Impact of the active videogame on the consumption of non-healthy food among overweight adolescents: controlled intervention study

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.8299

Keywords:

Pediatric Obesity; Food Consumption; Motor Activity; Games.

Abstract

Objective: The impact of the active videogame, with the aid of gamification, on the frequency of consumption of unhealthy foods among overweight or obese teenagers was evaluated. Methods: Controlled intervention study with two comparison groups (experimental and control), developed in two public schools in the city of Campina Grande - PB. The intervention was carried out with the aid of an exergame (XBOX 360), in the period of eight weeks, associated with gamification. The data were collected in both groups, before and after the intervention, namely: nutritional status, food (frequency of consumption of unhealthy foods), lifestyle and sociodemographic. The data were evaluated using the qui-square and McNemar test using SPSS 22.0, adopting a significance level of 5%. The study was approved by the Ethics Committee, REBEC and Clinical Trials. Results: Of the total, 76 teenagers completed the study. As for sex, 51.3% were female. Sedentary screen time was reported by 86.8% of teenagers and an inactive lifestyle by 34.2%. 52.6% were overweight and 68.5% had abdominal adiposity. In the comparison between the groups, there was no statistically significant difference regarding the frequency of consumption of unhealthy foods after the intervention. However, in the intra-group comparison, before and after the intervention, there was a reduction in the weekly frequency for the consumption of some foods. Conclusion: It was possible to verify that the use of active videogame as a PA practice tool, had an impact on the consumption of some unhealthy foods in the experimental group, such as chocolate, soft drink and popsicles.

References

ABEP - Associação Brasileira de Empresas de Pesquisa (2010). Critério de Classificação Econômica Brasil. São Paulo.

Banfield, E. C., Liu, Y., Davis, J. S., Chang, S., & Frazier-Wood, A. C. (2016). Poor adherence to US Dietary Guidelines for children and adolescents in the National Health and Nutrition Examination Survey population. J Acad Nutr Diet, 116 (1), 21-27.

Biddiss, E. & Irwin, J. (2010). Active videogamevideogames to promote physical activity in children and youth: a systematic review. Archives of pediatrics & adolescente medicine, 164 (7), 664-672.

Birkenhead, K. L. & Slater, G. (2015). A Review of Factors Influencing Athletes’ Food Choices. Sports medicine, 45(11), 1511-1522.

Borg, G. (2000). Escalas de Borg para a Dor e Esforço Percebido. Manole: São Paulo.

Carmo, A. S. D., Assis, M. M. D., Cunha, C. D. F., Oliveira, T. R. P. R. D., & Mendes, L. L. (2018). The food environment of Brazilian public and private schools. Cadernos de Saúde Pública, 34, e00014918.

Conde, W. L., & Monteiro, C. A. (2006). Body mass index cutoff points for evaluation of nutritional status in Brazilian children and adolescents. J Pediatr, 82 (4), 266-72.

Das, J. K., Salam, R. A., Thornburg, K. L., Prentice, A. M., Campisi, S., Lassi, Z. S., & Bhutta, Z. A. (2017). Nutrition in adolescents: physiology, metabolism, and nutritional needs. Annals of the New York Academy of Sciences, 1393 (1), 21-33.

Day, P. L., Pearce, J. R., & Pearson, A. L. (2015). A temporal analysis of the spatial clustering of food outlets around schools in Christchurch, New Zealand, 1966 to 2006. Public health nutrition, 18 (1), 135-142.

De Moraes Ferrari, G. L., Pires, C., Solé, D., Matsudo, V., Katzmarzyk, P. T., & Fisberg, M. (2019). Factors associated with objectively measured total sedentary time and screen time in children aged 9–11 years. Jornal de Pediatria (Versão em Português), 95 (1), 94-105.

Eckhardt, J. P., Franz, L. B. B., Busnello, M. B., Battisti, I. D. E., & Boff, E. T. D. O. (2017). Padrões alimentares e nível de atividade física em adolescentes escolares. Ciênc. cuid. saúde, 16 (2).

NECP-ATP III (2003). Executive Summary of the Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA, 285 (19), 2486–97.

Farias, E. D. S., Gonçalves, E. M., Morcillo, A. M., Guerra-Júnior, G., & Amancio, O. M. S. (2015). Effects of programmed physical activity on body composition in post-pubertal schoolchildren. Jornal de pediatria, 91 (2), 122-129.

Fearnbach, S. N., Silvert, L., Pereira, B., Boirie, Y., Duclos, M., Keller, K. L., & Thivel, D. (2017). Reduced neural responses to food cues might contribute to the anorexigenic effect of acute exercise observed in obese but not lean adolescents. Nutrition research, 44, 76-84.

Gao, Z., Chen, S., & Stodden D. F. (2015). A comparison of children’s physical activity levels in physical education, recess, and exergaming. J Phys Act Health, 12 (3), 349–354.

Hamulka, J., Wadolowska, L., Hoffmann, M., Kowalkowska, J., & Gutkowska, K. (2018). Effect of an education program on nutrition knowledge, attitudes toward nutrition, diet quality, lifestyle, and body composition in polish teenagers. the abc of healthy eating project: Design, protocol, and methodology. Nutrients, 10 (10), 1439.

Hazell, T. J., Islam, H., Townsend, L. K., Schmale, M. S., & Copeland, J. L. (2016). Effects of exercise intensity on plasma concentrations of appetite-regulating hormones: Potential mechanisms. Appetite, 98, 80-88.

Hunschede, S., Kubant, R., Akilen, R., Thomas, S., & Anderson, G. H. (2017). Decreased appetite after high-intensity exercise correlates with increased plasma interleukin-6 in normal-weight and overweight/obese boys. Current developments in nutrition, 1 (3), e000398.

IBGE. (2016) Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde do Escolar: 2015. Rio de Janeiro.

IBGE. (2010) Censo Demográfico 2010: Manual do Recenseador – CD 1.09. Rio de Janeiro.

Kubal, V. M.., Leone, C., & Damiani, D. (2013). Is waist-to-height ratio a useful indicatior of cardio-metabolic risk in 6-10-year-old children? Bmc paediatrics, 13 (1), 1-6.

Lima, J. S., Matsudob, V. K., & Ribeiro, M. C. S. (2016). Level of physical activity in the neighborhoods of the city of são caetano do sul, são paulo, brazil. Rev. Aten. Saúde, 14 (47), 25-30.

Louzada, M. L. C., Martins, A. P. B., Canella, D. S., Baraldi, L. G., Levy, R. B., Claro, R. M., & Monteiro, C. A. (2015). Alimentos ultraprocessados e perfil nutricional da dieta não no Brasil. Rev Saúde Pública, 49, 38.

Lowry, R., Michael, S., Demissie, Z., Kann, L., & Galuska, D. A. (2015). Associations of Physical Activity and Sedentary Behaviors with Dietary Behaviors among US High School Students. J. Obes, 2015, 876524.

Maddison, R., Foley, L., Ni Mhurchu, C., Jiang, Y., Jull, A., Prapavessis, H., Rodgers, A. (2011). Effects of active video games on body composition: a randomized controlled trial. The American journal of clinical nutrition, 94 (1), 156-163.

Manz, K., Mensink, G., Finger, J. D., Haftenberger, M., Brettschneider, A. K., Lage Barbosa, C., Schienkiewitz, A. (2019). Associations between physical activity and food intake among children and adolescents: Results of KiGGS Wave 2. Nutrients, 11 (5), 1060.

Martinez, M. F., Philippi, S. T., Estima, C., Leal, G. (2013). Validity and reproducibility of a food frequency questionnaire to assess food group intake in adolescents. Cad de Saúde Pública, 29, 1795-804.

Martinez, M. F. (2011). Validade e reprodutibilidade de um questionário de frequência alimentar baseado nos grupos alimentares da pirâmide alimentar para adolescentes. São Paulo. Dissertação [Mestrado em Interunidades em Nutrição Humana Aplicada] – Universidade de São Paulo.

Maslin, K., Dean, T., Arshad, S. H., Venter, C. (2015). Fussy dificuldades alimentares e de alimentação em bebês e crianças pequenas que consomem uma dieta de exclusão de leite de vaca. Pediatr. Allergy Immunol, 26 : 503–508.

Miguet, M., Fillon, A., Khammassi, M., Masurier, J., Julian, V., Pereira, B., Finlayson, G. (2018). Appetite, energy intake and food reward responses to an acute High Intensity Interval Exercise in adolescents with obesity. Physiology & behavior, 195, 90-97.

Moher, D., Schulz, K. F., Altman, D. G., Consort Group (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials.

Neto, A. C. B., De Andrade, M. I. S., De Menezes Lima, V. L., Da Silva, A. D. (2015). Peso corporal e escores de consumo alimentar em adolescentes no nordeste brasileiro. Revista Paulista de Pediatria, 33, (3), 318-325.

Ramos, T. D.; Dantas, T. M., Simões, M. O., Carvalho, D. F., Medeiros, C. C. (2016). Assessment of the carotid artery intima-media complex through ultrasonography and the relationship with Pathobiological Determinants of Atherosclerosis in Youth. Cardiology in the Young, 26 (7), 1333-1342.

Pereira, J. C., Rodrigues, M. E., Campos, H. O., Dos Santos Amorim, P. R. (2012). Exergames como alternativa para o aumento do dispêndio energético: uma revisão sistemática. Revista Brasileira de Atividade Física & Saúde, 17 (5), 332-340.

Rowland, J. L., Malone, L. A., Fidopiastis, C. M., Padalabalanarayanan, S., Thirumalai, M., Rimmer, J. H. (2016). Perspectives on active video gaming as a new frontier in accessible physical activity for youth with physical disabilities. Physical therapy, 96 (4), 521-532.

Saucedo-Molina, T. D. J., Rodríguez Jiménez, J., Oliva Macías, L. A., Villarreal Castillo, M., León Hernández, R. C., Fernández Cortés, T. L. (2015). Relación entre el índice de masa corporal, la actividad física y los tiempos de comida en adolescentes mexicanos. Nutrición Hospitalaria, 32 (3), 1082-1090.

Spronk, I., Kullen, C., Burdon, C., O’Connor, H (2014). Relationship between nutrition knowledge and dietary intake. Br. J. Nutr, 111, 1713–1726.

Thivel, D., Isacco, L., Montaurier, C., Boirie, Y., Duché, P., Morio, B. (2012). The 24-h energy intake of obese adolescents is spontaneously reduced after intensive exercise: a randomized controlled trial in calorimetric chambers. PloS one, 7 (1), e29840.

Thivel, D., Tremblay, MS., Katzmarzyk, P. T., Fogelholm, M., Hu, G., Maher, C., Maia, J., Olds, T., Sarmiento, O. L., Standage, M., et al (2019). Associations between meeting combinations of 24-hour movement recommendations and dietary patterns of children: A 12-country study. Prev. Med. 118,159–165.

Vézina-Im, L.-A., Beaulieu, D., Bélanger-Gravel, A., Boucher, D., Sirois, C., Dugas, M., & Provencher, V. (2017). Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents: a systematic review. Public Health Nutrition, 20 (13), 2416–2431.

Wadolowska, L., Hamulka, J., Kowalkowska, J., Ulewicz, N., Hoffmann, M., Gornicka, M., Korzeniowska-Ginter, R. (2019). Changes in sedentary and active lifestyle, diet quality and body composition nine months after an education program in polish students aged 11–12 years: Report from the ABC of healthy eating study. Nutrients, 11 (2), 331.

WHO. (2015) Guideline: Sugar intake for adults and children. Geneva. Recuperado de https://www.who.int/publications/i/item/9789241549028

WHO. (2020) Obesity and overweight: 2020. Recuperado de http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight.

WHO. (2018) WHO launches ACTIVE: a toolkit for countries to increase physical activity and reduce noncommunicable diseases. Recuperado de https://www.who.int/ ncds/prevention/physical-activity/active-toolkit/en/.

WHO. (2006) (Multicentre Growth Reference Study Group: Assessment of differences in linear growth among populations in the WHO Multicentre Growth Reference Study). Acta Paediatr Suppl, 450, 56–65.

Yee, A. Z., Lwin, M. O., Ho, S. S. (2017). The influence of parental practices on child promotive and preventive food consumption behaviors: a systematic review and metaanalysis. Int J Behav Nutr Phys Act, 14, 47.

Zimberg, I. Z., Cavalieri, R. B., Camargo, L. R., & Cintra, I. P. (2012). Perfil nutricional de adolescentes esportistas frequentadores de um ambulatório de nutrição esportiva. Brazilian Journal of Sports Nutrition, 1 (1), 21-29.

Published

19/09/2020

How to Cite

AGUIAR, G. R. da C. .; SILVA, N. da R. .; MEDEIROS, C. C. M. .; PALMEIRA, P. de A. .; VIANNA, R. P. de T. .; CARVALHO, D. F. de . Impact of the active videogame on the consumption of non-healthy food among overweight adolescents: controlled intervention study. Research, Society and Development, [S. l.], v. 9, n. 10, p. e869108299, 2020. DOI: 10.33448/rsd-v9i10.8299. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/8299. Acesso em: 25 nov. 2024.

Issue

Section

Health Sciences