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Cognitive Behavior Therapy’s Effect in a Weight Loss Program Among Obese Iranian Women

Seif-Barghi, Tohid, MD; Akbari-Fakhrabadi, Maryam, MSc; Teimori, Mohammad Pasha, MD; Tashk, Anahita, MD; Alizadeh, Zahra, MD; Memari, Amir Hossein, MD

doi: 10.1097/NT.0000000000000281
Food and Culture

Obesity is a global health concern with a higher prevalence among women than men. Cognitive behavioral therapy (CBT) for obesity is a form of behavior therapy in combating obesity, which has rarely been used in developing countries. In a single-blind clinical trial, we evaluated the effect of CBT on the adherence to low-calorie diets (LCDs) with increased physical activity and anthropometric indices in a 4-month follow-up study of obese Iranian women. In this single-blind clinical trial, 72 Iranian women with obesity were recruited and divided into 2 study groups. The intervention group in addition to an individual LCD and a speed walking program received CBT. Assessments were accomplished on 3 time points (baseline and after 2 and 4 months). Anthropometric measurements showed a significant decrease in the intervention group compared with the control group over time (P < .001). Adherence to diet (80% vs 74%) and mean steps counted (24 590 vs 20 466) were significantly higher in the intervention group compared with the control group after 4 months of follow-up, respectively (P < .05). Changes in motivations with CBT can improve adherence to exercise and a healthy LCD among obese women in developing countries.

Tohid Seif-Barghi, MD, is assistant professor of sports medicine at the Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Iran.

Maryam Akbari-Fakhrabadi, MSc, is researcher at the Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Iran.

Mohammad Pasha Teimori, MD, is a sports medicine specialist at a private clinic. Dr Teimori is now with the Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Iran.

Anahita Tashk, MD, is assistant professor of psychology at Health Psychology, Shahid Bahonar University of Kerman, Iran.

Zahra Alizadeh, MD, is assistant professor of sports medicine at Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Iran.

Amir Hossein Memari, MD, is head of Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Iran.

T.S.-B. was involved in study design and supervisor. M.A.-F. was involved in study design and preparation of manuscript. M.P.T. performed data collection. A.T. performed data interpretation. Z.A. analyzed the data. A.H.M. performed manuscript preparation and editing.

The authors have no conflicts of interest to disclose.

Correspondence: Maryam Akbari-Fakhrabadi, MSc, Number 7, Jalal al-e Ahmad Highway, Tehran, Iran 14395578 (akbari.maryam88@gmail.com).

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