Physiological responses during exercise with video games in patients with cystic fibrosis: A systematic review.
Interactive video games are recently being used as an exercise tool in cystic fibrosis (CF). This study aimed to assess the literature describing whether video games generate a physiological response similar to the exercise intensity needed for training in CF.



An online search in PubMed, Embase, Cochrane, SciELO, LILACS and PEDro databases was conducted and original studies describing physiological responses of the use of video games as exercise in CF were included.



In four, out of five studies, the heart rate achieved during video games was within the standards recommended for training (60-80%). Two studies assessed VO2and showed higher levels compared to the six-minute walk test. No desaturation was reported. Most games were classified as moderate intensity. Only one study used a maximum exercise test as comparator.



Interactive video games generate a heart rate response similar to the intensity required for training in CF patients.
Faculty of Nursing, Nutrition and Physiotherapy, Health Multidisciplinary Residency Program, Hospital São Lucas (PREMUS/HSL), Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.
Raquel Pinto
RP
Carbonera
Centro Infant, Institute of Biomedical Research, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.
Fernanda Maria
FM
Vendrusculo
Faculty of Nursing, Nutrition and Physiotherapy, Health Multidisciplinary Residency Program, Hospital São Lucas (PREMUS/HSL), Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil; Centro Infant, Institute of Biomedical Research, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: mdonadio@pucrs.br.
Márcio Vinícius Fagundes
MV
Donadio
D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D003550:Cystic Fibrosis / Q000503:physiopathology* / Q000534:rehabilitation*; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test / Q000379:methods*; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D064887:Observational Studies as Topic; D010101:Oxygen Consumption / Q000502:physiology; D063868:Patient Outcome Assessment; D016032:Randomized Controlled Trials as Topic; D018910:Video Games / Q000592:standards*; D000070857:Walk Test / Q000379:methods; D055815:Young Adult
Cystic fibrosis; Interactive video game; Physical exercise; Video games