WV Games for Health Emily Murphy National Prevention Summit, 2006

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WV Games for HealthEmily MurphyNational
Prevention Summit, 2006
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The West Virginia CARDIAC Project

• Coronary
• Artery
• Risk
• Detection
• In
• Appalachian
• Communities

To reduce cardiovascular disease mortality in
West Virginia through research and intervention
in children
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Weight Status By Year
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Physical Activity Nutrition
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ACTIVE SCREEN TIME???

• Total Body Video Game
• Social activity
• Subculture
• Performance/competition platform
• Workout and weight loss tool
• Classroom and workplace activity

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The Appeal of DDR

• Video game
• Scoring, earning new songs
• Easy to very difficult, unending complexity
• Single or versus play options
• Measurable Performance
• Technical skill
• CNS processing, reaction time
• Artistic/expressive movement
• Social and Emotional Variables

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• Games for Health
• Clinical Study

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Who participated??

• 35 children 7-12 years of age who had a BMIgt85th
  percentile
• Children had to be covered by PEIA or Blue
  Cross/Blue Shield

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What variables were studied?

• Endothelial function
• Measured flow-mediated dilation using a high
  resolution ultrasound machine
• Fasting Blood Draw
• Lipid profile
• Insulin and glucose values
• Markers for oxidative stress
• Maximal aerobic fitness test
• Stationary bicycle
• Questionnaires

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Subject Profile

• Average endothelial function was lt3.5 dilation
• 66 of subjects had very low HDL values
• 22 of the subjects had high insulin values
• Most subjects reported very low levels of
  physical activity on their first visit
• Most subjects reported eating a high-fat diet

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What did the subjects do?

• Subjects were randomly assigned to an exercise or
  delayed-treatment control group
• First 12 weeks
• Exercise group completed a home-based exercise
  program using DDR which included daily logs and
  phone coaching
• DTC received no intervention

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What did we find??

• Preliminary results
• 12 weeks exercise program increased endothelial
  function in exercise group to 9.56 dilation
• Significant improvement were seen in fitness
  levels in the exercise group but not in the DTC
  group
• Exercise group mean insulin values remained
  within normal range, Control groups mean insulin
  levels were abnormal at the 12-week mark

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What are we hearing from families?

• Children are more willing to do other modes of
  physical activity
• Children have higher self esteem
• Coordination improved
• Children report getting less winded when they are
  being physically active
• Many siblings and/or parents end up doing DDR
  with the participating child
• Children report having a lot of fun while doing
  DDR

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• WV Games for Health
• School Based

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Childrens Fitness Levels Are Low and Obesity
Rates High Because of Adult Decision Making
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• Implementation
• Train Physical Education Teachers
• Resource Materials and Lesson Plans
• Introduce DDR to students in PE
• Integrate DDR into school environment
• Before/after school
• School Dances, Special Events, Clubs

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• Training Schedule
• 1. Middle Schools (Spring/Fall 2006)
• 2. Secondary Schools (Fall 2006)
• 3. Elementary Schools (Spring 2007)

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Partners/Sponsors

• Konami Digital Entertainment
• WV Public Employee Insurance Agency
• WV Department of Education
• Mountaineer Blue Cross Blue Shield
• Acordia Insurance Company
• WV Governors Office
• Best Buy