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For the search strategy, we considered 2 main concepts to retrieve the studies: “exergaming” and “electroencephalography.” We adjusted these concepts according to the respective databases’ Thesaurus and Me SH (Medical Subject Headings) terms. Also, a second search string was built to replace the concept of exergaming with commercial devices that meet the concept.
JMIR Serious Games 2025;13:e50992
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Reference 55: Effects of virtual reality training (exergaming) compared to alternative exercise trainingexergaming
J Med Internet Res 2025;27:e64742
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Although exergaming has been effective across a range of ages, its application in older adult populations presents unique opportunities and challenges. As the older adult population seeks safe, engaging, and effective exercise methods, exergaming could offer a solution that aligns with these requirements. However, integrating HIIE concepts into exergaming for older adults remains a relatively uncharted territory.
JMIR Serious Games 2024;12:e52231
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VR gaming differs from traditional exergaming (eg, Wii Fit and Just Dance) in that the gaming environment is visually immersive and interactive, rather than having visuals confined to a screen and movements or interactivity restricted by the fidelity of an external camera. These limitations of exergaming may contribute to their variability in energy expenditure [11].
JMIR Serious Games 2024;12:e53999
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For staying active while enjoying the pleasures of video games, a worthwhile alternative is exergaming. Indeed, exergaming or active video gaming requires bodily movements to play the game and encourages PA, with a focus on children’s interest in the game’s dynamics and stimulation.
JMIR Serious Games 2024;12:e53072
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Therefore, much attention has recently been paid to the use of active video games (AVGs) or “exergaming” as an alternative method for therapeutic exercise in children with conditions [17,18] such as attention-deficit/hyperactivity disorder [19], type 2 diabetes [20], cerebral palsy [21], cancer [22], and developmental coordination disorder [23]. AVGs are technology-based games that track body movement or reaction to the game with instantaneous visual or audio feedback.
JMIR Serious Games 2023;11:e51073
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The National Aeronautics and Space Administration Task Load Index [39] is used to assess the subjective workload during exergaming. It consists of 6 subscales: mental demand, physical demand, temporal demand, performance, effort, and frustration. Each subscale is rated on a 20-point Likert scale ranging from 0=very low to 20=very high. The raw National Aeronautics and Space Administration Task Load Index scores are calculated by multiplying each subscore by 5.
JMIR Res Protoc 2023;12:e49377
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However, there is a lack of evidence supporting the benefit of commercial exergaming on EFs because of the very high heterogeneity and wide CIs in our results.
To some extent, our results are consistent with those of previous studies.
JMIR Serious Games 2023;11:e42697
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A recent systematic review and qualitative meta-synthesis conducted by our group explored older adults’ experiences of implementing exergaming programs [70]. We found that a small number of older adults were not interested in EGs, which may be due to age- or health-related factors (eg, vision, hearing, motor skills, or cognitive impairment). At the same time, most older adults have no experience with EGs and worry about whether they can understand and play such games correctly.
JMIR Serious Games 2023;11:e42374
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