title: Active Video Game Playing in Children and Adolescents With Cystic Fibrosis: Exercise or Just Fun?
abstract: BACKGROUND
  Xbox Kinect has been proposed as an exercise intervention in cystic fibrosis (CF), but its potential has not been compared with standard training modalities.
  
  
  METHODS
  Using a crossover design, subjects were randomized to 2 intervention groups: Xbox Kinect and a traditional stationary cycle. Heart rate, SpO2, dyspnea, and fatigue were measured. Subject satisfaction was tested.
  
  
  RESULTS
  Thirty subjects with CF (11 males, mean ± SD age of 12 ± 2.5 y, mean ± SD FEV1 of 73 ± 16% of predicted) were enrolled. Xbox Kinect provided a cardiovascular demand similar to a stationary cycle, although the modality was different (interval vs. continuous). Maximum heart rates were similar (P = .2). Heart rate target was achieved more frequently with a stationary cycle (P = .02). Xbox Kinect caused less dyspnea (P = .001) and fatigue (P < .001) and was more enjoyable than a stationary cycle (P < .001).
  
  
  CONCLUSIONS
  Subjects preferred Xbox Kinect for its interactivity. Xbox Kinect has the potential to be employed as an exercise intervention in young subjects with CF, but investigation over longer periods is needed.
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy. elena.salonini@ospedaleuniverona.it.
authors.forename: Elena
authors.initials: E
authors.lastname: Salonini
authors.affiliation: Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, Ospedale Maggiore Policlinico, Cystic Fibrosis Centre, Milan, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Gambazza
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Meneghelli
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Gloria
authors.initials: G
authors.lastname: Tridello
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Milva
authors.initials: M
authors.lastname: Sanguanini
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Clizia
authors.initials: C
authors.lastname: Cazzarolli
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Zanini
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
authors.forename: Baroukh M
authors.initials: BM
authors.lastname: Assael
mesh_terms: D000293:Adolescent; D002648:Child; D018592:Cross-Over Studies; D003550:Cystic Fibrosis / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D004417:Dyspnea / Q000209:etiology; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data; D017079:Exercise Tolerance; D005221:Fatigue / Q000209:etiology; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D018910:Video Games
keywords: Xbox Kinect; active video game; children; cystic fibrosis; exercise; gaming console; physical activity