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Miri, SF, Javadi, M, Lin, C-Y, Griffiths, MD 
ORCID: https://orcid.org/0000-0001-8880-6524, Björk, M and Pakpour, AH,
2019.
Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: a randomized controlled trial.
Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13 (3), pp. 2190-2197.
ISSN 1871-4021
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Abstract
Aim: To assess the effectiveness of a cognitive-behavioral treatment (CBT) program on weight reduction among Iranian adolescents who are overweight.
Methods: Using 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).
Results: The CBT group consumed significantly more fruits and juice, vegetables, and dairy in the 6-month 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).
Conclusion: The 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.
| Item Type: | Journal article |
|---|---|
| Publication Title: | Diabetes & Metabolic Syndrome: Clinical Research & Reviews |
| Creators: | Miri, S.F., Javadi, M., Lin, C.-Y., Griffiths, M.D., Björk, M. and Pakpour, A.H. |
| Publisher: | Elsevier Ltd. on behalf of Diabetes India |
| Date: | May 2019 |
| Volume: | 13 |
| Number: | 3 |
| ISSN: | 1871-4021 |
| Identifiers: | Number Type 10.1016/j.dsx.2019.05.010 DOI S1871402119302607 Publisher Item Identifier |
| Divisions: | Schools > School of Social Sciences |
| Record created by: | Jill Tomkinson |
| Date Added: | 29 May 2019 09:28 |
| Last Modified: | 20 Jun 2019 13:41 |
| URI: | https://irep.ntu.ac.uk/id/eprint/36666 |
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