Effects of exergaming on morphological variables, biochemical parameters, and blood pressure in children and adolescents with overweight/obesity: a systematic review with meta-analysis of randomized controlled trials

Hernandez-Martinez, Jordan; Perez-Carcamo, Joaquín; Melki, Hassan; Cid-Calfucura, Izham; Vasquez-Carrasco, Edgar; Delgado-Floody, Pedro; Romero, Claudio; Herrera-Valenzuela, Tomás; Magnani Branco, Braulio; Valdés-Badilla, Pablo

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dc.contributor.author	Hernandez-Martinez, Jordan
dc.contributor.author	Perez-Carcamo, Joaquín
dc.contributor.author	Melki, Hassan
dc.contributor.author	Cid-Calfucura, Izham
dc.contributor.author	Vasquez-Carrasco, Edgar
dc.contributor.author	Delgado-Floody, Pedro
dc.contributor.author	Romero, Claudio
dc.contributor.author	Herrera-Valenzuela, Tomás
dc.contributor.author	Magnani Branco, Braulio
dc.contributor.author	Valdés-Badilla, Pablo
dc.date.accessioned	2025-05-07T13:56:57Z
dc.date.available	2025-05-07T13:56:57Z
dc.date.issued	2025
dc.identifier.uri	http://repositorio.ucm.cl/handle/ucm/6026
dc.description.abstract	Objectives: This systematic review with meta-analysis aimed to evaluate the available body of published peer-reviewed studies on the effects of exergaming (EXG) compared to the control group (CG) on morphological variables, biochemical parameters, and blood pressure in children and adolescents with overweight/obesity. Methods: A systematic literature search was conducted until September 2024 using five databases: PubMed, Medline, CINAHL Complete, Scopus, and Web of Science. PRISMA, TESTEX, RoB 2, and GRADE tools assessed the methodological quality and certainty of evidence. Hedge’s g effect sizes (ES) for morphological, biochemical, and blood pressure variables were calculated for meta-analyses. Using a random effects model, potential sources of heterogeneity were selected, including subgroup analyses (age) and single training factor analysis (program duration, training frequency). The protocol was registered in PROSPERO (code: CRD42024626992). Results: Out of 72 records, 6 randomized controlled trials with 191 children and adolescents with overweight/obesity were included. Nine meta-analyses were performed, showing significant decreases in body mass index (p = 0.04), waist circumference (p = 0.03), and systolic blood pressure (p = 0.007). However, no significant improvements were observed in diastolic blood pressure, body fat percentage, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, and glucose. Subgroup analyses showed significant decreases in total cholesterol (<15 years, ES = 0.56; p = 0.006), HDL-cholesterol (<15 years, ES = 0.51; p = 0.01), LDL-cholesterol (<15 years, ES = 0.63; p = 0.01), and triglycerides (<15 years, ES = 0.82; p = 0.000). In training duration, only significant decreases in total cholesterol (ES = 0.69; p = 0.02) were presented in favor of <12 weeks vs. ≥12 weeks. While in training frequency only significant decreases in triglycerides (ES = 0.70; p = 0.03) were reported in favor of ≥3 sessions per week vs. <3 sessions per week. Conclusions: EXG significantly decreases body mass index, waist circumference, and systolic blood pressure in children and adolescents with overweight/obesity.	es_CL
dc.language.iso	en	es_CL
dc.rights	Atribución-NoComercial-SinDerivadas 3.0 Chile	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/cl/	*
dc.source	Children, 12(1), 29	es_CL
dc.subject	Virtual reality exposure therapy	es_CL
dc.subject	Exercise	es_CL
dc.subject	Child	es_CL
dc.subject	Pediatric obesity	es_CL
dc.subject	Biomarkers	es_CL
dc.title	Effects of exergaming on morphological variables, biochemical parameters, and blood pressure in children and adolescents with overweight/obesity: a systematic review with meta-analysis of randomized controlled trials	es_CL
dc.type	Article	es_CL
dc.ucm.facultad	Facultad de Ciencias de la Educación	es_CL
dc.ucm.indexacion	Scopus	es_CL
dc.ucm.indexacion	Isi	es_CL
dc.ucm.uri	mdpi.com/2227-9067/12/1/29	es_CL
dc.ucm.doi	doi.org/10.3390/children12010029	es_CL