Efficacy of Cognitive Behavioural Therapy Targeting Eating Behaviour (CBT-TEB) in management of adiposity among middle-aged working women
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Date
2021
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Punjab Agricultural University, Ludhiana
Abstract
The study was aimed to assess the effect of Cognitive Behavioural Therapy Targeting Eating
Behaviour (CBT-TEB) in management of adiposity among middle-aged working women. Sixtysix
volunteer female faculty members from Punjab Agricultural University, Ludhiana, aged 30-60
years with BMI above 25 kg/m2 participated in the study. The participants were divided into two
groups as Control Group (n=34) and CBT-TEB Group (n=32). The compliance to diet plan during
a 10-week CBT-TEB programme was 72.01 to 81.86% for meals and 67.4 to 70.42% for
snacking. Among different exercises, walking had maximum compliance (76.4%) followed by
aerobic exercise (33.74%) while least for resistance exercises (24%). A significant reduction of
body weight (4%), fat mass (2%), waist circumference (4.9%), hip circumference (2.7%), BMI
(4.4%), waist-hip ratio (2.2%), Waist-Height ratio (4.8%) and Conicity Index (3.05%) was
observed among the subjects. A positive behavioural change in eating pattern of the subjects
through CBT-TEB programme resulted in decreased daily intake of energy (-696 Kcal),
carbohydrates (-177g) and fat (-4.29g) whereas, enhanced intake of protein (19.2g), calcium
(932.7mg) and iron (3.06mg). Energy and macronutrients namely carbohydrates, protein and fat
from snack foods had a strong association with fat mass, hence restricting these nutrients through
snacks has been proved beneficial to reduce adiposity. Walking as an exercise had been proved
instrumental in reducing abdominal adiposity significantly (p≤0.05) among the subjects who
received CBT-TEB for 10 weeks. The impact of CBT-TEB was positive as maximum participants
were able to bring change in themselves to cope up with eating disorders. Twelve healthy snacks
developed according to the psychological and social preferences of the subjects were richer in
protein and fiber but lower in fat, hence more nutritious than the traditional snack foods available
in the market. Therefore, Cognitive behavioural Therapy Targeting Eating Behaviours (CBTTEB)
can be used as an effective tool in reducing adiposity among self-motivated women. CBTTEB
involves sessions to bring positive changes in thinking process and to correct overall eating
patterns and snacking behaviour in particular by reducing emotional eating that is induced by
stress, anxiety and other mental attributes. Behavioural change to healthy snacking due to CBTTEB
is a sustainable approach to maintain the weight loss. Healthy choices of snacks may prove
beneficial in the management of adiposity.
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Citation
Muskan (2021). Efficacy of Cognitive Behavioural Therapy Targeting Eating Behaviour (CBT-TEB) in management of adiposity among middle-aged working women (Unpublished M.Sc. thesis). Punjab Agricultural University, Ludhiana, Punjab, India.