Physiological response during activity programs using Wii-based video games in patients with cystic fibrosis (CF)

Tamara del Corral, Janaína Percegona, Melisa Seborga, Roberto A Rabinovich, Jordi Vilaró

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

UNLABELLED: Patients with cystic fibrosis (CF) are characterized by an abnormal ventilation response that limits the exercise capacity. Exercise training increases exercise capacity, decreases dyspnea and improves health-related quality of life in CF. Adherence to pulmonary rehabilitation programs is a key factor to guarantee optimal benefits and a difficult goal in this population. The aim of this study was to determine the physiological response during three Nintendo Wii™ video game activities (VGA) candidates to be used as training modalities in patients with CF.

METHOD: 24 CF patients (age 12.6±3.7 years; BMI 18.8±2.9kgm(-2); FEV1 93.8±18.8%pred) were included. All participants performed, on two separate days, 3 different VGA: 1) Wii Fit Plus (Wii-Fit); 2) Wii Active (Wii-Acti), and 3) Wii Family Trainer (Wii-Train), in random order during 5min. The obtained results were compared with the 6-min walk test (6MWT). The physiological variables [oxygen uptake (VO2), minute ventilation (VE), and heart rate (HR)] were recorded using a portable metabolic analyzer.

RESULTS: During all VGA and 6MWT, VO2 reached a plateau from the 3rd min. Compared with the 6MWT (1024.2±282.2mLm(-1)), Wii-Acti (1232.2±427.2mLm(-1)) and Wii-Train (1252.6±360.2mLm(-1)) reached higher VO2 levels during the last 3min (p<0.0001 in both cases), while Wii-Fit (553.8±113.2mLm(-1)) reached significantly lower levels of VO2 (p<0.001). Similar effects were seen for the ventilatory volume (VE). No differences in dyspnea and oxygen saturation were seen between the different modalities. All patients were compliant with all three Wii™ modalities.

CONCLUSION: Active video game are well tolerated by patients with CF. All the modalities evaluated imposed a constant load but were associated with different physiological responses reflecting the different intensities imposed. Wii-Acti and Wii-Train impose a significantly high metabolic demand comparable to the 6MWT. Further research is needed to evaluate the effects of VGA as a training program to increase exercise capacity for CF patients.

Original languageEnglish
Pages (from-to)706-11
Number of pages6
JournalJournal of Cystic Fibrosis
Issue number6
Publication statusPublished - Dec 2014

Keywords / Materials (for Non-textual outputs)

  • Adolescent
  • Body Mass Index
  • Child
  • Cystic Fibrosis
  • Exercise
  • Exercise Test
  • Female
  • Forced Expiratory Volume
  • Heart Rate
  • Humans
  • Male
  • Oxygen Consumption
  • Physical Exertion
  • Video Games


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