Ogata Keizaburo, Koyama Ken I, Amitani Marie, Amitani Haruka, Asakawa Akihiro, Inui Akio
Department of Clinical Psychology, Kitasato University East Hospital, Sagamihara, Japan.
Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Front Nutr. 2018 Jun 27;5:56. doi: 10.3389/fnut.2018.00056. eCollection 2018.
It is difficult for obese (body mass index of more than 30) and overweight (body mass index of 25-30) people to reduce and maintain their weight. The aim of this case series was to examine the effectiveness of a new cognitive behavioral therapy (CBT) program that combines mindfulness exercises (e.g., the raisin exercise and breathing exercises) and an online intervention to prevent dropout and subsequent weight gain in overweight participants. This case series included three participants, for whom previous weight reduction programs had been unsuccessful. All participants completed the program (60-min, group sessions provided weekly for 9 weeks) and an 18-month follow-up assessment. Results showed that all participants succeeded in losing weight (loss ranged from 5.30 to 8.88% of their total body weight). Although rebound weight gain is commonly observed in the first year following initial weight loss, the follow-up assessment showed that participants achieved further weight loss during the 18-month follow-up period. These results suggest that a CBT program that comprises mindfulness and an online intervention may be an effective method for weight loss and maintenance, and may prevent dropout in obese and overweight individuals.
This case series was registered at www.umin.ac.jp with identifier UMIN000029664.
肥胖（体重指数超过30）和超重（体重指数为25 - 30）的人很难减轻体重并维持体重。本病例系列的目的是检验一种新的认知行为疗法（CBT）项目的有效性，该项目结合了正念练习（如葡萄干练习和呼吸练习）以及在线干预措施，以防止超重参与者退出并避免随后体重增加。该病例系列包括三名参与者，他们之前的减肥项目均未成功。所有参与者均完成了该项目（为期9周，每周提供一次60分钟的小组课程）以及18个月的随访评估。结果显示，所有参与者均成功减重（减重幅度为其总体重的5.30%至8.88%）。尽管在最初减重后的第一年通常会观察到体重反弹增加，但随访评估显示，参与者在18个月的随访期内实现了进一步减重。这些结果表明，包含正念和在线干预的CBT项目可能是一种有效的减肥及维持体重的方法，并且可能防止肥胖和超重个体退出。
