Impact of a stress management program on weight loss, mental health and lifestyle in adults with obesity: a randomized controlled trial.

Journal of molecular biochemistry Pub Date : 2018-01-01 Epub Date: 2018-10-03
Niovi Xenaki, Flora Bacopoulou, Alexandras Kokkinos, Nicolas C Nicolaides, George P Chrousos, Christina Darviri
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Abstract

Aim: To evaluate the impact of a stress management program on weight loss, depression, anxiety and stress as well as on the adoption of healthy lifestyle in adults with obesity.

Methods: Adults with obesity who sought help for weight loss at a medical obesity clinic were consecutively enrolled in the study and were randomly assigned to the intervention or control group. All participants received standard instructions for a healthy lifestyle. The intervention group attended an 8-week stress management program that comprised diaphragmatic breathing, progressive muscle relaxation, guided visualization and instructions about healthy nutrition/dietary habits. Anthropometric parameters were assessed and several questionnaires were completed by all participants, at the beginning and at the end of the study.

Results: A total of 45 adults (mean age±SD 45.7±10.55 years) with obesity were enrolled in the study; 22 in the intervention group and 23 in the control group. Participants in the two groups were matched for age and BMI. Participants in the intervention group achieved a significantly larger reduction in BMI compared to the control group (ΔBMI -3.1 vs. -1.74 kg/m2 respectively, P<0.001). In addition, they displayed ameliorated depression and anxiety scores and a reduction in the health locus of control based on chance.

Abstract Image

压力管理项目对肥胖成人减肥、心理健康和生活方式的影响:一项随机对照试验。
目的:评价压力管理项目对肥胖成人减肥、抑郁、焦虑和压力的影响,以及对健康生活方式的影响。方法:在医学肥胖诊所寻求减肥帮助的成年肥胖患者被连续纳入研究,并随机分为干预组和对照组。所有参与者都接受了健康生活方式的标准指导。干预组参加了一个为期8周的压力管理项目,包括横膈膜呼吸、渐进式肌肉放松、引导可视化和关于健康营养/饮食习惯的指导。在研究开始和结束时,对所有参与者的人体测量参数进行了评估,并完成了几份问卷调查。结果:共纳入45例肥胖成人(平均年龄±SD 45.7±10.55岁);干预组22人对照组23人两组参与者的年龄和身体质量指数相匹配。与对照组相比,干预组参与者的BMI显著降低(ΔBMI -3.1 vs. -1.74 kg/m2)
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