Gaming in Pandemic Times: An International Survey Assessing the Effects of Covid-19 Lockdowns on Video Gamer's Health

Background : The onset of COVID-19 coincided with the peak growth of video game usage with 2.7 billion gamers in 2020. During the pandemic, gaming and streaming platforms offered an entertaining, social, and safe alternative to recreation during severe lockdowns and social isolations. This study aimed to examine the impact of the COVID-19 pandemic on health-related outcomes in self-proclaimed video gamers based on the type of lockdown experienced, and to discuss the potential role of video games during times of preventive lockdown measures. Methods: This was a cross-sectional international survey constructed by two academic institutions NYIT (NY; USA); McGill University, (Montreal, Canada) and Adamas Esports (BC, Canada). The survey consisted of questions including demographics, multiple-choice, rating, and Likert scales relating to prior and during the COVID-19 lockdowns. Respondents included 897 replies from North America (72.7%), Europe (10.9%), Asia (4.9%) and other countries (11.5%) mean age 22 years. Results: Significant increases in game time were reported in casual and competitive gamers during the first months of the pandemic. Level of gaming, type of lockdown, and physical activity level prior to the pandemic were examined as potential moderating factors. Significant increases in sedentary behaviors (video game time and sitting time) were observed, while physical activity levels remained unchanged in most participants regardless of the type of lockdown. Sleep time, but not sleep quality, increased, while mental health exhibited opposing effects, influenced by the type of lockdown and gaming competition levels. Conclusions: Video games, when played moderately, could offer a cost-effective, safe strategy to promote socialization, mental health, and improve the overall well-being of the non-gaming and gaming population during pandemic times when strict lockdowns are in place.