Health programs incorporating physical activity components in office space work environments are encouraged to reduce sedentary/sitting down time that has recently been shown to be detrimental to employee health. PURPOSE: The aim of this pilot project is to compare energy expenditure of three methods to play dance active video games to reduce employee sedentary time and explore the possibilities and limitations to using this video game type as part of an employee based health program. METHODS: A total of 8 desk based worker participants (men, 26 ± 5 years) were recruited to perform 3 types of active video game dances using original instructions and a modification to allow individuals with limitations to play. The 3 dances were Party Rock Anthem, Land of 1000 Dances, and No limit (JustDance, Ubisoft, Montreal). The modifications were to play with a motion capture device (Kinect, Microsoft, USA), with a controller device (PSMove, Sony, Jp), and with a controller device in a sitting position (PSMove, Sony, Jp). The energy expenditure was measured by oxygen uptake using a portable metabolic analyser (K4b2, Cosmed, It) and the heart rate by a heart rate monitor (v800, Polar, Fi). RESULTS: The group average METS with Kinect vs PS vs sitting position during the Party Rock Anthem was 6.3±0.8, 5.5±1.2, and 3.0±0.8 METS (p<0.001). The group average METS on Kinect vs PS vs sitting position during Land of 1000 Dances was 7.4±1.6, 6.1±1.4, and 3.6±1.4 METS (p<0.001). Finally, the group average METS on Kinect vs PS vs sitting position during No limit was 6.8±1.3, 5.8±1.3, and 3.5 ± 1.1 METS (p<0.001). CONCLUSIONS: Knowing that now these games are available using only a cell phone as a controller and a simple computer with internet, it seems feasible to use these video games to reach the minimum ACSM guidelines in a health program for an office company, even when modified for physically limited employees. However, a significant difference between the different types of play and individual needs must be considered in a workplace health program. Furthermore, additional research needs to be done to measure the impact of implementing physical active work breaks on personnel fitness changes and retention.