title: [Cognitive behavioral treatment in the integral management of obesity in adolescents].
abstract: OBJECTIVE
  Obesity in children and adolescents is associated to a morbidity that has increased significantly. It has become a public health problem around the world. The objective of this paper was to evaluate the efficacy of the cognitive behavioral treatment strategy in the comprehensive management of obesity in adolescents.
  
  
  METHODS
  Double blind, randomized, and controlled intervention study, of four months of follow-up, with a total of 115 obese adolescents, aged 12 to 16 years. The intervention group received cognitive behavioral treatment strategy, as well as advise on diet and exercise. At the same time, the control group only received advise on diet and exercise.
  
  
  RESULTS
  The percentage of adolescents who showed adherence to diet was 73.7 % versus 41.4 %, (p = 0.0009) and to exercise, 61.4 % versus 19.0 %, (p < 0.0005); compared with the control group, the intervention group was significantly higher. A total of 10 adolescents (17.5 %) in the intervention group and 26 (44.8 %) in the control group dropped-out (p = 0.003). Despite there were significant differences between groups, adolescents in the intervention group exhibited a higher and sustained decrease in body weight, body mass index, as well as in the body fat percentage.
  
  
  CONCLUSIONS
  The cognitive behavioral treatment strategy improves adherence and decreases desertion of the weight reduction program in adolescents.
authors.forename: Martha
authors.initials: M
authors.lastname: Rodríguez-Morán
authors.forename: Eduardo
authors.initials: E
authors.lastname: Mendoza-Ávila
authors.forename: Agustín
authors.initials: A
authors.lastname: Cumplido-Fuentes
authors.forename: Luis E
authors.initials: LE
authors.lastname: Simental-Mendía
authors.forename: Gabriela
authors.initials: G
authors.lastname: Rodríguez-Ramírez
authors.forename: Gloria Janeth
authors.initials: GJ
authors.lastname: Sánchez-Lazcano
authors.forename: Paulina
authors.initials: P
authors.lastname: Ramírez-Bonilla
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Cumplido-González
authors.affiliation: Unidad de Investigación Biomédica, Delegación Durango, Instituto Mexicano del Seguro Social. Durango, Durango, México. guerrero.romero@gmail.com.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Ortiz-Martínez
authors.forename: Gustavo Alan
authors.initials: GA
authors.lastname: Pinedo-Rodríguez
authors.forename: Ángel
authors.initials: Á
authors.lastname: Meza-Villa
authors.forename: Alma Fátima
authors.initials: AF
authors.lastname: Ortiz-Ramos
authors.forename: Gerardo
authors.initials: G
authors.lastname: Puerta-Mota
authors.forename: Fernando
authors.initials: F
authors.lastname: Guerrero-Romero
mesh_terms: D000293:Adolescent; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology / Q000628:therapy*
keywords: Adolescents; Cognitive therapy; Obesity