Total energy expenditure (kcal) from 30 minutes of a no-activity control trial (CTRL), virtual drumming at expert level using a handheld game device (HANDHELD), active drumming at expert level using drum pads and sticks (DRUM), and treadmill walking at 30% of VO2max (WALK). Data are Means ± SD. † denotes P < 0.05 vs. corresponding HANDHELD and CTRL values. # denotes P < 0.05 vs. corresponding DRUM, HANDHELD, AND CTRL values.