Brief cognitive-behavioral therapy for weight loss in midlife women: a controlled study with follow-up

Pimenta, Filipa; Leal, Isabel; Marôco, João; Ramos, Catarina

doi:10.2147/ijwh.s35246

Cited by 16 publications

(25 citation statements)

References 39 publications

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“…11,12 Nearly 80% of pediatricians report frustration with modifying children's obesity, however. 13 Patient motivation is associated with program adherence and predicts weight reduction.…”

Section: What This Study Addsmentioning

confidence: 99%

Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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BACKGROUND AND OBJECTIVE: Motivational interviewing (MI) has been shown to be an effective strategy for targeting obesity in adolescents, and parental involvement is associated with increased effectiveness. The aim of this study was to evaluate and compare the role of parental involvement in MI interventions for obese adolescents.METHODS: A total of 357 Iranian adolescents (aged 14-18 years) were randomized to receive an MI intervention or an MI intervention with parental involvement (MI + PI) or assessments only (passive control). Data regarding anthropometric, biochemical, psychosocial, and behavioral measures were collected at baseline and 12 months later. A series of intention-totreat, 2-way repeated-measures analysis of covariance were performed to examine group differences in change in outcomes measures over the 12-month follow-up period.RESULTS: Results revealed significant effects on most of the outcome parameters for MI + PI (eg, mean 6 SD BMI z score: 2.58 6 0.61) compared with the passive control group (2.76 6 0.70; post hoc test, P = .02), as well as an additional superiority of MI + PI compared with MI only (2.81 6 0.76; post hoc test, P = .05). This pattern was also shown for most of the anthropometric, biochemical, psychometric, and behavioral outcome variables.CONCLUSIONS: MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings might be important when administering MI interventions in school settings. WHAT'S KNOWN ON THIS SUBJECT:Motivational interviewing (MI) has been found to increase the effectiveness of weight loss programs in obese children and adolescents. Although parental involvement seems to be linked to its effectiveness, strong conclusions cannot be drawn. WHAT THIS STUDY ADDS:The present study found that MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings are important when administering MI interventions in school settings.

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“…11,12 Nearly 80% of pediatricians report frustration with modifying children's obesity, however. 13 Patient motivation is associated with program adherence and predicts weight reduction.…”

Section: What This Study Addsmentioning

confidence: 99%

Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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“…Moreover, the findings are consistent with previous studies using CBT on overweight and obese adults. Consequently, CBT programs appear to be one of the most effective treatments for childhood and obesity, and the integration of cognitive skills in such therapies improves their effectiveness (31, [51][52][53][54][55] Despite the fact that the energy intake was not statistically significant between the two groups, the composition of the consumed food was different. More nutritious and less harmful foods were consumed by the CBT group.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: A randomized controlled trial

Miri

Javadi

Lin

et al. 2019

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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To assess the effectiveness of a cognitive-behavioral treatment (CBT) program on weight reduction among Iranian adolescents who are overweight. MethodsUsing a randomized controlled trial design, 55 adolescents who were overweight (mean [SD] age=14.64 [1.69] years; zBMI=2.18 [0.65]) were recruited in the CBT program and 55 in the treatment as usual (TAU; mean age=14.88 [1.50]; zBMI=2.09 [0.57]) group. All the participants completed several questionnaires (Child Dietary Self-Efficacy Scale; Weight Efficacy Lifestyle questionnaire; Physical Exercise Self-Efficacy Scale; Pediatric Quality of Life Inventory; and self-reported physical activity and diet) and had their anthropometrics measured (height, weight, waist and hip circumferences, and body fat). ResultsThe CBT group consumed significantly more fruits and juice, vegetables, and dairy in the 6month follow-up as compared with the TAU group (p-values <0.001). The CBT group consumed significantly less sweet snacks, salty snacks, sweet drinks, sausages/processed meat, and oils in the six-month follow-up compared with the TAU group (p-values<0.001).Additionally, the waist circumference, BMI, waist-hip ratio, and fat mass were significantly decreased in the CBT group in the six-month follow-up compared with the TAU group (p-values<0.005). The CBT group significantly improved their psychosocial health, physical activity, and health-related quality of life (p-values<0.001). ConclusionThe CBT program showed its effectiveness in reducing weight among Iranian adolescents who were overweight. Healthcare providers may want to adopt this program to treat excess weight problems for adolescents. 24 to estimate the duration of mild activities. The duration of each activity was summed up to calculate a weekly amount. The time elapsed during sleep and for each activity is multiplied by a constant number, which was 1 for sleep, 1.5 for light activity, 4 for moderate activity, 6 for hard activity, and 10 for very hard activity. To estimate adolescents' energy expenditure (in kilocalories), the scores are summed. To estimate the average amount of consumed energy on a day from the past week, the score was divided by 7. This questionnaire has been translated into Persian and was found as a useful tool for assessing the level of physical activity (47). Anthropometric measurements and body compositionAll body measurements were performed at the beginning of the study and after six months of the intervention. The weight of each adolescent was recorded using the SECA scale (SECA, Hamburg, Germany) with the least clothes and no shoes (100g accuracy). Height was recorded using a portable 217 SECA (SECA GmbH, Hamburg, Germany) with a precision of 0.1cm, when the heel was against the wall and the face was towards the researcher. The body mass index (BMI) was calculated with weight divided by the height in square meters. The anthropometric index of Z-scores for height-for-age, weight-for-age, and BMI-for-age were calculated as indicators of growth status for the children using Anthroplus softw...

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“…25 On the other hand, two trials report a beneficial effect of CBT on weight loss when the authors compare patients treated with CBT with patients in the waiting list for the same treatment. 26,28 We provide a standard care consisting in individual visits every three months, thus each patient underwent a more regular control and received advices which are not typical in waiting list patients. Additionally, we aimed to implement a model of group CBT which could be easily accepted and performed in clinical practice.…”

Section: Discussionmentioning

confidence: 99%