Preprint / Version 1

Acute psychological and physiological benefits of exercising with virtual reality

##article.authors##

  • Bradley Barbour
  • Lucy Sefton
  • Richard M. Bruce
  • Lucia Valmaggia
  • Oliver R. Runswick King's College London

DOI:

https://doi.org/10.51224/SRXIV.368

Keywords:

Perception, Physical Activity, Exercise, virtual reality, perceived exertion

Abstract

Exercise is a powerful tool for disease prevention and rehabilitation. Commercially available virtual reality (VR) devices and apps offer an immersive platform to gamify exercise and potentially enhance physiological and psychological benefits. However, no work has compared immersive exercise to 2D screen-based equivalents, such as following a video workout. This study aims to compare the acute effects of an exercise session using a commercial immersive VR workout to an exactly matched non-immersive screen-based stimuli. 17 healthy participants (male=7, female=10; aged 24.18±4.56 years), completed a 12-minute guided VR boxing exercise session in FitXR™ and a screen-based matched equivalent. Physiological responses were recorded continuously using a heart rate monitor and telemetricmetabolic cart system. Psychological and perceptual responses were measured using ratings of perceived exertion, physical activity enjoyment scale, and the physical activity affect scale. Participants recorded significantly higher VO2 (p=0.044), higher levels of all enjoyment subscales (p<0.05), higher positive affect (p=0.003), and lower negative affect (p=0.045) in the VR workout compared to the matched screen-based equivalent. Exercising using a commercially available VR workout offers acute benefits for chosen work rate, enjoyment, and psychological responses. VR may offer a more efficient alternative to other forms of screen based and exergaming workouts and could be offered as a gateway into exercise.

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References

US Department of Health and Human Services. Physical activity fundamental to preventing disease. In: Washington, DC: US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. 2002. Available from: https://aspe.hhs.gov/sites/default/files/private/pdf/72836/physicalactivity.pdf. [Accessed 20 Sept 2023].

Warburton DE, Bredin SS. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-556. https://doi.org/10.1097/HCO.0000000000000437.

Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801-809. https://doi.org/10.1503/cmaj.051351.

World Health Organization. WHO guidelines on physical activity and sedentary behaviour. 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y. [Accessed Sept 15 2023].

UK Government. Physical activity. 2022. Available from: https://www.ethnicity-facts-figures.service.gov.uk/health/diet-and-exercise/physical-activity/latest. [Accessed 8 Sept 2023].

Centers for disease control and prevention. Adult physical inactivity prevalence maps by race/ethnicity. 2022. Available from: https://www.cdc.gov/physicalactivity/data/inactivity-prevalence-maps/index.html. [Accessed 12 Sept 2023].

Linke SE, Gallo LC, Norman GJ. Attrition and adherence rates of sustained vs. intermittent exercise interventions. Ann Behav Med. 2011;42(2):197-209. https://doi.org/10.1007/s12160-011-9279-8.

Dishman RK. Increasing and maintaining exercise and physical activity. Behav Ther. 1991;22(3):345-78. https://doi.org/10.1016/S0005-7894(05)80371-5.

Arzu D, Tuzun EH, Eker L. Perceived barriers to physical activity in university students. J Sports Sci Med. 2006;5(4):615.

Herazo-Beltrán Y, Pinillos Y, Vidarte J, Crissien E, Suarez D, García R. Predictors of perceived barriers to physical activity in the general adult population: a cross-sectional study. Braz J Phys Ther. 2017;21(1):44-50. https://doi.org/10.1016/j.bjpt.2016.04.003.

Jack K, McLean SM, Moffett JK, Gardiner E. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther. 2010;15(3):220-28. https://doi.org/10.1016/j.math.2009.12.004.

Cardinal BJ, Yan Z, Cardinal MK. Negative experiences in physical education and sport: How much do they affect physical activity participation later in life?. J Phys Educ Recr Dance. 2013;84(3):49-53. https://doi.org/10.1080/07303084.2013.767736.

Kari JT, Viinikainen J, Böckerman P, Tammelin TH, Pitkänen N, Lehtimäki T, Pahkala K, Hirvensalo M, Raitakari OT, Pehkonen J. Education leads to a more physically active lifestyle: Evidence based on Mendelian randomization. Scand J Med Sci Sports. 2020;30(7):1194-1204. https://doi.org/10.1111/sms.13653.

Nelson TD, Benson ER, Jensen CD. Negative attitudes toward physical activity: Measurement and role in predicting physical activity levels among preadolescents. J Pediatr Psychol. 2010;35(1):89-98. https://doi.org/10.1093/jpepsy/jsp040.

Taylor SE, Sirois FM, Molnar DS. Health Psychology. 4th ed. New York: McGraw-hill; 1999.

Chen FT, Etnier JL, Chan KH, Chiu PK, Hung TM, Chang YK. Effects of exercise training interventions on executive function in older adults: a systematic review and meta-analysis. Sports Med. 2020;50(8):1451-67. https://doi.org/10.1007/s40279-020-01292-x.

Fisher E, Wood SJ, Upthegrove R, Aldred S. Designing a feasible exercise intervention in first-episode psychosis: Exercise quality, engagement and effect. Psychiatr Res. 2020;286:112840. https://doi.org/10.1016/j.psychres.2020.112840.

Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018; 7(11):422. https://doi.org/10.3390/jcm7110422.

Best JR. Exergaming in Youth: Effects on Physical and Cognitive Health. Z Psychol. 2013;221(2):72-78. doi:10.1027/2151-2604/a000137.

Turoń-Skrzypińska A, Tomska N, Mosiejczuk H, Rył A, Szylińska A, Marchelek-Myśliwiec M, Ciechanowski K, Nagay R, Rotter I. Impact of virtual reality exercises on anxiety and depression in hemodialysis. Sci Rep. 2023;13(1):12435. https://doi.org/10.1038/s41598-023-39709-y.

Runswick OR. Player Perceptions of Face Validity and Fidelity in 360-Video and Virtual Reality Cricket. J Sport Exerc Psychol. 2023;45(6):347-54. https://doi.org/10.1123/jsep.2023-0122.

Runswick OR, Siegel L, Rafferty GF, Knudsen HS, Sefton L, Taylor S, Reilly CC, Finnegan S, Sargeant M, Pattinson K, Bruce RM. The Effects of Congruent and Incongruent Immersive Virtual Reality Modulated Exercise Environments in Healthy Individuals: A Pilot Study. Int J Hum Comput Interact. 2023:1-11. https://doi.org/10.1080/10447318.2023.2276524

Ellis K, Pears S, Sutton S. Behavioural analysis of postnatal physical activity in the UK according to the COM-B model: a multimethods study. BMJ Open 2019;9:e028682. doi:10.1136/ bmjopen-2018-028682

Michie S, Van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(42):1-12. https://doi.org/10.1186/1748-5908-6-42.

Willmott TJ, Pang B, Rundle-Thiele S. Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model. BMC Public Health. 2021;21(1):1014. https://doi.org/10.1186/s12889-021-11019-w.

Warburton DE, Bredin SS, Horita LT, Zbogar D, Scott JM, Esch BT, Rhodes RE. The health benefits of interactive video game exercise. Appl Physiol Nutr Metab. 2007;32(4):655-663. https://doi.org/10.1139/H07-038.

Stewart TH, Villaneuva K, Hahn A, Ortiz-Delatorre J, Wolf C, Nguyen R, Bolter ND, Kern M, Bagley JR. Actual vs. perceived exertion during active virtual reality game exercise. Front Rehabil Sci. 2022;3:887740. https://doi.org/10.3389/fresc.2022.887740.

Zeng N, Liu W, Pope ZC, McDonough DJ, Gao Z. Acute effects of virtual reality exercise biking on college students’ physical responses. Res Q Exerc Sport. 2022;93(3):633–9. https://doi.org/10.1080/02701367.2021.1891188.

Finnegan SL, Dearlove DJ, Morris P, Freeman D, Sergeant M, Taylor S, et al. (2023) Breathlessness in a virtual world: An experimental paradigm testing how discrepancy between VR visual gradients and pedal resistance during stationary cycling affects breathlessness perception. PLoS ONE. 2023;18(4): e0270721. https://doi.org/10.1371/journal.pone.0270721

Rutkowski S, Szary P, Sacha J, Casaburi R. Immersive virtual reality influences physiologic responses to submaximal exercise: A randomized, crossover trial. Front Physiol. 2021;12:702266. https://doi.org/10.3389/fphys.2021.702266.

Xu W, Liang HN, Zhang Z, Baghaei N. Studying the effect of display type and viewing perspective on user experience in virtual reality exergames. Games Health J. 2020;9(6):405-14. https://doi.org/10.1089/g4h.2019.0102.

Mologne MS, Hu J, Carrillo E, Gomez D, Yamamoto T, Lu S, Browne JD, Dolezal BA. The Efficacy of an Immersive Virtual Reality Exergame Incorporating an Adaptive Cable Resistance System on Fitness and Cardiometabolic Measures: A 12-Week Randomized Controlled Trial. Int J Environ Res Public Health. 2022;20(1):210. https://doi.org/10.3390/ijerph20010210.

Crain AL, Martinson BC, Sherwood NE, O'Connor PJ. The long and winding road to physical activity maintenance. Am J Health Behav. 2010;34(6):764-75. https://doi.org/10.5993/ajhb.34.6.11.

Mouatt B, Smith AE, Mellow ML, Parfitt G, Smith RT, Stanton TR. The use of virtual reality to influence motivation, affect, enjoyment, and engagement during exercise: A scoping review. Front Virtual Real. 2020;1:564664. https://doi.org/10.3389/frvir.2020.564664.

Ng YL, Ma F, Ho FK, Ip P, Fu KW. Effectiveness of virtual and augmented reality-enhanced exercise on physical activity, psychological outcomes, and physical performance: A systematic review and meta-analysis of randomized controlled trials. Comput Hum Behav. 2019;99:278-91. https://doi.org/10.1016/j.chb.2019.05.026.

Dębska M, Polechoński J, Mynarski A, Polechoński P. Enjoyment and intensity of physical activity in immersive virtual reality performed on innovative training devices in compliance with recommendations for health. Int J Environ Res Public Health. 2019;16(19):3673. https://doi.org/10.3390/ijerph16193673.

Polechoński J, Dębska M, Dębski PG. Exergaming can be a health-related aerobic physical activity. BioMed Res Int. 2019. 1890527. https://doi.org/10.1155/2019/1890527.

Sauchelli S, Brunstrom JM. Virtual reality exergaming improves affect during physical activity and reduces subsequent food consumption in inactive adults. Appetite. 2022;175:106058. https://doi.org/10.1016/j.appet.2022.106058.

Balke B, Ware R. W. An experimental study of physical fitness of Air Force personnel. U.S. Armed Forces Med J. 1959;10(6):675–688

Borg G. Borg's perceived exertion and pain scales. United Kingdom: Human kinetics; 1998.

Motl RW, Dishman RK, Saunders R, Dowda M, Felton G, Pate RR. Measuring enjoyment of physical activity in adolescent girls. Am J Prev Med. 2001;21(2):110-17. https://doi.org/10.1016/s0749-3797(01)00326-9.

Lox CL, Jackson S, Tuholski SW, Wasley D, Treasure DC. Revisiting the measurement of exercise-induced feeling states: The Physical Activity Affect Scale (PAAS). Meas Phys Educ Exerc Sci. 2000;4(2):79-95. https://doi.org/10.1207/S15327841Mpee0402_4.

Kennedy RS, Lane NE, Berbaum KS, Lilienthal MG. Simulator sickness questionnaire: An enhanced method for quantifying simulator sickness. Int J Aviat Psychol. 1993;3(3):203-20. https://doi.org/10.1207/s15327108ijap0303_3.

Birckhead B, Khalil C, Liu X, Conovitz S, Rizzo A, Danovitch I, Bullock K, Spiegel B. Recommendations for methodology of virtual reality clinical trials in health care by an international working group: iterative study. JMIR Ment Health. 2019;6(1):e11973. https://doi.org/10.2196/11973.

Althouse AD. Adjust for multiple comparisons? It’s not that simple. Ann Thorac Surg. 2016;101(5):1644-5. https://doi.org/10.1016/j.athoracsur.2015.11.024.

Runswick OR, Mann DL, Mand S, Fletcher A, Allen PM. Laterality and performance: Are golfers learning to play backwards? J Sports Sci. 2022;40(4):450-8. https://doi.org/10.1080/02640414.2021.1997011.

Glen K, Eston R, Loetscher T, Parfitt G. Exergaming: Feels good despite working harder. PLoS ONE. 2017;12(10):e0186526.

Murray EG, Neumann DL, Moffitt RL, Thomas PR. The effects of the presence of others during a rowing exercise in a virtual reality environment. Psychol Sport Exerc. 2016;22:328–36. https://doi.org/10.1016/j.psychsport.2015.09.007.

Decker ES, Ekkekakis P. More efficient, perhaps, but at what price? Pleasure and enjoyment responses to high-intensity interval exercise in low-active women with obesity. Psychol Sport Exerc. 2017;28:1-10. https://doi.org/10.1016/j.psychsport.2016.09.005.

Farrow M, Lutteroth C, Rouse PC, Bilzon JL. Virtual-reality exergaming improves performance during high-intensity interval training. Eur J Sport Sci. 2019;19(6):719-27. https://doi.org/10.1080/17461391.2018.1542459.

Cameirao MS, Badia SB, Duarte E, Frisoli A, Verschure PF. The combined impact of virtual reality neurorehabilitation and its interfaces on upper extremity functional recovery in patients with chronic stroke. Stroke. 2012;43(10):2720-8. https://doi.org/10.1161/STROKEAHA.112.653196.

Ebrahimi E, Babu SV, Pagano CC, Jörg S. An empirical evaluation of visuo-haptic feedback on physical reaching behaviors during 3D interaction in real and immersive virtual environments. ACM Trans Appl Percept (TAP). 2016;13(4):1-21. https://doi.org/10.1145/2947617.

Ramírez-Fernández C, Morán AL, García-Canseco E. Haptic feedback in motor hand virtual therapy increases precision and generates less mental workload. 2015 9th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). IEEE. 2015, 280-6. https://doi.org/10.4108/icst.pervasivehealth.2015.260242.

Akay M. Force and touch feedback for virtual reality [book reviews]. Proceedings of the IEEE. 1998;86(3):600. https://doi.org/10.1109/JPROC.1998.662885.

Rose T, Nam CS, Chen KB. Immersion of virtual reality for rehabilitation-Review. Appl Ergon. 2018;69:153-61. https://doi.org/10.1016/j.apergo.2018.01.009.

Lewis BA, Williams DM, Frayeh A, Marcus BH. Self-efficacy versus perceived enjoyment as predictors of physical activity behaviour. Psychol Health. 2016;31(4):456-69. https://doi.org/10.1080/08870446.2015.1111372.

Goh DHL, Razikin K. Is Gamification Effective in Motivating Exercise?. In: Kurosu, M. (eds) Human-Computer Interaction: Interaction Technologies. HCI 2015. Springer, Cham. 2015:608-17. https://doi.org/10.1007/978-3-319-20916-6_56.

Matallaoui A, Koivisto J, Hamari J, Zarnekow R. How effective is “exergamification”? A systematic review on the effectiveness of gamification features in exergames. 2017. https://doi.org/10.24251/HICSS.2017.402.

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2024-02-05