Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut, Lebanon.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut, Lebanon.
Clin Nutr ESPEN. 2021 Apr;42:215-220. doi: 10.1016/j.clnesp.2021.01.036. Epub 2021 Feb 13.
BACKGROUND & AIM: Obesity is a growing healthcare problem in Arabic-speaking countries although the effectiveness of the lifestyle modification program for weight management in this region is still lacking. Accordingly, this study aimed to assess long-term outcomes following an adapted lifestyle modification program based on cognitive behavioral therapy for obesity (CBT-OB) in Lebanon.
Forty-five adult participants with obesity were recruited consecutively at the Outpatient Clinic of the Department of Nutrition and Dietetics at Beirut Arab University (Lebanon). Patients were offered an individualized form of CBT-OB lasting 18 months comprising two phases (a weight loss phase of 6 months and a weight-maintenance phase of 12 months).
Twenty-five patients completed the treatment, with a mean weight loss of -11.58% after 6 months (-11.46% in the intention-to-treat analysis) and -8.84% after 18 months (-9.51% in the intention-to-treat analysis). Weight loss was associated with improvement in Health-Related Quality of Life (HRQoL) at six-month follow-up and in glycated hemoglobin (HbA1c) and body composition patterns at 18-month follow-up.
Our findings provide evidence supporting the use of CBT-OB for obesity as a standard in 'real-world' clinical setting in Lebanon. Future studies are needed on larger samples and other populations in Arab-speaking countries.
肥胖是阿拉伯国家日益严重的医疗保健问题，尽管该地区生活方式改变计划在体重管理方面的有效性仍有待研究。因此，本研究旨在评估基于认知行为疗法的肥胖生活方式改变计划（CBT-OB）在黎巴嫩的长期效果。
在贝鲁特阿拉伯大学（黎巴嫩）营养与饮食系的门诊，连续招募了 45 名肥胖的成年参与者。为患者提供个体化的 CBT-OB，持续 18 个月，包括两个阶段（6 个月的减肥阶段和 12 个月的体重维持阶段）。
25 名患者完成了治疗，6 个月后体重平均减轻了-11.58%（意向治疗分析为-11.46%），18 个月后体重平均减轻了-8.84%（意向治疗分析为-9.51%）。体重减轻与健康相关生活质量（HRQoL）在 6 个月时得到改善，糖化血红蛋白（HbA1c）和身体成分模式在 18 个月时得到改善有关。
我们的研究结果为 CBT-OB 在黎巴嫩的“真实世界”临床环境中作为肥胖标准的使用提供了证据。未来需要在更大的样本和阿拉伯国家的其他人群中进行研究。
