Wiadomosci lekarskie (Warsaw, Poland : 1960) · 2023
THE EFFECT OF COGNITIVE-BEHAVIORAL THERAPY ON INDICATORS OF LIPID AND CARBOHYDRATE METABOLISM IN PATIENTS WITH NON-ALCOHOLIC FATTY LIVER DISEASE ON THE BACKGROUND OF ABDOMINAL OBESITY.
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Kiro Liudmyla S, Chernyshov Oleh V, Zak Maksym Yu, Iakovenko Nataliia O, Ovechko Anna I, Dorovskykh Anatolyi V
Аннотация
OBJECTIVE: The aim: Analyse the impact and effectiveness of cognitive-behavioural therapy in patients with NAFLD on the background of AO on indicators of lipid and carbohydrate metabolism.
PATIENTS AND METHODS: Materials and methods: 85 patients with NAFLD and obesity of the 1st degree (42 women, 43 men) were examined. All patients were divided into two clinical groups: 1st group (research) - 48 people, who underwent a course of CBT for 6 months; the control group - 37 people, who followed only diet therapy, recommended physical activity, without involvement in CBT. The general clinical examination of patients consisted of the measurement of anthropometric and physiological indicators, the study of lipid and carbohydrate profile indicators.
RESULTS: Results: After a 6-month course of CBT, a decrease in the atherogenic coefficient (AC) was recorded in the patients of the 1st group in 2.29 times (p=0.037<0.05), the number of patients with hypertension of the 1st degree decreased in 1.8 times (p=0.0047<0.05) in comparison with the initial indicators (on the 1st day) and amount of patients with normal blood pressure of the 1st group increased by 2.4 times (p=0.0115<0.05) compared to the control group.
CONCLUSION: Conclusions: The course of CBT should be an integral component in the program for the management of obese patients to optimize not only the psycho-emo¬tional condition, but also to correct lipid and carbohydrate metabolism indicators, reduce the risk of developing cardiovascular and neurological complications.
PATIENTS AND METHODS: Materials and methods: 85 patients with NAFLD and obesity of the 1st degree (42 women, 43 men) were examined. All patients were divided into two clinical groups: 1st group (research) - 48 people, who underwent a course of CBT for 6 months; the control group - 37 people, who followed only diet therapy, recommended physical activity, without involvement in CBT. The general clinical examination of patients consisted of the measurement of anthropometric and physiological indicators, the study of lipid and carbohydrate profile indicators.
RESULTS: Results: After a 6-month course of CBT, a decrease in the atherogenic coefficient (AC) was recorded in the patients of the 1st group in 2.29 times (p=0.037<0.05), the number of patients with hypertension of the 1st degree decreased in 1.8 times (p=0.0047<0.05) in comparison with the initial indicators (on the 1st day) and amount of patients with normal blood pressure of the 1st group increased by 2.4 times (p=0.0115<0.05) compared to the control group.
CONCLUSION: Conclusions: The course of CBT should be an integral component in the program for the management of obese patients to optimize not only the psycho-emo¬tional condition, but also to correct lipid and carbohydrate metabolism indicators, reduce the risk of developing cardiovascular and neurological complications.