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    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.

    194976_100940_to_remove_or_to_replace_traditional_electronic.pdf (590.2Kb)
    Access Status
    Open access
    Authors
    Straker, Leon
    Abbott, R.
    Smith, Anne
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Straker, Leon M. and Abbott, Rebecca A. and Smith, Anne J. 2013. To remove or to replace traditional electronic games? A crossover randomised controlled trial on the impact of removing or replacing home access to elctronic games on physical activity and sedentary behaviour in children aged 10-12 years. BMJ Open. 3: e002629 (12 p.).
    Source Title
    BMJ Open
    DOI
    10.1136/bmjopen-2013-002629
    ISSN
    2044-6055
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc/2.0/au/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/38545
    Collection
    • Curtin Research Publications
    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.

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