RESUMO
BACKGROUND/AIMS: Intragastric balloon (IGB) and cognitive-behavioral therapy (CBT) are possible options for weight reduction. The aim of our study was to compare their effectivness in inducing weight loss and metabolic changes accompanying weight loss in non-morbidly obese patients. METHODOLOGY: Subjects were required to be between 18 and 55 years old and to have a BMI between 30 and 45 to be eligible. Exclusion criteria, besides those for IGB placement, were the presence of diabetes, depression, binge-eating disorder and the use of medications that affect body weight. Anthropometric, biochemical and blood pressure measurements were performed at baseline and after 6 months. A total of 114 subjects were recruited to the study and assigned to IGB (n = 60) or CBT group (n = 54). All patients completed the study. RESULTS: After 6 months, patients treated with IGB lost significantly (P < 0.01) more weight (%EWL = 44.6 ± 23.9) than patients who participated in CBT (%EWL = 24.3 ± 16.0). In IGB group 75% of patients achieved ≥ 10% loss of initial weight, and 42.6% of patients in CBT group respectively. A significant improvement in all indices of metabolic syndrome except HDL cholesterol was seen in both treatment groups but much more in subjects treated with IGB. CONCLUSIONS: Our results confirmed that intragastric balloon is useful method for promoting weight loss. Due to improvement of metabolic parameters and substantial benefit on liver function, obese people with metabolic syndrome appear to be the best candidates for IGB placement. Combining intragastric balloon treatment with cognitive-behavioral approach might prove valuable for even greater weight loss.
Assuntos
Terapia Cognitivo-Comportamental , Ingestão de Alimentos , Comportamento Alimentar , Balão Gástrico , Obesidade/terapia , Redução de Peso , Adolescente , Adulto , Biomarcadores/sangue , Pressão Sanguínea , Croácia , Feminino , Humanos , Testes de Função Hepática , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/fisiopatologia , Síndrome Metabólica/terapia , Pessoa de Meia-Idade , Obesidade/sangue , Obesidade/diagnóstico , Obesidade/fisiopatologia , Obesidade/psicologia , Fatores de Tempo , Resultado do Tratamento , Adulto JovemRESUMO
Self-reported and measured weight and height of 234 Croatian girls in Grades 5, 8, and 11 were used to explore the validity of these measures for calculating Body Mass Index. For both weight and height, the correlations between self-reported and measured values were over .93. Overweight girls underreported their weight and overreported their height.
