The Effect of CBT- Based Weight Loss Program on Eating Behavior, Weight Loss Result and Risk for Coronary Heart Diseases and Type 2 Diabetes (CognObe)
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Purpose
The investigators purpose is to study how CBT (cognitive behavioral therapy)-based weight loss program affects on eating behavior, weight loss and risk factors for CHD (coronary heart diseases)and type 2 diabetes. Moreover, the investigators aim is to recognize subjects suffering from anhedonia (one of the core symptoms of depression, lack of pleasure) and follow how they benefit from the program in order to achieve maintained weight loss. Also, the associations between weight loss, physical activity and musculoskeletal disorders are studied.
| Condition | Intervention |
|---|---|
|
Obesity Hypercholesterolemia Diabetes Mellitus, Type 2 Anhedonia |
Behavioral: Cognitive behavioral therapy -based weight loss program |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
- change in weight [ Time Frame: baseline, 9 months, 1,2 and 3 years ] [ Designated as safety issue: No ]
- change in eating behavior [ Time Frame: baseline, 9 months, 1,2 and 3 years ] [ Designated as safety issue: No ]emotional eating, uncontrolled eating, cognitive restraint, binge eating symptoms
- change in total cholesterol,HDL, LDL,Trigly and glucose [ Time Frame: baseline, 1,2 and 3 years ] [ Designated as safety issue: No ]
- DNA [ Time Frame: baseline ] [ Designated as safety issue: No ]for genetic analyses
- change in incretins [ Time Frame: baseline, 12, 24 and 36 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | May 2012 |
| Estimated Primary Completion Date: | September 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Weight loss counseling
Cognitive behavioral therapy - based weight loss program
|
Behavioral: Cognitive behavioral therapy -based weight loss program
CBT-based program includes 20 group visits
|
|
Experimental: Control
short term weight loss counseling, control group
|
Behavioral: Cognitive behavioral therapy -based weight loss program
CBT-based program includes 20 group visits
|
Detailed Description:
Obesity is an increasing problem and effective weight loss methods are needed. The study is randomized follow-up study with 9 months intervention and three (3) years follow-up period. The study is organized in Oulu University Hospital, Department of Internal Medicine. Eighty (80)obese, 20-65 years, study subjects will be randomized into intervention or control group.
The hypothesis of the CognObe study is: CBT (cognitive behavioral therapy)-based weight loss program is successful in sustained and favourable change in eating behavior and weight as well as decreased risk for coronary heart diseases or type 2 diabetes.
Eligibility| Ages Eligible for Study: | 20 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- BMI > 30
Exclusion Criteria:
- other concurrent weight loss programs
- disease which prevents weight loss
- medication which affects on weight loss
Contacts and Locations| Finland | |
| Deparment of Internal Medicine, Oulu University Hospital | Recruiting |
| Oulu, Finland | |
| Contact: Anna-Maria Keränen, PhD +358-8-3155621 | |
| Contact: Terhi Jokelainen, MSc | |
| Sub-Investigator: Anna-Maria Keränen, PhD | |
| Principal Investigator: Markku Savolainen, professor | |
| Sub-Investigator: Terhi Jokelainen, MSc | |
| Sub-Investigator: Mona-Lisa Kujari, MD | |
| Sub-Investigator: Sari Lindeman, prof | |
More Information
Publications:
| Responsible Party: | Anna-Maria Keränen, P.h.D, clinical nutritionist, University of Oulu |
| ClinicalTrials.gov Identifier: | NCT01606904 History of Changes |
| Other Study ID Numbers: | 58/2012 |
| Study First Received: | May 21, 2012 |
| Last Updated: | May 23, 2012 |
| Health Authority: | Finland: Regional ethics committee of the Northern Ostrobothnia Ethics Committee,Northern Ostrobothnia Hospital District |
Additional relevant MeSH terms:
|
Coronary Disease Diabetes Mellitus Diabetes Mellitus, Type 2 Hypercholesterolemia Obesity Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Glucose Metabolism Disorders |
Metabolic Diseases Endocrine System Diseases Hyperlipidemias Dyslipidemias Lipid Metabolism Disorders Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013