, Global Strategy on Diet, Physical Activity and Health. Physical Activity and Adults. Recommended Levels of Physical Activity for Adults Aged 18-64 Years. Information Sheet, 2018.

P. Borusiak, A. Bouikidis, R. Liersch, and J. B. Russell, Cardiovascular effects in adolescents while they are playing video games: A potential health risk factor? Psychophysiology, vol.45, pp.327-332, 2008.

A. S. Rizzo, B. Lange, E. A. Suma, and M. Bolas, Virtual reality and interactive digital game technology: New tools to address obesity and diabetes, J. Diabetes Sci. Technol, vol.5, pp.256-264, 2011.

D. E. Warburton, The Health Benefits of Active Gaming: Separating the Myths from the Virtual Reality, Curr. Cardiovasc. Risk Rep, vol.7, pp.251-255, 2013.

L. E. Graves, N. D. Ridgers, K. Williams, G. Stratton, G. Atkinson et al., The physiological cost and enjoyment of Wii Fit in adolescents, young adults, and older adults, J. Phys. Act. Health, vol.7, pp.393-401, 2011.

D. J. Mcdonough, Z. C. Pope, N. Zeng, J. E. Lee, and Z. Gao, Comparison of college students' energy expenditure, physical activity, and enjoyment during exergaming and traditional exercise, J. Clin. Med, vol.7, p.433, 2018.

T. G. Plante, A. Aldridge, R. Bogden, and C. Hanelin, Might virtual reality promote the mood benefits of exercise?, Comput. Hum. Behav, vol.19, pp.495-509, 2013.

J. Monedero, E. J. Lyons, and D. J. O'gorman, Interactive video game cycling leads to higher energy expenditure and is more enjoyable than conventional exercise in adults, PLoS ONE, vol.10, 2015.

H. Song, J. Kim, K. E. Tenzek, and K. M. Lee, The effects of competition and competitiveness upon intrinsic motivation in exergames, Comput. Hum. Behav, vol.29, pp.1702-1708, 2013.

A. E. Staiano and R. Flynn, Therapeutic Uses of Active Videogames: A Systematic Review, Games Health J, vol.3, pp.351-365, 2014.

K. Perusek, K. Sparks, K. Little, M. Motley, S. Patterson et al., A comparison of energy expenditure during "Wii Boxing" versus heavy bag boxing in young adults, Games Health J, vol.3, pp.21-24, 2014.

G. Barry, D. Tough, P. Sheerin, O. Mattinson, R. Dawe et al., Assessing the physiological cost of active videogames (Xbox Kinect) versus sedentary videogames in young healthy males, Games Health J, vol.5, pp.68-74, 2016.

K. White, G. Schofield, and A. E. Kilding, Energy expended by boys playing active video games, J. Sci. Med. Sport, vol.14, pp.130-134, 2012.

L. Foley and R. Maddison, Use of Active Video Games to Increase Physical Activity in Children: A (Virtual) Reality?, Pediatric Exerc. Sci, vol.22, pp.7-20, 2010.

B. W. Bailey and K. Mcinnis, Energy cost of exergaming: A comparison of the energy cost of 6 forms of exergaming, JAMA Pediatrics, vol.165, pp.597-602, 2011.

C. Jennett, A. L. Cox, P. Cairns, S. Dhoparee, A. Epps et al., Measuring and defining the experience of immersion in games, Int. J. Hum. Comput. Stud, vol.66, pp.641-661, 2008.

M. Farrow, C. Lutteroth, P. C. Rouse, and J. L. Bilzon, Virtual-reality exergaming improves performance during high-intensity interval training, Eur. J. Sport Sci, vol.19, pp.719-727, 2019.

J. E. Graves, A. D. Martin, L. A. Miltenberger, and M. L. Pollock, Physiological responses to walking with hand weights, wrist weights, and ankle weights, Med. Sci. Sports Exerc, vol.20, pp.265-271, 1988.

H. Tanaka, K. D. Monahan, and D. R. Seal, Age-predicted maximal heart rate revisited, J. Am. Coll. Cardiol, vol.1, pp.153-156, 2001.

F. Peronnet and D. Massicotte, Table of nonprotein respiratory quotient: An update, Can. J. Appl. Physiol, vol.16, pp.23-29, 1991.

, Computer Software, 2019.

S. Finkelstein, A. Nickel, Z. Lipps, T. Barnes, Z. Wartell et al., Motivating exercise with an immersive virtual reality exergame. Presence Teleoperators Virtual Environ, vol.20, pp.78-92, 2011.

H. Sveistrup, J. Mccomas, M. Thornton, S. Marshall, H. Finestone et al., Experimental studies of virtual reality-delivered compared to conventional exercise programs for rehabilitation, CyberPsychol. Behav, vol.6, pp.245-249, 2003.

, This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license, © 2019 by the authors. Licensee MDPI