The effect of cognitive behavioral stress management on perceived stress, biological stress markers and weight loss/regain, from a diet-induced weight loss program: A randomized controlled trial

Autor: D.M. Manodhi K. Saranapala, John Baranoff, R. Louise Rushworth, Ian Westley, Kathryn Collins, Anne L.J. Burke, Andrea Parker, Julio Licinio, Peter M. Clifton, David J. Torpy
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Comprehensive Psychoneuroendocrinology, Vol 10, Iss , Pp 100124- (2022)
Druh dokumentu: article
ISSN: 2666-4976
DOI: 10.1016/j.cpnec.2022.100124
Popis: Obesity and psychosocial stress are inter-related chronic conditions which lead to increased cardiovascular morbidity and mortality. The aim of this parallel randomized controlled trial was to determine whether the addition of a structured cognitive behavioral stress management (CBSM) on to a commercial online weight loss program, resulted in greater weight loss than the standard weight loss program in isolation. Eligible participants were adults between the ages 18–65, BMI 30–45 kg/m2, with no major systemic or psychiatric conditions. Seventy-four participants were assigned according to simple randomization using computer generated random numbers to either a 3-month online Weight Watchers® program (n = 36), or Weight Watchers® plus 10 weekly sessions of CBSM (n = 38). The primary outcome was weight at 3 months compared to baseline. Secondary outcomes were weight at 12 months and subjective/objective stress system measures and metabolic markers at 3 and 12 months. The study was powered at 90% to detect a 5 kg difference in weight between the two groups at 3 months. Independent sample t-tests were used to analyze the difference in weight (in kg) between the groups and paired sample t-tests were used to analyze the difference within group at different time intervals. At follow-up, there was no significant difference in weight loss between the groups (1.8 kg, 2.1 kg). However, CBSM was effective in reducing psychological measures of stress (p
Databáze: Directory of Open Access Journals