Evaluation of a modified cognitive-behavioural programme for weight management

Int J Obes Relat Metab Disord. 2000 Dec;24(12):1726-37. doi: 10.1038/sj.ijo.0801465.

Abstract

Objective: To evaluate a modified cognitive-behavioural treatment (M-CBT) for weight management which addresses both the psychosocial costs and the physiological health risks of obesity, without a focus on weight loss.

Design: Randomized controlled trial comparing M-CBT with standard cognitive-behavioural therapy (S-CBT).

Subjects: Sixty-three overweight women with body mass index (BMI) > or = 28 kg/m2, mean age = 47.5 and mean BMI = 35.4.

Measures: Weight, waist and hip circumference, blood lipids, blood glucose, blood pressure, psychological well-being, depression, self esteem, stress, binge eating, eating style, body image, nutrient intake, aerobic fitness, activity levels, patient satisfaction with treatment.

Results: Both M-CBT and S-CBT achieved improvements in a broad range of physical, psychological and behavioural variables. Weight loss in the S-CBT group was greater than in the M-CBT group immediately after treatment, but both groups lost weight. Participants in the M-CBT group continued to lose weight up to the 1 y follow-up. M-CBT was evaluated positively by participants.

Conclusions: Both M-CBT and S-CBT programmes were successful at inducing modest weight loss, as well as improving emotional well-being, reducing distress, increasing activity and fitness, improving dietary quality and reducing cardio-vascular disease risk factors. The improvements were maintained or continued at 1 y follow-up. These results suggest that treatment based on the new weight-control paradigm which emphasizes sustained lifestyle change without emphasis on dieting, can produce modest benefits to health and well-being.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue
  • Adult
  • Behavior Therapy*
  • Blood Glucose / analysis
  • Blood Pressure
  • Body Composition
  • Body Constitution
  • Body Image
  • Body Mass Index
  • Body Weight
  • Cardiovascular Diseases
  • Cognition*
  • Cohort Studies
  • Depression / complications
  • Diet
  • Exercise
  • Feeding Behavior
  • Female
  • Humans
  • Lipids / blood
  • Middle Aged
  • Obesity / psychology
  • Obesity / therapy*
  • Patient Acceptance of Health Care
  • Risk Factors
  • Self Concept
  • Treatment Outcome
  • Weight Loss*

Substances

  • Blood Glucose
  • Lipids