BACKGROUND The number of patients with obesity continues to increase in our society. At the same time, digitalization defines our everyday life. Therefore, the question arises whether to use digital media for effective treatments against obesity. Aim of this review is a concise presentation of effects of media-assisted therapeutic approaches. METHODS A systematic literature research in multiple scientific databases, PubMed, Web of Science and Cochrane Library, was performed for literature published in the last 10 years (cut-off date 12.07.2017). Only randomized controlled trials using digital support for treatment and/or aftercare of obese adults aged between 18 to 70 years were included into the analysis. RESULTS Overall, 14 trials with data on a total of 4979 participants were included in this review. Generally, there are positive trends for increased moderate to vigorous physical activity by the use of digital media. A simultaneous usage of various digital media, which focus on important aspects of activity behavior, has proven to be effective. A combination of various digital media shows the greatest positive effect and could significantly increase physical activity. However, the biggest potential was found in mixed approaches combining digital devices and personal face-to-face support. CONCLUSIONS Therapeutic approaches using digital media for supporting obesity treatment did not show superior benefit over traditional personal therapeutic methods. Nevertheless, using both methods together offered the greatest potential for successful obesity therapy. However, there is a backlog of transparency concerning information about the content of treatment. Furthermore, there is a lack of valid data about aftercare and follow-up.

中文翻译：

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媒体辅助治疗方法对肥胖成年人身体活动的影响：系统评价。

背景技术在我们的社会中，肥胖症患者的数量持续增加。同时，数字化定义了我们的日常生活。因此，出现了是否使用数字媒体进行肥胖症有效治疗的问题。这篇综述的目的是简要介绍媒体辅助治疗方法的效果。方法对过去10年（截止日期为2017年7月）出版的文献，在PubMed，Web of Science和Cochrane图书馆等多个科学数据库中进行了系统的文献研究。该分析仅包括使用数字支持对18至70岁之间的肥胖成年人进行治疗和/或后期护理的随机对照试验。结果总体而言，本评价纳入了14项试验，总共有4979名参与者的数据。通常，通过使用数字媒体，中度到剧烈的体育锻炼有积极的趋势。事实证明，同时使用各种数字媒体（以活动行为的重要方面为重点）是有效的。各种数字媒体的组合显示出最大的积极效果，并且可以显着增加体育锻炼。但是，在将数字设备和个人面对面支持相结合的混合方法中发现了最大的潜力。结论使用数字媒体支持肥胖治疗的治疗方法并未显示出优于传统个人治疗方法的优势。尽管如此，同时使用这两种方法为成功的肥胖症治疗提供了最大的潜力。但是，关于治疗内容信息的透明度积压。