[Comparative study of medical advice and cognitive-behavioral group therapy in the treatment of child-adolescent obesity].
OBJECTIVE
The aim of this study was to compare the efficacy of medical advice and cognitive-behavioral group therapy in the treatment of primary obesity in children and adolescents 7 to 15 years old.


METHODS
From five primary care centers 353 subjects (176 boys and 177 girls) were recruited and assigned to three groups. These groups were: medical advice (Group 1), cognitive-behavioral group therapy (Group 2) and those that rejected all treatments (Group 3). Forty variables were controlled and studied for association with prognosis.


RESULTS
A significant, but modest decrease in relative body mass index was noted in groups 1 and 2 in the first 6 months, but at two years no differences between the three groups were detected.


CONCLUSIONS
It is concluded that cognitive-behavioral group therapy is not more effective than medical advice in our population and neither had a significant effect at two years when compared to no treatment.
Bustos Lozano
G
G
Centro de Salud Dr. Mendiguchia, Leganés, Madrid.
Moreno Martín
F
F
Calderín Marrero
M A
MA
Martínez Quesada
J J
JJ
Díaz Martínez
E
E
Arana Cañedo
C
C
D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000628:therapy*; D011615:Psychotherapy, Group