TY  - JOUR
AU  - Yao, WenQi
AU  - Han, YiBing
AU  - Yang, Li
AU  - Chen, Ying
AU  - Yan, ShengZhe
AU  - Cheng, YanZhen
PY  - 2024
DA  - 2024/2/12
TI  - Electronic Interactive Games for Glycemic Control in Individuals With Diabetes: Systematic Review and Meta-Analysis
JO  - JMIR Serious Games
SP  - e43574
VL  - 12
KW  - electronic game
KW  - physical activity
KW  - diet
KW  - diabetes mellitus
KW  - glycemic control
AB  - Background: Several electronic interventions have been used to improve glycemic control in patients with diabetes. Electronic interactive games specific to physical activity are available, but it is unclear if these are effective at improving glycemic control in patients with diabetes. Objective: This study aimed to determine the effects of electronic game–based interventions on glycemic control in patients with diabetes. Methods: Relevant studies that were published before April 1, 2023, were searched from 5 databases: PubMed, Embase, Web of Science, Scopus, and Cochrane Library. Eligibility criteria included prospective studies examining the relationship between electronic games with physical activities or diet education and glycemic control as the outcome. The risk of bias was assessed using the Cochrane risk-of-bias tool. All analyses were conducted using RevMan5.4.1. Depending on the heterogeneity across studies, the pooled effects were calculated using fixed-effects or random-effects models. Results: Participants from 9 studies were included and assessed. Glycated hemoglobin (HbA1c) and fasting blood glucose improved in the intervention group, although the analysis revealed no significant reduction in HbA1c (−0.09%, 95% CI −0.29% to 0.10%) or fasting blood glucose (−0.94 mg/dL, 95% CI −9.34 to 7.46 mg/dL). However, the physical activity of individuals in the intervention group was significantly higher than that of those in the control group (standardized mean difference=0.84, 95% CI 0.30 to 1.38; P=.002). Other outcomes, such as weight and blood lipids, exhibited no significant improvement (all P>.05). Conclusions: Electronic games had a good impact on participants’ physical activity and offered an advantage in glycemic control without reaching statistical significance. Electronic games are convenient for reminders and education. Low-intensity exercise games may not be considered a better adjuvant intervention to improve diabetes self-management care. 
SN  - 2291-9279
UR  - https://games.jmir.org/2024/1/e43574
UR  - https://doi.org/10.2196/43574
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38345856
DO  - 10.2196/43574
ID  - info:doi/10.2196/43574
ER  -