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Læknablaðið - 01.01.2014, Blaðsíða 33

Læknablaðið - 01.01.2014, Blaðsíða 33
LÆKNAblaðið 2014/100 33 R a n n S Ó k n Heimildir 1. Alwan A. Global status report on noncommunicable diseases 2010. World Health Organization. Italy 2011. 2. Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet 2011; 377: 557-67. 3. Valdimarsdóttir M, Jónsson SH, Þorgeirsdóttir H, Gísladóttir E, Guðlaugsson JÓ, Þórlindsson Þ. Líkams- þyngd og holdafar fullorðinna Íslendinga 1990-2007. Lýðheilsustöð, Reykjavík 2009. 4. Þorgeirsdóttir H, Valgeirsdóttir H, Gunnarsdóttir I, Gísladóttir E, Gunnarsdóttir BE, Þórsdóttir I, et al. Hvað borða Íslendingar? Könnun á mataræði Íslendinga 2010-2011. Helstu niðurstöður. Embætti landlæknis, Matvælastofnun og Rannsóknastofa í næringarfræði 2011. 5. Lang A, Froelicher ES. 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Psychosocial functioning in the obese before and after weight reduction: construct validity and responsiveness of the Obesity-related Problems scale. Int J Obes Relat Metab Disord 2003; 27: 617-30. 29. Rapoport L, Clark M, Wardle J. Evaluation of a modified cognitive-behavioural programme for weight manage- ment. Int J Obes Relat Metab Disord 2000; 24: 1726-37. 30. Lagunova Z, Porojnicu AC, Lindberg F, Hexeberg S, Moan J. The Dependency of Vitamin D Status on Body Mass Index, Gender, Age and Season. Anticancer Res 2009; 29: 3713-20. 31. Mason C, Xiao LR, Imayama I, Duggan CR, Bain C, Foster- Schubert KE, et al. Effects of weight loss on serum vitamin D in postmenopausal women. Am J Clin Nutr 2011; 94: 95-103. 32. de Wit L, Luppino F, van Straten A, Penninx B, Zitman F, Cuijpers P. Depression and obesity: A meta-analysis of community-based studies. Psychiatry Res 2010; 178: 230-5. 33. Kaukua J, Pekkarinen T, Sane T, Mustajoki P. Health- related quality of life in obese outpatients losing weight with very-low-energy diet and behaviour modification: a 2-y follow-up study. Int J Obes Relat Metab Disord 2003; 27: 1072-80. 34. Huang IC, Frangakis C, Wu AW. The relationship of excess body weight and health-related quality of life: evidence from a population study in Taiwan. Int J Obesity 2006; 30: 1250-9. 35. Fabricatore AN, Wadden TA, Sarwer DB, Faith MS. Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg 2005; 15: 304-9. 36. Hardcastle S, Taylor A, Bailey M, Castle R. A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors. Patient Educ Couns 2008; 70: 31-9. ENGLISH SUMMARY introduction: obesity is one of the greatest public health challenges world wide and its prevalence has increased during the past 20-30 years. obesity is related to physical and mental health and increased mortality. There are few evidence-based treatment options for the obese available in Iceland. Material and methods: The purpose of this pilot study was to develop a 15 week group program based on Cognitive Behavior Therapy and Appetite Awareness Training for young obese women. The participants were randomly allocated to two groups, A and B, in a convenience sample of 20 women, aged 19-44 with a BMI 30-39.9 kg/m². Group A attended the program while group B served as a control in a crossover design where group B subsequently participated in the program. The effectiveness of the program was evaluated before, during and at the end of the program and at six and twelve month follow-up. Information was collected on body weight, BMI, body fat and body fat mass, blood pressure, cholesterol, triglyceride, high density lipoprotein and 25(oH) D, quality of life (SF-36 and oP scale), symptoms of depression (BDI-II) and anxiety (BAI). Additionally participants completed a questionnaire on demographics and their view on participating in the program was assessed. Results: Participants reduced their weight (P=0.001), BMI (P=0.001), body fat (P=0.010), body fat mass (P=0.002), diastolic blood pressure (P=0.005) and vitamin D status improved (P=0.008). Symptoms of depression and anxiety decreased (P<0.001 and P<0.004). Quality of life measured with oP scale improved (P=0.006) and the mental component summary (MCS) (P=0.012) of the SF-36 scale. The mean weight loss was 3.7 kg following intervention which was maintained at follow up. Conclusion: „The enjoy eating“ program is a promising health promo- tion approach in the health care sector for obese women to improve mental health, quality of life and loose weight. The effectiveness of the treatment program „Enjoy eating“ on health and mood in obese women Larusdottir H, Saevarsdottir H, Steingrimsdottir L, Gudmundsson L, Arnarson Eo Correspondence: Eiríkur Örn Arnarson, eirikur@lsh.is key words: Obesity, cognitive behavior therapy, appetite awareness training, program, mood. ¹University of Iceland 2Landspitali University Hospital 3Primary Health Care of the Capital Area 4 Unit for Nutrition Research 5Reykjalundur Rehabilitation Centre
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