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Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: A randomized controlled trial
Qazvin University of Medical Sciences, Qazvin, Iran.
Qazvin University of Medical Sciences, Qazvin, Iran.
Hong Kong Polytechnic University, Kowloon, Hong Kong.
Nottingham Trent University, Nottingham, United Kingdom.
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2019 (English)In: Diabetes & Metabolic syndrome: clinical Research & Reviews, ISSN 1871-4021, E-ISSN 1878-0334, Vol. 13, no 3, p. 2190-2197Article in journal (Refereed) Published
Abstract [en]

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 among adolescents. 

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 13, no 3, p. 2190-2197
Keywords [en]
Adolescence, CBT, Nutrition, Obesity, Overweight
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:hj:diva-44352DOI: 10.1016/j.dsx.2019.05.010ISI: 000472598700078PubMedID: 31235156Scopus ID: 2-s2.0-85066156391Local ID: PP HHJ 2019 embargo 12;HHJCHILDISOAI: oai:DiVA.org:hj-44352DiVA, id: diva2:1322815
Available from: 2019-06-11 Created: 2019-06-11 Last updated: 2019-07-12Bibliographically approved

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Available from 2020-05-22 00:00

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Björk, MariaPakpour, Amir H.

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