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Related Experiment Videos

Evaluation of a modified cognitive-behavioural programme for weight management.

L Rapoport1, M Clark, J Wardle

  • 1Department of Epidemiology and Public Health, University College London, UK.

International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity
|December 29, 2000
PubMed
Summary

A modified cognitive-behavioural treatment (M-CBT) for obesity improved health and well-being without focusing on weight loss. This approach led to sustained lifestyle changes and health benefits at one year follow-up.

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Area of Science:

  • Behavioral Science
  • Obesity Research
  • Clinical Psychology

Background:

  • Obesity presents significant psychosocial costs and physiological health risks.
  • Traditional weight management often focuses on weight loss, potentially neglecting holistic well-being.
  • A novel approach is needed to address obesity's multifaceted nature.

Purpose of the Study:

  • To evaluate a modified cognitive-behavioural treatment (M-CBT) for weight management.
  • M-CBT was designed to address psychosocial costs and physiological risks of obesity.
  • The study specifically excluded a primary focus on weight loss.

Main Methods:

  • A randomized controlled trial compared M-CBT with standard cognitive-behavioural therapy (S-CBT).
  • Sixty-three overweight women (BMI ≥ 28 kg/m²) participated.

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  • Outcomes included weight, body composition, lipids, glucose, blood pressure, psychological well-being, and lifestyle factors.

    • Main Results:

    • Both M-CBT and S-CBT improved physical, psychological, and behavioral variables.
    • While S-CBT initially showed greater weight loss, both groups achieved it.
    • M-CBT participants continued weight loss up to 1-year follow-up and reported positive satisfaction.

    Conclusions:

    • Both M-CBT and S-CBT facilitated modest weight loss and improved emotional well-being.
    • Treatments enhanced activity, fitness, dietary quality, and reduced cardiovascular disease risk factors.
    • The findings support a paradigm shift towards sustained lifestyle changes for health benefits in obesity management.