01. tbl. 100. árg. 2014
The effectiveness of the treatment program „Enjoy eating“ on health and mood in obese women
Áhrif meðferðarinnar „Njóttu þess að borða“ á heilsu og líðan kvenna sem flokkast með offitu
Introduction: Obesity is one of the greatest public health challenges world wide and its prevalence has increased during the past 20-30 years. Obesity is related to physical and mental health and increased mortality. There are few evidence-based treatment options for the obese available in Iceland.
Material and methods: The purpose of this pilot study was to develop a 15 week group program based on Cognitive Behavior Therapy and Appetite Awareness Training for young obese women. The participants were randomly allocated to two groups, A and B, in a convenience sample of 20 women, aged 19-44 with a BMI 30-39.9 kg/m². Group A attended the program while group B served as a control in a crossover design where group B subsequently participated in the program. The effectiveness of the program was evaluated before, during and at the end of the program and at six and twelve month follow-up. Information was collected on body weight, BMI, body fat and body fat mass, blood pressure, cholesterol, triglyceride, high density lipoprotein and 25(OH)D, quality of life (SF-36 and OP scale), symptoms of depression (BDI-II) and anxiety (BAI). Additionally participants completed a questionnaire on demographics and their view on participating in the program was assessed.
Results: Participants reduced their weight (P=0.001), BMI (P=0.001), body fat (P=0.010), body fat mass (P=0.002), diastolic blood pressure (P=0.005) and vitamin D status improved (P=0.008). Symptoms of depression and anxiety decreased (P<0.001 and P<0.004). Quality of life measured with OP scale improved (P=0.006) and the mental component summary (MCS) (P=0.012) of the SF-36 scale. The mean weight loss was 3.7 kg following intervention which was maintained at follow up.
Conclusion: „The enjoy eating“ program is a promising health promotion approach in the health care sector for obese women to improve mental health, quality of life and loose weight.
Key words: Obesity, cognitive behavior therapy, appetite awareness training, program, mood.
Tables and figures:
Table II. Results before and after intervention, P-value in group A + B, group A and group B
Table III. Group A+B. Results before and after intervention an at six and twelve-month follow-up.
Figure 1. Intervention period (15 weeks) and followup (12 months).
Figure 2. Structure of sessions in the „Enjoy Eating“program.
Figure 3. Depressive symptoms (BDI-II) in group A measured at monthly intervals from the beginning to the end of the program.
Figure 4. Depressive symptoms (BDI-II) in group B; the first two boxes show symptoms while the group served as a control group and the following ones the development during the program period.
Correspondence: Eiríkur Örn Arnarson, eirikur@lsh.is
Larusdottir H, Saevarsdottir H, Steingrimsdottir L, Gudmundsson L, Arnarson EO
¹University of Iceland 2Landspitali University Hospital 3Primary Health Care of the Capital Area 4 Unit for Nutrition Research 5Reykjalundur Rehabilitation Centre