Provide fatigue management and prevent overexertion by appropriate game pacing. Due to the prevalence of sedentary lifestyles, institutionalized older adults often have a reduced stamina level and are much more prone to movement based injury and overexertion. Games need to manage player fatigue through appropriate pacing, e.g., alternation of physically intense and less challenging game periods that allow players to relax and recover. Depending on the degree of player frailty, challenging periods should be shortened while relaxing game tasks can be extended. Reminders to take a break (or shutdown of the game) depending on the player’s overall level of fitness should be integrated to avoid overexertion.