Comparison of the Effect of Diet and Reality Therapy on Anthropometric, Biochemical and Psychological Variables in Overweight and Obese Population

Document Type : Original Article

Authors

1 Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Yazd International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

4 Department of Medical Science, Mashhad Branch, Islamic Azad University, Mashhad, Iran

5 Neurocognitive Research Center and Department of Physiology, College of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

6 Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran

7 Department of Statistics, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

8 Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

9 Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10 Brighton and Sussex Medical School, Division of Medical Education, Falmer, Brighton, Sussex, UK

11 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

12 Department of Nutritional Sciences, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

10.30476/ijns.2025.104619.1362

Abstract

Background: Psychological conditions such as eating disorders, dissatisfaction with body image and dichotomous thinking can be associated with obesity. This study aimed to use a combination of diet and reality therapy interventions on the biochemical and anthropometrics variables in overweight and obese subjects.
Methods: Fifty eligible individuals aged between 18 and 65 years were recruited. The intervention group (IG, n=25) received dietary and reality therapy, while the control group (CG, n=25) only received dietary intervention for three months. Anthropometric, psychological, and biochemical variables were measured in the period of study before and after the intervention.
Results: There was a significant reduction in weight, body fat mass, body mass index (BMI), visceral fat area, fat mass index, circumferences of the abdomen and hip, dichotomous thinking, and body image (p<0.001) in IG group in comparison to the CG group before and after the intervention. Other variables such as total body water, extracellular water, soft lean mass, body fat percent, chest circumference, and energy intake showed a significant difference between the two groups (p<0.05). On the other hand, the biochemical variables such as complete blood count with differential (CBC-diff), liver enzymes, lipids profile, fasting blood glucose (FBG), and high sensitive C reactive protein (hsCRP) showed no significant difference between the two groups.
Conclusion: Combining reality therapy with dietary therapy could significantly affect anthropometric and psychological variables in overweight and obese individuals. However, there is a need to evaluate the long-term effects of this combination therapy in overweight and obese subjects.

Highlights

Hassan Mozaffari-Khosravi (Google Scholar)

 

Keywords