AUTHOR=Soria Campo Aarón , Wang Alf Inge , Moholdt Trine , Berg Jonathan TITLE=Physiological and Perceptual Responses to Single-player vs. Multiplayer Exergaming JOURNAL=Frontiers in Sports and Active Living VOLUME=Volume 4 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2022.903300 DOI=10.3389/fspor.2022.903300 ISSN=2624-9367 ABSTRACT=Rationale: Since many modern exergames include a multiplayer component, this study aimed to compare the physiological and perceptual responses between playing a cycling exergame alone or with others. Methods: In this randomized crossover study, 15 healthy individuals aged between 10 and 30 years completed a single-player and a multiplayer exergaming session. The main outcomes were exercise intensity, measured as oxygen uptake (V̇O2) and heart rate (HR), and perceived enjoyment, pleasure, and exertion. Results: Peak HR was significantly higher during multiplayer (172 ± 23 beats per minute [bpm]) versus single-player exergaming (159 ± 27 bpm) with a mean difference of 13 bpm (95% CI: 2 to 24, p = 0.02). Peak V̇O2 was 33.6 ± 9.5 mL·kg-1·min-1 and 30.4 ± 9.1 mL·kg-1·min-1 during multiplayer and single-player exergaming, respectively with no statistically significant difference between conditions (3.2, 95% CI: -0.2 to 6.6 mL·kg-1·min-1, p = 0.06). Average HR, average V̇O2 and perceptual responses did not differ between single- and multiplayer exergaming. Conclusion: Other than inducing a higher HR, multiplayer exergaming showed no significant benefits on exercise intensity or perceptual responses over single-player exergaming. However, the higher peak HR and a tendency of higher peak V̇O2 intensity during multiplayer exergaming imply that multiplayer exergaming may offer some advantages over single-player exergaming that could impact the potential health benefits of exergaming.