Efficacy of Cognitive Behavioral Therapy in Adherence to the Mediterranean Diet in Metabolic Syndrome Patients: A Randomized Controlled Trial
| Autor: | Nuria Navarrete Navarrete, Miguel Ángel Ferrer-González, María Isabel Peralta-Ramírez, Jaqueline Garcia-Silva, Antonio García-Sánchez, Vicente E. Caballo |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Waist Mediterranean diet medicine.medical_treatment Psychological intervention Medicine (miscellaneous) 030204 cardiovascular system & hematology Diet Mediterranean law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine Humans 030212 general & internal medicine Metabolic Syndrome Nutrition and Dietetics Cognitive Behavioral Therapy business.industry Anthropometry Middle Aged medicine.disease Clinical trial Cognitive behavioral therapy Physical therapy Patient Compliance Female Metabolic syndrome business |
| Zdroj: | Journal of nutrition education and behavior. 50(9) |
| ISSN: | 1878-2620 |
| Popis: | Objective Verify the efficacy of cognitive behavioral therapy (CBT) in adherence to the Mediterranean diet (MedDiet) in metabolic syndrome (MetS) patients. Design, Setting, Participants, and Intervention In the Multimodal Intervention Program for Patients with Metabolic Syndrome clinical trial, 79 MetS patients completed the intervention. Of those, 48 belonged to the experimental group and 31 to the control group. The intervention received by the experimental group was CBT; the control group followed usual care and attended a workshop on healthy lifestyle. Main Outcome Measure(s) and Analysis Anthropometric, biochemical, psychological, and lifestyle measures were taken before and after the intervention at 3 and 6 months. Analyses included paired t tests, ANOVA, and ANCOVA. Results The ANOVA results showed a statistically significant interaction between the 2 groups in waist circumference (P = .009), triglycerides (P = .015), and adherence to the MedDiet (P = .026). The ANCOVA results indicated between-group difference in waist circumference (P = .026 and .062 at 3 and 6months, respectively), in triglycerides (P = .009 and .860 at 3 and 6 months, respectively), and in MedDiet (P = .024 and .273 at 3 and 6 months, respectively). Conclusions and Implications In interventions in which CBT was applied, significant improvements were observed in MetS patients, especially in adherence to the MedDiet. |
| Databáze: | OpenAIRE |
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