Brenda C Buffington 1 , Bernadette M Melnyk 2 , Shelly Morales 3 , Amanda Lords 4 , Michael R Zupan 5 Show Affiliations »
Abstract
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BACKGROUND AND PURPOSE: Female athletes struggle harder than male athletes to lose body fat and maintain a leaner physique. The purpose of this study was to determine the effects of an educational and cognitive behavioral therapy (CBT)-based intervention on knowledge, body composition, anxiety, stress, and nutritional intake . METHODS: A randomized controlled trial was conducted with 153 female athletes from the U.S. Air Force Academy (USAFA ). Participants were assigned to one of three groups: (a) a combined energy balance and CBT-based intervention (E1); (b) a CBT-based intervention alone (E2); and (c) a control group (C ). Main outcomes included a DXA scan for body composition, a knowledge test, the GAD-7 for anxiety, the brief inventory of perceived stress (BIPS) for stress, and a 24-h food recall . FINDINGS: Significant improvement on knowledge of energy balance occurred in all three groups E1 (p < .001), E2, and C (p < .05). Significant reductions in percentage of body fat occurred in E1 (p < .001) and E2 (p < .05). There also were significant reductions in the percent of fat consumed by E1 (p < .05) and saturated fat consumed by both E1 and E2 (p < .05). The control group only demonstrated a significant increase in stress as measured by the BIPS (p < .05). CONCLUSIONS: A combined energy balance and CBT-based intervention improves knowledge and body fat . IMPLICATIONS: The importance to assess knowledge, anxiety, stress, nutrition intake, and percentage of body fat in female athletes and to deliver evidence-based interventions to improve their health outcomes. ©2016 American Association of Nurse Practitioners .
RCT Entities: Population
Interventions
Outcomes
BACKGROUND AND PURPOSE: Female athletes struggle harder than male athletes to lose body fat and maintain a leaner physique. The purpose of this study was to determine the effects of an educational and cognitive behavioral therapy (CBT)-based intervention on knowledge, body composition, anxiety , stress, and nutritional intake. METHODS: A randomized controlled trial was conducted with 153 female athletes from the U.S. Air Force Academy (USAFA). Participants were assigned to one of three groups: (a) a combined energy balance and CBT-based intervention (E1); (b) a CBT-based intervention alone (E2); and (c) a control group (C). Main outcomes included a DXA scan for body composition, a knowledge test, the GAD-7 for anxiety , the brief inventory of perceived stress (BIPS) for stress, and a 24-h food recall. FINDINGS: Significant improvement on knowledge of energy balance occurred in all three groups E1 (p < .001), E2, and C (p < .05). Significant reductions in percentage of body fat occurred in E1 (p < .001) and E2 (p < .05). There also were significant reductions in the percent of fat consumed by E1 (p < .05) and saturated fat consumed by both E1 and E2 (p < .05). The control group only demonstrated a significant increase in stress as measured by the BIPS (p < .05). CONCLUSIONS: A combined energy balance and CBT-based intervention improves knowledge and body fat. IMPLICATIONS: The importance to assess knowledge, anxiety , stress, nutrition intake, and percentage of body fat in female athletes and to deliver evidence-based interventions to improve their health outcomes. ©2016 American Association of Nurse Practitioners.
Entities: Disease
Gene
Species
Keywords:
Young adult women; cognitive behavioral therapy (CBT); stress; stress and coping; student health; weight management; women's health
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Year: 2016
PMID： 27007300 DOI： 10.1002/2327-6924.12359
Source DB: PubMed Journal: J Am Assoc Nurse Pract ISSN： 2327-6886 Impact factor: 1.165