Treating Obesity with Personalized Cognitive Behavioral Therapy

Grave, Riccardo Dalle; Sartirana, Massimiliano; Ghoch, Marwan El; Calugi, Simona

doi:10.1007/978-3-319-91497-8

Cited by 34 publications

(44 citation statements)

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“…Some clinical implications can be derived from our findings given the need to raise awareness among clinicians (and patients) of the presence of sarcopenia in those seeking treatment for obesity. Second, our results reveal the importance of screening for SO in treatment-seeking patients with obesity, since this condition seems to be associated with a more sedentary lifestyle and may have an impact on the effectiveness of weight management programmes based on lifestyle modification work, focusing on enabling patients to cope with sedentary behavior and helping them to develop a more active lifestyle (27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37).…”

Section: Discussionmentioning

confidence: 87%

Association Between Reduced Daily Steps and Sarcopenic Obesity in Treatment-Seeking Adults With Obesity

et al. 2020

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Objectives: Understanding the condition that describes the coexistence of obesity and sarcopenia, termed sarcopenic obesity (SO), is becoming a scientific and clinical priority. In this study, we aimed to assess the prevalence of SO in treatment-seeking adults with obesity and investigate any potential association between SO and a sedentary lifestyle, expressed in terms of daily steps.Methods: In this cross-sectional, prospective observational study, body composition and daily steps measurements were obtained using a segmental body composition analyser (Tanita BC-418) and an Omron HJ-320 pedometer, respectively, in 111 adults of both genders with obesity (body mass index; BMI ≥ 30 kg/m 2 ), referred to the Outpatient Clinic in the Department of Nutrition and Dietetics at Beirut Arab University (BAU) in Lebanon. The participants were then categorized according to the presence of absence of SO, defined as an appendicular lean mass divided by body weight (ALM/weight) × 100%) of less than 23.40 and 29.60 in females and males, respectively.Results: Fifty-five of the 111 participants with obesity, with a mean age of 39.62 ± 16.55 years and a mean BMI of 38.05 ± 5.33 kg/m 2 met the criteria for SO and displayed a significantly higher prevalence of inactivity (<5,000 daily steps), i.e., nearly double (54.5% vs. 32.1%; p = 0.017) and they had a lower mean number of daily steps than those in the group without SO (5,279 ± 2,641 vs. 6,732 ± 2,989; p = 0.008). Linear regression analysis showed that SO is associated with a lower number of daily steps by 1,421 (β = −1421.4; −2508.9, −333.9; p = 0.011) after adjusting for age, gender employment and the presence of cardiometabolic disease.Conclusion: Sarcopenic obesity affects nearly 50% of treatment-seeking adults with obesity. Moreover, it seems to be associated with a lower number of daily steps and a sedentary lifestyle. Future studies are needed to clarify whether this may influence clinical outcomes. If this is shown to be the case, weight management programmes should incorporate additional physical activity strategies in this population.

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Section: Discussionmentioning

confidence: 87%

Association Between Reduced Daily Steps and Sarcopenic Obesity in Treatment-Seeking Adults With Obesity

et al. 2020

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“…Basic research clearly indicates that cognitive processes play an important role in maintaining excessive and dysregulated eating habits, making healthy eating difficult [6]. Moreover, several clinical studies in real-world settings have found significant associations between specific cognitive factors and treatment attrition, as well as the amount of weight patients are able to lose and maintain (Table 1) [14]. These findings have been the basis upon which CBT-OB has been designed, with a view to overcoming some of the shortcomings of traditional behavioural therapy for obesity (BT-OB) [15].…”

Section: Cognitive Processes Associated With Attrition Weight Loss Amentioning

confidence: 99%

“…BT-OB was originally based on learning theory (i.e., behaviourism), and the idea that education, and the recognition and modification of environmental stimuli (antecedents) and consequences of food intake (reinforcements), can prompt patients to change their dietary and physical activity habits with a view to reaching and maintaining a healthy weight [7,14] . The treatment was subsequently integrated with social cognitive theory (e.g., goal setting, modelling and self-efficacy) [8] and basic cognitive strategies (e.g., problem solving and cognitive restructuring) [9], as well as specific recommendations on diet and exercise [10].…”

Section: From Bt-ob To Cbt-obmentioning

confidence: 99%

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Personalized cognitive-behavioural therapy for obesity (CBT-OB): theory, strategies and procedures

Grave

Sartirana²,

Calugi

2020

BioPsychoSocial Med

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Personalized cognitive-behavioural therapy for obesity (CBT-OB) is a new treatment that combines the traditional procedures of standard behavioural therapy for obesity (i.e., self-monitoring, goal setting, stimulus control, contingency management, behavioural substitution, skills for increasing social support, problem solving and relapse prevention) with a battery of specific cognitive strategies and procedures. These enable the treatment to be individualized, and to help patients to address the cognitive processes that previous research has found to be associated with treatment discontinuation, the amount of weight lost and long-term weight-loss maintenance. The treatment programme can be delivered at three levels of care, outpatient, day hospital and residential, and includes six modules, which are introduced according to the individual patient's needs as part of a flexible, personalized approach. The primary goals of CBT-OB are to help patients to (i) achieve, accept and maintain healthy weight loss; (ii) adopt a lifestyle conducive to weight control; and (iii) develop a stable "weight-control mindset". A randomized controlled trial has found that 88 patients suffering from morbid obesity treated with CBT-OB followed a period of residential treatment achieved a mean weight loss of 15% after 12 months, with no tendency to regain weight between 6 and 12 months. The treatment efficacy is also supported by data from a study assessing the effects of group CBT-OB delivered in a real-world clinical setting. In that study, 77 patients with morbid obesity who completed the treatment achieved 9.9% weight loss after 18 months. These promising results, if confirmed by future clinical studies, suggest that CBT-OB has the potential to be more effective than traditional weight-loss lifestyle-modification programmes.

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“…Since body image dissatisfaction plays a mediating role in the relationship between excess weight and depression (10,17,18) and may be an obstacle to the effectiveness of cognitive-behavioral weight loss programs (19), examining the role of appearance related media messages in the relationhip between BMI and depression can be of great signi cance.…”

Section: Introductionmentioning

confidence: 99%

Relationship between sociocultural attitudes toward appearance and depression among patients with obesity

Czeglédi¹

2020

Preprint

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Background: Obesity is a significant risk factor for mental health. Depression and obesity appear to have a bi-directional relationship in which a number of mediating factors may play a role, such as body dissatisfaction. Unrealistic messages related to image may contribute to depression in individuals with excess weight through body image dissatisfaction. The aim of the present study was to investigate the role of appearance-related sociocultural attitudes in the development of two common comorbid psychological characteristics of obesity, namely, body image dissatisfaction and depression. Methods: The sample of the cross-sectional survey consisted of participants in an inpatient weight loss treatment (n = 339, 19% men). The mean age was 50.2 (SD = 13.47) years, the mean BMI was 38.6 (SD = 7.58) kg/m2. Measures: self-reported anthropometric data, Sociocultural Attitudes Towards Appearance Questionnaire-3, Body Shape Questionnaire – Short form 14, CES-D Depression Scale. Results: Results of path analysis revealed many weak but significant indirect paths between appearance-related sociocultural attitudes and depression through body image dissatisfaction (χ2 = 688.23, df = 35, p < .001; CFI = .995; TLI = .973; RMSEA = .039, 90% CI: .00 – .08; SRMR = .013). The model explains 31.8% of the variance of body dissatisfaction and 23.3% of the variance of depressive symptoms. Conclusions: Assessing the extent and causes of body image dissatisfaction and depression, and striving to reduce them can be a valuable addition of weight loss programs.

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Treating Obesity with Personalized Cognitive Behavioral Therapy

Cited by 34 publications

References 0 publications

Association Between Reduced Daily Steps and Sarcopenic Obesity in Treatment-Seeking Adults With Obesity

Association Between Reduced Daily Steps and Sarcopenic Obesity in Treatment-Seeking Adults With Obesity

Personalized cognitive-behavioural therapy for obesity (CBT-OB): theory, strategies and procedures

Relationship between sociocultural attitudes toward appearance and depression among patients with obesity

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