Implications for further research
REGRESSION
Our future research should address the limitation of the absence of a control group by incorporating a control group to strengthen internal validity and enhance the study's overall robustness. To strengthen future research endeavors, we recommend the inclusion of a control group in subsequent studies. The integration of a control group will allow for more robust statistical comparisons and a more accurate assessment of the intervention's effects. In addition, randomization and blinding should be provided for future studies.Furthermore, the impact on HR and BP could not be proven due to various influencing factors such as VR experience, sex, age group, training frequency and medication intake on physiological and perceptual responses. Descriptive differences show that these factors should be investigated in further studies. To enable this, a larger sample and regression models should be used. In order to derive a greater clinical relevance, a consideration of the blood pressure in the 24-h context would be desirable and should be considered in subsequent investigations.Moreover, the further development of the exergame requires an adjustment of the training duration in order to follow the ACSM recommendations of at least 30 min training on the one hand and to increase the training intensity on the other hand. This can also be achieved through the number of exercises, repetitions and sets as well as different dumbbell weight.