Brief group cognitive behavioral treatment in addition to prescriptive diet versus standard care in obese and overweight patients. A randomized controlled trial.

Muggia, Chiara; Falchi, Anna Giulia; Michelini, Ilaria; Montagna, Elisabetta Sara; Silvestri, Annalisa De; Grecchi, Ilaria; Brondino, Natascia; Tinelli, Carmine

doi:10.1016/j.clnme.2013.11.002

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…This study is part of a pragmatic randomized clinical trial [ 20 ] on the effectiveness of a novel brief group Cognitive Behavioural Treatment (CBT), accepted and performed in clinical practice, in addition to a prescriptive diet compared with the prescriptive diet alone (standard care), in obese and overweight outpatients without eating disorders. A total of 146 patients attending the Outpatient Clinic for Treatment of Obesity of Clinica Medica 2-I.R.C.C.S San Matteo General Hospital in Pavia were consecutively enrolled between March 2007 and March 2008.…”

Section: Methodsmentioning

confidence: 99%

Early dropout predictive factors in obesity treatment

et al. 2014

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Diet attrition and failure of long term treatment are very frequent in obese patients. This study aimed to identify pre-treatment variables determining dropout and to customise the characteristics of those most likely to abandon the program before treatment, thus making it possible to modify the therapy to increase compliance. A total of 146 outpatients were consecutively enrolled; 73 patients followed a prescriptive diet while 73 followed a novel brief group Cognitive Behavioural Treatment (CBT) in addition to prescriptive diet. The two interventions lasted for six months. Anthropometric, demographic, psychological parameters and feeding behaviour were assessed, the last two with the Italian instrument VCAO Ansisa; than, a semi-structured interview was performed on motivation to lose weight. To identify the baseline dropout risk factors among these parameters, univariate and multivariate logistic models were used. Comparison of the results in the two different treatments showed a higher attrition rate in CBT group, despite no statistically significant difference between the two treatment arms (P = 0.127). Dropout patients did not differ significantly from those who did not dropout with regards to sex, age, Body Mass Index (BMI), history of cycling, education, work and marriage. Regardless of weight loss, the most important factor that determines the dropout appears to be a high level of stress revealed by General Health Questionnaire-28 items (GHQ-28) score within VCAO test. The identification of hindering factors during the assessment is fundamental to reduce the dropout risk. For subjects at risk, it would be useful to dedicate a stress management program before beginning a dietary restriction.

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Section: Methodsmentioning

confidence: 99%

Early dropout predictive factors in obesity treatment

et al. 2014

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“…Most trials compared two or more weight management intervention groups, 28–69 and five compared a weight management to a weight–neutral intervention group using a non‐diet approach to health focusing on self‐acceptance and improving emotional well‐being 70–73 . Four trials included a no‐treatment or waitlist comparator group 14,71,73,74 .…”

Section: Resultsmentioning

confidence: 99%

“…Most trials compared two or more weight management intervention groups, 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 and five compared a weight management to a weight–neutral intervention group using a non‐diet approach to health focusing on self‐acceptance and improving emotional well‐being. 70 , 71 , 72 , 73 Four trials included a no‐treatment or waitlist comparator group.…”

Section: Resultsmentioning

confidence: 99%

“…Behavior change, psychological, or counselling strategies within interventions ranged from guided selfhelp to group and/or individual counselling sessions with a clinical psychologist. Cognitive behavior therapy was provided as part of the intervention for six studies 38,39,51,56,65,67. 3.1.2 | OutcomesStudies measured eating disorder risk using nine different assessment tools.…”

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confidence: 99%

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Eating disorder risk during behavioral weight management in adults with overweight or obesity: A systematic review with meta‐analysis

et al. 2023

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This systematic review examined change in eating disorder risk during weight management interventions. Four databases and clinical trials registries were searched in March and May 2022, respectively, to identify behavioral weight management intervention trials in adults with overweight/obesity measuring eating disorder symptoms at pre-and post-intervention or follow-up. Random effects meta-analyses were conducted examining within group change in risk. Of 12,023 screened, 49 were eligible (n = 6337, mean age range 22.1 to 59.9 years, mean (SD) 81(20.4)% female).Interventions ranged from 4 weeks to 18 months, with follow-up of 10 weeks to 36 months post-intervention. There was a within group reduction in global eating disorder scores (20 intervention arms; Hedges' g = À0.27; 95% CI À0.36, À0.17; I 2 67.1%) and binge eating (49 intervention arms; À0.66; 95% CI À0.76, À0.56; I 2 82.7%) post-intervention, both maintained at follow-up. Of 14 studies reporting prevalence or episodes of binge eating, all reported a reduction. Four studies reported

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“…One hundred and twenty-four studies provided data on changes in cardiometabolic disease incidence or risk factors and were included here. 16–138…”

Section: Resultsmentioning

confidence: 99%

Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis

Hartmann‐Boyce

Theodoulou

Oke

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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BACKGROUND: Behavioral weight management programs (BWMPs) enhance weight loss in the short term, but longer term cardiometabolic effects are uncertain as weight is commonly regained. We assessed the impact of weight regain after BWMPs on cardiovascular risk factors, diabetes, and cardiovascular disease. METHODS: Trial registries, 11 databases, and forward-citation searching (latest search, December 19) were used to identify articles published in English, from any geographical region. Randomized trials of BWMPs in adults with overweight/obesity reporting cardiometabolic outcomes at ≥12 months at and after program end were included. Differences between more intensive interventions and comparator groups were synthesized using mixed-effects, meta-regression, and time-to-event models to assess the impact of weight regain on cardiovascular disease incidence and risk. RESULTS: One hundred twenty-four trials reporting on ≥1 cardiometabolic outcomes with a median follow-up of 28 (range, 11–360) months after program end were included. Median baseline participant body mass index was 33 kg/m 2 ; median age was 51 years. Eight and 15 study arms (7889 and 4202 participants, respectively) examined the incidence of cardiovascular disease and type 2 diabetes, respectively, with imprecise evidence of a lower incidence for at least 5 years. Weight regain in BWMPs relative to comparators reduced these differences. One and 5 years after program end, total cholesterol/HDL (high-density lipoprotein) ratio was 1.5 points lower at both times (82 studies; 19 003 participants), systolic blood pressure was 1.5 mm mercury and 0.4 mm lower (84 studies; 30 836 participants), and HbA1c (%) 0.38 lower at both times (94 studies; 28 083 participants). Of the included studies, 22% were judged at high risk of bias; removing these did not meaningfully change results. CONCLUSIONS: Despite weight regain, BWMPs reduce cardiometabolic risk factors with effects lasting at least 5 years after program end and dwindling with weight regain. Evidence that they reduce the incidence of cardiovascular disease or diabetes is less certain. Few studies followed participants for ≥5 years. REGISTRATION: URL: https://www.crd.york.ac.uk/PROSPERO/ ; Unique identifier: CRD42018105744.

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Brief group cognitive behavioral treatment in addition to prescriptive diet versus standard care in obese and overweight patients. A randomized controlled trial.

Cited by 6 publications

References 27 publications

Early dropout predictive factors in obesity treatment

Early dropout predictive factors in obesity treatment

Eating disorder risk during behavioral weight management in adults with overweight or obesity: A systematic review with meta‐analysis

Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis

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