Mapping the use of virtual reality in health promotion and weight management among overweight and obese individuals ‒ a scoping review
DOI:
https://doi.org/10.15584/ejcem.2026.1.5Keywords:
adiposity, obesity, overweight, weight loss, virtual realityAbstract
Introduction and aim. Obesity and overweight, defined by excess body fat, are major global public health challenges. Virtual reality (VR) is emerging as a novel tool for health promotion and weight management. This scoping review aimed to map existing research on VR applications in overweight and obese populations.
Material and methods. Following PRISMA-ScR guidelines, systematic searches were conducted in PubMed, SCOPUS, EBSCO, Pedro, Embase, Web of Science, and Google Scholar up to March 2025. Keywords included ‘obese’, ‘overweight’ and “virtual reality.” Eligible studies were cross-sectional, experimental or randomized controlled trials involving overweight or obese individuals exposed to VR-based interventions targeting physical health, behavior change, or weight control. Two reviewers independently screened and extracted the data.
Results. Ten studies published between 2012 and 2025 were included. Most involved adolescents and women, with limited representation of men and older adults. VR interventions varied in immersion, platform, and focus, targeting physical activity, behavioral change, and nutrition. Outcomes commonly included body composition, physical activity, emotional well-being, and diet. Heterogeneity prevented meta-analysis.
Conclusion. VR holds promise as a multidimensional tool for the management of obesity. However, more inclusive, culturally adapted, and long-term studies are needed to validate its effectiveness and applicability in diverse populations.
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World Health Organization. Obesity and overweight. Published May 7, 2025. Accessed May 30, 2025. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766-781. doi:10.1016/S0140-6736(14)60460-8
Marques A, Peralta M, Naia A, Loureiro N, de Matos MG. Prevalence of adult overweight and obesity in 20 European countries, 2014. Eur J Public Health. 2018;28(2):295-300. doi:10.1093/eurpub/ckx143
Hubbard VS. Defining overweight and obesity: what are the issues? Am J Clin Nutr. 2000;72(5):1067-1068. doi:10.1093/ajcn/72.5.1067
Sanchez-Vives MV, Slater M. From presence to consciousness through virtual reality. Nat Rev Neurosci. 2005;6(4):332-339. doi:10.1038/nrn1651
Sveistrup H, Thornton M, Bryanton C, et al. Outcomes of intervention programs using flatscreen virtual reality. Conf Proc IEEE Eng Med Biol Soc. 2004;2004:4856-4858. doi:10.1109/IEMBS.2004.1404343
Warburton DE, Bredin SS, Horita LT, et al. The health benefits of interactive video game exercise. Appl Physiol Nutr Metab. 2007;32(4):655-663. doi:10.1139/H07-038
Ferrer-Garcia M, Gutiérrez-Maldonado J, Riva G. Virtual reality based treatments in eating disorders and obesity: a review. J Contemp Psychother. 2013;43:207-221. doi:10.1007/s10879-013-9240-1
Cho H, Sohng KY. The effect of a virtual reality exercise program on physical fitness, body composition, and fatigue in hemodialysis patients. J Phys Ther Sci. 2014;26(10):1661-1665. doi:10.1589/jpts.26.1661
Seo EY, Kim YS, Lee YJ, Hur MH. Virtual reality exercise program effects on body mass index, depression, exercise fun and exercise immersion in overweight middle-aged women: a randomized controlled trial. Int J Environ Res Public Health. 2023;20(2):900. doi:10.3390/ijerph20020900
Navarro J, Cebolla A, Llorens R, Borrego A, Baños RM. Manipulating self-avatar body dimensions in virtual worlds to complement an internet-delivered intervention to increase physical activity in overweight women. Int J Environ Res Public Health. 2020;17(11):4045. doi:10.3390/ijerph17114045
Jones L, Ekkekakis P. Affect and prefrontal hemodynamics during exercise under immersive audiovisual stimulation: improving the experience of exercise for overweight adults. J Sport Health Sci. 2019;8(4):325-338. doi:10.1016/j.jshs.2018.06.008
Mologne MS, Hu J, Carrillo E, et al. The efficacy of an immersive virtual reality exergame incorporating an adaptive cable resistance system on fitness and cardiometabolic measures: a 12-week randomized controlled trial. Int J Environ Res Public Health. 2022;20(1):210. doi:10.3390/ijerph20010210
Baños RM, Escobar P, Cebolla A, et al. Using virtual reality to distract overweight children from bodily sensations during exercise. Cyberpsychol Behav Soc Netw. 2016;19(2):115-119. doi:10.1089/cyber.2015.0340
Behm-Morawitz E, Lewallen J, Choi G. A second chance at health: how a 3D virtual world can improve health self-efficacy for weight loss management among adults. Cyberpsychol Behav Soc Netw. 2016;19(2):74-79. doi:10.1089/cyber.2015.0366
Wu Q, Han R, Li Z, et al. Effect of virtual reality-based exercise and physical exercise on adolescents with overweight and obesity: study protocol for a randomized controlled trial. BMJ Open. 2023;13(10):e075332. doi:10.1136/bmjopen-2023-075332
Thomas J, Goldstein C, Bond D, Hadley W, Tuerk P. Web-based virtual reality to enhance behavioural skills training and weight loss in a commercial online weight management programme: the Experience Success randomized trial. Obes Sci Pract. 2020;6:e451. doi:10.1002/osp4.451
Sullivan DK, Goetz JR, Gibson CA, et al. A virtual reality intervention (Second Life) to improve weight maintenance: rationale and design for an 18-month randomized trial. Contemp Clin Trials. 2016;46:77-84. doi:10.1016/j.cct.2015.12.010
Phelan S, Peruvemba S, Levinson D, et al. Feasibility of a virtual reality based approach to improve behavioral weight management outcomes. Pilot Feasibility Stud. 2021;7(1):129. doi:10.1186/s40814-021-00865-5
Castelnuovo G, Pietrabissa G, Manzoni GM, et al. Cognitive behavioral therapy to aid weight loss in obese patients: current perspectives. Psychol Res Behav Manag. 2017;10:165-173. doi:10.2147/PRBM.S113092
Manzoni GM, Cattivelli R, Molinari E, Castelnuovo G. Virtual reality-based behavioral therapy for obesity and binge-eating disorder: a systematic review. J Clin Med. 2019;8(5):738. doi:10.3390/jcm8050738
Dascal J, Reid M, IsHak WW, et al. Virtual reality and medical inpatients: a systematic review of randomized, controlled trials. Innov Clin Neurosci. 2017;14(1-2):14-25.
De Carvalho MR, Dias TR, Duchesne M, Nardi AE, Appolinario JC. Virtual reality as a promising strategy in the assessment and treatment of bulimia nervosa and binge eating disorder: a systematic review. Behav Sci (Basel). 2017;7(3):43. doi:10.3390/bs7030043
Young KS, Rennalls SJ, Leppanen J, et al. Exposure to food in anorexia nervosa and brain correlates of food-related anxiety: findings from a pilot study. J Affect Disord. 2020;274:1068-1077. doi:10.1016/j.jad.2020.05.001
Robertson C, Archibald D, Avenell A, et al. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol Assess. 2014;18(35):v-424. doi:10.3310/hta18350
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