Abstract
Objective
To investigate the effects of narrative group counseling combined with diet modification
and exercise plans on weight loss in Iranian women with obesity.
Design
Parallel 2-arm clinical trial.
Participants
Fifty-six Iranian women with obesity (aged 18–50 years).
Intervention
The intervention group included weekly diet, exercise, and narrative-focused group
counseling, whereas the comparison group included dietary modification and exercise
sessions for 8 months (32 sessions).
Main Outcome Measure
Anthropometric and body composition parameters, blood biochemical parameters (high-density
lipoproteins, low-density lipoproteins, triglycerides, fasting blood sugar, ghrelin,
obestatin), physical activities, and appetite scores.
Analysis
McNemar test was used for the variables that were not normally distributed and for
scaling. Furthermore, t tests were used to compare quantitative variables with normal
distributions. The original P (0.05) was adjusted to P = 0.0031 using the Bonferroni correction.
Results
Weight, body mass index, body fat proportion, and hip circumference decreased significantly
in the intervention vs comparison group. Serum low-density lipoproteins, triglycerides,
total cholesterol, fasting blood sugar, appetite score, and ghrelin decreased, whereas
obestatin increased significantly in the intervention vs comparison group.
Conclusions and Implications
Narrative-focused group counseling combined with traditional strategies was effective
in achieving significant changes in weight, body mass index, and appetite. Future
studies with a more diverse audience and a longer follow-up are warranted.
Key Words
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Article info
Publication history
Published online: July 29, 2022
Accepted:
April 5,
2022
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2022 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
ScienceDirect
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