Evaluation of a modified cognitive-behavioural programme for weight management.
OBJECTIVE
To evaluate a modified cognitive-behavioural treatment (M-CBT) for weight management which addresses both the psychosocial costs and the physiological health risks of obesity, without a focus on weight loss.


METHODS
Randomized controlled trial comparing M-CBT with standard cognitive-behavioural therapy (S-CBT).


METHODS
Sixty-three overweight women with body mass index (BMI) > or = 28 kg/m2, mean age = 47.5 and mean BMI = 35.4.


METHODS
Weight, waist and hip circumference, blood lipids, blood glucose, blood pressure, psychological well-being, depression, self esteem, stress, binge eating, eating style, body image, nutrient intake, aerobic fitness, activity levels, patient satisfaction with treatment.


RESULTS
Both M-CBT and S-CBT achieved improvements in a broad range of physical, psychological and behavioural variables. Weight loss in the S-CBT group was greater than in the M-CBT group immediately after treatment, but both groups lost weight. Participants in the M-CBT group continued to lose weight up to the 1 y follow-up. M-CBT was evaluated positively by participants.


CONCLUSIONS
Both M-CBT and S-CBT programmes were successful at inducing modest weight loss, as well as improving emotional well-being, reducing distress, increasing activity and fitness, improving dietary quality and reducing cardio-vascular disease risk factors. The improvements were maintained or continued at 1 y follow-up. These results suggest that treatment based on the new weight-control paradigm which emphasizes sustained lifestyle change without emphasis on dieting, can produce modest benefits to health and well-being.
Rapoport
L
L
Department of Epidemiology and Public Health, University College London, UK.
Clark
M
M
Wardle
J
J
D000273:Adipose Tissue; D000328:Adult; D001521:Behavior Therapy; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D001823:Body Composition; D001824:Body Constitution; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D002318:Cardiovascular Diseases; D003071:Cognition; D015331:Cohort Studies; D003863:Depression / Q000150:complications; D004032:Diet; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D012649:Self Concept; D016896:Treatment Outcome; D015431:Weight Loss
D001786:Blood Glucose; D008055:Lipids