What does this research mean for the field?

Playing different types of serious games, specifically cognitive aptitude versus reaction time games, elicits significantly different autonomic nervous system responses as measured by heart rate variability in older adults. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 30, 2021SensorsOpen Access

Analysis of Heart Rate Variability in Response to Serious Games in Elderly People

Q: What are the key findings of this study?

Playing a cognitive aptitude game significantly altered heart rate variability features associated with sympathetic nervous system activation compared to resting periods (p<0.05), whereas reaction time games did not elicit significant changes.

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Normal cognition (n=30). Intervention: Serious games (cognitive aptitude and reaction time games) vs. Resting periods. Primary outcome: Heart rate variability (HRV) features (p=<0.05).

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Key result

Cognitive aptitude gaming, but not reaction time tasks, triggers significant sympathetic HRV changes.

P<0.05
n=30

Why the study?

Serious games have been developed for cognitive training in the elderly, but the autonomic nervous system response during these games has not been measured.

Does playing different types of serious games affect heart rate variability in elderly people with normal cognition?

Comparison

Cognitive aptitude game vs reaction time games and rest

Authors

CHChun-Ju HouSouthern Taiwan University of Science and Technology YCYen-Ting ChenSouthern Taiwan University of Science and Technology MCMycel CapilayanSouthern Taiwan University of Science and Technology

Discussion

Member takes

Implication

May indicate greater sympathetic engagement with cognitive games in elderly; hypothesis-generating and should not yet change practice.

Study Design

Type

Observational (n=30)

Multicenter

Structured PICO

Does playing different types of serious games affect heart rate variability in elderly people with normal cognition?

Population

30 older adults (mean age 65.9 years, 50% female) with normal cognition and no major health problems, who underwent heart rate variability monitoring during rest and while playing serious games.

Intervention

Playing a cognitive aptitude game (Game 1) followed by two reaction time games (Game 2 and Game 3) while wearing an in-house ECG device.

Comparator

Resting periods (Rest 1 and Rest 2) of 3 minutes before and after the cognitive aptitude game.

Outcome

Physiological response measured by heart rate variability (HRV) features (time-domain, nonlinear, and frequency-domain) from ECG.surrogate

Main Result

p-value: p=<0.05

Different types of serious games elicit distinct autonomic nervous system responses in elderly individuals, with cognitive aptitude games activating the sympathetic nervous system more than reaction time games.

Limitations

The order of the games was sequential and not counterbalanced, which could introduce order effects.
Small sample size of 30 subjects.
The study only included healthy seniors with normal cognition, limiting generalizability to those with pre-existing conditions.
The experiment adopted a sequential order and was not counterbalanced, which could introduce order effects.

Cite This Study

Hou et al. (2021) conducted an observational in Normal cognition (n=30). Serious games (cognitive aptitude and reaction time games) vs. Resting periods was evaluated on Heart rate variability (HRV) features (p=<0.05). Playing a cognitive aptitude game significantly altered heart rate variability features associated with sympathetic nervous system activation compared to resting periods (p<0.05), whereas reaction time games did not elicit significant changes.

synapsesocial.com/papers/6a1c040f1567d2fc4d5f6fc9 https://doi.org/10.3390/s21196549

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Analysis of Heart Rate Variability in Response to Serious Games in Elderly People

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Analysis of Heart Rate Variability in Response to Serious Games in Elderly People

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider