Video game play, child diet, and physical activity behavior change a randomized clinical trial.

<bold>Background: </bold>Video games designed to promote behavior change are a promising venue to enable children to learn healthier behaviors.<bold>Purpose: </bold>Evaluate outcome from playing "Escape from Diab" (Diab) and "Nanoswarm: Invasion from Inner Space" (Nano) video games on children's diet, physical activity, and adiposity.<bold>Design: </bold>Two-group RCT; assessments occurred at baseline, immediately after Diab, immediately after Nano, and 2 months later. Data were collected in 2008-2009, and analyses were conducted in 2009-2010.<bold>Setting/participants: </bold>133 children aged 10-12 years, initially between 50th percentile and 95th percentile BMI.<bold>Intervention: </bold>Treatment group played Diab and Nano in sequence. Control Group played diet and physical activity knowledge-based games on popular websites.<bold>Main Outcome Measures: </bold>Servings of fruit, vegetable, and water; minutes of moderate to vigorous physical activity. At each point of assessment: 3 nonconsecutive days of 24-hour dietary recalls; 5 consecutive days of physical activity using accelerometers; and assessment of height, weight, waist circumference, and triceps skinfold.<bold>Results: </bold>A repeated measures ANCOVA was conducted (analyzed in 2009-2010). Children playing these video games increased fruit and vegetable consumption by about 0.67 servings per day (p<0.018) but not water and moderate-to-vigorous physical activity, or body composition.<bold>Conclusions: </bold>Playing Diab and Nano resulted in an increase in fruit and vegetable intake. Research is needed on the optimal design of video game components to maximize change. [ABSTRACT FROM AUTHOR]