General Active Play

Title Impact of Game-Based Health Promotion Programs on Body Mass Index in Overweight/Obese Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Design Systematic Review and Meta-Analysis of Randomized Controlled Trials
Participants Overweight / obese children and adolescents
Intervention Active Gaming (e.g. exergaming, dance, soccer games, active video games) or active gaming combined with other interventions (e.g. nutrition counseling, health education)
Comparator Not reported
Major outcomes Body mass index (BMI)
Settings Not reported
Main results 10 studies were included for meta-analysis. There was a small but significant effect in BMI reduction (SMD: -0.234 ; standard error: 0.069)
Trials that used other types of interventions along with active game-based intervention achieved greater effect sizes than single game-based interventions.
Conclusion Interventions that involve active gaming may produce small effects in terms of improving BMI among children who are overweight/obese. The authors recommend that supplemental interventions be used to enhance the effectiveness of game-based interventions.
Link https://pubmed.ncbi.nlm.nih.gov/29185787/
Reference Ameryoun, A., Sanaeinasab, H., Saffari, M., & Koenig, H. G. (2018). Impact of Game-Based Health Promotion Programs on Body Mass Index in Overweight/Obese Children and Adolescents: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Childhood Obesity, 14(2), 67–80. https://doi.org/10.1089/chi.2017.0250

Title Utilising active play interventions to promote physical activity and improve fundamental movement skills in children: a systematic review and meta-analysis
Design Systematic review and meta-analysis of randomised or cluster randomised controlled trials and comparison studies with a randomised sample
Participants children aged 3-12 years
Intervention Active play interventions (loose play equipment in school playground, active play manual, equipment, and workshops for care-providers, trip to playground once / week for 1 hour, active play sessions delivered by play workers for parents and children).
Comparator Regular childhood curriculum, standard break times, no treatment
Major outcomes Primary: objectively measured physical activity, fundamental movement skills Secondary: cognition and weight status.
Settings Child-care centres , school playground, community
Main results There was no significant effect on moderate-to-vigorous intensity physical activity (2 studies pooled). Meta-analysis could not be performed for fundamental movement skills.
Conclusion The review was not able to draw firm conclusions due to the small number of eligible studies.
Link https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5687-z
Reference Johnstone, A., Hughes, A. R., Martin, A., & Reilly, J. J. (2018). Utilising active play interventions to promote physical activity and improve fundamental movement skills in children: A systematic review and meta-analysis. BMC Public Health, 18(1), 1–12. https://doi.org/10.1186/s12889-018-5687-z