Exergames and Depressive Symptoms in Older Adults: A Systematic Review

Drazich, Brittany; LaFave, Sarah; Crane, Breanna M; Szanton, Sarah L.; Budhathoki, Chakra; Taylor, Jan

doi:10.1089/g4h.2019.0165

Cited by 22 publications

(13 citation statements)

References 58 publications

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“…A final important observation was that our exergaming program induced significant reductions in depression, as measured with the CSDD following exergaming versus music video listening and watching. A recent systematic review of exergames in older adults found these interventions to be generally effective for reducing depression, particularly in older adults with high depressive symptoms [ 83 ].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial

et al. 2021

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Background It is currently unknown whether exergaming is efficacious in people with major neurocognitive disorder (MNCD) residing in long-term care facilities. This pilot randomized controlled trial (RCT) explored the efficacy of a stepping exergame program on gait speed, balance, mobility, reaction time, cognitive and neuropsychiatric outcomes, quality of life, and daily life functioning in people with MNCD residing in long-term care facilities. Methods Participants were randomly assigned to 8 weeks, three times weekly, 15 min of exergaming versus watching preferred music videos. The exergame device consisted of a pressure-sensitive step training platform on which participants performed stepping movements to play the games. The device automatically adapted the training level to the participants’ capabilities. The Short Physical Performance Battery (SPPB), step reaction time test (SRTT), Montréal Cognitive Assessment (MoCA), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), Dementia Quality of Life (DQoL), and Katz Activities of Daily Living (Katz ADL) were assessed at baseline and post-intervention. A Quade’s non-parametric ANCOVA controlling for baseline values with post hoc Bonferroni correction (p < 0.00625) was used to analyze pre- and post-differences between the groups. Partial eta-squared (η2p) effect sizes were calculated. Results Forty-five of 55 randomized inpatients with mild to moderate MNCD (Mini-Mental State Examination score = 17.2 ± 4.5; aged 70–91; 35 women) completed the study. The exergame group (n = 23) demonstrated improvements in gait speed (p < 0.001, η2p = 0.41), total SPPB (p < 0.001, η2p = 0.64), SRTT (p<0.001, η2p = 0.51), MoCA (p<0.001, η2p = 0.38), and reductions in CSDD (p<0.001, η2p = 0.43) compared to the control group (n = 22). There were no differences in NPI (p = 0.165, η2p = 0.05), DQoL (p = 0.012, η2p = 0.16), and ADL (p = 0.008, η2p = 0.16) post-intervention scores between the experimental and control group, albeit DQol and ADL measures showed large effect sizes in the exergame group. The mean attendance rate was 82.9% in the exergame group and 73.7% in the music control group. There were no study-related adverse events reported by the participants, nor observed by the research team. Conclusions The findings of this pilot RCT suggest that an individually adapted exergame training improves lower extremity functioning, cognitive functioning and step reaction time and symptoms of depression in inpatients with MNCD residing in long-term care facilities. Trial registration ClinicalTrials.gov, NCT04436302

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Section: Discussionmentioning

confidence: 99%

The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial

et al. 2021

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“…We expected the participants who completed the exergame training would have performed better at the neuropsychological tests, specifically for executive functions and processing speed ( Stojan and Voelcker-Rehage, 2019 ; Wollesen et al, 2020 ), also due to the dual task modality of the exergame which required a certain level of cognitive exercise load with rising difficulties ( Wollesen and Voelcker-Rehage, 2014 ; Ogawa et al, 2016 ). Moreover, an improvement in mood symptoms following the exergame intervention was expected ( Drazich et al, 2020 ). Lastly, this cognitive-motor exergame training was performed for the first time by healthy older adults thus, user experience was investigated through a questionnaire created on purpose, to collect experiences related to effectiveness, usefulness, enjoyment and satisfaction, and any critical issues encountered by the participants.…”

Section: Discussionmentioning

confidence: 99%

Effects of exergames on mood and cognition in healthy older adults: A randomized pilot study

2022

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The elderly population is increasing and the implementation of stimulating training to promote active aging has become a research issue. This study aimed at investigating the effects of a cognitive-motor exergame training on cognitive functions and mood, in healthy older adults. A randomized controlled pilot study was conducted to compare a cognitive-motor exergame training with a passive control group. The training consisted of 8 sessions of 45 min each, including 10 interactive activities focused on several cognitive functions such as memory, processing speed and executive functions, all requiring motor planning and execution. A total of 57 participants were administered a battery of cognitive tests before and after the training. A mixed-effect ANOVA with group (experimental vs. control) as between factor and time (pre-and post-test) as within factor, was performed to evaluate the effect of the exergame training on cognitive abilities and mood. Results showed significant interaction effects in processing speed [STROOPC: F (1,53.4) = 9.04, p = 0.004, R2 = 0.82], inhibition [3backs’ false alarms: F (1,47.5) = 5.5, p = 0.02, R2 = 0.79], and mood [Beck Depression Inventory: F (1,55) = 4.15, p = 0.04, R2 = 0.6]. Even though post-hoc analyses did not provide statistical evidence supporting the interactions, overall data showed a trend toward better scores only for the experimental group, suggesting a potential improvement in information processing speed, working memory and mood. Exergaming may be a motivating and enjoyable approach to healthy and active aging.

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“…Some authors have studied game modalities such as 'cybercycle' for patients with diabetes (Anderson-Hanley et al, 2012) or 'cyber-golfing' (Chow & Mann, 2015), and have reported improvements in clinical parameters such as cognition, executive function and balance. The use of active video games is also associated with a reduced risk of falls by older people (Chan et al, 2021;Zeng et al, 2017), with the alleviation of depressive symptoms (Drazich et al, 2020;Fang et al, 2020), with an enhanced quality of life (Cacciata et al, 2019) and with better motor function in patients with Parkinson's disease (Dockx et al, 2016). In addition, studies have assessed the effects of exergames on parameters of physical function in older adults-like balance, the Timed Up-and-Go test and the 30-second sit-to-stand test (Pacheco et al, 2020;Taylor et al, 2018).…”

Section: Studies Have Shown That Interventions With Exergames Can Im-mentioning

confidence: 99%

Effects of active video games on physical function in independent community‐dwelling older adults: A systematic review and meta‐analysis

Suleiman‐Martos

García‐Lara

Albendín‐García

et al. 2021

Journal of Advanced Nursing

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Aim To analyse the effects of active video games on physical function in independent community‐dwelling older adults. Design Systematic review and meta‐analysis of randomized controlled trials. Data sources The CINAHL, LILACS, Medline, Proquest and Scopus databases were consulted, with no restriction by year of publication. Review methods Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. The meta‐analysis was performed using RevMan software. Results The analysis included 22 randomized controlled trials with a total of 1208 participants (all ≥55 years old). In our meta‐analyses, the effects produced by playing the active video games (mean differences) were statistically significant for the variables Gait speed and Timed up‐and‐go. The differences between the control and experimental groups were not significant in the following tests: 6‐minute walk, 30‐second chair stand, balance (measured with the Berg Balance Scale), cadence, grip strength, knee extension strength, 8‐Foot Up‐and‐Go or velocity. Conclusions Physical exercise from participation in active video games has beneficial effects on two clinical parameters (Gait speed and Timed up‐and‐go) in independent community‐dwelling older adults. However, the effects on other parameters do not differ from those obtained with conventional exercise training. Therefore, the clinical significance of these benefits is limited. Impact Older adults usually perform little physical activity. In consequence, researchers have increasingly considered alternatives to traditional forms of exercise. One such is that provided by active video games, which can be a source of stimulation, encouraging adherence and motivation in exercise programmes. Our review shows that active video games can improve gait speed and mobility, but in other respects obtain no differences from conventional exercises. Further tailored randomized clinical trials should be undertaken with diverse populations of older adults to evaluate different physical function variables to determine the most appropriate training approach and its optimal design and duration.

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Exergames and Depressive Symptoms in Older Adults: A Systematic Review

Cited by 22 publications

References 58 publications

The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial

The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial

Effects of exergames on mood and cognition in healthy older adults: A randomized pilot study

Effects of active video games on physical function in independent community‐dwelling older adults: A systematic review and meta‐analysis

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