Accepted for/Published in: JMIR Serious Games
Date Submitted: Oct 16, 2022
Date Accepted: Oct 24, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Virtual Interactive Games for Glycemic Control in Individuals with Diabetes: A Systematic Review and Meta-analysis
ABSTRACT
Background:
Effective interventions are needed to address the diabetes epidemic. Virtual interactive games specific to physical activity are available, but it is unclear if these are effective at improving glycemic control in patients with diabetes.
Objective:
Explore the effects of virtual games-based interventions on glycemic control in patients with diabetes.
Methods:
Relevant studies that were published before 30 April 2022 were searched from five databases: PubMed, Embase, Wed of Science, Scopus and Cochrane Library. Eligibility criteria included prospective studies examining the relationship between virtual game with physical activities or diet education and glycemic control as the outcome.
Results:
Participants from 9 studies were included and quality assessed. Intervention group had improvement in HbA1c and fasting blood glucose, although analysis revealed no significant reduction in HbA1c (−0.09%, 95% CI −0.29 to 0.10), and fasting blood glucose (−0.94 mg/dl, 95%CI −9.34 to 7.46). But intervention group significantly increased their physical activity than individuals from control groups (SMD=0.84, 95%CI 0.30 to 1.38). Other outcomes, such as weight and blood lipids also have no significant improvement.
Conclusions:
Virtual games offered an advantage on glycemic control without reaching statistical significance. Virtual game is convenient for reminders and education. Higher-intensity exercise games may be considered as an adjuvant intervention to improve diabetes self-management care.
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