Over Weight, School Age Children
Conditions
Keywords
over weight, Wii protocol, pulmonary functions, reaction time, school age children
Brief summary
Childhood overweight have emerged as major global health concerns and are linked to lower pulmonary functions and reaction time levels among school-aged children. Although exercise, particularly multicomponent training, effectively improves pulmonary functions, maintaining exercise adherence in children with overweight remains a significant challenge. As a result, there is a need for more engaging and motivating exercise options for this group, and active structured wii protocol, which involve full-body movement and boost energy expenditure, have been suggested as a promising alternative..
Detailed description
Wii Fit aerobic training produces effects similar to standard rehabilitation treatments and requires low energy. This shows that it may be an effective rehabilitation technique for adults and older people with low energy levels. A review found that video games are safe and practicable in children with lung is sues. The principle of this training is that aerobic exercise en hances pulmonary adaptation by increasing the strength and endurance of the respiratory muscles. Altered aerobic training due to endurance training might diminish smooth muscle tone in the airways and enhance expiratory flow. Regular lung stretching caused by airway smooth muscle diminishes airway resistance during aerobic exercise. Reduced tone and smooth muscle contraction may reduce air resistance. As smooth mus cle tone diminishes, airway resistance decreases, and lung vol ume falls, these mechanisms are anticipated to enhance airflow
Interventions
The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan. Among its features is a collection of interactive video games that require players to embody their on-screen character using a compact, wireless controller capable of motion detection.
Chest Physiotherapy: Breathing exercises (diaphragmatic breathing, segmental breathing) Incentive spirometry (if applicable) Thoracic expansion exercises Diet therapy : Individualized calorie-controlled diet plan
Sponsors
Study design
Eligibility
Inclusion criteria
* School age children 10-15 years. * Both gender. * Diagnosed with over weight with Body mass index (BMI) is at or above the 85th percentile but less than 95th percentile for age , gender and height. * All participants and parents/guardians were familiar with possible risks associated with the experimental procedures and signed a consent form to participate in the study.
Exclusion criteria
* Dysfunction restricting activity, such as neurological disorders. * Pulmonary disorders such as COPD and malignancy. * Unstable vital signs. * Orthopedic problems such as scoliosis and kyphosis. * Visual and hearing impairments. * Brain injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Forced vital capacity (FVC) | pre and post 36 sessions ( 3 sessions/week ) for 3 months | The maximum amount of air expired after the maximum Inspiration in liters. |
| Forced expiratory volume in 1 s (FEV1) | Pre and post 36 sessions ( 3 sessions/week) for 3 months | The air volume expired in the first second after maximal Inspiration in liters. |
| Peak expiratory flow (PEF) | Pre and post 36 sessions ( 3 sessions /week ) for 3 months | Achieving maximum forced expiration without hesitation from the point of peak lung inflation yields the maximum expiratory flow |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chest Expansion | Pre and post 36 sessions ( 3 sessions / week ) for 3 months | Upper chest expansion (2nd intercostal space) \& Lower chest expansion (xiphoid) were assessed from the reference point mentioned by using tab |
Countries
Egypt