EDUCATIONAL GAMES IN THE PREVENTION OF OBESITY IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW OF LITERATURE
AbstractThe use of educational games is presented as an alternative to help prevent obesity in children and adolescents. The aim of this study was to conduct a systematic literature review to analyze the characteristics used in interventions with the use of educational games to prevent obesity in children and adolescents, as well as to evaluate their quality and effectiveness. The review was done following the Preferred Reporting Intems for Systematic Reviews and Meta-Analyzes (PRISMA) guide and its review protocol is available from PROSPERO under the registration CRD42019121448. The search for the studies was performed in the databases SCOPUS, PUBMED, IEEEXplore, LILACS and CENTRAL. At the end, twelve articles were selected in which we found great heterogeneity in the intervention and evaluation of the games used. Only two studies were considered of strong quality. Most studies took place at school, lasting from 1 day to 18 months. The main benefits found in the interventions were increased nutritional knowledge and positive dietary changes, increasing the consumption of healthy foods or decreasing the intake of processed foods. To better verify the effect of these types of games, further studies using validated and reliable instruments that address a significant sample, allocate participants at random, and evaluate the effect of long-term intervention are needed.
Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., ... & Agyemang, C. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128Â· 9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642. https://doi.org/10.1016/S0140-6736(17)32129-3
BaÃ±os, R. M., Cebolla, A., Oliver, E., AlcaÃ±iz, M., & Botella, C. (2012). Efficacy and acceptability of an Internet platform to improve the learning of nutritional knowledge in children: the ETIOBE mates. Health education research, 28(2), 234-248. https://doi.org/10.1093/her/cys044
Baranowski, T., Baranowski, J., Cullen, K. W., Marsh, T., Islam, N., Zakeri, I., ... & Demoor, C. (2003). Squireâ€™s Quest!: Dietary outcome evaluation of a multimedia game. American journal of preventive medicine, 24(1), 52-61. https://doi.org/10.1016/S0749-3797(02)00570-6
Baranowski, T., Baranowski, J., Thompson, D., Buday, R., Jago, R., Griffith, M. J., ... & Watson, K. B. (2011). Video game play, child diet, and physical activity behavior change: A randomized clinical trial. American journal of preventive medicine, 40(1), 33-38. https://doi.org/10.1016/j.amepre.2010.09.029
Chu, D. T., Nguyet, N. T. M., Nga, V. T., Lien, N. V. T., Vo, D. D., Lien, N., ... & Van To, T. (2019). An update on obesity: Mental consequences and psychological interventions. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 155-160. https://doi.org/10.1016/j.dsx.2018.07.015
Dresch, A., Lacerda, D. P., & Júnior, J. A. V. A. (2015). Design science research: método de pesquisa para avanço da ciência e tecnologia. Bookman Editora.
Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable longâ€term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3-S14. https://doi.org/10.1002/2327-6924.12510
Gortmaker, S. L., Swinburn, B. A., Levy, D., Carter, R., Mabry, P. L., Finegood, D. T., ... & Moodie, M. L. (2011). Changing the future of obesity: science, policy, and action. The Lancet, 378(9793), 838-847. https://doi.org/10.1016/S0140-6736(11)60815-5
Hamer, M., & Batty, G. D. (2019). Association of body mass index and waist-to-hip ratio with brain structure: UK Biobank study. Neurology, 92(6), e594-e600. https://doi.org/10.1212/WNL.0000000000006879
Hermans, R. C., van den Broek, N., Nederkoorn, C., Otten, R., Ruiter, E. L., & Johnson-Glenberg, M. C. (2018). Feed the alien! The effects of a nutrition instruction game on children's nutritional knowledge and food intake. Games for health journal, 7(3), 164-174. https://doi.org/10.1089/g4h.2017.0055
Higgins, J. P. (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1. 0 [updated March 2011]. The Cochrane Collaboration.
Jackson, N., & Waters, E. (2005). Criteria for the systematic review of health promotion and public health interventions. Health promotion international, 20(4), 367-374. https://doi.org/10.1093/heapro/dai022
Kara-Junior, N. (2014). Definição da população e randomização da amostra em estudos clÃnicos. Revista Brasileira de Oftalmologia.
Kimberlin, C. L., & Winterstein, A. G. (2008). Validity and reliability of measurement instruments used in research. American journal of health-system pharmacy, 65(23), 2276-2284. https://doi.org/10.2146/ajhp070364
Largent, E. A., & Lynch, H. F. (2017). Paying research participants: The outsized influence of â€œundue influenceâ€. IRB, 39(4), 1. PMID: 29038611
Lauby-Secretan, B., Scoccianti, C., Loomis, D., Grosse, Y., Bianchini, F., & Straif, K. (2016). Body fatness and cancerâ€”viewpoint of the IARC Working Group. New England Journal of Medicine, 375(8), 794-798. https://doi.org/10.1056/NEJMsr1606602
Lu, A. S., Kharrazi, H., Gharghabi, F., & Thompson, D. (2013). A systematic review of health videogames on childhood obesity prevention and intervention. GAMES FOR HEALTH: Research, Development, and Clinical Applications, 2(3), 131-141. https://doi.org/10.1089/g4h.2013.0025
Mack, I., Bayer, C., Schaeffeler, N., Reiband, N., Broelz, E., Zurstiege, G., ... & Zipfel, S. (2017). Chances and limitations of video games in the fight against childhood obesityâ€”A systematic review. European Eating Disorders Review, 25(4), 237-267. https://doi.org/10.1002/erv.2514
Majumdar, D., Koch, P. A., Lee, H., Contento, I. R., Islas-Ramos, A. D. L., & Fu, D. (2013). â€œCreature-101â€: a serious game to promote energy balance-related behaviors among middle school adolescents. GAMES FOR HEALTH: Research, Development, and Clinical Applications, 2(5), 280-290. https://doi.org/10.1089/g4h.2013.0045
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine, 151(4), 264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., ... & Abraham, J. P. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980â€“2013: a systematic analysis for the Global Burden of Disease Study 2013. The lancet, 384(9945), 766-781. https://doi.org/10.1016/S0140-6736(14)60460-8
Nishtar, S., Gluckman, P., & Armstrong, T. (2016). Ending childhood obesity: a time for action. The Lancet, 387(10021), 825-827. https://doi.org/10.1016/S0140-6736(16)00140-9
Onis, M. D., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World health Organization, 85, 660-667.
Putnam, M. M., Richmond, E. M., Brunick, K. L., Wright, C. A., & Calvert, S. L. (2018). Influence of a Character-Based App on Children's Learning of Nutritional Information: Should Apps Be Served with a Side of Media Characters?. Games for health journal, 7(2), 121-126. https://doi.org/10.1089/g4h.2017.0116
Reis, C. E. G., Vasconcelos, I. A. L., & Barros, J. F. D. N. (2011). PolÃticas públicas de nutrição para o controle da obesidade infantil. Revista paulista de pediatria, 29(4), 625-633. http://dx.doi.org/10.1590/S0103-05822011000400024
Schneider, K. L., Ferrara, J., Lance, B., Karetas, A., Druker, S., Panza, E., ... & Pbert, L. (2012). Acceptability of an online health videogame to improve diet and physical activity in elementary school students:â€œFitter Crittersâ€. Games for Health: Research, Development, and Clinical Applications, 1(4), 262-268. https://doi.org/10.1089/g4h.2012.0009
Sera, L., & Wheeler, E. (2017). Game on: The gamification of the pharmacy classroom. Currents in Pharmacy Teaching and Learning, 9(1), 155-159. https://doi.org/10.1016/j.cptl.2016.08.046
Sen, M., Uzuner, A., Akman, M., Bahadir, A. T., Borekci, N. O., & Viggiano, E. (2018). Examination of a board game approach to childrenâ€™s involvement in family-based weight management vs. traditional family-based behavioral counseling in primary care. European journal of pediatrics, 177(8), 1231-1238. https://doi.org/10.1007/s00431-018-3177-z
Sharma, S. V., Shegog, R., Chow, J., Finley, C., Pomeroy, M., Smith, C., & Hoelscher, D. M. (2015). 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. Journal of the Academy of Nutrition and Dietetics, 115(8), 1260-1271. https://doi.org/10.1016/j.jand.2015.02.022
Turnin, M. C., Tauber, M. T., Couvaras, O., Jouret, B., Bolzonella, C., Bourgeois, O., ... & Hanaire-Broutin, H. (2001). Evaluation of microcomputer nutritional teaching games in 1,876 children at school. Diabetes and Metabolism, 27(4), 459-465. PMID: 11547219
Viggiano, E., Viggiano, A., Di Costanzo, A., Viggiano, A., Viggiano, A., Andreozzi, E., ... & Incarnato, L. (2018). Healthy lifestyle promotion in primary schools through the board game Kaledo: a pilot cluster randomized trial. European journal of pediatrics, 177(9), 1371-1375. https://doi.org/10.1007/s00431-018-3091-4
Vilarinho, L. R. G., & Leite, M. P. (2015). Avaliação de jogos eletrônicos para uso na prática pedagógica: ultrapassando a escolha baseada no bom senso. RENOTE, 13(1). https://doi.org/10.22456/1679-1916.57587
Wang, Y., Cai, L., Wu, Y., Wilson, R. F., Weston, C., Fawole, O., ... & Chiu, D. T. (2015). What childhood obesity prevention programmes work? A systematic review and metaâ€analysis. Obesity reviews, 16(7), 547-565. https://doi.org/10.1111/obr.12277
Wang, J. J., Baranowski, T., Lau, P. W., Buday, R., & Gao, Y. (2017). Story immersion may be effective in promoting diet and physical activity in Chinese children. Journal of nutrition education and behavior, 49(4), 321-329. https://doi.org/10.1016/j.jneb.2017.01.001
Wouters, P., Van Nimwegen, C., Van Oostendorp, H., & Van Der Spek, E. D. (2013). A meta-analysis of the cognitive and motivational effects of serious games. Journal of educational psychology, 105(2), 249. http://dx.doi.org/10.1037/a0031311