Cognitive Behavioral Approach to Treat Obesity: A Randomized Clinical Trial

Author(s):Show less -

Moraes, Amanda dos Santos ^{[1, 2]} ; Padovani, Ricardo da Costa ^{[1, 2, 3]} ; La Scala Teixeira, Caue Vazquez ^{[1, 2]} ; Cuesta, Maria Gabriela Soria ^{[1, 2, 4]} ; Gil, Silvandro dos Santos ^{[1, 2]} ; de Paula, Barbara ^{[2, 5]} ; dos Santos, Gilberto Monteiro ^[2] ; Goncalves, Rodrigo Tributino ^[6] ; Damaso, Ana Raimunda ^[2] ; Oyama, Lila Missae ^{[2, 4]} ; Gomes, Ricardo Jose ^{[1, 2, 7]} ; Caranti, Danielle Arisa ^{[1, 2, 3, 7]}

Affiliation

^[1] Univ Fed Sao Paulo, Post Grad Program Interdisciplinary Hlth Sci, Sao Paulo - Brazil

^[2] Univ Fed Sao Paulo, Obes Study Grp GEO, Postgrad Program Nutr, Sao Paulo - Brazil

^[3] Univ Fed Sao Paulo, Hlth Educ & Soc Dept, Sao Paulo - Brazil

^[4] Univ Fed Sao Paulo, Post Grad Program Food Nutr, Sao Paulo - Brazil

^[5] Univ Fed Sao Paulo, Grad Program Interdisciplinary Hlth Sci, Sao Paulo - Brazil

^[6] Univ Sao Paulo, Inst Math & Comp Sci, Sao Carlos - Brazil

^[7] Univ Fed Sao Paulo, Biosci Dept, Sao Paulo - Brazil

• Document type: Journal article
• Source: FRONTIERS IN NUTRITION; v. 8, FEB 18 2021.
• Web of Science Citations: 0

Abstract

Our aim was to analyze and compare the effects of three different long-term treatments on anthropometric profiles, eating behaviors, anxiety and depression levels, and quality of life of groups of adults with obesity. Methods: The 43 participants in the study were randomly assigned to one of three groups: the education and health group (EH, n = 12), which received lectures on health topics; the physical exercise group (PE, n = 13), which underwent physical training; and the interdisciplinary therapy plus cognitive behavioral therapy (IT + CBT) (n = 18) group, which received physical training, nutritional advice, and physical and psychological therapy. Results: Total quality of life increased significantly in the EH group (o = 2.00); in the PE group, body weight significantly decreased (o = -1.42) and the physical domain of quality of life improved (o = 1.05). However, the most significant changes were seen in the IT + CBT group, in which the anthropometric profile improved; there were an increase in quality of life in all domains (physical, psychological, social, and environmental), an improvement in eating behaviors {[}Dutch Eating Behavior Questionnaire (DEBQ), total o = -8.39], and a reduction in depression {[}Beck Depression Inventory (BDI), o = -10.13). Conclusion: The IT + CBT program was more effective than the PE and EH programs. (AU)

• FAPESP's process: 11/51723-7 - Effects of interdisciplinary therapy on metabolic syndrome control in obese adults and its relationship with pro and anti inflammatory adipocytes
• Grantee: Danielle Arisa Caranti
• Support Opportunities: Regular Research Grants
• FAPESP's process: 15/06630-1 - Insulin resistance, obesity and cognitive disorders: comparison between interdisciplinary therapy and physical training
• Grantee: Ricardo Jose Gomes
• Support Opportunities: Regular Research Grants