Effectiveness of web‐based interventions in achieving weight loss and weight loss maintenance in overweight and obese adults: a systematic review with meta‐analysis
Abstract
Summary: The objectives of this systematic review are to evaluate the effectiveness of web‐based interventions on weight loss and maintenance and identify which components of web‐based interventions are associated with greater weight change and low attrition rates. A literature search from 1995 to April 2008 was conducted. Studies were eligible for inclusion if: participants were aged ≥18 years with a body mass index ≥25, at least one study arm involved a web‐based intervention with the primary aim of weight loss or maintenance, and reported weight‐related outcomes. Eighteen studies met the inclusion criteria. Thirteen studies aimed to achieve weight loss, and five focused on weight maintenance. Heterogeneity was evident among the studies with seven research questions examined across interventions of varying intensity. Seven studies were assessed for effectiveness based on percentage weight change, with four studies deemed effective. Although the four meta‐analyses suggest meaningful weight change, it is not possible to determine the effectiveness of web‐based interventions in achieving weight loss or maintenance due to heterogeneity of designs and thus the small number of comparable studies. Higher usage of website features may be associated with positive weight change, but we do not know what features improve this effect or reduce attrition.
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Several systematic reviews provide evidence for the effectiveness of eHealth interventions in the treatment of individuals with obesity.
“Several systematic reviews provide evidence for the effectiveness of eHealth interventions in the treatment of individuals with obesity (34–36).”
From Efficacy of eHealth interventions to reduce depression symptoms in individuals with obesity: a systematic review of randomized controlled trials (2024) · cites this paper as [36]
Web-based weight management interventions lead to meaningful weight loss, particularly relative to no-intervention control groups or minimal interventions.
“There is evidence that such interventions lead to meaningful weight loss [1], particularly relative to no-intervention control groups or minimal interventions [2].”
From A Visualization Tool to Analyse Usage of Web-Based Interventions: The Example of Positive Online Weight Reduction (POWeR) (2015) · cites this paper as [1]
Sustained and frequent usage of intervention leads to better outcomes in physical activity, dietary behavior change, and weight loss.
“Sustained and frequent usage of intervention has been found to lead to better outcomes in terms of physical activity, dietary behavior change, and weight loss [2,21].”
From Personal Health Technologies in Employee Health Promotion: Usage Activity, Usefulness, and Health-Related Outcomes in a 1-Year Randomized Controlled Trial (2013) · cites this paper as [21]
A recent review by Neve and colleagues excluded a number of studies that used interactive health communication methods that were not conducted over the Internet.
“In addition, a recent review by Neve and colleagues excluded a number of studies that used interactive health communication methods that were not conducted over the Internet (Neve 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Neve 2010
To date, two systematic reviews have been published that examine the impact of web-based weight control programs among adults.
“To date, two systematic reviews have been published that examine the impact of web-based weight control programs among adults (Arem 2010; Neve 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Neve 2010
The results of this review are similar to those of other recent reviews.
“These results are similar to those of other recent reviews (Neve 2010; Reed 2012).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Neve 2010
In Neve and colleagues' review, the heterogeneity of the research questions posed and study designs, coupled with the small number of studies, made conclusions difficult.
“Although this review compared a greater number of studies, the heterogeneity of the research questions posed and study designs, coupled with the small number of studies made conclusions difficult (Neve 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Neve 2010
In 2010, Neve and colleagues published a review that included 20 studies.
“In 2010, Neve and colleagues published a review that included 20 studies (Neve 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Neve 2010
Many evaluations of eHealth interventions report either no positive effects at all or only limited ones.
“However, many evaluations of eHealth interventions report either no positive effects at all or only limited ones [8-12].”
From Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions (2012) · cites this paper as [9]
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- Authors
- Neve, M., Morgan, P. J., Jones, P. R., & Collins, C. E.
- Affiliations
- University of Newcastle Australia (AU)
- Corresponding author
- Neve, M.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2010-03-22
- Volume
- 11
- Issue
- 4
- Pages
- 306-321
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W2051999098
- Cited by
- 459
- References
- 27
- Citations by year
- 2026: 3 · 2025: 14 · 2024: 12 · 2023: 17 · 2022: 28 · 2021: 14 · 2020: 20 · 2019: 23 · 2018: 36 · 2017: 40 · 2016: 46 · 2015: 33 · 2014: 62 · 2013: 36 · 2012: 31
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- online intervention, weight loss, weight maintenance, obesity, overweight adults, intervention attrition, body mass index
- MeSH terms
- Adult, Female, Humans, Male, Obesity, Patient Education as Topic, Research Design, Self Care, Weight Loss, Treatment Outcome, Internet
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