The Influence of Serious Games in the Promotion of Healthy Diet and Physical Activity Health: A Systematic Review

Overview

Journal Nutrients

Date 2023 Mar 29

PMID 36986129

Authors

Susana Lamas

Sofia Rebelo

Sofia da Costa

Helena Sousa

Nelson Zagalo

Elisabete Pinto

Affiliations

Soon will be listed here.

Abstract

(1) Background: serious games seem to show promising strategies to promote treatment compliance and motivate behavior changes, and some studies have proven to contribute to the literature on serious games. (2) Methods: this systematic review aimed to analyze the effect of serious games in promoting healthy eating behaviors, effectively preventing childhood obesity, and improving physical activity in children. Five electronic bibliographic databases-PubMed, ACM Digital Library, Games for Health Journal, and IEEE Xplore were used to conduct a systematic literature search based on fixed inclusion and exclusion criteria. Peer-reviewed journal articles published between 2003 and 2021 were selected for data extraction. (3) Results: a total of 26 studies were identified, representing 17 games. Half of the studies tested interventions for healthy eating and physical education. Most of the intervention's games were designed according to specific behavioral change theories, predominantly the social cognitive theory. (4) Conclusions: studies confirmed the potential of serious games for obesity prevention but considering the restrictions encountered, we exhort for novel designs with different theoretical perspectives.

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References

Marchetti D, Fraticelli F, Polcini F, Lato R, Pintaudi B, Nicolucci A . Preventing Adolescents' Diabesity: Design, Development, and First Evaluation of "Gustavo in Gnam's Planet". Games Health J. 2015; 4(5):344-51. PMC: 4545704. DOI: 10.1089/g4h.2014.0107. View

Wengreen H, Joyner D, Kimball S, Schwartz S, Madden G . A Randomized Controlled Trial Evaluating the FIT Game's Efficacy in Increasing Fruit and Vegetable Consumption. Nutrients. 2021; 13(8). PMC: 8399486. DOI: 10.3390/nu13082646. View

Baranowski T, Baranowski J, Thompson D, Buday R, Jago R, Griffith M . Video game play, child diet, and physical activity behavior change a randomized clinical trial. Am J Prev Med. 2010; 40(1):33-8. PMC: 3032382. DOI: 10.1016/j.amepre.2010.09.029. View

Prochaska J, DiClemente C . Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983; 51(3):390-5. DOI: 10.1037//0022-006x.51.3.390. View

Johnson-Glenberg M, Savio-Ramos C, Henry H . "Alien Health": A Nutrition Instruction Exergame Using the Kinect Sensor. Games Health J. 2014; 3(4):241-251. PMC: 4103200. DOI: 10.1089/g4h.2013.0094. View

Baranowski T, Buday R, Thompson D, Baranowski J . Playing for real: video games and stories for health-related behavior change. Am J Prev Med. 2007; 34(1):74-82. PMC: 2189579. DOI: 10.1016/j.amepre.2007.09.027. View

Fishbein M . A theory of reasoned action: some applications and implications. Nebr Symp Motiv. 1980; 27:65-116. View

Romanelli R, Cecchi N, Carbone M, Dinardo M, Gaudino G, Del Giudice E . Pediatric obesity: prevention is better than care. Ital J Pediatr. 2020; 46(1):103. PMC: 7379757. DOI: 10.1186/s13052-020-00868-7. View

Dovey T, Staples P, Gibson E, Halford J . Food neophobia and 'picky/fussy' eating in children: a review. Appetite. 2007; 50(2-3):181-93. DOI: 10.1016/j.appet.2007.09.009. View

10.

Thompson D . Incorporating Behavioral Techniques into a Serious Videogame for Children. Games Health J. 2017; 6(2):75-86. PMC: 5397239. DOI: 10.1089/g4h.2016.0066. View

11.

Stenseng F, Hygen B, Wichstrom L . Time spent gaming and psychiatric symptoms in childhood: cross-sectional associations and longitudinal effects. Eur Child Adolesc Psychiatry. 2019; 29(6):839-847. DOI: 10.1007/s00787-019-01398-2. View

12.

Sharma S, Shegog R, Chow J, Finley C, Pomeroy M, Smith C . Effects of the Quest to Lava Mountain Computer Game on Dietary and Physical Activity Behaviors of Elementary School Children: A Pilot Group-Randomized Controlled Trial. J Acad Nutr Diet. 2015; 115(8):1260-71. DOI: 10.1016/j.jand.2015.02.022. View

13.

Green M, Brock T . The role of transportation in the persuasiveness of public narratives. J Pers Soc Psychol. 2000; 79(5):701-21. DOI: 10.1037//0022-3514.79.5.701. View

14.

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

15.

Brown T, Moore T, Hooper L, Gao Y, Zayegh A, Ijaz S . Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2019; 7:CD001871. PMC: 6646867. DOI: 10.1002/14651858.CD001871.pub4. View

16.

Holzmann S, Schafer H, Groh G, Plecher D, Klinker G, Schauberger G . Short-Term Effects of the Serious Game "Fit, Food, Fun" on Nutritional Knowledge: A Pilot Study among Children and Adolescents. Nutrients. 2019; 11(9). PMC: 6770093. DOI: 10.3390/nu11092031. View

17.

Baranowski T, Ryan C, Hoyos-Cespedes A, Lu A . Nutrition Education and Dietary Behavior Change Games: A Scoping Review. Games Health J. 2018; 8(3):153-176. PMC: 6909754. DOI: 10.1089/g4h.2018.0070. View

18.

Sanyaolu A, Okorie C, Qi X, Locke J, Rehman S . Childhood and Adolescent Obesity in the United States: A Public Health Concern. Glob Pediatr Health. 2019; 6:2333794X19891305. PMC: 6887808. DOI: 10.1177/2333794X19891305. View

19.

de Vlieger N, Sainsbury L, Smith S, Riley N, Miller A, Collins C . Feasibility and Acceptability of 'VitaVillage': A Serious Game for Nutrition Education. Nutrients. 2022; 14(1). PMC: 8746846. DOI: 10.3390/nu14010189. View

20.

Amaro S, Viggiano A, Di Costanzo A, Madeo I, Viggiano A, Baccari M . Kalèdo, a new educational board-game, gives nutritional rudiments and encourages healthy eating in children: a pilot cluster randomized trial. Eur J Pediatr. 2006; 165(9):630-5. DOI: 10.1007/s00431-006-0153-9. View