Adding cognitive behavioural treatment to either low- XXXX or low-fat diets: differential short-term effects.

@entity1 @entity353 @entity28 @entity41401 @entity19202 @entity1735
To evaluate the efficacy of adding cognitive behavioural treatment (CBT) to either a low- @entity1735 (LC) diet or a low-fat (LF) diet in the treatment of @entity353 @entity1 , a randomised clinical intervention study was performed. A total of 105 healthy non-pregnant @entity28 @entity1 (average age and BMI of 45.4 (sd 10.4) years and 36 (sd 4.3) kg/m2) were randomly allocated to the CBT or control (C) groups; within each group, @entity1 were randomly selected to receive either the LC or LF diet during 6 months. The pre-planned primary trial end-point was the @entity353 . Differences between the groups were assessed using one-way ANOVA. There were three @entity1 (2.8 %) who dropped out, all of them in the CBT group. No differences in the anthropometric and laboratory characteristics at baseline were noted between @entity1 in the CBT (n 52) and control groups (n 50). Intention-to-treat analysis showed that @entity353 in the CBT-LC (90 (sd 12.3) to 82.1 (sd 12.1) kg) and @entity19202 (89.4 (sd 10.0) to 85.8 (sd 9.8) kg) groups reached 8.7 and 4.0 %, respectively (P < 0.0001), and in the CBT-LF (87.9 (sd 11.4) to 79.4 (sd 11.8) kg) and @entity41401 (88.8 (sd 14.5) to 85.3 (sd 14.3) kg) groups it was 9.7 and 3.9 %, respectively (P < 0.05). Weight loss was higher in the CBT-LF group than in the CBT-LC groups (P = 0.049). The present results showed that adding CBT to either the LF or LC diet produced significantly greater short-term @entity353 in @entity28 @entity1 compared with diet alone. These finding support the efficacy of CBT in breaking previous dietary patterns and in developing healthier attitudes that reinforce a healthier lifestyle.
