dc.contributor.author | Straker, LM | |
dc.contributor.author | Abbott, RA | |
dc.contributor.author | Smith, AJ | |
dc.date.accessioned | 2018-08-01T14:20:55Z | |
dc.date.issued | 2013-07-01 | |
dc.description.abstract | OBJECTIVE: To evaluate the impact of (1) the removal of home access to traditional electronic games or (2) their replacement with active input electronic games, on daily physical activity and sedentary behaviour in children aged 10-12 years. DESIGN: Crossover randomised controlled trial, over 6 months. SETTING: Family homes in metropolitan Perth, Australia from 2007 to 2010. PARTICIPANTS: 10-year-old to 12-year-old children were recruited through school and community media. From 210 children who were eligible, 74 met inclusion criteria, 8 withdrew and 10 had insufficient primary outcome measures, leaving 56 children (29 female) for analysis. INTERVENTION: A counterbalanced randomised order of three conditions sustained for 8 weeks each: no home access to electronic games, home access to traditional electronic games and home access to active input electronic games. MAIN OUTCOME MEASURES: Primary outcome was accelerometer assessed moderate/vigorous physical activity (MVPA). Secondary outcomes included sedentary time and diary assessed physical activity and sedentary behaviours. RESULTS: Daily MVPA across the whole week was not significantly different between conditions. However, compared with home access to traditional electronic games, removal of all electronic games resulted in a significant increase in MVPA (mean 3.8 min/day, 95% CI 1.5 to 6.1) and a decrease in sedentary time (4.7 min/day, 0.0 to 9.5) in the after-school period. Similarly, replacing traditional games with active input games resulted in a significant increase in MVPA (3.2 min/day, 0.9 to 5.5) and a decrease in sedentary time (6.2 min/day, 1.4 to 11.4) in the after-school period. Diary reports supported an increase in physical activity and a decrease in screen-based sedentary behaviours with both interventions. CONCLUSIONS: Removal of sedentary electronic games from the child's home and replacing these with active electronic games both resulted in small, objectively measured improvements in after-school activity and sedentary time. Parents can be advised that replacing sedentary electronic games with active electronic games is likely to have the same effect as removing all electronic games. TRIAL REGISTRATION: Australia and New Zealand Clinical Trials Registry (ACTRN 12609000279224). | en_GB |
dc.description.sponsorship | The study was funded by a National Health and Medical Research Council of Australia project grant (533526). The funding body had no influence on the analysis and reporting of the study.
LMS had financial support from an NHMRC senior research fellowship (1019980) for the submitted work. | en_GB |
dc.identifier.citation | Published online 01 July 2013 | en_GB |
dc.identifier.doi | 10.1136/bmjopen-2013-002629 | |
dc.identifier.uri | http://hdl.handle.net/10871/33629 | |
dc.publisher | BMJ Publishing Group | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/23818650 | en_GB |
dc.rights | This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode | en_GB |
dc.subject | accelerometry | en_GB |
dc.subject | child | en_GB |
dc.subject | physical activity | en_GB |
dc.subject | screentime | en_GB |
dc.subject | sedentary behaviour | en_GB |
dc.title | To remove or to replace traditional electronic games? A crossover randomised controlled trial on the impact of removing or replacing home access to electronic games on physical activity and sedentary behaviour in children aged 10-12 years. | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2018-08-01T14:20:55Z | |
exeter.place-of-publication | England | en_GB |
dc.description | This is the final version of the article. Available from BMJ Publishing Group via the DOI in this record. | en_GB |
dc.identifier.eissn | 2044-6055 | |
dc.identifier.journal | BMJ Open | en_GB |