title: How Children Use Active Videogames and the Association Between Screen Time and Physical Activity.
abstract: OBJECTIVE
  The energy required to play active videogames (AVGs) has been reported on in the literature; however, little is known about how children use such games in their home environment. The aim of this study was to investigate children's use of AVGs and the association among AVG use, other screen-based activities, and physical activity levels.
  
  
  METHODS
  Eight hundred and twenty children 12.1 (0.6) years of age participated. Physical activity levels, sedentary screen-based activities, and AVG use were investigated. Differences across genders and deprivation indices were also analyzed.
  
  
  RESULTS
  Fifty-eight percent of children met minimal physical activity guidelines. Forty-seven percent of children exceeded screen time recommendations. Of those who had access to AVGs, more children played sedentary games (or active games in a sedentary manner [68 percent]) than active games (55 percent) on AVG consoles. Furthermore, sedentary games were played for longer than active games. AVG play was positively correlated with reported time spent watching television (P=0.02).
  
  
  CONCLUSIONS
  In free-living conditions AVG consoles are being used by more children and for longer durations as sedentary screen-based devices rather than active screen-based devices.
authors.affiliation: Discipline of Physiotherapy, School of Medicine, Trinity Centre for Health Sciences, St. James's Hospital , Dublin, Ireland .
authors.forename: Cuisle
authors.initials: C
authors.lastname: Forde
authors.affiliation: Discipline of Physiotherapy, School of Medicine, Trinity Centre for Health Sciences, St. James's Hospital , Dublin, Ireland .
authors.forename: Juliette
authors.initials: J
authors.lastname: Hussey
mesh_terms: D002648:Child; D003430:Cross-Sectional Studies; D015444:Exercise; D005260:Female; D006801:Humans; D007494:Ireland; D008297:Male; D011795:Surveys and Questionnaires; D013690:Television / Q000706:statistics & numerical data; D018910:Video Games / Q000706:statistics & numerical data*