title: The Role of Active Video-Accompanied Exercises in Improvement of the Obese State in Children: A Prospective Study from Turkey.
abstract: OBJECTIVE
  The aim of this study was to determine the effects of active video games and music-accompanied aerobic and callisthenic exercises on body mass index (BMI), body fat ratio, physical performance tests, psychosocial status, and self-respect in overweight and obese adolescents.
  
  
  METHODS
  Fifty (21 males and 29 females) slightly overweight and obese participants with no chronic disorder and of an average age of 12.16±0.99 years were included in the study. The percentile values for BMI, triceps skinfold thickness, waist circumference measurements, and physical performance tests were evaluated. The effects of obesity on psychological wellness were evaluated using the depression scale for children (DSC) and the Piers-Harris Children's Self-Concept Scale for self-esteem. Following these evaluations, the participants were subjected to an exercise program in five groups of 10 people, 3 days a week for a duration of 8 weeks. Each exercise session lasted 45 minutes. Participants were re-evaluated at the end of the exercise program. The data collected both before and after the exercise program were analyzed using the SPSS 18.0 program.
  
  
  RESULTS
  According to BMI reference values, 28% of the 50 participants (n=14; 6 males and 8 females) were assessed to be overweight and 72% to be obese (n=36; 15 males and 21 females). Following the exercise program, 14% of the participants (n=7; 3 males and 4 females) were assessed as normal, 46% (n=23; 14 males and 9 female) as slightly overweight, and 40% (n=20; 4 male and 16 female) as obese. It was determined that the decrease in BMI values (p<0.05) was higher in male participants than in female participants and that the frequency of obesity was higher in the females. A statistically significant decrease in BMI values was found after the exercise program (p<0.01). Following the exercise program, statistically significant differences have also been observed in the self-esteem (p<0.01), psychological wellness (p=0.025), triceps skinfold thickness, as well as in waist circumference and BMI values of the participants compared to the pre-exercise phase (p<0.01).
  
  
  CONCLUSIONS
  An exercise program applied with active video games was found to have positive effects on the obese state as well as on the psychosocial status and self-esteem of obese individuals, indicating that exercise and physical activity have an important role in improvement of the obese state in childhood as well as having positive contributions to self-esteem and psychological wellness state.
authors.forename: Fatma
authors.initials: F
authors.lastname: Duman
authors.affiliation: Mustafa Kemal University Faculty of Medicine, Department of Psychiatry, Hatay, Turkey, Phone: +90 326 229 10 20 E-mail: mhkokacya@mku.edu.tr.
authors.forename: Mehmet Hanifi
authors.initials: MH
authors.lastname: Kokaçya
authors.forename: Esra
authors.initials: E
authors.lastname: Doğru
authors.forename: Nihan
authors.initials: N
authors.lastname: Katayıfcı
authors.forename: Özden
authors.initials: Ö
authors.lastname: Canbay
authors.forename: Fatma
authors.initials: F
authors.lastname: Aman
mesh_terms: D000293:Adolescent; D001823:Body Composition; D015992:Body Mass Index; D002648:Child; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D063766:Pediatric Obesity / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D010809:Physical Fitness; D011446:Prospective Studies; D012649:Self Concept; D012885:Skinfold Thickness; D016896:Treatment Outcome; D014421:Turkey; D018910:Video Games; D055105:Waist Circumference; D015431:Weight Loss