The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials

•This is the first meta-analysis of active video games (‘exergames’) for cognition.•Our search identified 17 randomized controlled trials with 926 participants in total.•Exergames improved cognition in both clinical and non-clinical populations.•Significant effects were found executive functions, at...

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Vydáno v:Neuroscience and biobehavioral reviews Ročník 78; s. 34 - 43
Hlavní autoři: Stanmore, Emma, Stubbs, Brendon, Vancampfort, Davy, de Bruin, Eling D., Firth, Joseph
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Ltd 01.07.2017
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ISSN:0149-7634, 1873-7528, 1873-7528
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Abstract •This is the first meta-analysis of active video games (‘exergames’) for cognition.•Our search identified 17 randomized controlled trials with 926 participants in total.•Exergames improved cognition in both clinical and non-clinical populations.•Significant effects were found executive functions, attention and visuospatial skills. Physically-active video games (‘exergames’) have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g=0.436, 95% CI=0.18–0.69, p=0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p<0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.
AbstractList •This is the first meta-analysis of active video games (‘exergames’) for cognition.•Our search identified 17 randomized controlled trials with 926 participants in total.•Exergames improved cognition in both clinical and non-clinical populations.•Significant effects were found executive functions, attention and visuospatial skills. Physically-active video games (‘exergames’) have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g=0.436, 95% CI=0.18–0.69, p=0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p<0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.
Physically-active video games ('exergames') have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g=0.436, 95% CI=0.18-0.69, p=0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p<0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.Physically-active video games ('exergames') have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g=0.436, 95% CI=0.18-0.69, p=0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p<0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.
Physically-active video games ('exergames') have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical activity and cognitively-demanding tasks may offer a novel strategy to improve cognitive functioning. Therefore, this systematic review and meta-analysis was performed to establish effects of exergames on overall cognition and specific cognitive domains in clinical and non-clinical populations. We identified 17 eligible RCTs with cognitive outcome data for 926 participants. Random-effects meta-analyses found exergames significantly improved global cognition (g=0.436, 95% CI=0.18-0.69, p=0.001). Significant effects still existed when excluding waitlist-only controlled studies, and when comparing to physical activity interventions. Furthermore, benefits of exergames where observed for both healthy older adults and clinical populations with conditions associated with neurocognitive impairments (all p<0.05). Domain-specific analyses found exergames improved executive functions, attentional processing and visuospatial skills. The findings present the first meta-analytic evidence for effects of exergames on cognition. Future research must establish which patient/treatment factors influence efficacy of exergames, and explore neurobiological mechanisms of action.
Author Stubbs, Brendon
de Bruin, Eling D.
Stanmore, Emma
Vancampfort, Davy
Firth, Joseph
Author_xml – sequence: 1
  givenname: Emma
  surname: Stanmore
  fullname: Stanmore, Emma
  email: emma.stanmore@manchester.ac.uk
  organization: Division of Nursing, Midwifery and Social Work, University of Manchester, UK
– sequence: 2
  givenname: Brendon
  surname: Stubbs
  fullname: Stubbs, Brendon
  organization: Physiotherapy Department, South London and Maudsley NHS Foundation Trust, UK
– sequence: 3
  givenname: Davy
  surname: Vancampfort
  fullname: Vancampfort, Davy
  organization: KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium
– sequence: 4
  givenname: Eling D.
  surname: de Bruin
  fullname: de Bruin, Eling D.
  organization: Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zürich, Switzerland
– sequence: 5
  givenname: Joseph
  surname: Firth
  fullname: Firth, Joseph
  organization: Division of Psychology and Mental Health, University of Manchester, UK
BackLink https://www.ncbi.nlm.nih.gov/pubmed/28442405$$D View this record in MEDLINE/PubMed
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Keywords Exercise
Physical activity
Alzheimer’s
Parkinson’s disease
Cognitive impairment
Dementia
Language English
License This is an open access article under the CC BY license.
Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.
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Snippet •This is the first meta-analysis of active video games (‘exergames’) for cognition.•Our search identified 17 randomized controlled trials with 926 participants...
Physically-active video games ('exergames') have recently gained popularity for leisure and entertainment purposes. Using exergames to combine physical...
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SubjectTerms Alzheimer’s
Cognition
Cognitive impairment
Dementia
Executive Function
Exercise
Humans
Parkinson’s disease
Physical activity
Randomized Controlled Trials as Topic
Video Games
Title The effect of active video games on cognitive functioning in clinical and non-clinical populations: A meta-analysis of randomized controlled trials
URI https://dx.doi.org/10.1016/j.neubiorev.2017.04.011
https://www.ncbi.nlm.nih.gov/pubmed/28442405
https://www.proquest.com/docview/1892331557
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