The Physiological and Cardiologic Effects of Long Video Gaming Sessions in Adult Males

Abstract

The effect of long gaming sessions on energy intake, caffeine intake, blood pressure, heart rate, heart rate variability, and biochemical cardiac injury markers is unknown. The objective of this exploratory study was to investigate the changes in healthy male adults during two consecutive 18-hour sedentary video gaming sessions. Nine participants were enrolled in the study. Energy intake was noted in food diaries. Heart rate variability was monitored continuously; blood pressure and cardiac injury markers were measured every three to six hours. During the 42-hour study, the participants had an energy and caffeine intake of 8004.9 kcal and 1354.4 mg, respectively. The participants had a significant decrease in energy intake in the second session (p=0.01). A strong, negative correlation was found between body mass index and total energy intake (R=–0.84, p=0.005) and waist circumference and total energy intake (R=–0.70, p=0.036) in the first session. No nightly dip in blood pressure or heart rate was observed. Based on this study, long-term adverse effects of gaming cannot be ruled out. The non-dip of HR and BP suggests that long gaming sessions could be detrimental to cardiovascular health long term.

Key words

sedentary video gaming - energy intake - caffeine intake - blood pressure - lifestyle - heart rate variability

Publication History

Received: 13 January 2022
Received: 09 May 2022

Accepted: 10 May 2022

Article published online:
22 July 2022

• References

• 1 DiFrancisco-Donoghue J, Balentine J, Schmidt G. et al. Managing the health of the eSport athlete: an integrated health management model. BMJ Open Sport Exerc Med 2019; 5: e000467
• 2 Krarup KB, Krarup HB. The physiological and biochemical effects of gaming: A review. Environ Res 2020; 184: 109344
• 3 Lenhart A, Kahne J, Middaugh E. et al. Teens, video games, and civics. Washington, DC: Pew Internet & American Life Project; 2008
• 4 Strasburger VC, Jordan AB, Donnerstein E. Children, adolescents, and the media: health effects. Pediatr Clin North Am 2012; 59: 533-587 vii
• 5 Chaput JP, Visby T, Nyby S. et al. Video game playing increases food intake in adolescents: a randomized crossover study. Am J Clin Nutr 2011; 93: 1196-1203
• 6 Mellecker RR, McManus AM. Energy expenditure and cardiovascular responses to seated and active gaming in children. Arch Pediatr Adolesc Med 2008; 162: 886-891
• 7 Allsop S, Green BP, Dodd-Reynolds CJ. et al. Comparison of short-term energy intake and appetite responses to active and seated video gaming, in 8-11-year-old boys. Br J Nutr 2016; 115: 1117-1125
• 8 Dutta N, Pereira MA. Effects of active video games on energy expenditure in adults: a systematic literature review. J Phys Act Health 2015; 12: 890-899
• 9 Siervo M, Hannah C, Jonathan WC. et al. Frequent video-game playing in young males is associated with central adiposity and high-sugar, low-fibre dietary consumption. EWD 2014; 19: 515-520
• 10 Straker L, Abbott R. Effect of screen-based media on energy expenditure and heart rate in 9- to 12-year-old children. Pediatr Exerc Sci 2007; 19: 459-471
• 11 Turel O, Romashkin A, Morrison KM. A model linking video gaming, sleep quality, sweet drinks consumption and obesity among children and youth. Clin Obes 2017; 7: 191-198
• 12 Pentz MA, Spruijt-Metz D, Chou CP. et al. High calorie, low nutrient food/beverage intake and video gaming in children as potential signals for addictive behavior. Int J Environ Res Public Health 2011; 8: 4406-4424
• 13 Ballard ME, Hamby RH, Panee CD. et al. Repeated exposure to video game play results in decreased blood pressure responding. Media Psychol 2006; 8: 323-341
• 14 Wang X, Perry AC. Metabolic and physiologic responses to video game play in 7- to 10-year-old boys. Arch Pediatr Adolesc Med 2006; 160: 411-415
• 15 Maddison R, Mhurchu CN, Jull A. et al. Energy expended playing video console games: an opportunity to increase children's physical activity?. Pediatr Exerc Sci 2007; 19: 334-343
• 16 Lin TC. Effects of gender and game type on autonomic nervous system physiological parameters in long-hour online game players. Cyberpsychol Behav Soc Netw 2013; 16: 820-827
• 17 Siervo M, Gan J, Fewtrell MS. et al. Acute effects of video-game playing versus television viewing on stress markers and food intake in overweight and obese young men: a randomised controlled trial. Appetite 2018; 120: 100-108
• 18 Segal KR, Dietz WH. Physiologic responses to playing a video game. Am J Dis Child 1960; 1991: 1034-1036
• 19 Ivarsson M, Anderson M, Akerstedt T. et al. The effect of violent and nonviolent video games on heart rate variability, sleep, and emotions in adolescents with different violent gaming habits. Psychosom Med 2013; 75: 390-396
• 20 Quintana DS, Heathers JA. Considerations in the assessment of heart rate variability in biobehavioral research. Front Psychol 2014; 5: 805
• 21 Kechagias S, Ernersson A, Dahlqvist O. et al. Fast-food-based hyper-alimentation can induce rapid and profound elevation of serum alanine aminotransferase in healthy subjects. Gut 2008; 57: 649-654
• 22 Teschke R, Eickhoff A, Brown AC. et al. Diagnostic biomarkers in liver injury by drugs, herbs, and alcohol: tricky dilemma after EMA correctly and officially retracted letter of support. Int J Mol Sci 2019; 21
• 23 Cerqueira E, Marinho DA, Neiva HP. et al. Inflammatory effects of high and moderate intensity exercise – a systematic review. Front Physiol 2019; 10: 1550
• 24 USDA. USDA FoodData Central. In: USDA ed U. S. Department of Agriculture; 2019
• 25 Shaffer F, Ginsberg JP. An Overview of heart rate variability metrics and norms. Front Public Health 2017; 5: 258-258
• 26 Bates D, Mächler M, Bolker B. et al. Fitting linear mixed-effects models using lme4. J Stat Softw 2015; 67
• 27 Lenhart A, Smith A, Anderson M. et al. Teens, technology & friendships. Pew Research Center. 2015
• 28 Thomas CJ, Rothschild J, Earnest CP. et al. The effects of energy drink consumption on cognitive and physical performance in elite league of legends players. Sports (Basel, Switzerland) 2019; 7
• 29 Millen B, Lichtenstein AH, Abrams S. et al. Dietary guidelines for Americans 2015–2020 8th edition. Adv Nutr 2016; 438-444
• 30 Padilla HM, Wilson M, Vandenberg RJ. et al. Health behavior among working adults: workload and exhaustion are associated with nutrition and physical activity behaviors that lead to weight gain. J Health Psychol 2021; 26: 892-904
• 31 Gheller BJF, Totosy de Zepetnek JO, Welch JM. et al. Effect of video game playing and a glucose preload on subjective appetite, subjective emotions, and food intake in overweight and obese boys. Appl Physiol Nutr Metab 2019; 44: 248-254
• 32 Branton A, Akhavan T, Gladanac B. et al. Pre-meal video game playing and a glucose preload suppress food intake in normal weight boys. Appetite 2014; 83: 256-262
• 33 Cuspidi C, Facchetti R, Bombelli M. et al. Night-time heart rate nondipping: clinical and prognostic significance in the general population. J Hypertens 2018; 36: 1311-1317
• 34 Cuspidi C, Facchetti R, Bombelli M. et al. Nighttime blood pressure and new-onset left ventricular hypertrophy: findings from the Pamela population. Hypertension 2013; 62: 78-84
• 35 Trivedi G, Saboo B, Singh R. et al. Can decreased heart rate variability be a marker of autonomic dysfunction, metabolic syndrome and diabetes?. J Diabetol 2019; 10: 48-56
• 36 Brosschot JF, Van Dijk E, Thayer JF. Daily worry is related to low heart rate variability during waking and the subsequent nocturnal sleep period. Int J Psychophysiol 2007; 63: 39-47