@文章{信息:doi/10.2196/33782，作者=“Comeras-Chueca, Cristina和villalbaeheredia, Lorena和Perez-Lasierra, Jose Luis和Lozano-Berges, Gabriel和Matute-Llorente, Angel和Vicente-Rodriguez, German和Casajus, Jose Antonio和Gonzalez-Aguero, Alex”，标题=“积极的电子游戏干预结合多成分运动对超重和肥胖儿童心肺健康的影响:随机控制试验”，期刊=“JMIR Serious Games”，年份=“2022”，月份=“5月”，日=“24”，卷=“10”，数=“2”，页=“e33782”，关键词=“活跃的电子游戏;VO2peak;肥胖;青春期前时期;心和肺的;健身;游戏;童年;背景:儿童超重和肥胖已成为全球主要的健康问题，并与学龄期儿童和青少年的心肺健康(CRF)水平呈负相关。 Exercise, specifically multicomponent training, is effective for CRF improvement, but the main challenge is to ensure adherence to exercise in children with overweight and obesity. Therefore, new ways of exercising that are more attractive and motivational for this population are needed and playing or training with active video games (AVGs) has been proposed as an effective alternative because they require full-body movement and therefore increase energy expenditure. Objective: The main aim of this study was to investigate the effects of an AVG intervention combined with multicomponent training on CRF at maximal and submaximal intensities in children with overweight or obesity. Methods: We recruited 28 children (13 girls and 15 boys) aged 9 to 11 years with overweight or obesity from medical centers and divided them into 2 groups, an intervention group (n=20) that participated in a 5-month supervised AVG exercise program combined with multicomponent exercise, and a control group (n=8) that continued daily activities without modification. A maximal stress test to measure CRF using a walking-graded protocol with respiratory gas exchange was performed by the participants. Results: The AVG group showed a significant decrease in heart rate and oxygen uptake for the same intensities in the submaximal stages of the maximal treadmill test, as well as a lower oxygen uptake percentage according to the individual maximal oxygen uptake, whereas the control group did not show overall changes. No change in the peak oxygen uptake (VO2peak) was found. Conclusions: A 5-month AVG intervention combined with multicomponent exercise had positive effects on CRF at submaximal intensity, showing a lower heart rate and oxygen uptake at the same intensities and displaying a lower oxygen uptake percentage according to the individual (VO2peak). Greater benefits were found in children with the highest fat percentage. Trial Registration: ClinicalTrials.gov NCT04418713; https://clinicaltrials.gov/show/NCT04418713 ", issn="2291-9279", doi="10.2196/33782", url="https://games.www.mybigtv.com/2022/2/e33782", url="https://doi.org/10.2196/33782", url="http://www.ncbi.nlm.nih.gov/pubmed/35471240" }