title: Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis: a randomised cross-over trial.
abstract: OBJECTIVE
  Does exercise using a gaming console result in similar cardiovascular demand and energy expenditure as formally prescribed exercise in adults with cystic fibrosis? How do these patients perceive gaming console exercise?
  
  
  METHODS
  Randomised cross-over trial with concealed allocation and intention-to-treat analysis.
  
  
  METHODS
  19 adults with cystic fibrosis admitted to hospital for treatment of a pulmonary exacerbation.
  
  
  METHODS
  Participants underwent two 15-minute exercise interventions on separate days; one involving a gaming console and one a treadmill or cycle ergometer.
  
  
  METHODS
  Cardiovascular demand was measured using heart rate and rating of perceived exertion (RPE). Energy expenditure was estimated using a portable activity monitor. Perception (enjoyment, fatigue, workload, effectiveness, feasibility) was rated using a horizontal 10-cm visual analogue scale.
  
  
  RESULTS
  There was no significant difference in average heart rate (mean difference 3 beats/min, 95% CI -3 to 9) or energy expenditure (0.1 MET, 95% CI -0.3 to 0.5) between the two interventions. Both interventions provided a 'hard' workout (RPE ∼15). Gaming console exercise was rated as more enjoyable (mean difference 2.6 cm, 95% CI 1.6 to 3.6) than formal exercise but they didn't differ significantly in fatigue (-1.0 cm, 95% CI -2.4 to 0.3), perceived effectiveness (-0.4 cm, 95% CI -1.2 to 0.3), or perceived feasibility for inclusion in routine management (0.2 cm, 95% CI -0.7 to 1.1).
  
  
  CONCLUSIONS
  Gaming console exercise provides a similar cardiovascular demand as traditional exercise modalities. It is feasible that adults with cystic fibrosis could include gaming console exercise in their exercise program.
  
  
  BACKGROUND
  ACTRN12610000861055.
authors.affiliation: Allied Health Research Collaborative, Metro North (Northern) Health Service District, Queensland, Australia. Suzanne_kuys@health.qld.gov.au
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Kuys
authors.forename: Kathleen
authors.initials: K
authors.lastname: Hall
authors.forename: Maureen
authors.initials: M
authors.lastname: Peasey
authors.forename: Michelle
authors.initials: M
authors.lastname: Wood
authors.forename: Robyn
authors.initials: R
authors.lastname: Cobb
authors.forename: Scott C
authors.initials: SC
authors.lastname: Bell
mesh_terms: D000328:Adult; D018592:Cross-Over Studies; D003550:Cystic Fibrosis / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation; D004734:Energy Metabolism / Q000502:physiology; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D017079:Exercise Tolerance / Q000502:physiology; D005260:Female; D005717:Games, Experimental; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D055815:Young Adult