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We selected randomised controlled trials (RCTs) from the inception to October 9, 2023, using nine databases: PubMed, Cochrane Library, CINAHL, EMBASE, PsycINFO, Scopus, Web of Science, IEEE, ProQuest Dissertations and Theses, and ProQuest. A total of 16 RCTs were included, involving 1144 overweight and obese adults. Meta-analysis revealed that VR-enhanced intervention was comparable to conventional intervention in terms of weight (<jats:italic>g<\/jats:italic> = \u2212\u00a00.42 to \u2212\u00a00.10, <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) and BMI (<jats:italic>g<\/jats:italic> = \u2212\u00a00.59 to \u2212\u00a00.27, <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) reductions at post-intervention and follow-up assessments. Participants perceived their body dissatisfaction (g = \u2212\u00a00.46 to \u2212\u00a00.40, <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) and body avoidance (g = \u2212\u00a00.44, <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) to be similar between VR-enhanced interventions and conventional interventions at post-intervention and follow-up assessments. VR-enhanced interventions seem to be superior to conventional interventions for contour drawing rating (<jats:italic>g<\/jats:italic> = \u2212\u00a00.25, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) at post-intervention assessment. However, the level of certainty was low for all outcomes. The VR-enhanced intervention can be considered a supplementary intervention for weight reduction and body image improvement among overweight and obese adults. However, further well-designed RCTs with large sample sizes are necessary.<\/jats:p>","DOI":"10.1007\/s10055-025-01134-z","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T14:32:36Z","timestamp":1743863556000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Virtual reality-enhanced interventions to improve weight control and body image in overweight and obese adults: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"29","author":[{"given":"Qin Ping","family":"Yaw","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue Lun","family":"Loh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina Lai Tong","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen Wei","family":"Ang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Ho","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"issue":"1","key":"1134_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03069885.2021.1885008","volume":"50","author":"J Asiain","year":"2022","unstructured":"Asiain J, Braun M, Roussos AJ (2022) Virtual reality as a psychotherapeutic tool: current uses and limitations. 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