|