Cognitive-Behavioral Therapy for Managing Obesity in People With Chronic Kidney Disease
Chronic Kidney Diseases, Obesity, Overweight
About this trial
This is an interventional treatment trial for Chronic Kidney Diseases focused on measuring Obesity, Chronic KIdney Disease, Overweight, Cognitive Behavioral Therapy, Weight loss, Weight maintenance
Eligibility Criteria
Inclusion Criteria: patients with chronic kidney disease (proteinuric form) from stage 2 to stage 4 (oGF 60 to 15 ml/min/1.73m2); with or without associated type 2 diabetes mellitus; with a body mass index greater than 30 kg/m2 or waist circumference greater than 94 cm (men) or 80 cm (women); who have an estimated daily proteinuria exceeding 200 mg protein per g urinary creatinine. Exclusion Criteria: acute psychiatric illness or chronic, poorly managed psychiatric illness; dementia; bioimpedance findings of low lean body mass index below that expected for age and sex (or presence of any other sarcopenic obesity criteria); active chronic inflammatory disease (e.g. active vasculitis, SLE, rheumatoid arthritis) or active cancer; active nephrotic syndrome; NYHA grade 3 or 4 heart failure; spontaneous weight loss of 5% or more in the last 6-month period; receiving induction immunosuppression therapy for autoimmune renal disease (receiving maintenance immunosuppression therapy for no retention); any other clinical factor that puts the patient at risk with regard to metabolic stability and daily energy expenditure.
Sites / Locations
- University Medical Centre LjubljanaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Cognitive Behavioral Therapy for managing Obesity
Control group
Participants will be enrolled in a 4-month programme of cognitive behavioural therapy for obesity management. The programme is described in more detail in the annex. The programme will consist of 12 individual sessions, with weekly sessions for the first eight weeks and bi-monthly sessions for the following eight weeks. Treatment as usual: participants will receive three sessions with a dietician to receive basic information on appropriate diet, energy deficit and nutrition plan and three sessions with a kinesiologist to receive advice on physical activity.
Treatment as usual: participants will receive three sessions with a dietician to receive basic information on appropriate diet, energy deficit and nutrition plan and three sessions with a kinesiologist to receive advice on physical activity.