Evidence map›Paper›PMID 40781343›Full record

ArticleBMC sports science, medicine & rehabilitation2025

The effects of competition on exercise intensity and the user experience of exercise, during virtual reality bicycling for healthy adults across the lifespan.

John L Palmieri, Judith E Deutsch

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05253703 (Enhancing Exercise Intensity, Motivation and Enjoyment for Younger and Older Healthy Adults), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05253703 nacompletednot on this map

Enhancing Exercise Intensity, Motivation and Enjoyment for Younger and Older Healthy Adults (VCycle-Competition-HA)

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2022 to 2022Enrolled50ConditionsHealthyArmsVirtual reality bicycling
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

John L PalmieriRivers Lab, Department of Rehabilitation & Movement Sciences, Rutgers School of Health Professions, Newark, NJ, USA. jpalmieri462@gmail.com.
Judith E DeutschRivers Lab, Department of Rehabilitation & Movement Sciences, Rutgers School of Health Professions, Newark, NJ, USA.

Funding

NIA NIH HHS 1F30AG072807
6 · The paper itself

Abstract

backgroundEngaging in regular moderate-to-vigorous exercise is an essential component of promoting longevity and reducing health risks associated with a sedentary lifestyle. However, various barriers can hinder participation in high-intensity exercise. Virtual reality (VR) may enhance exercise adherence by increasing engagement and motivation. Specifically, elements such as visual feedback and competition within VR environments may encourage users to exercise at higher intensities. Though the literature suggests that competitiveness may decrease with age, there is limited research comparing intensity and motivation during competitive exercise across the lifespan. This study aims to compare the effects of visual feedback and competition in a VR bicycling simulation on exercise intensity and user experience (motivation and enjoyment) in middle-aged and older adults and compare them to healthy younger adults.

methodsAdults aged 45-75 participated in three VR cycling conditions: self-competition, competition against others, and visual feedback. Each condition lasted five minutes, during which exercise intensity and visual attention were continuously recorded. Perceived effort and intrinsic motivation were assessed to evaluate user experience. Results were compared with data from a separate study involving younger adults bicycling in the same simulation.

resultsVR was tolerable for middle-aged and older adults with no age-related differences in tolerability observed. For middle-aged and older adults, competitive conditions led to higher exercise intensity compared to visual feedback while there were no differences in intrinsic motivation, enjoyment or visual attention. Across all 3 conditions, participants focused their attention on the task for > 70% of the trials. Compared to young adults, middle-aged and older adults had a lower raw bicycling cadence in the 2 competitive conditions and higher perception of effort in the visual feedback condition. There were no other age-related differences between the two groups.

conclusionThis custom VR bicycling simulation effectively guided visual attention, encouraged high-intensity exercise, and was rated favorably among middle-aged and older adults. Therefore, VR bicycling employing competition and visual feedback may be a useful exercise tool regardless of the user's age, particularly for individuals that have self-developmental competitive profiles.

trial registrationCurrent Controlled Trials NCT05253703. Registered at ClinicalTrials.Gov on February 10, 2022.

Indexed as

BiofeedbackCompetitionExerciseRehabilitationTrainingUser experienceVirtual reality (VR)

Identifiers

PMID40781343
PMCPMC12333198

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.