Abstract
Obesity is a growing health problem worldwide, associated with serious medical and psychosocial comorbidities that increase the risk of mortality. Strong evidence confirms lifestyle modification programmes as the cornerstone of its treatment. However, the available long-term lifestyle modification programmes for weight management delivered in Arabic-speaking countries seem to be lacking in effectiveness in terms of weight-loss maintenance and do not conform to the standard for clinical significance. Factors such as methodological weaknesses in programme transcultural adaptation and the lack of expert clinical supervision before and during implementation seem to underlie this discrepancy. In this case report, we describe for the first time an Arabic-speaking patient with obesity and severe lumbar intervertebral disc degeneration, who successfully underwent weight management by means of a new, well-adapted and well-implemented personalized cognitive behavioural programme for obesity (CBT-OB). After eighteen months, the patient displayed significant weight-loss maintenance (~16% weight-loss), improvement in total and central body fat distribution, reduced pain from disc degeneration, and an increase in high-density lipoprotein (HDL). The CBT-OB programme may be a feasible approach to managing Arab patients with obesity, producing long-lasting weight-loss maintenance improvements in the obesity-related profile.
Highlights
Obesity is a significant health condition associated with non-communicable diseases [1,2], psychosocial comorbidities [3], poor health-related quality of life [4] and an increased rate of mortality [5]
We describe for the timetime an Arabic-speaking patient withwith obesity and and severe lumbar intervertebral degeneration, who successfully underwentweight weightmanagement management by severe lumbar intervertebral discdisc degeneration, who successfully underwent meansof ofaawell-adapted well-adaptedand andwell-implemented well-implementedpersonalized personalizedcognitive cognitivebehavioural behaviouralprogramme programme for by means obesity (CBT-OB)
To the best of our knowledge, this is the first case of weight management in an Arabic-speaking adult patient with obesity by means of a well-adapted and implemented, long-term personalized lifestyle modification programme based on cognitive behavioural therapy for obesity (CBT-OB) in an
Summary
Dana El Masri 1 , Dima Kreidieh 1 , Hana Tannir 1 , Leila Itani 1 and Marwan El Ghoch 1,2, *.
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