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

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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