How can I make time for exercise and spend less time on video games?

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Put the controller down, and get out of the house! You should record your time spent playing video games over the course of a week and see how many hours you spend behind the television. Surely, there is an hour you can set aside everyday before pressing the power button.

Managing time starts with an awareness of how you are spending your time. The first important steps is to figure out exactly how much time you are spending playing video games. People find it extremely helpful to keep a time diary. For three days write down everything you do during the time with the corresponding time and length of time. For example, 8-8:30 eat breakfast, 8:30-9:30 work, 9:30-Noon video games, Noon-1 lunch, 2:30-3:30 meeting, 4:00-5:00 work on project. If you look at this you'll notice that there are several blocks of unutilized time between 1-2:30 and 3:30-4 and then a large chunk of time from 9:30-Noon used for playing video games.

You shouldn't have to utilize every second of everyday but this does show that there is time available during this day and that a large chunk of time is used to play video games. People think they don't have time but realize they either do, aren't managing their time efficiently or are so busy that it feels like there isn't any underutilized time available. Once you become aware of how you are using your time then you can better manage it. If your goal is to spend less time playing video games and more time exercise maybe try bargaining with yourself. For example, for every 30 minutes of exercise you get 30 minutes of video game playing. 
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If you play videogames too frequently, you may want to find a way to interact with other people for motivation. Ask a friend or neighbor to join you in regular hikes around the neighborhood or to shoot some hoops at a community court.  I cannot stress enough the benefits of having someone to help along the way.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.