Advertisement
Research Brief| Volume 45, ISSUE 3, P264-268, May 2013

Improving Weight Maintenance Using Virtual Reality (Second Life)

      Abstract

      Objective

      Compare weight loss and maintenance between a face-to-face (FTF) weight management clinic and a clinic delivered via virtual reality (VR).

      Methods

      Participants were randomized to 3 months of weight loss with a weekly clinic delivered via FTF or VR and then 6 months' weight maintenance delivered with VR. Data were collected at baseline and 3 and 6 months for weight and process variables. Twenty overweight and obese individuals (31.1 ± 3.6 years of age; body mass index, 32.8 ± 5.1; 85% females; 20% minorities) responded to advertisement and met inclusion criteria. Diets (1,200–1,800 kcal/d) used prepackaged meals, fruits and vegetables, and physical activity (300 min/wk).

      Results

      Weight loss was significantly greater for FTF at 10.8% compared with 7.6% for VR (P < .05). However, weight maintenance was significantly greater for VR at 14.0% compared with 9.5% for FTF (P < .05).

      Conclusions and Implications

      Virtual reality compares favorably with FTF for weight loss and may facilitate greater weight maintenance.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Wing R.
        Behavioral Approaches to the Treatment of Obesity.
        2nd ed. Marcel Dekker, New York, NY2004
        • Wadden T.A.
        • Butryn M.L.
        • Byrne K.J.
        Efficacy of lifestyle modification for long-term weight control.
        Obes Res. 2004; 12: 151S-162S
        • Jakicic J.M.
        • Donnelly J.E.
        • Pronk N.P.
        • Jawad A.F.
        • Jacobsen D.J.
        Prescription of exercise intensity for the obese patient: the relationship between heart rate, VO2 and perceived exertion.
        Int J Obes (Lond). 1995; 19: 382-387
        • Perri M.
        • Corisca J.
        Improving the Maintenance of Weight Lost in Behavioral Treatment of Obesity.
        Guilford, New York, NY2002
        • Ronnestad B.R.
        • Egeland W.
        • Kvamme N.H.
        • Refsnes P.E.
        • Kadi F.
        • Raastad T.
        Dissimilar effects of one- and three-set strength training on strength and muscle mass gains in upper and lower body in untrained subjects.
        J Strength Cond Res. 2007; 21: 157-163
        • Donnelly J.E.
        • Smith B.K.
        • Dunn L.
        • et al.
        Comparison of a phone vs clinic approach to achieve 10% weight loss.
        Int J Obes (Lond). 2007; 31: 1270-1276
      1. Second Life. Linden Research Inc. http://www.secondlife.com. Accessed January 9, 2012.

        • Jarmon L.
        • Traphagan T.
        • Mayrath M.
        • Trivedi A.
        Virtual world teaching, experiential learning, and assessment: an interdisciplinary communication course in Second Life.
        Computers & Education. 2009; 53: 169-182
        • Taylor H.
        • Jacobs D.
        • Schucker B.
        • Knudsen J.
        • Leon A.
        • Debacker G.
        A questionnaire for the assessment of leisure time physical activities.
        J Chronic Dis. 1978; 31: 741-755
        • Donnelly J.E.
        • Kirk E.P.
        • Jacobsen D.J.
        • Hill J.O.
        • Sullivan D.K.
        • Johnson S.L.
        Effects of 16-months of verified, supervised aerobic exercise on macronutrient intake in overweight men and women: the Midwest Exercise Trial (MET).
        Am J Clin Nutr. 2003; 78: 950-956
        • Miller III, E.R.
        • Erlinger T.P.
        • Young D.R.
        • et al.
        Results of the Diet, Exercise, and Weight Loss Intervention Trial (DEW-IT).
        Hypertension. 2002; 40: 612-618
        • Skov A.R.
        • Toubro S.
        • Holm L.
        • Astrup A.
        Randomized trial on protein vs carbohydrate in ad libitum fat reduced diet for the treatment of obesity.
        Int J Obes Relat Metab Disord. 1999; 23: 5528-5536
        • Sheppard L.
        • Kristal A.R.
        • Kushi L.H.
        Weight loss in women participating in a randomized trial of low-fat diets.
        Am J Clin Nutr. 1991; 54: 821-828
        • Mifflin M.D.
        • St Jeor S.T.
        • Hill L.A.
        • Scott B.J.
        • Daugherty S.A.
        • Koh Y.O.
        A new predictive equation for resting energy expenditure in healthy individuals.
        Am J Clin Nutr. 1990; 51: 241-247
      2. US Department of Agriculture, US Department of Health and Human Services. Dietary Guidelines for Americans, 2010. http://www.cnpp.usda.gov/dietaryguidelines.htm. Published December 2010. Accessed December 13, 2012.

        • Donnelly J.E.
        • Blair S.N.
        • Jakicic J.M.
        • Manore M.M.
        • Rankin J.W.
        • Smith B.K.
        American College of Sports Medicine Position Stand: appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults.
        Med Sci Sports Exerc. 2009; 41: 459-471
        • Welsh E.
        • Jeffery R.
        • Levy R.
        • et al.
        Measuring perceived barriers to healthful eating in obese, treatment-seeking adults.
        J Nutr EducBehav. 2012; 44: 507-512
        • Gog T.V.
        • Ericsson K.A.
        • Rikers M.M.J.P.
        • Paas F.
        Instructional design for advanced learners: establishing connections between the theoretical frameworks of cognitive load and deliberate practice.
        Educ Tech Res Dev. 2005; 53: 73-81
        • Wing R.R.
        • Jeffery R.W.
        Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance.
        J Consult Clin Psychol. 1999; 67: 132-138
        • Lave J.
        • Wenger E.
        Situated Learning: Legitimate Peripheral Participation.
        Cambridge University Press, New York, NY1991
        • McConnon À
        • Kirk S.
        • Ransley J.
        Process evaluation of an internet-based resource for weight control: use and views of an obese sample.
        J Nutr Educ Behav. 2009; 41: 261-267