The Use of Virtual Reality to Improve Nutritional Fulfillment in Hospitalized Children: A Systematic Review
Abstract
Hospitalized children often experience decreased appetite, which is influenced by stress and anxiety. This decrease in appetite can worsen the recovery process and increase the risk of complications. VR technology has emerged as one of the promising innovations to reduce anxiety and improve nutritional fulfillment in children during medical treatment. Objective: To evaluate the effectiveness of Virtual Reality (VR) in improving nutritional fulfillment in hospitalized children. Method: A literature search was conducted on four major databases: PubMed, ProQuest, ScienceDirect, and Scopus. Three articles with Randomized Controlled Trial (RCT) design that met the inclusion criteria were selected and analyzed in this review. The articles were evaluated using the Joanna Briggs Institute (JBI) form to assess risk of bias and methodological quality. Results: This study shows that VR is more effective than animated videos in reducing anxiety, increasing appetite, and motivating children to eat nutritious food. In addition, VR also provides benefits as an interactive educational tool that appeals to children. Conclusion: VR is a promising intervention in improving nutritional fulfillment in hospitalized children. This technology not only reduces anxiety, but also has the potential to increase children's participation in the recovery process. Further research with larger samples is needed to confirm these findings and explore the applicability of VR to different age groups and diverse medical conditions.
References
Chang, Z. Y., Kang, G. C.-Y., Koh, E. Y. L., Fong, R. J. K., Tang, J., Goh, C. K., & Tan, N. C. (2022). Immersive Virtual Reality in Alleviating Pain and Anxiety in Children During Immunization in Primary Care: A Pilot Randomized Controlled Trial. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.847257
Daly, A. N., Kearney, J. M., & O’Sullivan, E. J. (2024). The underlying role of food guilt in adolescent food choice: A potential conceptual model for adolescent food choice negotiations under circumstances of conscious internal conflict. Appetite, 192, 107094. https://doi.org/10.1016/j.appet.2023.107094
Dolwick, A. P., & Persky, S. (2021). Parental reward-based eating drive predicts parents’ feeding behaviors and Children’s ultra-processed food intake. Appetite, 164. https://doi.org/10.1016/j.appet.2021.105241
Fuentes, E. M., Varela-Aldás, J., Palacios-Navarro, G., & García-Magariño, I. (2020). Immersive Virtual Reality App to Promote Healthy Eating in Children (pp. 9–15). https://doi.org/10.1007/978-3-030-50729-9_2
Hagerman, C. J., Ferrer, R. A., Klein, W. M. P., & Persky, S. (2019). Association of Parental Guilt With Harmful Versus Healthful Eating and Feeding From a Virtual Reality Buffet. Health Psychology. https://doi.org/10.1037/hea0000831
Pescud, M., & Pettigrew, S. (2014). ‘I know it’s wrong, but . . .’: a qualitative investigation of low‐income parents’ feelings of guilt about their child‐feeding practices. Maternal & Child Nutrition, 10(3), 422–435. https://doi.org/10.1111/j.1740-8709.2012.00425.x
Porras-Garcia, B., Ferrer-Garcia, M., Serrano-Troncoso, E., Carulla-Roig, M., Soto-Usera, P., Miquel-Nabau, H., Olivares, L. F. D. C., Marnet-Fiol, R., Santos-Carrasco, I. de la M., Borszewski, B., Díaz-Marsá, M., Sánchez-Díaz, I., Fernández-Aranda, F., & Gutiérrez-Maldonado, J. (2021). An-vr-be. A randomized controlled trial for reducing fear of gaining weight and other eating disorder symptoms in anorexia nervosa through virtual reality-based body exposure. Journal of Clinical Medicine, 10(4), 1–23. https://doi.org/10.3390/jcm10040682
Smit, E. S., Meijers, M. H. C., & van der Laan, L. N. (2021). Using virtual reality to stimulate healthy and environmentally friendly food consumption among children: An interview study. International Journal of Environmental Research and Public Health, 18(3), 1–13. https://doi.org/10.3390/ijerph18031088
So, J. T. H., Byrne, R., Nambiar, S., Gallegos, D., & Baxter, K. A. (2024). “You just have to spread it thin”: Perceptions and feeding experiences of Australian fathers of young children living with disadvantage. Appetite, 194, 107197. https://doi.org/10.1016/j.appet.2023.107197
Yaremych, H. E., & Persky, S. (2023). Development and Validation of the Parental Food Choice Guilt Scale. European Journal of Psychological Assessment. https://doi.org/10.1027/1015-5759/a000800
Zangenberg, M., Abdissa, A., Johansen, Ø. H., Tesfaw, G., Friis, H., Briend, A., Eshetu, B., Kurtzhals, J. A. L., & Girma, T. (2020). Critical evaluation of the appetite test for children with severe acute malnutrition. Tropical Medicine and International Health, 25(4), 424–432. https://doi.org/10.1111/tmi.13360.
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



