¿Pueden los exergames reducir la presión arterial y mejorar la salud cardiovascular? Una revisión sistemática
DOI:
https://doi.org/10.61164/es1amh75Palabras clave:
Juegos de Video, Presión Arterial, Ejercicio Físico, Enfermedad CardiovascularResumen
Objetivo: Revisar sistemáticamente la evidencia científica sobre los efectos de los exergames en la presión arterial y los resultados cardiovasculares. Método: Se realizó una revisión sistemática entre enero y junio de 2024, siguiendo las directrices PRISMA. Las búsquedas en seis bases de datos (PubMed, PEDro, Web of Science, BVS, ACM Digital Library y Cochrane Library) produjeron inicialmente 575 estudios, de los cuales 10 ensayos clínicos cumplieron los criterios de inclusión para el análisis. Resultados: Los hallazgos revelaron que los exergames son, como mínimo, tan efectivos como el ejercicio físico convencional en el manejo de la hipertensión. Se reportaron reducciones significativas tanto en la presión arterial sistólica como en la diastólica, junto con mejoras en otros marcadores cardiovasculares como la frecuencia cardíaca y la aptitud física. Estos beneficios se observaron en diferentes edades, géneros e incluso en individuos con comorbilidades. Conclusión: Los exergames representan una herramienta no farmacológica viable, segura y atractiva para el manejo y la prevención de la hipertensión, capaces de complementar o incluso superar los programas de ejercicio tradicionales para mejorar la salud cardiovascular.
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ALVES DA CRUZ, M. M. et al. Acute Hemodynamic Effects of Virtual Reality-Based Therapy in Patients of Cardiovascular Rehabilitation: A Cluster Randomized Crossover Trial. Archives of Physical Medicine and Rehabilitation, v. 101, n. 4, p. 642-649, 2020. DOI: 10.1016/j.apmr.2019.12.006
BAKRIS, G.; ALI, W.; PARATI, G. Diretrizes da hipertensão arterial: ACC/AHA vs. ESC/ESH. Comparação de diretrizes no JACC. JACC. Edição em português, v. 01, n. 8, p. 59-67, 2019. DOI: 10.1016/j.jacc.2019.03.507
BRANDÃO RONDON, M. U. et al. Postexercise blood pressure reduction in elderly hypertensive patients. Journal of the American College of Cardiology, v. 39, n. 4, p. 676-682, 2002. DOI: 10.1016/s0735-1097(01)01789-2
CARVALHO, M. S. et al. Effects of Exergames in Women with Fibromyalgia: A Randomized Controlled Study. Games for Health Journal, v. 9, n. 5, p. 358-367, 2020. DOI: 10.1089/g4h.2019.0108
CASSIANO, A. D. N. et al. Efeitos do exercício físico sobre o risco cardiovascular e qualidade de vida em idosos hipertensos. Ciência & Saúde Coletiva, v. 25, n. 6, p. 2203-2212, 2020. DOI: 10.1590/1413-81232020256.27832018
CORDEIRO, H. I. P. et al. Exercise with active video game or strength/balance training? Case reports comparing postural balance of older women. Aging Clinical and Experimental Research, v. 32, n. 3, p. 543-545, 2020. DOI: 10.1007/s40520-019-01219-1
CORNELISSEN, V. A.; SMART, N. A. Exercise training for blood pressure: a systematic review and meta-analysis. Journal of the American Heart Association, v. 2, n. 1, e004473, 2013. DOI: 10.1161/JAHA.112.004473
COSTA, E. C. et al. Effects of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training On Blood Pressure in Adults with Pre- to Established Hypertension: A Systematic Review and Meta-Analysis of Randomized Trials. Sports Medicine, v. 48, n. 9, p. 2127-2142, 2018. DOI: 10.1007/s40279-018-0944-y
DA COSTA, V. K. et al. Methodologies and Evaluation Tools Used in Tangible User Interfaces: A Systematic Literature Review. Proceedings of the 17th Brazilian Symposium on Human Factors in Computing Systems - IHC 2018, p. 1-9, 2018. DOI: 10.1145/3274192.3274223
DA SILVA, I. R. V. et al. Exercise-modulated epigenetic markers and inflammatory response in COPD individuals: A pilot study. Respiratory Physiology & Neurobiology, v. 242, p. 89-95, 2017. DOI: 10.1016/j.resp.2017.04.004
DA SILVA, T. F. et al. Energy demand in an active videogame session and the potential to promote hypotension after exercise in hypertensive women. PLOS ONE, v. 13, n. 12, e0207505, 2018. DOI: 10.1371/journal.pone.0207505
DO AMARAL SARTORI, S. et al. Effects of Transcutaneous Electrical Nerve Stimulation in Autonomic Nervous System of Hypertensive Patients: A Randomized Controlled Trial. Current Hypertension Reviews, v. 14, n. 1, p. 66-71, 2018. DOI: 10.2174/1573402114666180416155528
FREITAS, C. B. et al. Influence of practice of physical exercises in reducing blood hypertension. Research, Society and Development, v. 9, n. 4, e193943020, 2020. DOI: 10.33448/rsd-v9i4.3020
GKALIAGKOUSI, E.; GAVRIILAKI, E.; DOUMA, S. Effects of acute and chronic exercise in patients with essential hypertension: benefits and risks. American Journal of Hypertension, v. 28, n. 4, p. 429-439, 2015. DOI: 10.1093/ajh/hpu203
HENRIQUE, P. P. B.; COLUSSI, E. L.; DE MARCHI, A. C. B. Effects of Exergame on Patients’ Balance and Upper Limb Motor Function after Stroke: A Randomized Controlled Trial. Journal of Stroke and Cerebrovascular Diseases, v. 28, n. 8, p. 2351-2357, 2019. DOI: 10.1016/j.jstrokecerebrovasdis.2019.05.031
HERING, D. et al. High-normal blood pressure is associated with increased resting sympathetic activity but normal responses to stress tests. Blood Pressure, v. 22, n. 3, p. 183-187, 2013. DOI: 10.3109/08037051.2012.759689
HUANG, G. et al. Controlled aerobic exercise training reduces resting blood pressure in sedentary older adults. Blood Pressure, v. 22, n. 6, p. 386-394, 2013. DOI: 10.3109/08037051.2013.778003
HUANG, H. et al. Active Video Game Program for People with Type 2 Diabetes a Pilot Study. Applied Sciences, v. 11, 11046, 2021. DOI:10.3390/app112211046
HUAI, P. et al. Physical activity and risk of hypertension: a meta-analysis of prospective cohort studies. Hypertension, v. 62, n. 6, p. 1021-1026, 2013. DOI: 10.1161/HYPERTENSIONAHA.113.01965
KIRCHER, E. et al. A Game-Based Approach to Lower Blood Pressure? Comparing Acute Hemodynamic Responses to Endurance Exercise and Exergaming: A Randomized Crossover Trial. International Journal of Environmental Research and Public Health, v. 19, n. 3, 1349, 2022. DOI: 10.3390/ijerph19031349
KITT, J. et al. New Approaches in Hypertension Management: a Review of Current and Developing Technologies and Their Potential Impact on Hypertension Care. Current Hypertension Reports, v. 21, 44, 2019. DOI: 10.1007/s11906-019-0949-4
KLOMPSTRA, L.; JAARSMA, T.; STRÖMBERG, A. Exergaming to increase the exercise capacity and daily physical activity in heart failure patients: a pilot study. BMC Geriatrics, v. 14, 119, 2014. DOI: 10.1186/1471-2318-14-119.
KOKKINOS, P.; MYERS, J. Exercise and physical activity: clinical outcomes and applications. Circulation, v. 122, n. 16, p. 1637-1648, 2010. DOI: 10.1161/CIRCULATIONAHA.110.948349
KU, J. et al. Three-Dimensional Augmented Reality System for Balance and Mobility Rehabilitation in the Elderly: A Randomized Controlled Trial. Cyberpsychology, Behavior, and Social Networking, v. 22, n. 2, p. 132-141, 2019. DOI: 10.1089/cyber.2018.0261
LAW, E. L. C.; BRÜHLMANN, F.; MEKLER, E. D. Systematic Review and Validation of the Game Experience Questionnaire (GEQ) – Implications for Citation and Reporting Practice. Proceedings of the 2018 Annual Symposium on Computer-Human Interaction in Play, p. 257-270, 2018. DOI: 10.1145/3242671.3242683
LEAL, J. M.; GALLIANO, L. M.; DEL VECCHIO, F. B. Effectiveness of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Hypertensive Patients: a Systematic Review and Meta-Analysis. Current Hypertension Reports, v. 22, n. 3, 26, 2020. DOI: 10.1007/s11906-020-1030-z
LEE, H. Y.; KIM, J.; KIM, K. S. The Effects of Nursing Interventions Utilizing Serious Games That Promote Health Activities on the Health Behaviors of Seniors. Games for Health Journal, v. 4, n. 3, p. 175-182, 2015. DOI: 10.1089/g4h.2014.0124
LI, J. et al. Wii or Kinect? A Pilot Study of the Exergame Effects on Older Adults’ Physical Fitness and Psychological Perception. International Journal of Environmental Research and Public Health, v. 18, n. 24, 12939, 2021. DOI: 10.3390/ijerph182412939
LINS, N. C. L. et al. Impact of active video games on self-perception of body image and the development of risk behaviors for binge eating in overweight adolescents. Research, Society and Development, v. 9, n. 10, e1619108317, 2023. DOI: 10.33448/rsd-v9i10.8317
LOCKWOOD, C.; MUNN, Z.; PORRITT, K. Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence-Based Healthcare, v. 13, n. 3, p. 179-187, 2015. DOI: 10.1097/XEB.0000000000000062
LOPES, S. et al. Randomized Clinical Trial. JAMA Cardiology, v. 6, n. 11, p. 1317-1323, 2021. DOI: 10.1001/jamacardio.2021.2735
LU, Z. et al. A Mixed Comparisons of Aerobic Training With Different Volumes and Intensities of Physical Exercise in Patients With Hypertension: A Systematic Review and Network Meta-Analysis. Frontiers in Cardiovascular Medicine, v. 8, 770975, 2022. DOI: 10.3389/fcvm.2021.770975
MACDONALD, H. V.; PESCATELLO, L. S. Exercise and blood pressure control in hypertension. In: KOKKINOS, K.; NARAYAN, P. (Eds.). Cardiorespiratory fitness in cardiometabolic diseases. Cham, Switzerland: Springer, 2019. DOI: 10.1007/978-3-030-04816-7_8
MALACHIAS, M. V. B. et al. 7a diretriz brasileira de hipertensão arterial. Arquivos Brasileiros de Cardiologia, v. 107, n. 3 Suppl 3, p. 1-83, 2016. DOI: 10.5935/abc.20160140
MARTINS, A. O.; GOESSLER, K. F.; DE MARCHI, A. C. B. Effects of m-Health interventions on physical activity level and sedentary behavior in pre-hypertensive and hypertensive individuals: a systematic review. Research, Society and Development, v. 11, n. 5, e7611527483, 2022. DOI: 10.33448/rsd-v11i5.27483
MEJIA DOWS, A. et al. A Preliminary Exploration of the Effects of a 6-week Interactive Video Dance Exercise Program in an Adult Population. Cardiopulmonary Physical Therapy Journal, v. 22, n. 4, p. 5-11, 2011.
NILSON, E. A. F. et al. Custos atribuíveis a obesidade, hipertensão e diabetes no Sistema Único de Saúde, Brasil, 2018. Revista Panamericana de Salud Pública, v. 44, p. 1-7, 2020. DOI: 10.26633/RPSP.2020.32
O’NEIL, O. et al. Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics. PM&R, v. 10, n. 9 Suppl 2, p. S198-S206, 2018. DOI: 10.1016/j.pmrj.2018.08.375
PADALA, K. P. et al. Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial. Journal of Aging Research, 2017, 4653635, 2017. DOI: 10.1155/2017/4653635
PAGE, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 372, n71, 2021. DOI: 10.1136/bmj.n71
PERRIER-MELO, R. J. et al. Acute Effect of Interval vs. Continuous Exercise on Blood Pressure: Systematic Review and Meta-Analysis. Arquivos Brasileiros de Cardiologia, v. 115, n. 1, p. 5-14, 2020. DOI: 10.36660/abc.20190107
PESCATELLO, L. S. et al. Exercise intensity alters postexercise hypotension. Journal of Hypertension, v. 22, n. 10, p. 1881-1888, 2004. DOI: 10.1097/00004872-200410000-00009
PESCATELLO, L. S. et al. Exercise for Hypertension: A Prescription Update Integrating Existing Recommendations with Emerging Research. Current Hypertension Reports, v. 17, n. 11, 87, 2015. DOI: 10.1007/s11906-015-0600-y
PESCATELLO, L. S.; KULIKOWICH, J. M. The aftereffects of dynamic exercise on ambulatory blood pressure. Medicine & Science in Sports & Exercise, v. 33, n. 11, p. 1855-1861, 2001. DOI: 10.1097/00005768-200111000-00009
SABBAHI, A. et al. Exercise and Hypertension: Uncovering the Mechanisms of Vascular Control. Progress in Cardiovascular Diseases, v. 59, n. 3, p. 226-234, 2016. DOI: 10.1016/j.pcad.2016.09.006
SACO-LEDO, G. et al. Physical Exercise in Resistant Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in Cardiovascular Medicine, v. 9, 893811, 2022. DOI: 10.3389/fcvm.2022.893811
SANTANA, M. et al. Efectos de la Nintendo Wii sobre el estado cardiorrespiratorio de adultos mayores: ensayo clínico aleatorizado. Estudio piloto. Fisioterapia, v. 38, n. 2, p. 71-77, 2016. DOI: 10.1016/j.ft.2015.03.003
SINGH, J.; KEER, N. Overview of Telemedicine and Sleep Disorders. Sleep Medicine Clinics, v. 15, n. 3, p. 341-346, 2020. DOI: 10.1016/j.jsmc.2020.05.005.
STANMORE, E. K. et al. The effectiveness and cost-effectiveness of strength and balance Exergames to reduce falls risk for people aged 55 years and older in UK assisted living facilities: a multi-centre, cluster randomised controlled trial. BMC Medicine, v. 17, n. 1, 49, 2019. DOI: 10.1186/s12916-019-1278-9
TOLLÁR, J. et al. High Frequency and Intensity Rehabilitation in 641 Subacute Ischemic Stroke Patients. Archives of Physical Medicine and Rehabilitation, v. 102, n. 1, p. 9-18, 2021. DOI: 10.1016/j.apmr.2020.07.012
TROST, S. G. et al. Correlates of adults’ participation in physical activity: review and update. Medicine & Science in Sports & Exercise, v. 34, n. 12, p. 1996-2001, 2002. DOI: 10.1097/00005768-200212000-00020
VIANA, R.; DE LIRA, C. A. Exergames: o novo testamento para a prática de exercício físico. Praxia – Revista On-line de Educação Física da UEG, v. 2, e2020002, 2020. DOI: 10.46878/praxia.v2i0.10593
VOLPI, S. S. et al. Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial. PeerJ, v. 9, e11491, 2021. DOI: 10.7717/peerj.11491
WHELTON, P. K. et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, v. 71, n. 6, p. e13-e115, 2018. DOI: 10.1161/HYP.0000000000000065
WORLD HEALTH ORGANIZATION. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization, 2020. Disponível em: https://www.who.int/publications/i/item/9789240015128. Acesso em: 12 nov. 2025.
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Derechos de autor 2025 Juliana Rosa Nascimento, Fabrízzio Martin Pelle Perez, Larissa Tumelero Bombarda, Leticia Lirio Dos Santos, Ericles Andrei Bellei, Viviane Rostirola Elsner, Ana Carolina Bertoletti De Marchi

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