Cognitive behavioral therapy improves diet and body composition in overweight and obese adolescents  

Oleh:

Tsiros, Margarita D ; Sinn, Natalie ; Brennan, Leah ; Coates, Alison M ; Walkley, Jeff W ; and Others

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The American Journal of Clinical Nutrition vol. 87 no. 05 (Mei 2008), halaman 1134.
Topik: Obesity and eating disorders

Ketersediaan

Perpustakaan FK Nomor Panggil: A07.K.2008.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Background: Cognitive behavioral therapy (CBT) teaches behavioral and cognitive strategies that focus on achieving and maintaining lifestyle changes. Objective: We examined the effectiveness of a CBT program (CHOOSE HEALTH) for improving body composition, diet, and physical activity in overweight and obese adolescents. Design: Adolescents [16 male, 31 female; aged 14.5 ± 1.6 y; body mass index (BMI; in kg/m2) 30.9 ± 4.2] were block-matched into 2 groups by age, sex, Tanner stage, BMI, and hip and waist circumferences and were randomly assigned to CBT or no treatment (control). CBT consisted of 10 weekly sessions, followed by 5 fortnightly telephone sessions. Results: Compared with the control, over 20 wk, CBT improved (significant group x time interactions) BMI (CBT, –1.3 ± 0.4; control, 0.3 ± 0.3; P = 0.007), weight (CBT, –1.9 ± 1.0 kg; control, 3.8 ± 0.9 kg; P = 0.001), body fat (CBT, –1.5 ± 0.9 kg; control, 2.3 ± 1.0 kg; P = 0.001), and abdominal fat (CBT, –124.0 ± 46.9 g; control, 50.1 ± 53.5 g; P = 0.008). CBT showed a greater reduction in intake of sugared soft drinks as a percentage of total energy (CBT, –4.0 ± 0.9%; control, –0.3 ± 0.9%; P = 0.005 for group x time interaction), which was related to reductions in weight (r = 0.48, P = 0.04), BMI (r = 0.53, P = 0.02), and waist circumference (r = 0.54, P = 0.02). Physical activity did not change significantly. Conclusions: A 10-wk CBT program followed by 10 wk of fortnightly phone contact improved body composition in overweight and obese adolescents. Changes in soft drink consumption may have contributed to this benefit.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali